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Cigna Stock CI

The Cigna Group · SEC filings · Reporting currency USD · Quarterly reporting · Figures as of Q2 2026 · updated 2026-10-18 · checked 2026-10-08 · ISIN US1255231003 · WKN A2PA9L

The Cigna Group is a global health services organization that operates through two principal segments. Cigna stock (CI): Quarterly and annual results since 2023 from Quarterly Report and SEC filings: revenue, earnings, balance sheet, cash flow and management guidance, every figure with its source. As of 07/2026, quarterly reporting. Stock analysis by NadirAlpha. Cigna stock (CI): listed on NYSE, WKN A2PA9L. NadirAlpha has evaluated 45 original documents, cross-checked every figure automatically and linked each to its source; sources as of 07/2026. Revenue Q2 2026: USD 71.7 billion (+7% year on year). Latest reported (Q2 2026): Total Pharmacy Customers, Total Medical Customers, Total Customer Relationships. Latest reading: Revenue accelerating, Guidance raised, Strategic pivot.

Revenue accelerating Guidance raised strategy: Strategic pivot

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Cigna Current Status

The current state of Cigna at a glance, figures as of Q2 2026, with core figures and the key management statements from the latest filing. NadirAlpha methodology

Assessment by NadirAlpha, as of Q2 2026.

Cigna reported total revenues of USD 71,668 million for Q2 2026, up 7% from the prior year period, driven by growth in both Evernorth Health Services and Cigna Healthcare 30. Shareholders' net income was USD 1,660 million, or 6.29 per diluted share, compared with USD 1,532 million, or 5.71 per share, in Q2 2025 30. Adjusted income from operations increased 6% to $2.1 billion, or $7.78 per diluted share, from $1.9 billion, or $7.20 per share, in Q2 2025 30. Cigna raised its full-year 2026 outlook for adjusted income from operations to at least $30.45 per share 30, and in April 2026 announced a planned exit from the Individual and Family Plans medical business effective January 1, 2027 30.
Management commentary on the 2026-Q2 results (8-K-EX99.1, 2026-07-30):

“Our purpose is to improve the lives of each and every customer and patient we serve. By harnessing technology, data and AI to deliver more personalized experiences, improve access and lower costs, we are creating greater value every day. Our strong second quarter results reflect continued progress against these priorities and demonstrate the effectiveness of our strategy and execution.”

Brian C. Evanko, President and Chief Executive Officer 30
Revenue · 2026-Q271,668$ million+6.7 % vs. 2025-Q2
Net profit · 2026-Q21,660$ million+8.4 % vs. 2025-Q2
EPS · 2026-Q26.29$+10.2 % vs. 2025-Q2
Revenue trend
Guidance
For FY2026, Cigna guides EPS (non-GAAP) 30.45 $ (raised); Cigna Healthcare Adjusted Income from Operations, Pre-Tax 4,525 $ million (raised); Tax rate ~19% (initiated). 30
Profitability
Cigna reported operating income of USD 2,676 million for Q2 2026; shareholders' net income increased 8% for the three months ended June 30, 2026, primarily reflecting higher adjusted income from operations in Cigna Healthcare 29. The SG&A expense ratio improved to 4.8% on a GAAP basis and 4.6% on an adjusted basis in Q2 2026, from 5.1% and 4.9%, respectively, in Q2 2025, primarily reflecting operating efficiency 30. Operating cash flow for the quarter was an outflow of USD 421 million, while six-month operating cash flows increased to $710 million compared with $34 million in the prior year period 29.
Leverage
As of June 30, 2026, Cigna held cash of USD 6,298 million and net debt of USD 25,580 million, with net debt higher compared with USD 23,860 million at the end of Q1 2026. The company's cash balance decreased from USD 7,040 million at the end of Q1 2026. Share repurchases year to date through July 29, 2026 amounted to approximately $250 million (0.9 million shares), compared with approximately $2.6 billion (8.2 million shares) in the prior year period 30.
Recurring
Cigna's pharmacy revenues increased 7% for the three months ended June 30, 2026, primarily reflecting changes in claims composition within Pharmacy Benefit Services 29. Fees and other revenues increased 6% for the three months ended June 30, 2026, reflecting growth in fee-based services 29. Total pharmacy customers stood at 118.2 million as of June 30, 2026, down 4% from December 31, 2025, reflecting expected client transitions and lower membership from health plan clients 30.
Management view
Cigna's total medical customers grew to 18.4 million as of June 30, 2026, up 2% from December 31, 2025, driven by customer growth within Middle Market and Select market segments 30. Specialty and Care Services adjusted revenues increased 4% and adjusted income from operations increased 22% in Q2 2026 relative to Q2 2025 30. Cigna Healthcare adjusted income from operations increased 17% in Q2 2026 relative to Q2 2025, supported by premium rate increases and improved margin within the U.S. Employer business 30.
Change
Cigna's medical care ratio increased 130 basis points for the three months ended June 30, 2026, primarily reflecting higher prior year risk adjustment benefits within the Individual and Family Plans business 29. Total customer relationships decreased 3% from December 31, 2025 to 182.8 million as of June 30, 2026 30. Within Evernorth, Pharmacy Benefit Services adjusted income from operations decreased 27% in Q2 2026 relative to Q2 2025, reflecting client- and customer-focused initiatives 30.
Risks (current)
Cigna faces risks related to managing health care costs and responding to price competition, inflation, and margin compression pressures in its health services markets 29 30. Cigna is subject to substantial government regulation, uncertainty around government-sponsored program participation, and exposure to the outcome of litigation and regulatory audits and investigations 29. Additional risks include dependence on satisfactory relationships with payors, physicians, hospitals, and key pharmaceutical manufacturers, as well as risks related to strategic transactions and the realization of expected benefits from integration or separation activities 29 21.
New this reporting period
In April 2026, Cigna announced its planned exit from the Individual and Family Plans medical business, effective January 1, 2027, the sole portfolio transaction announced in Q2 2026 29 30.

Cigna Stock: Key Figures ($ million)

Revenue, margin, earnings and EPS of Cigna per fiscal year, half-year and quarter in $ million, as of Q2 2026, as reported in the filing; restatements show the most recent filing version. NadirAlpha extracts all values automatically from the filings; errors are possible; please verify decision-relevant figures yourself by clicking through to the linked original. NadirAlpha methodology

All figures serve only to support your own investment decision and are not a recommendation; the company's original reports are authoritative.

Revenue ($ million) · annual basis, as reported
Net income ($ million) · annual basis, as reported
EPS ($) · annual basis, as reported
Operating cash flow ($ million) · annual basis, as reported
Revenue ($ million) · quarterly basis, as reported
Net income ($ million) · quarterly basis, as reported
EPS ($) · quarterly basis, as reported
Operating cash flow ($ million) · quarterly basis, as reported
Cash ($ million) · annual basis, as reported
Debt ($ million) · annual basis, as reported
Net Debt ($ million) · annual basis, as reported
D&A ($ million) · annual basis, as reported
Cash ($ million) · quarterly basis, as reported
Debt ($ million) · quarterly basis, as reported
Net Debt ($ million) · quarterly basis, as reported
D&A ($ million) · quarterly basis, as reported
Shown: the most recent fiscal years. Full history since FY2017 is on record.

Fiscal years

Amounts in $ million · EPS in $ per share · as reported
Cigna stock: key figures on annual basis, FY2023 to FY2025, in $ million. Compiled by NadirAlpha from SEC filings.
PeriodRevenueOp. incomeOp. income (adj.)Net incomeEPS ($)OCFSource
FY2025274,9009,2001,700.285,95722.189,60126
FY2024247,1219,4177,7413,43412.1210,36318
FY2023195,2658,5367,4485,16417.3911,81310

Quarters

Amounts in $ million · EPS in $ per share · as reported
Cigna stock: key figures on quarterly basis, 2023-Q1 to 2026-Q2, in $ million. Compiled by NadirAlpha from SEC filings.
PeriodPublishedRevenueOp. incomeOp. income (adj.)Net incomeEPS ($)CashNet DebtSource
2026-Q2*2026-07-3071,6682,6767.781,6606.296,29825,58029
2026-Q1*2026-04-3068,4942,3582,0581,6546.267,04023,86027
2025-Q4*2026-02-0572,4722,3458.081,2344.59*≈7,67623,78725
2025-Q3*2025-10-3069,7482,5782,096°1,8686.986,02528,01523
2025-Q2*2025-07-3167,1782,3067.21,5325.714,32926,43921
2025-Q1*2025-05-0265,5021,971-4111,3234.858,33422,11419
2024-Q4*2025-01-3065,6492,1731,8451,4245.03*≈7,55024,42217
2024-Q3*2024-10-3163,6942,5762,1127392.635,88826,91415
2024-Q2*2024-08-0160,5232,4121,9091,5485.456,78825,10413
2024-Q1*2024-05-0257,2552,2566.47-277-0.978,43924,32911
2023-Q4*2024-02-0251,1142,0607,429.71,0293.47*≈7,82223,1089
2023-Q3*2023-11-0249,0482,2402,0001,4084.748,49722,6437
2023-Q2*2023-08-0348,5862,2211,8201,4604.929,58523,1485
2023-Q1*2023-05-0546,5172,0151,1151,2674.247,93524,6073
* derived: values with formula provenance (hover); Q4 = FY − 9M · H2 = FY − H1 · EPS via implied shares · net debt = financial debt − cash · FCF = OCF − |capex|.
Columns not reported in this reporting cadence are hidden: EBITDA (adj.), EPS adj., FCF (not reported in any source for these periods).

