Press Release
|
![]() |
• |
Total revenues for the second quarter 2025 increased 11% to $67.2 billion
|
• |
Shareholders’ net income for the second quarter 2025 was $1.5 billion,
or $5.71 per share
|
• |
Adjusted income from operations1 for the second quarter 2025 was $1.9 billion, or $7.20 per share
|
• |
Reaffirms 2025 outlook for adjusted income from operations1,2 of at least $29.60 per share2
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
2025
|
2024
|
2025
|
2025
|
||||||||||||
Total Revenues
|
$
|
67,178
|
$
|
60,523
|
$
|
65,502
|
$
|
132,680
|
||||||||
Net Investment Results from Equity Method Investments3
|
(44
|
)
|
(53
|
)
|
(50
|
)
|
(94
|
)
|
||||||||
Adjusted Revenues3
|
$
|
67,134
|
$
|
60,470
|
$
|
65,452
|
$
|
132,586
|
||||||||
Consolidated Earnings, net of taxes
|
||||||||||||||||
Shareholders’ Net Income
|
$
|
1,532
|
$
|
1,548
|
$
|
1,323
|
$
|
2,855
|
||||||||
Net Investment (Gains)1
|
(103
|
)
|
(20
|
)
|
(48
|
)
|
(151
|
)
|
||||||||
Amortization of Acquired Intangible Assets1
|
330
|
317
|
336
|
666
|
||||||||||||
Special Items1
|
171
|
64
|
229
|
400
|
||||||||||||
Adjusted Income from Operations1
|
$
|
1,930
|
$
|
1,909
|
$
|
1,840
|
$
|
3,770
|
||||||||
|
||||||||||||||||
Shareholders’ Net Income, per share
|
$
|
5.71
|
$
|
5.45
|
$
|
4.85
|
$
|
10.55
|
||||||||
Adjusted Income from Operations1, per share
|
$
|
7.20
|
$
|
6.72
|
$
|
6.74
|
$
|
13.94
|
• |
Total revenues for second
quarter 2025 increased 11% relative to second quarter 2024, primarily driven by Evernorth Health Services and includes growth of existing client relationships and strong specialty pharmacy growth.
|
• |
Adjusted income from operations1 for second quarter 2025 increased 1% relative to second quarter 2024, reflecting
strong growth in Evernorth Health Services and improvement in Corporate, partially offset by expected higher stop loss medical costs in Cigna Healthcare.
|
• |
The SG&A expense ratio4 and adjusted SG&A expense ratio4 were 5.1% and 4.9%, respectively, for second quarter 2025, compared to 6.1%
and 6.0%, respectively, in second quarter 2024, reflecting business mix shift and strong revenue growth.
|
As of the Periods Ended
|
||||||||||||||||
June 30,
|
March 31,
|
December 31,
|
||||||||||||||
2025
|
2024
|
2025
|
2024
|
|||||||||||||
Total Pharmacy Customers5
|
121,892
|
122,470
|
122,283
|
118,304
|
||||||||||||
U.S. Healthcare
|
16,355
|
17,404
|
16,364
|
17,502
|
||||||||||||
International Health
|
1,691
|
1,639
|
1,679
|
1,645
|
||||||||||||
Total Medical Customers5
|
18,046
|
19,043
|
18,043
|
19,147
|
||||||||||||
Behavioral Care
|
23,852
|
23,816
|
23,416
|
23,932
|
||||||||||||
Dental
|
18,446
|
18,339
|
18,466
|
18,258
|
||||||||||||
Medicare Part D
|
—
|
2,564
|
—
|
2,571
|
||||||||||||
Total Customer Relationships5
|
182,236
|
186,232
|
182,208
|
182,212
|
• |
Total customer relationships5 at June 30, 2025 were 182.2 million. Excluding the
impact of the HCSC transaction6, total customer relationships5 increased 2% from December 31, 2024.
|
• |
Total pharmacy customers5 at June 30, 2025 increased 3% from December 31, 2024 to 121.9 million due to new sales and the continued expansion of relationships.
|
• |
Total medical customers5 at June 30, 2025 decreased 6% from December 31, 2024 to
18.0 million, primarily reflecting the impact of the HCSC transaction6. Excluding the impact of the HCSC transaction6, total medical customers5 as of June 30, 2025 were consistent relative to December 31, 2024.
