|
Press Release
|
![]() |
| • |
Total revenues for the third quarter 2025 increased 10% to $69.7 billion
|
| • |
Shareholders’ net income for the third quarter 2025 was $1.9 billion, or $6.98 per share
|
| • |
Adjusted income from operations1 for the third quarter 2025 was $2.1 billion, or $7.83 per share
|
| • |
Reaffirms 2025 outlook for adjusted income from operations1,2 of at least $29.60 per share2
|
|
•
|
The Cigna Group announced a new rebate-free pharmacy benefit model designed to lower costs, improve transparency, and support local pharmacies
|
|
Three Months Ended
|
Nine Months
Ended
|
|||||||||||||||
|
September 30,
|
June 30,
|
September 30,
|
||||||||||||||
|
2025
|
2024
|
2025
|
2025
|
|||||||||||||
|
Total Revenues
|
$
|
69,748
|
$
|
63,694
|
$
|
67,178
|
$
|
202,428
|
||||||||
|
Net Investment Results from Equity Method Investments3
|
(178
|
)
|
(177
|
)
|
(44
|
)
|
(272
|
)
|
||||||||
|
Special Item related to Impairment of dividend receivable3
|
—
|
182
|
—
|
—
|
||||||||||||
|
Adjusted Revenues3
|
$
|
69,570
|
$
|
63,699
|
$
|
67,134
|
$
|
202,156
|
||||||||
|
|
||||||||||||||||
|
Consolidated Earnings, net of taxes
|
||||||||||||||||
|
Shareholders’ Net Income
|
$
|
1,868
|
$
|
739
|
$
|
1,532
|
$
|
4,723
|
||||||||
|
Net Investment (Gains) Losses1
|
(43
|
)
|
740
|
(103
|
)
|
(194
|
)
|
|||||||||
|
Amortization of Acquired Intangible Assets1
|
332
|
333
|
330
|
998
|
||||||||||||
|
Special Items1
|
(61
|
)
|
300
|
171
|
339
|
|||||||||||
|
Adjusted Income from Operations1
|
$
|
2,096
|
$
|
2,112
|
$
|
1,930
|
$
|
5,866
|
||||||||
|
|
||||||||||||||||
|
Shareholders’ Net Income, per share
|
$
|
6.98
|
$
|
2.63
|
$
|
5.71
|
$
|
17.52
|
||||||||
|
Adjusted Income from Operations1, per share
|
$
|
7.83
|
$
|
7.51
|
$
|
7.20
|
$
|
21.76
|
||||||||
| • |
Total revenues for third quarter 2025 increased
10% relative to third 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 third quarter 2025 decreased 1% relative to third quarter 2024, primarily driven by lower contributions from Cigna Healthcare, partially offset by growth in Specialty & Care Services and higher contributions in Corporate.
|
| • |
The SG&A expense ratio4 and adjusted SG&A expense ratio4 were 4.8% and 4.6%, respectively, for third quarter 2025, compared to 5.6% and 5.5%, respectively, in third quarter 2024, reflecting business mix shift.
|
|
As of the Periods Ended
|
||||||||||||||||
|
September 30,
|
June 30,
|
December 31,
|
||||||||||||||
|
2025
|
2024
|
2025
|
2024
|
|||||||||||||
|
Total Pharmacy Customers5
|
122,486
|
119,996
|
121,892
|
118,304
|
||||||||||||
|
U.S. Healthcare
|
16,352
|
17,406
|
16,355
|
17,502
|
||||||||||||
|
International Health
|
1,707
|
1,642
|
1,691
|
1,645
|
||||||||||||
|
Total Medical Customers5
|
18,059
|
19,048
|
18,046
|
19,147
|
||||||||||||
|
Behavioral Care
|
23,526
|
23,662
|
23,852
|
23,932
|
||||||||||||
|
Dental
|
18,419
|
18,251
|
18,446
|
18,258
|
||||||||||||
|
Medicare Part D
|
—
|
2,557
|
—
|
2,571
|
||||||||||||
|
Total Customer Relationships5
|
182,490
|
183,514
|
182,236
|
182,212
|
||||||||||||
| • |
Total customer relationships5 at September 30, 2025 were 182.5 million. Excluding the impact of the HCSC transaction6, total customer relationships5 increased 2% from December 31,
2024.
|
| • |
Total pharmacy customers5 at September 30, 2025 increased 4% from December 31, 2024 to 122.5 million due to new sales and
the continued expansion of relationships.
|
| • |
Total medical customers5 at September 30, 2025 decreased 6% from December 31, 2024 to 18.1 million, primarily reflecting
the impact of the HCSC transaction6. Excluding the impact of the HCSC transaction6, total medical customers5 as of September 30, 2025
were consistent with December 31, 2024.