Cigna Balance Sheet & Cash Flow ($ million)

NadirAlpha places cash, debt, operating cash flow and investments of Cigna side by side per period, balance sheet values as of the period end, flow items for the period. NadirAlpha extracts all values automatically from the filings; errors are possible; please verify decision-relevant figures yourself by clicking through to the linked original. NadirAlpha methodology

Fiscal years

Amounts in $ million · as reported
Cigna stock: balance sheet and cash flow on annual basis, FY2023 to FY2025, in $ million. Compiled by NadirAlpha from SEC filings.
PeriodPublishedCashDebtNet DebtD&AOCFSource
FY20252026-02-267,67631,46323,7872,7759,60126
FY20242025-01-307,55031,97224,4222,77510,36317
FY20232024-02-297,82230,93023,1083,03511,81310

Quarters

Amounts in $ million · as reported
Cigna stock: balance sheet and cash flow on quarterly basis, 2023-Q1 to 2026-Q2, in $ million. Compiled by NadirAlpha from SEC filings.
PeriodPublishedCashDebtNet DebtD&AOCFSource
2026-Q22026-07-306,29831,87825,580655-42129
2026-Q12026-04-307,04030,90023,8606501,13127
2025-Q42026-02-057,67631,46323,7877226,14925
2025-Q32025-10-306,02534,04028,0156973,41823
2025-Q22025-07-314,32930,76826,439682-1,88621
2025-Q12025-05-028,33430,44822,1146741,92019
2024-Q42025-01-307,55031,97224,4226465,21217
2024-Q32024-10-315,88832,80226,9146504615
2024-Q22024-08-016,78831,89225,10473826513
2024-Q12024-05-028,43932,76824,3297414,84011
2023-Q42024-02-297,82230,93023,1087651,46710
2023-Q32023-11-028,49731,14022,6437662,8267
2023-Q22023-08-039,58532,73323,1487552,4925
2023-Q12023-05-057,93532,54224,6077495,0283
Debt = long-term + current · Net debt = debt − cash · FCF = OCF − capex.

Cigna Guidance Tracking (latest per metric/period · 25/50)

NadirAlpha records 50 guidance statements of Cigna neutrally: annual and quarterly targets, direction of change and outcome as a dot with legend, with no estimate of our own. NadirAlpha methodology

Direction: confirmedinitiatedraised Verdict: pending

Cigna: guidance and actuals per metric and period, 50 entries. Compiled by NadirAlpha from SEC filings.
For periodGuided onMetricGuidedVerdictDirectionSource
FY20262026-07-30EPS (non-GAAP)30.4530
FY20262026-04-30Cigna Healthcare Adjusted Income from Operations, Pre-Tax4,52528
FY20262026-02-05Tax rate~19%25
FY20262026-02-05Capex~1,30025
FY20262026-02-05Evernorth Adjusted Income from Operations, Pre-Tax6,90028
FY20262026-02-05Cigna Healthcare Medical Care Ratio83.7–84.7%28
FY20262026-02-05Adjusted Income from Operations7,95025
FY20262026-02-05Adjusted Revenues~280,00025
FY20262026-02-05Adjusted SG&A Expense Ratio~5%25
FY20262026-02-05Cash Flow from Operations~9,00025
FY20262026-02-05Shareholder Dividends~1,60025
FY20262026-02-05Total Medical Customers~18.125
FY20252025-05-02EPS (non-GAAP)29.6–24
FY20252025-05-02Evernorth Adjusted Income from Operations, Pre-Tax7,200–22
FY20252025-05-02Cigna Healthcare Adjusted Income from Operations, Pre-Tax4,125–22
FY20252025-05-02Cigna Healthcare Medical Care Ratio83.2–84.2%–22
2025-Q42025-01-30Tax rate~19%–17
2025-Q42025-01-30Capex~1,400–17
2025-Q42025-01-30Adjusted Income from Operations7,900–17
2025-Q42025-01-30Adjusted Revenues252,000–17
2025-Q42025-01-30Adjusted SG&A Expense Ratio~5.4%–17
2025-Q42025-01-30Cash Flow from Operations~10,000–17
2025-Q42025-01-30Shareholder Dividends~1,600–17
2025-Q42025-01-30Weighted Average Shares Outstanding266–270–17
2025-Q42025-01-30Total Medical Customers~18.1–17
FY20242024-10-31Cigna Healthcare Adjusted Income from Operations, Pre-Tax4,775–16
FY20242024-05-02EPS (non-GAAP)28.4–16
FY20242024-05-02Adjusted Income from Operations8,065–12
FY20242024-05-02Adjusted Income from Operations, Pre-Tax (Evernorth)7,000–12
FY20242024-05-02Adjusted Income from Operations, Pre-Tax (Cigna Healthcare)4,775–12
FY20242024-05-02Medical Care Ratio81.7–82.5%–12
FY20242024-02-02Tax rate20.5–21%–12
FY20242024-02-02Capex~1,500–9
FY20242024-02-02Evernorth Adjusted Income from Operations, Pre-Tax7,000–16
FY20242024-02-02Cigna Healthcare Medical Care Ratio81.7–82.5%–16
FY20242024-02-02Adjusted Revenues235,000–12
FY20242024-02-02Adjusted SG&A Expense Ratio~6.1%–12
FY20242024-02-02Cash Flow from Operations11,000–12
FY20242024-02-02Weighted Average Shares Outstanding282–286–12
FY20242024-02-02Total Medical Customers~19.3–12
FY20242024-02-02Shareholder Dividends~1,550–9
FY20232023-11-02Adjusted Revenues192,000–8
FY20232023-11-02Cash Flow from Operations10,500–8
FY20232023-11-02Medical Care Ratio81.5–82%–8
FY20232023-11-02Total Medical Customer Growth1,600,000–8
FY20232023-05-05EPS (non-GAAP)24.75–8
FY20232023-05-05Adjusted Income from Operations7,360–6
FY20232023-05-05Adjusted Income from Operations, Pre-Tax6,400–8
FY20232023-02-03Tax rate21–21.5%–1
FY20232023-02-03Adjusted SG&A Expense Ratio~7.3%–1

Cigna Stock: Price & Chart

Interactive price chart of Cigna stock (TradingView) and the trend of key figures from the core tables; the chart loads only after a click and then connects to TradingView. NadirAlpha methodology

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Cigna Event Timeline

What happened at Cigna since 2023: events from the filings, grouped by quarter, with the source date and a clickable source number. NadirAlpha methodology

Overview: one dot per event · click jumps to the period
earningsrevenuemarginguidancestrategyfinancials2023-Q12023-Q22023-Q32023-Q42024-Q12024-Q22024-Q32024-Q42025-Q12025-Q22025-Q32025-Q42026-Q12026-Q2
2026 · 6 events

Revenue accelerating 2026-07-30
Total revenues increased 7% to USD 71,668 million, driven by growth in both Evernorth Health Services and Cigna Healthcare 30
Guidance raised 2026-07-30
2026 outlook for adjusted income from operations raised to at least $30.45 per share 30
Strategic pivot 2026-07-30
Cigna announced planned exit from the Individual and Family Plans medical business as of January 1, 2027 29

“We continue to improve how people experience health care, leveraging innovation and technology to make it more personalized, more transparent and easier to navigate. Our strong first quarter results were driven by disciplined execution, deliberate portfolio shaping and a continued focus on targeted innovation.”

David M. Cordani, Chairman and CEO 28
revenue 2026-04-30
Total revenues increased 5% to USD 68,494 million, driven by Evernorth Health Services, partially offset by lower premiums following the HCSC transaction 28
Margin expanding 2026-04-30
Cigna Healthcare medical care ratio decreased 240 basis points to 79.8%, primarily due to the HCSC transaction (divestiture of Medicare Advantage businesses, March 2025) 27
Guidance raised 2026-04-30
2026 outlook for adjusted income from operations per share raised by $0.10 to at least $30.35 per share 28
2025 · 15 events

“In 2025, we expanded access and support, lowered costs, and improved transparency for our customers and patients. As we enter the new year, we are well-positioned to build on this momentum, fueled by our innovations that leverage our diversified businesses and track record of strong financial performance.”

David M. Cordani, Chairman and CEO 25
earnings 2026-02-05
Full-year adjusted income from operations increased 4% to $8.0 billion ($29.84 per share) from $7.7 billion ($27.33 per share) in 2024 25
Margin compressing 2026-02-05
Cigna Healthcare full-year MCR was 84.4% compared to 83.2% in 2024, primarily due to higher medical costs driven by the Individual and Family Plans business 25
Guidance initiated 2026-02-05
2026 outlook established with adjusted income from operations of at least $7.950 billion, or at least $30.25 per share 25

“Our strong quarterly results reflect the breadth of our businesses and focused execution on our growth strategy, even in a dynamic environment. We continue to lead positive change and are addressing some of healthcare's biggest challenges. Our new market-defining rebate-free pharmacy benefit model will further lower costs and enhance transparency for the benefit of those we serve.”