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
2025
|
2024
|
2025
|
2025
|
||||||||||||
Total Adjusted Revenues
|
||||||||||||||||
Pharmacy Benefit Services
|
$
|
31,954
|
$
|
26,630
|
$
|
29,742
|
$
|
61,696
|
||||||||
Specialty and Care Services
|
$
|
25,871
|
$
|
22,918
|
$
|
23,939
|
$
|
49,810
|
||||||||
Adjusted Revenues3
|
$
|
57,825
|
$
|
49,548
|
$
|
53,681
|
$
|
111,506
|
||||||||
Adjusted Income from Operations, Pre-Tax
|
||||||||||||||||
Pharmacy Benefit Services
|
$
|
833
|
$
|
816
|
$
|
544
|
$
|
1,377
|
||||||||
Specialty and Care Services
|
$
|
863
|
$
|
803
|
$
|
890
|
$
|
1,753
|
||||||||
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,696
|
$
|
1,619
|
$
|
1,434
|
$
|
3,130
|
||||||||
Margin, Pre-Tax7
|
2.9
|
%
|
3.3
|
%
|
2.7
|
%
|
2.8
|
%
|
• |
Evernorth Health Services second quarter 2025 adjusted revenues3 and adjusted
income from operations, pre-tax1, increased 17% and 5%, respectively, relative to second quarter 2024.
|
• |
For Pharmacy Benefit Services second quarter 2025 relative to second quarter 2024:
|
◦ |
Adjusted revenues3 increased 20% reflecting strong organic growth, including the growth of existing client relationships, and new
business.
|
◦ |
Adjusted income from operations, pre-tax1, increased 2% reflecting continued affordability improvements, partially offset by
initiatives to support business growth.
|
• |
For Specialty and Care Services second quarter 2025 relative to second quarter 2024:
|
◦ |
Adjusted revenues3 increased 13% reflecting strong specialty volume growth.
|
◦ |
Adjusted income from operations, pre-tax1, increased 7% reflecting strong organic growth in specialty businesses, including increased
biosimilar adoption. Year-over-year growth was also impacted by lower net investment income in second quarter 2025 compared to second
quarter 2024.
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
2025
|
2024
|
2025
|
2025
|
||||||||||||
|
||||||||||||||||
Adjusted Revenues3,8
|
$
|
10,754
|
$
|
13,143
|
$
|
14,482
|
$
|
25,236
|
||||||||
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,094
|
$
|
1,204
|
$
|
1,287
|
$
|
2,381
|
||||||||
Margin, Pre-Tax7
|
10.2
|
%
|
9.2
|
%
|
8.9
|
%
|
9.4
|
%
|
• |
Second quarter 2025
adjusted revenues3,8 decreased 18% relative to second quarter 2024,
primarily reflecting the impact of the HCSC transaction6,8. Excluding the impact of the HCSC transaction6,8,
second quarter 2025 adjusted revenues3,8 would have increased 7% relative to second quarter 2024, primarily driven by premium rate increases to cover expected increases in
medical costs.
|
• |
Second quarter 2025
adjusted income from operations, pre-tax1, decreased 9% relative to second quarter 2024, primarily driven by a higher MCR4.
|
• |
The Cigna Healthcare MCR4 was 83.2% for second quarter 2025 compared to 82.3% for second quarter 2024, primarily due to expected higher stop loss medical costs.
|
• |
Cigna Healthcare net medical costs payable9 was $4.49 billion at June 30, 2025 which increased relative to $4.37 billion at March 31, 2025, and decreased relative to $5.04 billion at June 30, 2024. Cigna Healthcare net medical costs payable9 at June 30, 2024 included $895 million
from businesses included in the HCSC transaction6. Favorable prior year reserve development on a gross pre-tax basis was $297 million and $284 million for the six months ended June 30, 2025 and 2024, respectively.