|
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
June 30,
|
September 30,
|
||||||||||||||
|
2025
|
2024
|
2025
|
2025
|
|||||||||||||
|
Total Adjusted Revenues
|
||||||||||||||||
|
Pharmacy Benefit Services
|
$
|
34,091
|
$
|
28,812
|
$
|
31,954
|
$
|
95,787
|
||||||||
|
Specialty and Care Services
|
$
|
26,300
|
$
|
23,825
|
$
|
25,871
|
$
|
76,110
|
||||||||
|
Adjusted Revenues3
|
$
|
60,391
|
$
|
52,637
|
$
|
57,825
|
$
|
171,897
|
||||||||
|
Adjusted Income from Operations, Pre-Tax
|
||||||||||||||||
|
Pharmacy Benefit Services
|
$
|
975
|
$
|
1,038
|
$
|
833
|
$
|
2,352
|
||||||||
|
Specialty and Care Services
|
$
|
928
|
$
|
838
|
$
|
863
|
$
|
2,681
|
||||||||
|
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,903
|
$
|
1,876
|
$
|
1,696
|
$
|
5,033
|
||||||||
|
Margin, Pre-Tax7
|
3.2
|
%
|
3.6
|
%
|
2.9
|
%
|
2.9
|
%
|
||||||||
| • |
Evernorth Health Services third quarter 2025
adjusted revenues3 and adjusted income from operations, pre-tax1, increased 15% and 1%, respectively, relative to third quarter 2024.
|
| • |
For Pharmacy Benefit Services third quarter 2025 relative to third quarter 2024:
|
| ◦ |
Adjusted revenues3 increased 18% reflecting strong organic growth, including the growth of existing client
relationships, and new business.
|
| ◦ |
Adjusted income from operations, pre-tax1, decreased 6%, reflecting strategic investments and initiatives to support business growth.
|
| • |
For Specialty and Care Services third quarter 2025 relative to third quarter 2024:
|
| ◦ |
Adjusted revenues3 increased 10% reflecting strong specialty volume growth.
|
| ◦ |
Adjusted income from operations, pre-tax1, increased 11% reflecting strong organic growth in specialty
businesses, including increased adoption of biosimilars.
|
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
June 30,
|
September 30,
|
||||||||||||||
|
2025
|
2024
|
2025
|
2025
|
|||||||||||||
|
Adjusted Revenues3,8
|
$
|
10,755
|
$
|
13,163
|
$
|
10,754
|
$
|
35,991
|
||||||||
|
Adjusted Income from Operations, Pre-Tax1
|
$
|
1,038
|
$
|
1,174
|
$
|
1,094
|
$
|
3,419
|
||||||||
|
Margin, Pre-Tax7
|
9.7
|
%
|
8.9
|
%
|
10.2
|
%
|
9.5
|
%
|
||||||||
| • |
Third quarter 2025 adjusted revenues3,8 decreased 18% relative to third quarter 2024, primarily reflecting the impact of the HCSC transaction6,8.
Excluding the impact of the HCSC transaction6,8, third quarter 2025 adjusted
revenues3,8 increased 6% relative to third quarter 2024, primarily driven by
premium rate increases to cover expected increases in medical costs.
|
| • |
Third quarter 2025 adjusted income from operations, pre-tax1, decreased 12% relative to third quarter 2024, primarily driven by a higher MCR4.
|
| • |
The Cigna Healthcare MCR4 was 84.8% for third
quarter 2025 compared to 82.8% for third quarter 2024, due to our Individual and Family Plans business
and higher stop loss medical costs relative to the prior year. The higher stop loss medical costs are consistent with our expectations as well as prior commentary.
|
| • |
Cigna Healthcare net medical costs payable9 was $4.53 billion at September 30, 2025, $4.49 billion at June 30, 2025, and $4.93 billion at September 30, 2024. The year-over-year decrease was primarily driven by the HCSC transaction6 which included $932 million in net medical costs payable9 at September 30, 2024. Favorable prior year reserve development on a gross
pre-tax basis was $319 million and $422 million for the nine months ended September 30, 2025 and 2024, respectively.
|
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
June 30,
|
September 30,
|
||||||||||||||
|
2025
|
2024
|
2025
|
2025
|
|||||||||||||
|
Adjusted (Loss) from Operations, Pre-Tax1
|
$
|
(363
|
)
|
$
|
(431
|
)
|
$
|
(357
|
)
|
$
|
(1,131
|
)
|
||||
|
2025 Consolidated Metrics
|
Projection for Full Year Ending
December 31, 2025
|
|
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 third quarter 2025 represents enterprise selling, general and administrative expenses of $3,362 million as a percentage of total revenue of
$69.7 billion at a consolidated level. SG&A expense ratio on a GAAP basis for the third
quarter 2024 represents enterprise selling, general and administrative expenses of $3,590 million
as a percentage of total revenue of $63.7 billion at a consolidated level.