David M. Cordani, Chairman and CEO 24
revenue 2025-10-30
Total revenues increased 10% to $69.7 billion, primarily driven by Evernorth Health Services growth 24
Margin compressing 2025-10-30
Cigna Healthcare MCR increased to 84.8% from 82.8% in Q3 2024, driven by Individual and Family Plans business and higher stop loss medical costs 24
Strategic pivot 2025-10-30
Evernorth Health Services announced transformational rebate-free pharmacy benefit model designed to lower drug costs, improve transparency, and support local pharmacies 24
Net income doubled 2025-10-30
Net income more than doubled YoY (739.0 to USD 1,868.0 million, +153%). 23
Cash flow inflection 2025-10-30
Operating cash flow reached USD 3,418.0 million vs USD 46.0 million in 2024-Q3 (×74.3). 23

“Listening, adapting, and innovating to meet the evolving needs of our patients, customers, and clients enables us to deliver meaningful value. Our performance in the second quarter reflects our disciplined execution and the strength of our business mix.”

David M. Cordani, Chairman and CEO 22
revenue 2025-07-31
Total revenues increased 11% to $67.2 billion, primarily driven by Evernorth Health Services including growth of existing client relationships and strong specialty pharmacy growth 22
Margin compressing 2025-07-31
Cigna Healthcare MCR was 83.2% for Q2 2025 compared to 82.3% for Q2 2024, primarily due to expected higher stop loss medical costs 22
Guidance confirmed 2025-07-31
2025 outlook for adjusted income from operations of at least $29.60 per share reaffirmed 22

“We are building a more sustainable health care model by successfully delivering on our series of commitments and actions to improve transparency and support for our customers and patients. Our strong first quarter results and increase in outlook for full-year earnings reflects the strength of our Evernorth Health Services and Cigna Healthcare growth platforms in a dynamic environment.”

David M. Cordani, Chairman and CEO 20
Margin compressing 2025-05-02
Cigna Healthcare MCR rose to 82.2% from 79.9% in Q1 2024, primarily driven by expected higher stop loss medical costs 20
Guidance raised 2025-05-02
2025 adjusted income from operations guidance raised to at least $29.60 per share 20
Divestiture 2025-05-02
Divestiture of Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies businesses to HCSC completed for $4.8 billion purchase price 19
Revenue decelerating 2025-05-02
Revenue growth decelerated to +14.4% YoY (prior period +28.4%). 19
2024 · 13 events

“While higher medical costs in our stop loss product impacted fourth quarter earnings, we are taking corrective actions to address these near-term pressures and we are simultaneously taking steps to further advance our long-term growth strategy. Through a dynamic environment, we are continuing to focus on building a sustainable model for healthcare by addressing the areas that matter most to our patients and clients, including greater transparency, support, and value.”

David M. Cordani, Chairman and Chief Executive Officer 17
earnings 2025-01-30
Q4 adjusted income from operations decreased 8% from Q4 2023, primarily driven by lower Cigna Healthcare contributions due to higher stop loss medical costs 17
revenue 2025-01-30
Full year 2024 revenues +27% to $247.1B; total customer relationships increased 11% to 182.2 million and pharmacy customers grew 22% to 120.0 million driven by Evernorth Health Services expansion 17
Margin compressing 2025-01-30
Full year Cigna Healthcare MCR increased to 83.2% from 81.3% in 2023, primarily driven by higher stop loss medical costs, contributing to a 6% full-year decline in Cigna Healthcare adjusted income from operations 17
Cash flow inflection 2025-01-30
Operating cash flow reached USD 5,212.0 million vs USD 1,467.0 million in 2023-Q4 (×3.6). 125

“Our strong performance this quarter is a testament to the leadership, stability and expertise of our team. Our disciplined execution of our strategic plan and our comprehensive health services ensure we remain well-positioned in a highly dynamic environment, while sustaining business growth in both the near- and long-term.”

David M. Cordani, Chairman and Chief Executive Officer 16
earnings 2024-10-31
Q3 adjusted income from operations $7.51/share vs $6.77/share in Q3 2023, with Evernorth Health Services up 9% and Specialty and Care Services up 23%; Cigna Healthcare down 4% driven by higher MCR 16
earnings 2024-10-31
Q3 shareholders' net income $2.63/share, reduced by a $1.0B non-cash after-tax investment loss from a second impairment of VillageMD equity securities 16
Revenue accelerating 2024-10-31
Q3 revenues +30% to $63.7B, driven by Evernorth Health Services large client wins, specialty volume growth, and increased Humira biosimilar adoption 16

“Our second quarter results underscore the strength of our diversified portfolio. We continue to deliver innovative solutions to meet the evolving needs of those we serve. We remain disciplined in our approach to executing our strategy, enabling us to consistently deliver value and sustain our growth in a dynamic environment.”

David M. Cordani, Chairman and CEO 14
earnings 2024-08-01
Q2 adjusted income from operations $6.72/share vs $6.13/share in Q2 2023, reflecting Evernorth Health Services growth of 30% in adjusted revenues and 7% in adjusted income 14
Revenue accelerating ◦ 2024-08-01
Q2 revenues +25% to $60.5B, driven by Evernorth Health Services Pharmacy Benefit Services reflecting large client wins including Centene and organic growth; Pharmacy Benefit Services adjusted revenues +41% 14
Margin compressing 2024-08-01
Cigna Healthcare MCR 82.3% in Q2, including approximately 40 bps of unfavorable prior-year Medicare Advantage risk adjustment revenue impacts 14

“Our strong first quarter results reflect the performance of our Evernorth and Cigna Healthcare businesses, as well as our leadership in addressing the evolving needs of those we serve with the breadth of our differentiated capabilities. Building on our track record of growth and continued momentum in 2024, we are pleased to increase our outlook for full-year earnings.”

David M. Cordani, Chairman and CEO 12
Net income turned negative 2024-05-02
Shareholders' net loss of $0.97/share in Q1, including a $1.8B non-cash after-tax investment loss from impairment of VillageMD equity securities 12
Revenue accelerating 2024-05-02
Q1 revenues +23% YoY, driven by Centene Corporation onboarding at the start of 2024, which increased pharmacy revenues 31% within Evernorth Health Services 11
Divestiture 2024-05-02
Definitive agreement signed to sell Medicare Advantage, Medicare Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies businesses to Health Care Service Corporation for approximately $3.7 billion, expected to close Q1 2025 11
2023 · 13 events

“2023 was another very strong year for our company with consistent execution and sustained growth. We will accelerate our momentum in 2024 as we lead in improving value, affordability and clinical outcomes, as well as with expanding access and choice.”

David M. Cordani, Chairman and CEO 9
Divestiture 2024-02-29
Entered definitive agreement to sell Medicare Advantage, Medicare Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits and CareAllies businesses to Health Care Service Corporation for $3.3 billion cash, subject to regulatory approvals (10)
Revenue accelerating 2024-02-02
Full-year 2023 revenues reached $195.3 billion, up from $180.5 billion in 2022; adjusted income from operations $7.4 billion ($25.09 per share) vs. $7.3 billion ($23.36 per share) in prior year (9)
Guidance initiated 2024-02-02
2024 adjusted income from operations guidance initiated at at least $8.025 billion, or at least $28.25 per share (9)

“We continued to drive growth in the third quarter by harnessing our deep clinical expertise and service capabilities across our company, supporting high-quality care, improved affordability and better outcomes. With disciplined execution and continued innovation across Evernorth Health Services and Cigna Healthcare, we're meeting the evolving needs of those we serve.”

David M. Cordani, Chairman and Chief Executive Officer 8
earnings 2023-11-02
Adjusted income from operations increased 8% to $2.0 billion ($6.77 per share), reversing the year-over-year declines in Q1 and Q2 that had reflected the absence of businesses divested in the 2022 Chubb transaction (8)
Revenue accelerating 2023-11-02
Total revenues increased 8% to $49.0 billion; Evernorth Health Services adjusted revenues up 8% and Cigna Healthcare adjusted revenues up 14%, with premiums up 15% reflecting insured customer growth (8)
Guidance raised 2023-11-02
2023 adjusted EPS outlook raised to at least $24.75 per share from prior projection of at least $24.70 (8)

“We're pleased with our performance and growth across the breadth of our business in the second quarter as our co-workers continued to drive innovation and deliver effective and affordable solutions supporting the health and vitality of our customers, patients and clients.”