|
Three Months Ended
|
Six Months Ended
|
|||||||||||||
June 30,
|
March 31,
|
June 30,
|
||||||||||||
|
2025
|
2024
|
2025
|
2025
|
||||||||||
|
||||||||||||||
Adjusted (Loss) from Operations, Pre-Tax1
|
$ |
(357
|
) | $ |
(451
|
) | $ |
(411
|
) | $ |
(768
|
) |
2025 Consolidated Metrics
|
Projection for Full Year Ending
December 31, 2025
|
Change from
Prior Projection
|
Adjusted Income from Operations, per share1,2
|
at least $29.60
|
|
Evernorth Adjusted Income from Operations, Pre-Tax1,2
|
at least $7,200
|
|
Cigna Healthcare Adjusted Income from Operations, Pre-Tax1,2
|
at least $4,125
|
|
Cigna Healthcare Medical Care Ratio2,4
|
83.2% to 84.2%
|
1. |
Adjusted income (loss) from operations is a principal financial measure of profitability used by The Cigna Group’s management because it presents the underlying results of
operations of the Company’s businesses and facilitates analysis of trends in underlying revenue, expenses and shareholders’ net income. Adjusted income (loss) from operations is defined as shareholders’ net income (or income before income
taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding net investment gains/losses, amortization of acquired intangible assets and special items. The Cigna Group’s share of certain
investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. Special items are matters that management believes are not representative of the underlying results of
operations due to their nature or size. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results. Consolidated adjusted income (loss) from operations is not
determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, shareholders’ net income. See Exhibit 1 for a reconciliation of consolidated adjusted income from operations to
shareholders’ net income.
|
2. |
Management is not able to provide a reconciliation of adjusted income from operations to shareholders’ net income, on a forward-looking basis because it is unable to predict,
without unreasonable effort, certain components thereof including (i) future net investment results and (ii) future special items. These items are inherently uncertain and depend on various factors, many of which are beyond The Cigna Group’s
control. As such, any associated estimate and its impact on shareholders’ net income and total revenues could vary materially.
|
3. |
Adjusted revenues is used by The Cigna Group’s management because it facilitates analysis of trends in underlying revenue. The Company defines adjusted revenues as total revenues
excluding the following adjustments: special items and The Cigna Group’s share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. Special items are matters that
management believes are not representative of the underlying results of operations due to their nature or size. We exclude these items from this measure because management believes they are not indicative of past or future underlying
performance of the business. Adjusted revenues is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, total revenues. See Exhibit 1 for a reconciliation of
consolidated adjusted revenues to total revenues.
|
4. |
Operating ratios are defined as follows:
|
• |
The Cigna Healthcare medical care ratio (“MCR”) represents medical costs as a percentage of premiums
for all Cigna Healthcare risk products provided through guaranteed cost or experience-rated funding arrangements. Changes in percentages may be expressed in basis points (“bps”).
|
• |
SG&A expense ratio on a GAAP basis for the second quarter 2025
represents enterprise selling, general and administrative expenses of $3,433 million as a percentage of total revenue of $67.2 billion
at a consolidated level. SG&A expense ratio on a GAAP basis for the second quarter 2024 represents enterprise selling, general and
administrative expenses of $3,684 million as a percentage of total revenue of $60.5 billion at a consolidated level.
|
• |
Adjusted SG&A expense ratio for the second quarter 2025 represents
enterprise selling, general and administrative expenses of $3,271 million excluding special items of $162 million as a percentage of
adjusted revenue at a consolidated level. Adjusted SG&A expense ratio for the second quarter 2024 represents enterprise selling,
general and administrative expenses of $3,621 million excluding special items of $63 million as a percentage of adjusted revenue at a
consolidated level.
|
5. |
Customer relationships are defined as follows:
|
• |
Total medical customers includes individuals who meet any one of the following criteria: (i) are covered under a medical insurance policy, managed care arrangement, or
administrative services agreement issued by Cigna Healthcare; (ii) have access to Cigna Healthcare’s provider network for covered services under their medical plan; or (iii) have medical claims that are administered by Cigna Healthcare.
|
• |
Total customer relationships and total medical customers as of December 31, 2024, excluding the impact of the HCSC transaction3, were 179,712 thousand and 18,055
thousand, respectively.
|
6. |
On March 19, 2025, the company completed the sale (the “HCSC transaction”) of its Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, Medicare and Other
Supplemental Benefits, and CareAllies businesses to Health Care Services Corporation (“HCSC”).
|
7. |
Margin, pre-tax, is calculated by dividing adjusted income (loss) from operations, pre-tax by adjusted revenues for each segment.
|
8. |
The Cigna Group owns noncontrolling interests in certain operating joint ventures. As such, the adjusted revenues for the Cigna Healthcare segment only include the Company’s share
of the joint ventures’ earnings reported in Fees and Other Revenues using the equity method of accounting under GAAP.