|
| • |
Adjusted SG&A expense ratio for the third quarter 2025 represents enterprise selling, general and administrative expenses of $3,191 million excluding special items of $171 million as a percentage of adjusted revenue at a consolidated level. Adjusted SG&A expense ratio for the third quarter 2024 represents enterprise selling, general and administrative expenses of $3,513 million excluding special items of $77 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
|
Nine Months Ended
|
||||||||||||||
|
|
September 30,
|
June 30,
|
September 30,
|
|||||||||||||
|
|
2025
|
2024
|
2025
|
2025
|
||||||||||||
|
Cigna Healthcare Adjusted Revenues3
|
$
|
10,755
|
$
|
13,163
|
$
|
10,754
|
$
|
35,991
|
||||||||
|
Less: U.S. Healthcare - divested businesses revenues
|
—
|
2,998
|
—
|
3,850
|
||||||||||||
|
Cigna Healthcare Adjusted Revenues3 excluding U.S. Healthcare - divested businesses revenues
|
$
|
10,755
|
$
|
10,165
|
$
|
10,754
|
$
|
32,141
|
||||||||
| 9. |
Medical costs payable within the Cigna Healthcare segment are presented net of reinsurance and other
recoverables. The gross medical costs payable balance was $4.68 billion as of September 30, 2025,
$4.64 billion as of June 30, 2025, and $5.09 billion as of September 30, 2024.
|
|
THE CIGNA GROUP
|
Exhibit 1
|
|||||||||||||||||||
|
COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)
|
||||||||||||||||||||
|
Three Months Ended
|
Nine Months Ended
|
Three Months Ended
|
||||||||||||||||||
|
September 30,
|
September 30,
|
June 30,
|
||||||||||||||||||
|
(Dollars in millions, except per share amounts)
|
2025
|
2024
|
2025
|
2024
|
2025
|
|||||||||||||||
|
REVENUES
|
||||||||||||||||||||
|
Pharmacy revenues
|
$
|
56,054
|
$
|
48,284
|
$
|
158,336
|
$
|
135,421
|
$
|
53,649
|
||||||||||
|
Premiums
|
9,081
|
11,436
|
30,973
|
34,493
|
9,156
|
|||||||||||||||
|
Fees and other revenues
|
4,380
|
3,889
|
12,412
|
10,862
|
4,137
|
|||||||||||||||
|
Net investment income
|
233
|
85
|
707
|
696
|
236
|
|||||||||||||||
|
Total revenues
|
69,748
|
63,694
|
202,428
|
181,472
|
67,178
|
|||||||||||||||
|
Net investment results from certain equity method investments
|
(178
|
)
|
(177
|
)
|
(272
|
)
|
(238
|
)
|
(44
|
)
|
||||||||||
|
Special item related to impairment of dividend receivable
|
—
|
182
|
—
|
182
|
—
|
|||||||||||||||
|
Adjusted revenues (1)
|
$
|
69,570
|
$
|
63,699
|
$
|
202,156
|
$
|
181,416
|
$
|
67,134
|
||||||||||
|
Shareholders’ net income
|
$
|
1,868
|
$
|
739
|
$
|
4,723
|
$
|
2,010
|
$
|
1,532
|
||||||||||
|
Pre-tax adjusted income (loss) from operations by segment
|
||||||||||||||||||||
|
Evernorth Health Services
|
$
|
1,903
|
$
|
1,876
|
$
|
5,033
|
$
|
4,855
|
$
|
1,696
|
||||||||||
|
Cigna Healthcare
|
1,038
|
1,174
|
3,419
|
3,718
|
1,094
|
|||||||||||||||
|
Corporate and Other Operations
|
(363
|
)
|
(431
|
)
|
(1,131
|
)
|
(1,273
|
)
|
(357
|
)
|
||||||||||
|
Adjusted income tax expense
|
(482
|
)
|
(507
|
)
|
(1,455
|
)
|
(1,404
|
)
|
(503
|
)
|
||||||||||
|
Consolidated after-tax adjusted income from operations
|
$
|
2,096
|
$
|
2,112
|
$
|
5,866
|
$
|
5,896
|
$
|
1,930
|
||||||||||
|
Weighted average shares (in thousands)
|
267,530
|
281,396
|
269,527
|
285,042
|
268,154
|
|||||||||||||||
|
Common shares outstanding (in thousands)
|
267,072