David M. Cordani, Chairman and Chief Executive Officer 6
Revenue accelerating 2023-08-03
Total revenues increased 7% to $48.6 billion; Evernorth Health Services adjusted revenues up 10% and Cigna Healthcare adjusted revenues up 12%, driven by specialty growth and customer expansion (6)
Guidance raised 2023-08-03
2023 full-year adjusted revenue guidance raised to at least $190.0 billion; operating cash flow guidance raised to at least $9.5 billion (6)
Acquisition 2023-08-03
Evernorth Health became minority owner in CarepathRx Health Systems Solutions through a $437 million equity method investment in July 2023 to provide integrated hospital pharmacy solutions (5)

“Our strong results in the first quarter demonstrate how our company continues to execute well, while also introducing innovative, market-leading solutions that improve clinical outcomes, affordability and transparency for the benefit of those we serve”

David M. Cordani, Chairman and Chief Executive Officer 4
Revenue accelerating 2023-05-05
Total revenues increased 6% to $46.5 billion; Evernorth adjusted revenues up 8% and Cigna Healthcare adjusted revenues up 12%, reflecting specialty pharmacy growth and insured customer expansion (4)
Margin expanding 2023-05-05
Cigna Healthcare medical care ratio decreased 20 basis points to 81.3%, reflecting effective pricing execution and favorable cost trends including lower COVID-19 costs (3)
Guidance raised 2023-05-05
2023 adjusted income from operations outlook raised to at least $24.70 per share (4)
Cash flow inflection 2023-05-05
Operating cash flow reached USD 5,028.0 million vs USD 2,030.0 million in 2022-Q1 (×2.5). 3

Cigna Business Model

How Cigna (CI) makes its money, summarised from the filings up to Q2 2026, neutral and without forecast. NadirAlpha methodology

The Cigna Group is a global health services organization that operates through two principal segments. Evernorth Health Services delivers pharmacy benefit management through its Pharmacy Benefit Services unit and specialty pharmacy and care delivery through its Specialty and Care Services unit, serving employers, health plans, and government clients. Cigna Healthcare provides employer-sponsored medical, dental, behavioral health, and pharmacy benefits to U.S. commercial customers across National Accounts, Middle Market, and Select employer segments. Revenue is generated through insurance premiums, pharmacy revenues, and fees from benefit administration and service arrangements. Following the 2025 divestiture of Medicare Advantage and related government health businesses to HCSC, and with the announced January 2027 exit from Individual and Family Plans, the company is concentrating its health benefits franchise on commercial employer coverage while expanding pharmacy benefit management and care services through Evernorth.

Cigna Stock: Share-Price Drivers

What determines the business trajectory of Cigna according to management, summarised from the reports up to Q2 2026. NadirAlpha methodology

Growth of Evernorth Health Services, Cigna's pharmacy benefit and specialty platform
Evernorth's Pharmacy Benefit Services and Specialty and Care Services generate the large majority of group revenue and are expanding, lifting group revenue to USD 71,668 million in 2026-Q2 28
Evernorth Pharmacy Benefit Services
Pharmacy Benefit Services revenue is higher, supported by the multi-year Express Scripts and Centene Corporation pharmacy benefit management agreement that began onboarding in 2024 11; 18
Evernorth Specialty and Care Services
Specialty and Care Services revenue is expanding, with the Shields Health Solutions investment and the EnGuide Pharmacy launch for GLP-1 medications adding to the platform 26
Rebate-free pharmacy benefit model
Cigna plans a rebate-free pharmacy benefit model targeted for 2027; still at the planning and business-plan stage with no traction reported yet 26; 24; 27
Portfolio reshaping through divestitures
Cigna agreed to sell its Medicare Advantage and related businesses to HCSC 23 and plans to exit the Individual and Family Plans medical business from 1 January 2027, removing those revenue streams 29; 30
Capital return and leverage
Cigna raised its dividend 9 and ran accelerated share repurchase agreements 13 while carrying net debt of USD 25,580 million at 2026-Q2 18
Cost and efficiency programs
Cigna launched a Strategic Optimization Program and earlier Organizational Efficiency Plan aimed at operating efficiency 26; 9

Sector trend: Demand for pharmacy benefit management and specialty health services is rising, with Evernorth revenue growing and group revenue trending higher to USD 71,668 million in 2026-Q2 28. The managed-care insurance side is being narrowed as Cigna exits Medicare and Individual and Family Plans lines 23; 29.

Cigna Revenue by Type (as of 2026-Q2 · USD million · 4/6)

Where the revenue of Cigna comes from: segments and product types with share, growth and margin, as of Q2 2026, older structures remain in the expandable part. NadirAlpha methodology

Cigna: revenue by segment, as of 2026-Q2, in USD million. Compiled by NadirAlpha from SEC filings.
SegmentSinceRevenueGrowthMarginSource
Period 2026-Q2 (3M)
Other Operations2023-Q1131-29%16%29
Period 2026-Q1 (3M)
Pharmacy Benefit Services2024-Q133,00211%–28
Specialty and Care Services2024-Q125,4406%–28
Evernorth Health Services2022-Q258,4429%2.5%28
Period FY2024 (12M)
Evernorth Health Services - Pharmacy Benefit Services2024-Q2111,82246%–18
Evernorth Health Services - Specialty and Care Services2024-Q290,33318%–18

Cigna Products & announcements (4/7 active+recent)

What Cigna launched, had approved or announced, from the filings up to Q2 2026, each row with the date of first mention. NadirAlpha methodology

Status: PlannedLaunched

Cigna: product announcements from the filings, 7 entries. Compiled by NadirAlpha from SEC filings.
Product/LineSinceStatusSource
2026
Rebate-free model business plan2026-0327
2025
Rebate-free pharmacy benefit model (2x)2025-0926
Strategic Optimization Program2025-0326
EnGuide Pharmacy for GLP-1 medications202526
2024
DoD TRICARE Specialty Pharmacy expansion202410
2023
The Cigna Group Ventures strategic venture fund (2x)202318
Pathwell Bone & Joint product launch202310

Cigna Transactions & Events (15)

15 transactions and events of Cigna from the original reports, financing measures and management changes are not listed here, cancelled items in grey. NadirAlpha methodology

Acquisitions · 3Partnerships/contracts · 2Divestitures/exits · 4older: 6 (in the table)
2024202520262027

Acquisitions by Cigna

Cigna: Acquisitions, 5 entries. Compiled by NadirAlpha from SEC filings.
Transaction / stakeDateTypeSource
2025
Shields Health Solutions investment2025-08Completed26
2024
Centene Corporation Onboarding2024-01Completed11
Organizational Efficiency Plan2024Completed9
2023
VillageMD investment (6×)2023Completed18
CarepathRx Health Systems Solutions minority ownership investment (2×)2023Completed5

Divestitures and exits by Cigna

Cigna: Divestitures / exits, 8 entries. Compiled by NadirAlpha from SEC filings.
Transaction / stakeDateTypeSource
2027
Exit from Individual and Family Plans medical business (2×)2027-01Divested29
2025
HCSC transaction2025-03Divested26
2024
HCSC transaction - Sale of Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, and CareAllies businesses (13×)2024-01Divested10
Sale of Medicare businesses to HCSC (7×)2024Divested23
2023
New York Life supplemental behavioral coverage contract non-renewal2023Divested8
2022
Chubb transaction - sale of life, accident and supplemental health benefits business2022-07Divested7
Joint venture in Türkiye divestiture2022Divested10
Chubb international life insurance and supplemental benefits sale2022Divested10

Partnerships and contracts of Cigna

Cigna: Partnerships & contracts, 2 entries. Compiled by NadirAlpha from SEC filings.
Transaction / stakeDateTypeSource
2024
Express Scripts and Prime Therapeutics LLC agreement for pharmacy network and specialty pharmacy services2024Agreement18
Centene multi-year pharmacy benefit agreement (3×)2024Agreement18

Cigna Risks (90 since the annual report of 2026-02-26, 257 tracked in total)

Risk factors Cigna itself names in its reports, merged by topic across periods, with category, first mention and source; new risks of the latest period come first. NadirAlpha methodology

Category: MacroSupply chainMarketLegalESGTechnologyCustomersCompetitionRegulatoryCyberFinancialStrategyGeopolitics