|
|
Three Months Ended
|
Six Months
Ended
|
||||||||||||||
|
June 30,
|
March 31,
|
June 30,
|
|||||||||||||
|
2025
|
2024
|
2025
|
2025
|
||||||||||||
|
||||||||||||||||
Cigna Healthcare Adjusted Revenues3
|
$
|
10,754
|
$
|
13,143
|
$
|
14,482
|
$
|
25,236
|
||||||||
Less: U.S. Healthcare - divested businesses revenues
|
—
|
3,137
|
3,850
|
3,850
|
||||||||||||
Cigna Healthcare Adjusted Revenues3 excluding U.S. Healthcare - divested businesses revenues
|
$
|
10,754
|
$
|
10,006
|
$
|
10,632
|
$
|
21,386
|
9. |
Medical costs payable within the Cigna Healthcare segment are presented net of reinsurance and other recoverables. The gross
medical costs payable balance was $4.64 billion as of June 30, 2025, $4.51 billion
as of March 31, 2025, and $5.20 billion as of June 30, 2024.
|
THE CIGNA GROUP
|
Exhibit 1
|
|||||||||||||||||||
COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)
|
||||||||||||||||||||
Three Months Ended
|
Six Months Ended
|
Three Months Ended
|
||||||||||||||||||
June 30,
|
June 30,
|
March 31,
|
||||||||||||||||||
(Dollars in millions, except per share amounts)
|
2025
|
2024
|
2025
|
2024
|
2025
|
|||||||||||||||
REVENUES
|
||||||||||||||||||||
Pharmacy revenues
|
$
|
53,649
|
$
|
45,101
|
$
|
102,282
|
$
|
87,137
|
$
|
48,633
|
||||||||||
Premiums
|
9,156
|
11,454
|
21,892
|
23,057
|
12,736
|
|||||||||||||||
Fees and other revenues
|
4,137
|
3,647
|
8,032
|
6,973
|
3,895
|
|||||||||||||||
Net investment income
|
236
|
321
|
474
|
611
|
238
|
|||||||||||||||
Total revenues
|
67,178
|
60,523
|
132,680
|
117,778
|
65,502
|
|||||||||||||||
Net investment results from certain equity method investments
|
(44
|
)
|
(53
|
)
|
(94
|
)
|
(61
|
)
|
(50
|
)
|
||||||||||
Adjusted revenues (1)
|
$
|
67,134
|
$
|
60,470
|
$
|
132,586
|
$
|
117,717
|
$
|
65,452
|
||||||||||
Shareholders’ net income
|
$
|
1,532
|
$
|
1,548
|
$
|
2,855
|
$
|
1,271
|
$
|
1,323
|
||||||||||
Pre-tax adjusted income (loss) from operations by segment
|
||||||||||||||||||||
Evernorth Health Services
|
$
|
1,696
|
$
|
1,619
|
$
|
3,130
|
$
|
2,979
|
$
|
1,434
|
||||||||||
Cigna Healthcare
|
1,094
|
1,204
|
2,381
|
2,544
|
1,287
|
|||||||||||||||
Corporate and Other Operations
|
(357
|
)
|
(451
|
)
|
(768
|
)
|
(842
|
)
|
(411
|
)
|
||||||||||
Adjusted income tax expense
|
(503
|
)
|
(463
|
)
|
(973
|
)
|
(897
|
)
|
(470
|
)
|
||||||||||
Consolidated after-tax adjusted income from operations
|
$
|
1,930
|
$
|
1,909
|
$
|
3,770
|
$
|
3,784
|
$
|
1,840
|
||||||||||
Weighted average shares (in thousands)
|
268,154
|
284,052
|
270,540
|
286,884
|
272,953
|
|||||||||||||||
Common shares outstanding (in thousands)
|
266,901
|
279,520
|
269,773
|
|||||||||||||||||
SHAREHOLDERS’ EQUITY at June 30,
|
$
|
40,214
|
$
|
41,332
|
||||||||||||||||
SHAREHOLDERS’ EQUITY PER SHARE at June 30,
|
$
|
150.67
