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Sankey diagram of The Cigna Group. A complete text table follows the diagram.
Evernorth processes prescriptions and delivers specialty care at enormous volume. Cigna Healthcare covers 18.3 million medical customers and earns slightly more adjusted pretax income on a fraction of the revenue.
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Segment opening flows use Cigna's company-defined adjusted revenue because that is the filing's reconciled view of Evernorth and Cigna Healthcare. The flow explicitly reconciles to GAAP revenue before using GAAP expense and income values. Segment adjusted margins and customer counts are contextual, not flow allocations.
Labels and narrative explain the filing. A category marked “arithmetic bridge” or “residual” is calculated from reported totals, rather than a separately reported line.
| Category | Stage | Value | Notes |
|---|---|---|---|
| Evernorth Health Services | 1 | $58.4B | Pharmacy benefits, specialty and care services |
| Cigna Healthcare | 1 | $11.5B | Employer, individual and international health plans |
| Other Operations | 1 | $120M | Remaining insurance operations |
| Business-line adjusted revenue | 2 | $70.0B | Before corporate eliminations |
| Consolidated adjusted revenue | 3 | $68.5B | 5% year-over-year growth |
| Corporate eliminations | 3 | $1.5B | Activity between Cigna businesses |
| GAAP revenue | 4 | $68.5B | Primarily pharmacy revenue and premiums |
| Equity-method revenue adjustment | 4 | $23M | Adjusted-to-GAAP reconciliation |
| Income from operations | 5 | $2.4B | Reported operating result |
| Drugs, care, benefits & operations | 5 | $66.1B | Total benefits and expenses |
| Operating & investment income | 6 | $2.6B | Before interest and other expense |
| Business-sale gain | 5 | $11M | Reported divestiture gain |
| Net investment gains | 5 | $258M | Reported investment result |
| Income before tax | 7 | $2.3B | Reported pretax result |
| Interest & other expense | 7 | $357M | Debt financing and other cost |
| Net income | 8 | $1.9B | After income tax |
| Income tax | 8 | $409M | 18.0% effective rate |
| Shareholder net income | 9 | $1.7B | $6.26 diluted EPS |
| Noncontrolling interests | 9 | $207M | Other owners' share |
| From | To | Value |
|---|---|---|
| Evernorth Health Services | Business-line adjusted revenue | $58.4B |
| Cigna Healthcare | Business-line adjusted revenue | $11.5B |
| Other Operations | Business-line adjusted revenue | $120M |
| Business-line adjusted revenue | Consolidated adjusted revenue | $68.5B |
| Business-line adjusted revenue | Corporate eliminations | $1.5B |
| Consolidated adjusted revenue | GAAP revenue | $68.5B |
| Consolidated adjusted revenue | Equity-method revenue adjustment | $23M |
| GAAP revenue | Income from operations | $2.4B |
| GAAP revenue | Drugs, care, benefits & operations | $66.1B |
| Income from operations | Operating & investment income | $2.4B |
| Business-sale gain | Operating & investment income | $11M |
| Net investment gains | Operating & investment income | $258M |
| Operating & investment income | Income before tax | $2.3B |
| Operating & investment income | Interest & other expense | $357M |
| Income before tax | Net income | $1.9B |
| Income before tax | Income tax | $409M |
| Net income | Shareholder net income | $1.7B |
| Net income | Noncontrolling interests | $207M |