Cigna: risk factors as reported, 90 since the last annual report, 257 tracked. Compiled by NadirAlpha from SEC filings.
RiskCategoryLast reported
Cigna: first mention in 8-K-EX99.1 earnings release of 2026-07-30 (2026-Q2), source 30
Ability to manage health care costs and respond to price competition, inflation and margin compression pressures.=
Cigna: first mention in 10-Q quarterly report of 2026-07-30 (2026-Q2), source 29
Dependence on success of relationships with third parties and risk of disruption=
Ability to manage health care costs and respond to price competition, inflation and margin pressures=
Cigna: first mention in 8-K-EX99.1 earnings release of 2026-04-30 (2026-Q1), source 28
Risk related to downgrade in financial strength ratings of insurance subsidiaries2026-Q2
2026-07-30 29
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-05-02 (2024-Q1), source 12
Compliance with applicable privacy, security and data laws, regulations and standards.2026-Q2
2026-07-30 30
Ability to prevent or contain effects of cyberattack or data security incident2026-Q2
2026-07-30 29
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-02-02 (2023-Q4), source 9
Ability to maintain relationships with key pharmaceutical manufacturers or if payments decline2026-Q2
2026-07-30 29
Ability to maintain relationships with key pharmaceutical manufacturers; potential for payment declines.2026-Q2
2026-07-30 30
Risks related to use of artificial intelligence and machine learning2026-Q2
2026-07-30 29
Ability to compete effectively and differentiate products and services in an evolving healthcare industry.2026-Q2
2026-07-30 30
Cigna: first mention in 10-Q quarterly report of 2023-08-03 (2023-Q2), source 5
Substantial level of government regulation and potential effects of new or changed laws/regulations.2026-Q2
2026-07-30 30
Cigna: first mention in 8-K-EX99.1 earnings release of 2023-05-05 (2023-Q1), source 4
Substantial level of government regulation and uncertainty around government-sponsored programs participation2026-Q2
2026-07-30 29
Ability to prevent or contain effects of cyberattacks or privacy/data security incidents.2026-Q2
2026-07-30 30
Impact of significant indebtedness and potential for further indebtedness2026-Q2
2026-07-30 29
Ability to develop and maintain relationships with payors, physicians, hospitals and health service providers.2026-Q2
2026-07-30 30
Ability to invest in and properly maintain information technology and business systems.2026-Q2
2026-07-30 30
Ability to compete effectively and differentiate products and services2026-Q2
2026-07-30 29
Cigna: first mention in 10-Q quarterly report of 2023-05-05 (2023-Q1), source 3
Ability to develop and maintain satisfactory relationships with payors, physicians, hospitals and health service providers2026-Q2
2026-07-30 29
Outcome of litigation and regulatory audits and investigations2026-Q2
2026-07-30 29
Impact of changing interest rates2026-Q2
2026-07-30 29
Credit risk related to reinsurers2026-Q2
2026-07-30 29
Unfavorable economic and market conditions, recession or economic downturn impacting employment2026-Q2
2026-07-30 29
Compliance with privacy, security and data laws, regulations and standards2026-Q2
2026-07-30 29
Cigna: first mention in 8-K-EX99.1 earnings release of 2026-04-30 (2026-Q1), source 28
potential liability in managing medical practices, operating pharmacies and onsite clinics=
substantial level of government regulation and potential effects of new or changed laws=
Cigna: first mention in 10-Q quarterly report of 2026-04-30 (2026-Q1), source 27
ability to manage healthcare costs and respond to price competition, inflation and margin compression2026-Q1
2026-04-30 28
Compliance with privacy, security and data laws, regulations and standards; risk of cyberattack or data security incidents.=
Cigna: first mention in 10-K annual report of 2026-02-26 (FY2025), source 26
Medical claims reserves based on extensive judgment and inherently variable; actual claims exceeding estimates could materially adversely affect results=
Noncompliance with complex Medicare and Medicaid regulations may result in significant fines, penalties, exclusion from programs and criminal penalties.=
Large client contract losses or unfavorable modifications to contract terms could adversely affect results of operations and trigger negative investment community reactions.=
Loss of customers from premium or fee increases could negatively impact business, cash flows, financial condition and results of operations.=
Evernorth Health Services has renewed contracts with three largest clients through end of decade; loss or material alteration could adversely affect results=
Networks comprise 65,000 pharmacies; geographic concentrations and short-notice terminations could reduce access or claims volume=
Failure to accurately predict and price health care costs could result in significant financial adverse impact; small differences between predicted and actual medical costs can materially change results.=
FTC settled all matters February 2026 without monetary penalty or fault finding; settlement requires business practice updates=
May be subject to future qui tam actions; indemnification obligations related to ongoing regulatory audits at HCSC transaction time=
Reinsurers may become financially unsound; inability to collect material recovery could materially adversely affect results=
Dividends from insurance subsidiaries subject to regulatory restrictions=
Failure to comply with regulatory requirements including data submission and claims payment could result in enrollment sanctions or contract termination=
Subject to extensive federal and state fraud waste and abuse laws; non-compliance could result in investigations and significant penalties=
Legislative reforms and regulatory actions related to rebates, reporting, owned pharmacies and other activities may adversely affect pricing ability and competitive position.=
HIPAA-regulated as business associate; voluntary 2025 OCR audit found no enforcement action but serious issues could trigger compliance reviews=
Currently subject to litigation claiming improper use of AI in claims evaluation process; regulatory restrictions could impact business efficiency=
Subject to frequent cyberattacks including ransomware; Change Healthcare attack in February 2024 caused service disruption=
Macro economic uncertainties could impact debt security portfolio credit quality=
Private placement securities require greater judgment in fair value measurement=
Unfavorable economic conditions could reduce enrollment demand and increase provider medical costs=
Ongoing geopolitical events and economic conditions impacting debt issuer credit quality=
Congressional Budget Reconciliation Act of 2025 includes provisions expected to reduce federal Medicaid spending and modify eligibility.=
Participation in health insurance exchanges involves uncertainties associated with business mix and volume.=
Foreign operations subject to Foreign Corrupt Practices Act and similar anti-corruption laws; violations may result in severe criminal and civil sanctions.=
Complex health care fraud, waste and abuse laws prohibit wide range of activities; noncompliance may result in civil and criminal penalties and exclusion from programs.=
Business model impacted by ACA and potential future changes; ACA subsidy provisions expired December 31, 2025.=
Enhanced cybersecurity requirements for government contractors including CMMC compliance, FISMA, and Executive Order requirements phasing in through 2028.=
Multiple federal and state privacy laws including HIPAA, state health data privacy laws, and comprehensive state privacy laws impose restrictions on data collection and use.=
Decreasing reimbursement rates, payment delays, or insufficient increases in government program reimbursement rates could impact financial results.=
Insurance holding company laws require registration, disclosure of enterprise risk information and approvals of dividends and affiliate transactions.=
Foreign operations subject to bribery corruption and money laundering laws; violations could result in fines and restrictions=
International operations subject to multiple jurisdictions with potentially more stringent requirements including GDPR, EU AI Act, data residency regulations and anti-corruption laws.=
Failure to satisfy prescribed minimum medical loss ratio requirements may require premium refunds to policyholders.=
Numerous PBM regulations govern disclosure of rebates, pharmacy contracting practices, MAC pricing, formulary administration and other operational aspects.=
Required to obtain and maintain approvals for price increases and geographic expansion; delays could reduce revenue or increase costs=
Federal and state regulatory agencies may restrict or prevent implementation of premium rate changes or collection of certain administrative fees.=
RBC and non-U.S. surplus rules impose minimum capital requirements with potential regulatory actions if ratios fall below minimum.=
Competitors may have greater resources and lower profit margin expectations; failure to demonstrate value could reduce competitiveness=
Strong competition in pharmacy benefit business generates demand for lower pricing and greater revenue sharing, applying pressure on operating margins.=
Cigna: first mention in 10-K annual report of 2025-02-27 (FY2024), source 18
$1.5 billion in uncertain tax positions could require future tax paymentsFY2025
2026-02-26 26
CMS granted ability to negotiate drug prices for Medicare Part D and B drugs; legislative proposals could impact pricing strategies and marginsFY2025
2026-02-26 26
FTC and state regulators increasingly focused on use of AI and data; AI remains FTC enforcement priority with multiple state regulations and guidance issued.FY2025
2026-02-26 26
Weak office sector fundamentals impacting commercial mortgage loan valuationsFY2025
2026-02-26 26
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-10-31 (2024-Q3), source 16
Changes in earnings projections could trigger goodwill or intangible asset impairmentFY2025
2026-02-26 26
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-08-01 (2024-Q2), source 14
Risk of downgrade in financial strength ratings of insurance subsidiaries.2026-Q1
2026-04-30 27
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-05-02 (2024-Q1), source 12
risks related to strategic transactions and realization of expected benefits, integration difficulties2026-Q1
2026-04-30 28
Potential liability in managing medical practices, pharmacies, onsite clinics and medical facilities2025-Q1
2025-05-02 19
risk of significant disruption within operations or among key suppliers or third parties2026-Q1
2026-04-30 28
Cigna: first mention in 10-Q quarterly report of 2024-05-02 (2024-Q1), source 11
Total indebtedness approximately $31.5 billion as of December 31, 2025; debt service limits cash available for growth and dividendsFY2025
2026-02-26 26
Credit risk related to reinsurers.2026-Q1
2026-04-30 27
Cigna: first mention in 10-K annual report of 2024-02-29 (FY2023), source 10
State legislation and regulations prohibit certain network restrictions and mandate coverage of certain benefits; one state law prohibiting PBM ownership of pharmacies impacts vertically integrated entities.FY2025
2026-02-26 26
Fixed-income portfolio exposed to interest rate changes affecting fair valuesFY2025
2026-02-26 26
Currently overfunded frozen pension plan; significant stock market or interest rate declines could increase expenses and funding needsFY2025
2026-02-26 26
Cigna: first mention in 8-K-EX99.1 earnings release of 2024-02-02 (2023-Q4), source 9
compliance with privacy, security and data laws, regulations and standards2026-Q1
2026-04-30 28
Cigna: first mention in 10-Q quarterly report of 2023-11-02 (2023-Q3), source 7
Unfavorable economic and market conditions, recession or economic downturn affecting employment and stock market.2026-Q1
2026-04-30 27
Outcome of litigation, regulatory audits and investigations2025-Q1
2025-05-02 20
Cigna: first mention in 10-Q quarterly report of 2023-08-03 (2023-Q2), source 5
credit risk related to reinsurers2026-Q1
2026-04-30 28
Cigna: first mention in 8-K-EX99.1 earnings release of 2023-05-05 (2023-Q1), source 4
Risks related to strategic transactions and realization of expected benefits; integration or separation difficulties.2025-Q2
2025-07-31 21
potential for actual claims to exceed estimates related to expected medical claims2026-Q1
2026-04-30 28
changes in pharmacy provider marketplace or pharmacy networks2026-Q1
2026-04-30 28
Outcome of litigation, regulatory audits and investigations.2026-Q1
2026-04-30 27
Cigna: first mention in 10-Q quarterly report of 2023-05-05 (2023-Q1), source 3
political, legal, operational, regulatory and economic risks affecting multinational operations including currency exchange2026-Q1
2026-04-30 28
ability to prevent or contain effects of cyberattack or data security incident2026-Q1
2026-04-30 28
= last mention identical with the first mention (same source)