|
$
|
147.87
|
Three Months Ended
|
Six Months Ended
|
Three Months
Ended
|
||||||||||||||||||||||||||||||
June 30,
|
June 30,
|
March 31,
|
||||||||||||||||||||||||||||||
2025 |
2024 |
2025 |
2024 |
2025 |
||||||||||||||||||||||||||||
(Dollars in millions, except per share amounts)
|
Pre-tax
|
After-
tax
|
Pre-tax
|
After-
tax
|
Pre-tax
|
After-
tax
|
Pre-tax
|
After-
tax
|
Pre-tax
|
After-
tax
|
||||||||||||||||||||||
SHAREHOLDERS’ NET INCOME
|
||||||||||||||||||||||||||||||||
Shareholders’ net income
|
$
|
1,532
|
$
|
1,548
|
$
|
2,855
|
$
|
1,271
|
$
|
1,323
|
||||||||||||||||||||||
Adjustments to reconcile adjusted income from operations
|
||||||||||||||||||||||||||||||||
Net investment (gains) losses (2)
|
$
|
(96
|
) |
(103)
|
$
|
(5
|
)
|
(20
|
)
|
$
|
(144
|
)
|
(151
|
)
|
$
|
1,823
|
1,807
|
$
|
(48
|
)
|
(48
|
)
|
||||||||||
Amortization of acquired intangible assets
|
422
|
330
|
420
|
317
|
844
|
666
|
843
|
639
|
422
|
336
|
||||||||||||||||||||||
Special Items
|
||||||||||||||||||||||||||||||||
Strategic optimization program
|
129
|
98
|
—
|
—
|
344
|
261
|
—
|
—
|
215
|
163
|
||||||||||||||||||||||
Integration and transaction-related costs
|
74
|
56
|
63
|
47
|
290
|
220
|
100
|
76
|
216
|
164
|
||||||||||||||||||||||
(Gain) loss on sale of businesses
|
—
|
—
|
—
|
—
|
(41
|
)
|
(115
|
)
|
19
|
(43
|
) |
(41
|
)
|
(115
|
)
|
|||||||||||||||||
Deferred tax expenses, net
|
—
|
17
|
—
|
17
|
—
|
34
|
—
|
34
|
—
|
17
|
||||||||||||||||||||||
Adjusted income from operations (3)
|
$
|
1,930
|
$
|
1,909
|
$
|
3,770
|
$
|
3,784
|
$
|
1,840
|
||||||||||||||||||||||
DILUTED EARNINGS PER SHARE
|
||||||||||||||||||||||||||||||||
Shareholders’ net income
|
$
|
5.71
|
$
|
5.45
|
$
|
10.55
|
$
|
4.43
|
$
|
4.85
|
||||||||||||||||||||||
Adjustments to reconcile to adjusted income from operations
|
||||||||||||||||||||||||||||||||
Net investment (gains) losses (2)
|
$
|
(0.36
|
) |
(0.38
|
) |
$
|
(0.02
|
)
|
(0.07
|
)
|
$
|
(0.53
|
)
|
(0.56
|
)
|
$
|
6.36
|
6.30
|
$
|
(0.18
|
)
|
(0.18
|
)
|
|||||||||
Amortization of acquired intangible assets
|
1.57
|
1.23
|
1.48
|
1.11
|
3.12
|
2.47
|
2.94
|
2.23
|
1.54
|
1.23
|
||||||||||||||||||||||
Special Items
|
||||||||||||||||||||||||||||||||
Strategic optimization program
|
0.48
|
0.37
|
—
|
—
|
1.27
|
0.97
|
—
|
—
|
0.79
|
0.60
|
||||||||||||||||||||||
Integration and transaction-related costs
|
0.28
|
0.21
|
0.22
|
0.17
|
1.07
|
0.81
|
0.34
|
0.26
|
0.79
|
0.60
|
||||||||||||||||||||||
(Gain) loss on sale of businesses
|
—
|
—
|
—
|
—
|
(0.15
|
)
|
(0.43
|
)
|
0.07
|
(0.15
|
) |
(0.15
|
)
|
(0.42
|
)
|
|||||||||||||||||
Deferred tax expenses, net
|
—
|
0.06
|
—
|
0.06
|
—
|
0.13
|
—
|
0.12
|
—
|
0.06
|
||||||||||||||||||||||
Adjusted income from operations (3)
|
$
|
7.20
|
$
|
6.72
|
$
|
13.94
|
$
|
13.19
|
$
|
6.74
|