|
279,839
|
266,901
|
|||||||||||||||||
|
SHAREHOLDERS’ EQUITY at September 30,
|
$
|
41,805
|
$
|
42,095
|
||||||||||||||||
|
SHAREHOLDERS’ EQUITY PER SHARE at September 30,
|
$
|
156.53
|
$
|
150.43
|
||||||||||||||||
|
Three Months Ended
|
Nine Months Ended
|
Three Months Ended
|
|||||||||||||||||||||||||||||
|
September 30,
|
September 30,
|
June 30,
|
|||||||||||||||||||||||||||||
|
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
|
$
|
1,868
|
$
|
739
|
$
|
4,723
|
$
|
2,010
|
$
|
1,532
|
|||||||||||||||||||||
|
Adjustments to reconcile adjusted income from operations
|
|||||||||||||||||||||||||||||||
|
Net investment (gains) losses (2)
|
$
|
(204
|
)
|
(43
|
)
|
$
|
744
|
740
|
$
|
(348
|
)
|
(194
|
)
|
$
|
2,567
|
2,547
|
$
|
(96
|
)
|
(103
|
)
|
||||||||||
|
Amortization of acquired intangible assets
|
436
|
332
|
436
|
333
|
1,280
|
998
|
1,279
|
972
|
422
|
330
|
|||||||||||||||||||||
|
Special Items
|
|||||||||||||||||||||||||||||||
|
Strategic optimization program
|
222
|
168
|
—
|
—
|
566
|
429
|
—
|
—
|
129
|
98
|
|||||||||||||||||||||
|
Integration and transaction-related costs
|
7
|
6
|
77
|
59
|
297
|
226
|
177
|
135
|
74
|
56
|
|||||||||||||||||||||
|
(Gain) loss on sale of businesses
|
(38
|
)
|
(241
|
)
|
87
|
62
|
(79
|
)
|
(356
|
)
|
106
|
19
|
—
|
—
|
|||||||||||||||||
|
(Benefits) associated with litigation matters
|
(17
|
)
|
(13
|
)
|
—
|
—
|
(17
|
)
|
(13
|
)
|
—
|
—
|
—
|
—
|
|||||||||||||||||
|
Deferred tax expenses, net
|
—
|
19
|
—
|
41
|
—
|
53
|
—
|
75
|
—
|
17
|
|||||||||||||||||||||
|
Impairment of dividend receivable
|
—
|
—
|
182
|
138
|
—
|
—
|
182
|
138
|
—
|
—
|
|||||||||||||||||||||
|
Adjusted income from operations (3)
|
$
|
2,096
|
$
|
2,112
|
$
|
5,866
|
$
|
5,896
|
$
|
1,930
|
|||||||||||||||||||||
|
DILUTED EARNINGS PER SHARE
|
|||||||||||||||||||||||||||||||
|
Shareholders’ net income
|
$
|
6.98
|
$
|
2.63
|
$
|
17.52
|
$
|
7.05
|
$
|
5.71
|
|||||||||||||||||||||
|
Adjustments to reconcile to adjusted income from operations
|
|||||||||||||||||||||||||||||||
|
Net investment (gains) losses (2)
|
$
|
(0.76
|
)
|
(0.16
|
)
|
$
|
2.64
|
2.63
|
$
|
(1.29
|
)
|
(0.72
|
)
|
$
|
9.00
|
8.93
|
$
|
(0.36
|
)
|
(0.38
|
)
|
||||||||||
|
Amortization of acquired intangible assets
|
1.63
|
1.24
|
1.55
|
1.18
|
4.74
|
3.70
|
4.49
|
3.41
|
1.57
|
1.23
|
|||||||||||||||||||||
|
Special Items
|
|||||||||||||||||||||||||||||||
|
Strategic optimization program
|
0.82
|
0.63
|
—
|
—
|
2.10
|
1.59
|
—
|
—
|
0.48
|
0.37
|
|||||||||||||||||||||
|
Integration and transaction-related costs
|
0.03
|
0.02
|
0.27
|
0.21
|
1.10
|
0.84
|
0.62
|
0.48
|
0.28
|
0.21
|
|||||||||||||||||||||
|
(Gain) loss on sale of businesses
|
(0.14
|
)
|
(0.90
|
)
|
0.31
|
0.22
|
(0.29
|
)
|
(1.32
|
)
|
0.37
|
0.07
|
—
|
—
|
|||||||||||||||||
|
(Benefits) associated with litigation matters
|
(0.06
|
)
|
(0.05
|
)
|
—
|
—
|
(0.06
|
)
|
(0.05
|
)
|
—
|
—
|
—
|
—
|
|||||||||||||||||
|
Deferred tax expenses, net
|
—
|
0.07
|
—
|
0.15
|
—
|
0.20
|
—
|
0.26
|
—
|
0.06
|
|||||||||||||||||||||
|
Impairment of dividend receivable
|
—
|
—
|
0.65
|
0.49
|
—
|
—
|
0.64
|
0.48
|
—
|
—
|
|||||||||||||||||||||
|
Adjusted income from operations (3)
|
$
|
7.83
|
$
|
7.51
|
$
|
21.76
|
$
|
20.68
|
$
|
7.20
|
|||||||||||||||||||||