Cigna Reported KPIs (as disclosed) (360)

Figures Cigna discloses itself in addition to the standard financials, such as order intake, recurring revenue or unit counts, as reported and with no calculation of our own. NadirAlpha methodology

Company-specific KPIs verbatim from the filings (English, as disclosed; not normalised). Balance-sheet and boilerplate items filtered.
Cigna: reported KPIs as disclosed, 360 entries. Compiled by NadirAlpha from SEC filings.
KPIValue / changeSource
Cigna, published 2026-07-30, period 2026-Q2
Unpaid claims and claim expenses5,22829
Undrawn committed capacity under revolving credit agreement6.529
Total revenues71,66829
Total medical customers18,41329
Total Pharmacy Customers118,24330
Total Medical Customers18,41330
Total Customer Relationships182,76530
Share repurchases25029
Premiums9,85929
Pharmacy revenues57,17229
Other long-term investments5.229
Net investment income27229
Medical care ratio84.5%29
Fees and other revenues4,36529
Dental Customers18,48830
Debt-to-capitalization ratio42.8%29
Debt securities portfolio carrying value8.529
Commercial paper program outstanding balance1.029
Commercial mortgage loan portfolio1.229
Cigna Healthcare Medical Care Ratio84.5%30
Cash and short-term investments6.629
Capital expenditures0.629
Behavioral Care Customers27,62130
Cigna, published 2026-04-30, period 2026-Q1
Unpaid claims and claim expenses$4,92027
Undrawn committed capacity revolving credit$6.5 billion27
Other long-term investments$5.2 billion27
Medical customers total18,33427
Debt to capitalization ratio42.3%27
Commercial mortgage loan portfolio$1.3 billion27
Cash and short-term investments$7.3 billion27
Total Pharmacy Customers121,02028
Total Medical Customers18,33428
Total Customer Relationships185,47028
Specialty and Care Services Adjusted Revenues25,44028
Shareholders' Equity Per Share159.5928
Shareholders' Equity42,21028
SG&A Expense Ratio5.4%28
Pharmacy Benefit Services Adjusted Revenues33,00228
Evernorth Health Services Adjusted Revenues58,44228
Debt-to-Capitalization Ratio42.3%28
Cigna Healthcare Medical Care Ratio79.8%28
Cigna Healthcare Adjusted Revenues11,47728
Adjusted SG&A Expense Ratio4.8%28
Cigna, published 2026-02-26, period FY2025
Voluntary Turnover Rate9%26
US Patentsover 54026
US Network Physicians1.7 million26
US Network Hospitalsover 6,00026
US Federal Government Revenue %11%26
US Federal Government Revenue %15%26
US Ethnic Minorities %40%26
Underrepresented-to-White Wage Ratio USmore than 99 cents per dollar26
Specialty Pharmacies35 licensed pharmacies26
Specialist Group Arrangementsapproximately 10026
Single Pharmacy Benefit Client Revenue %19%26
Single Pharmacy Benefit Client Revenue %16%26
Primary Care Value-Based Arrangementsmore than 20026
Pharmacy Claims Processing Capacityover two billion adjusted prescriptions annually26
Pharmaceutical Purchases Single Wholesaler %approximately 50%26
markets and jurisdictionsmore than 3026
insured segment revenue percentage68%26
insured medical customers percentage21%26
individual family plans states11 states26
hospital system hospitals coveredmore than 75026
hospital system contractsmore than 20026
home delivery pharmacy locations11 licensed pharmacies26
home delivery pharmacy fulfillment centers426
healthcare providers relationships1.7 million26
health system services distribution centers426
health benefits payroll investment percentage20%26
female to male wage ratio USmore than 99 cents per dollar26
female to male wage ratio globalmore than 99 cents per dollar26
Express Scripts rebate sharing percentageover 95%26
Express Scripts clients receiving 100 percent rebatesmore than two-thirds26
Enguide pharmacy locations2 licensed pharmacies26
Enguide pharmacy fulfillment centers126
dental IFP states49 states26
customer relationships185 million26
ASO segment revenue percentage32%26
ASO medical customers percentage79%26
Unpaid claims and claim expenses$4,24126
Undrawn committed capacity$6.5 billion26
Total medical customers18,11826
Debt to capitalization ratio43.0%26
Cigna, published 2026-02-05, period 2025-Q4
Total Pharmacy Customers123,60325
Total Medical Customers18,11825
Total Customer Relationships188,42825
Shareholders' Equity per Share$158.3325
SG&A Expense Ratio5.0%25
SG&A Expense Ratio5.3%25
Dental Customers18,43825
Debt-to-Capitalization Ratio43.0%25
Cigna Healthcare Medical Care Ratio88.0%25
Cigna Healthcare Medical Care Ratio84.4%25
Behavioral Care Customers28,26925
Adjusted SG&A Expense Ratio4.7%25
Adjusted SG&A Expense Ratio5.0%25
Cigna, published 2025-10-30, period 2025-Q3
Unpaid claims and claim expenses$4,67623
Total Pharmacy Customers122,48624
Total Medical Customers18,05924
Total Customer Relationships182,49024
Medical customers18,05923
Debt-to-capitalization ratio44.9%23
Cigna Healthcare Medical Care Ratio84.8%24
Cigna, published 2025-07-31, period 2025-Q2
Total revenues (3 months)67,17821
Total revenues (6 months)132,68021
Total income taxes (3 months)38921
Total income taxes (6 months)62821
Shareholders' net income (3 months)1,53221
Shareholders' net income (6 months)2,85521
Premiums (3 months)9,15621
Premiums (6 months)21,89221
Pharmacy revenues (3 months)53,64921
Pharmacy revenues102,28221
Pharmacy and other service costs53,26821
Pharmacy and other service costs101,66621
Net investment income23621
Net investment income47421
Net investment gains/losses5221
Net investment gains/losses5021
Net income1,63221
Net income3,04121
Net income attributable to noncontrolling interests10021
Net income attributable to noncontrolling interests18621
Medical customers thousands18,04621
Medical costs and other benefit expenses7,74921
Medical costs and other benefit expenses18,24721
Interest expense and other(337)21
Interest expense and other(699)21
Income from operations2,30621
Income from operations4,27721
Income before income taxes2,02121
Income before income taxes3,66921
Gain (Loss) on Sale of Businesses (3M)–21
Gain (Loss) on Sale of Businesses (6M)4121
Fees and Other Revenues (3M)4,13721
Fees and Other Revenues (6M)8,03221
Effective Tax Rate (3M)19.2 %21
Effective Tax Rate (6M)17.1 %21
Consolidated Effective Tax Rate 2024 (3M)18.1 %21
Consolidated Effective Tax Rate 2024 (6M)31.5 %21
Total Pharmacy Customers121,89222
Total medical customers18,04622
Total Customer Relationships182,23622
Cigna Healthcare Medical Care Ratio83.2%22
Cigna, published 2025-05-02, period 2025-Q1
Unpaid claims and claim expenses4,50819
U.S. Healthcare Medical Customers16,36420
Total Pharmacy Customers122,28320
Total Medical Customers18,04320
Total Customer Relationships182,20820
SG&A Expense Ratio6.4%20
Medical customers18,04319
International Health Medical Customers1,67920
Evernorth Health Services Margin, Pre-Tax2.7%20
Dental Customers18,46620
Debt-to-capitalization ratio43.1%19
Cigna Healthcare Medical Care Ratio82.2%20
Cigna Healthcare Margin, Pre-Tax8.9%20
Behavioral Care Customers23,41620
Adjusted SG&A Expense Ratio5.8%20
Cigna, published 2025-02-27, period FY2024
Voluntary Turnover Rateapproximately 9%18
U.S. Physician Networkapproximately 1.8 million18
US Patentsover 48018
U.S. Federal Government Revenue 2024 (%)approximately 11%18
U.S. Federal Government Revenue 2023 (%)15%18
U.S. Federal Government Revenue 2022 (%)14%18
Specialty Pharmacies35 licensed pharmacies18
single pharmacy client revenue percentageapproximately 16%18
settlement annuity guaranteed payments percentageapproximately 12%18
retail pharmacy networksnational and regional network options18
provider value based arrangements specialistapproximately 10018
provider value based arrangements primary caremore than 20018
payroll invested in benefits percentageapproximately 19%18
medicare supplement plans states48 states and the District of Columbia18
medicare advantage plans states29 states and the District of Columbia18
insured segment revenue percentageapproximately 74%18
insured medical customers percentage26%18
ifp plans states11 states18
hospitals in contractsmore than 80018
hospital system contractsmore than 20018
hospital networkover 6,00018
home delivery pharmacies13 licensed pharmacies, including 4 fulfillment pharmacies18
ethnic minority pay equity usmore than 99 cents18
dental ifp plans states49 states18
customer patient relationshipsapproximately 182 million18
cigna ventures commitment700 million18
centene rebates shared percentageover 95%18
centene clients 100pct rebates percentagemore than two-thirds18
ASO Segment Revenue %approximately 26%18
ASO Medical Customers %74%18
Adjusted Prescriptions Annuallyover 2 billion18
Valuation Allowances$2,332 million18
Valuation Allowances$1,498 million18
Unpaid Claims Net$4,859 million18
Unpaid Claims Net$4,856 million18
Unpaid Claims Gross$5,018 million18
Unpaid Claims Gross$5,092 million18
Undrawn Committed Capacity$6.5 billion18
Uncertain Tax Positions$1.5 billion18
Total Share Repurchase Authority$10.3 billion18
Tax Position Balances$1,477 million18
Tax Position Balances$1,399 million18
Subsidiary Borrowing Capacity$1.8 billion18
Shares Repurchased 2025 YTD3.0 million18
Shares Repurchased20.9 million18
Shares Repurchased7.8 million18
Share Repurchase Amount 2025 YTD$901 million18
Share Repurchase Amount$7.0 billion18
Share Repurchase Amount$2.3 billion18
Service Commitments$0.7 billion18
Remaining Share Repurchase Authority$9.4 billion18
Remaining Commercial Paper Capacity$5.6 billion18
Purchase Obligations Total$4.2 billion18
Purchase Obligations Next$1.6 billion18
Potential Tax Payments$1.0 billion18
Parent Company Cash$0.8 billion18
Other Long Term Investments$4.6 billion18
Medical customers19,14718
Long Term Debt Scheduled Payments$48.5 billion18
Long Term Debt Due$3.5 billion18
Investment Grade Debt Securities$8.1 billion18
Investment Commitments$0.9 billion18
Investment Commitments$2.7 billion18
HCSC Transaction Initial Price$3.3 billion18
Future Service Commitments$1.5 billion18
Expected Capex$1.4 billion18
Dividends from US Subsidiaries$2.4 billion18
Dividends from US Subsidiaries$1.2 billion18
Debt to Capitalization Ratio43.8%18
Debt to Capitalization Ratio40.1%18
Debt Securities Portfolio$9.4 billion18
Debt Securities$9.9 billion18
Commercial Paper Outstanding$0.9 billion18
Commercial Mortgage Loan Portfolio$1.4 billion18
China Joint Venture Investment Portfolio$15.6 billion18
Cash and Short-Term Investments$7.6 billion18
Capital Expenditures$1.4 billion18
Capital Expenditures$1.6 billion18
Below Investment Grade Debt Securities$1.3 billion18
Cigna, published 2025-01-30, period 2024-Q4
Total Pharmacy Customers118,30417
Total Medical Customers19,14717
Total Customer Relationships182,21217
Specialty and Care Services Adjusted Revenues23,47117
Specialty and Care Services Adjusted Revenues, Full Year90,33317
Specialty and Care Services Adjusted Income from Operations Pre-Tax94817
Specialty and Care Services Adjusted Income from Operations Pre-Tax, Full Year3,42417
Pharmacy Benefit Services Adjusted Revenues30,27317
Pharmacy Benefit Services Adjusted Revenues, Full Year111,82217
Pharmacy Benefit Services Adjusted Income from Operations Pre-Tax1,19817
Pharmacy Benefit Services Adjusted Income from Operations Pre-Tax, Full Year3,57717
Evernorth Health Services Adjusted Revenues53,74417
Evernorth Health Services Adjusted Revenues, Full Year202,15517
Evernorth Health Services Adjusted Income from Operations Pre-Tax2,14617
Evernorth Health Services Adjusted Income from Operations Pre-Tax, Full Year7,00117
Cigna Healthcare MCR87.9%17
Cigna Healthcare MCR, Full Year83.2%17
Cigna Healthcare Adjusted Revenues13,33117
Cigna Healthcare Adjusted Revenues, Full Year52,91417
Cigna Healthcare Adjusted Income from Operations Pre-Tax51117
Cigna Healthcare Adjusted Income from Operations Pre-Tax, Full Year4,22917
Cigna, published 2024-10-31, period 2024-Q3
Pharmacy claim volume53115
Medical customers19,04815
Adjusted revenues63,69915
Total Pharmacy Customers119,99616
Total Medical Customers19,04816
Total Customer Relationships183,51416
SG&A Expense Ratio5.6%16
Medicare Part D Customers2,55716
Dental Customers18,25116
Cigna Healthcare Medical Care Ratio82.8%16
Behavioral Care Customers23,66216
Adjusted SG&A Expense Ratio5.5%16
Cigna, published 2024-08-01, period 2024-Q2
Unpaid claims and claim expenses Cigna Healthcare520213
Undrawn revolving credit capacity650013
Total Pharmacy Customers122,47014
Total Medical Customers19,04314
Total Customer Relationships186,23214
Shareholders' Equity per Share$147.8714
Shareholders' Equity$41,33214
SG&A Expense Ratio6.1%14
Medicare Part D Customers2,56414
Medical customers1904313
Dental Customers18,33914
Debt-to-Capitalization Ratio43.6%14
Debt to capitalization ratio43.6%13
Commercial paper outstanding79013
Cigna Healthcare Medical Care Ratio82.3%14
Cash and short-term investments700013
Behavioral Care Customers23,81614
Adjusted SG&A Expense Ratio6.0%14
Cigna, published 2024-05-02, period 2024-Q1
Total Pharmacy Customers122,76712
Total Medical Customers19,18412
Total Customer Relationships186,75312
Shareholders' Equity per Share145.0012
Shareholders' Equity41,18112
Pre-tax adjusted margin Evernorth2.9%11
Pre-tax adjusted margin Cigna Healthcare10.1%11
Medicare Part D Customers2,55812
Medical customers1918411
Medical care ratio Cigna Healthcare79.9%11
Dental Customers18,44312
Cigna Healthcare MCR79.9%12
Behavioral Care Customers23,80112
Adjusted Expense Ratio Evernorth2.1%11
Adjusted Expense Ratio Cigna Healthcare20.5%11
Cigna, published 2024-02-29, period FY2023
Pre-Tax Adjusted Margin Other Operations16.1%10
Pre-Tax Adjusted Margin Evernorth4.2%10
Pre-Tax Adjusted Margin Cigna8.7%10
Overall Generic Fill Rate86.7%10
Network Generic Fill Rate86.9%10
Medical Care Ratio Cigna81.3%10
Home Delivery Generic Fill Rate85.3%10
Adjusted Expense Ratio Evernorth2.2%10
Adjusted Expense Ratio Cigna21.6%10
Medical customers19,78010
Cigna, published 2024-02-02, period 2023-Q4
U.S. Healthcare18.170 million9
Total Pharmacy Customers98.6 million9
Total Medical Customers19.8 million9
Total Customer Relationships164.399 million9
Medicare Part D2.550 million9
International Health1.610 million9
Dental18.543 million9
Debt-to-Capitalization Ratio40.1%9
Cigna Healthcare Medical Care Ratio82.2%9
Cigna Healthcare Medical Care Ratio81.3%9
Behavioral Care24.956 million9
Cigna, published 2023-11-02, period 2023-Q3
Total Revenues$49,0487
Shareholders Net Income$1,4087
Medical customers19,6077
Adjusted revenues$49,0787
Total Pharmacy Customers98,3258
Total Medical Customers19,6078
Total Customer Relationships164,1698
Shareholders' Equity per Share$155.548
Evernorth Health Services Adjusted Margin, Pre-Tax4.4%8
Debt-to-Capitalization Ratio40.5%8
Cigna Healthcare Medical Care Ratio80.5%8
Cigna Healthcare Adjusted Margin, Pre-Tax9.6%8
Adjusted SG&A Expense Ratio7.3%8
Cigna, published 2023-08-03, period 2023-Q2
Unpaid Claims and Claim Expenses - Cigna Healthcare5,3365
Total Pharmacy Customers98,6386
Total Medical Customers19,5066
Total Customer Relationships165,7036
SG&A Expense Ratio7.1%6
Medical customers19,5065
Evernorth Adjusted Margin, Pre-Tax4.0%6
Debt-to-capitalization ratio41.9%6
Cigna Healthcare MCR81.2%6
Cigna Healthcare Adjusted Margin, Pre-Tax9.2%6
Cigna, published 2023-05-05, period 2023-Q1
Total Pharmacy Customers98,7494
Total Medical Customers19,4734
Total Customer Relationships166,3844
Share Repurchases YTD3.7 million shares4
Medicare Part D Customers2,5414
Medical customers19,4733
Diluted Earnings Per Share4.243
Dental Customers18,7314
Debt-to-Capitalization Ratio42.2%4
Cigna Healthcare MCR81.3%4
Behavioral Care Customers26,8904
Adjusted Revenues46,4793

Cigna Development

The business development of Cigna period by period up to Q2 2026, each text from the original report of that period, source numbers lead to the source. NadirAlpha methodology

FY2026: Cigna

In the first half of fiscal year 2026, Cigna reported total revenues of USD 68,494 million in the first quarter and USD 71,668 million in the second quarter, with growth driven primarily by Evernorth Health Services pharmacy volumes and higher premiums within Cigna Healthcare 28 30. Cigna's shareholders' net income reached USD 1,654 million in the first quarter, a 25% increase versus the prior-year period, and USD 1,660 million in the second quarter, an 8% increase, primarily reflecting higher adjusted income from operations in Cigna Healthcare 27 29. First-quarter premiums decreased 23% and Cigna Healthcare adjusted revenues decreased 21%, primarily driven by the completion of the HCSC transaction on March 19, 2025, which transferred Medicare Advantage and related businesses; excluding divested businesses, Cigna Healthcare revenues grew 8% in the first quarter 27 28. In April 2026, Cigna announced its planned exit from the Individual and Family Plans medical business effective January 1, 2027 29. The company raised its full-year 2026 outlook for adjusted income from operations per share twice during the first half, reaching at least $30.45 per share as of the second-quarter earnings report 30.

FY2025: Cigna

The Cigna Group reported full-year 2025 revenues of $274.9 billion, an increase of 11% year-over-year, driven primarily by growth in Evernorth Health Services, where pharmacy revenues rose 17% to $216,672 million (26). On March 19, 2025, the company completed the divestiture of its Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies businesses to Health Care Service Corporation for $4.9 billion in cash proceeds, reducing total medical customers by 5% to 18,118 thousand (26). Shareholders' net income increased 73% to $5,957 million ($22.18 per share), primarily reflecting the absence of a non-cash impairment of VillageMD equity securities recorded in 2024; on an adjusted basis, income from operations increased 4% to $8,014 million ($29.84 per share) (26). The Cigna Healthcare segment's medical care ratio rose 120 basis points to 84.4% for the full year, primarily driven by the Individual and Family Plans business (26). In Q3 2025, Evernorth Health Services announced a transformational rebate-free pharmacy benefit model, and the company subsequently established a 2026 adjusted income from operations outlook of at least $7.950 billion ($30.25 per share) (24, 25).

FY2024: Cigna

The Cigna Group reported FY2024 total revenues of $247.1 billion, a 27% increase from 2023, driven primarily by 32% growth in Evernorth Health Services following the onboarding of Centene Corporation at the start of the year and strong specialty volume growth across pharmacy and specialty businesses 17 18. Adjusted income from operations rose 4% to $7.7 billion ($27.33 per diluted share), as Evernorth Health Services earnings grew 9% while Cigna Healthcare adjusted income from operations declined 6% due to a higher medical care ratio 17. Shareholders' net income of $3.4 billion ($12.12 per diluted share) was materially reduced by $2.7 billion in aggregate non-cash after-tax investment losses from successive impairments of VillageMD equity securities recorded across 2024 17. In January 2024, the Company entered a definitive agreement to divest its Medicare Advantage, Medicare Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies businesses to Health Care Service Corporation for approximately $3.7 billion, with closing expected in Q1 2025 17 18. The Cigna Healthcare medical care ratio increased 190 basis points to 83.2% for the full year, primarily driven by higher stop loss medical costs 17 18.

FY2023: Cigna

The Cigna Group reported full-year 2023 total revenues of $195.3 billion, up from $180.5 billion in 2022, with Evernorth Health Services contributing adjusted revenues of $153.5 billion and Cigna Healthcare contributing adjusted revenues of $51.2 billion (9, 10). Adjusted income from operations reached $7.4 billion, or $25.09 per share, compared with $7.3 billion, or $23.36 per share, in 2022, driven by higher earnings in both reportable segments (9). Shareholders' net income of $5.16 billion ($17.39 per share) was reduced by an estimated loss recognized in connection with the definitive agreement to sell Medicare Advantage, Medicare Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits and CareAllies businesses to Health Care Service Corporation for $3.3 billion cash, partially offset by foreign deferred tax benefits (10, 18). Medical customers grew 10% to 19.8 million and pharmacy customers grew 5% to 98.6 million at December 31, 2023, while the company repurchased approximately $2.3 billion in shares and declared a 14% increase in the quarterly dividend (9). Strategic investments during 2023 included a $2.7 billion preferred equity stake in VillageMD and a minority interest in CarepathRx Health Systems Solutions, alongside capital expenditures of $1.6 billion (10).

Glossary

  • Revenue: Revenue from contracts with customers, net of sales deductions, as the company itself reports it; not total output, gross revenue, GMV or order intake.
  • Op. income: The operating line of the income statement; EBIT only as a marked fallback, never pre-tax or ordinary income.
  • Op. income (adj.): Adjusted operating income, verbatim and company-defined (non-GAAP), never derived.
  • Net income: Net income attributable to the shareholders of the parent, after discontinued operations; not the result including minority interests, not comprehensive income.
  • EPS: Diluted earnings per share attributable to the shareholders of the parent; a printed figure always beats a calculated one, calculated values are marked.
  • OCF: Cash flow from operating activities as reported; IFRS companies may show interest paid in financing cash flow, so the figure is not always comparable.
  • Cash: Cash and cash equivalents, without securities unless the company reports them as part of the position.
  • Net Debt: Net debt = financial debt excluding lease liabilities minus cash at the same reporting date; the company's own net position may differ.
  • *: derived, the formula is in the hover
  • ≈: calculated, approximation
  • ~: uncertain; the value stays visible, verdicts do not use it
  • °: repaired by a targeted query against the document, or curated with documentary evidence
  • EBIT: EBIT as a fallback: the income statement carries no operating line
  • basic: basic earnings per share as a fallback when diluted is missing

Sources: quarterly reports, annual reports and investor relations documents

The evidence base for Cigna stock: every document with type and date, every figure in the report leads here by number and to the original by link. NadirAlpha methodology

45 documents · 2019 to 2026 · SEC EDGAR (USA)
Sources for Cigna stock: 45 original documents, 2019 to 2026. Compiled by NadirAlpha.
#Document typePublished
#1 / #1018-K-EX99.1 earnings release2023-02-03
#210-K annual report2023-02-23
#310-Q quarterly report2023-05-05
#48-K-EX99.1 earnings release2023-05-05
#510-Q quarterly report2023-08-03
#68-K-EX99.1 earnings release2023-08-03
#710-Q quarterly report2023-11-02
#88-K-EX99.1 earnings release2023-11-02
#98-K-EX99.1 earnings release2024-02-02
#1010-K annual report2024-02-29
#1110-Q quarterly report2024-05-02
#12 / #1128-K-EX99.1 earnings release2024-05-02
#1310-Q quarterly report2024-08-01
#148-K-EX99.1 earnings release2024-08-01
#1510-Q quarterly report2024-10-31
#168-K-EX99.1 earnings release2024-10-31
#178-K-EX99.1 earnings release2025-01-30
#1810-K annual report2025-02-27
#1910-Q quarterly report2025-05-02
#208-K-EX99.1 earnings release2025-05-02
#2110-Q quarterly report2025-07-31
#228-K-EX99.1 earnings release2025-07-31
#2310-Q quarterly report2025-10-30
#248-K-EX99.1 earnings release2025-10-30
#25 / #1258-K-EX99.1 earnings release2026-02-05
#2610-K annual report2026-02-26
#2710-Q quarterly report2026-04-30
#28 / #1288-K-EX99.1 earnings release2026-04-30
#2910-Q quarterly report2026-07-30
#308-K-EX99.1 earnings release2026-07-30
Older sources (+15)
Older sources for Cigna, 15 documents
#Document typePublished
#20110-K annual report2019-02-28
#20310-Q quarterly report2019-02-28
#20410-K annual report2019-02-28
#20810-K annual report2019-02-28
#20510-Q quarterly report2019-05-02
#20210-Q quarterly report2019-08-01
#20610-Q quarterly report2019-08-01
#20710-Q quarterly report2019-10-31
#21210-K annual report2020-02-27
#20910-Q quarterly report2020-05-07
#21010-Q quarterly report2020-08-06
#21110-Q quarterly report2020-11-05
#21310-Q quarterly report2021-05-07
#21410-Q quarterly report2021-08-05
#21510-Q quarterly report2021-11-04

Cigna Stock FAQ

Is there a management forecast (guidance) for FY2026?

Yes. Management has issued targets for FY2026, including EPS (non-GAAP). The guidance tracking chapter shows all targets and checks them against the actuals reported later; neutral, with no estimate of our own.

Which additional key figures does Cigna report?

As reported for Q2 2026: Total Pharmacy Customers, Total Medical Customers, Total Customer Relationships, Cigna Healthcare Medical Care Ratio, Dental Customers, Behavioral Care Customers. The chapter Reported KPIs lists every value with its source. Revenue is broken down by Other Operations, Evernorth Health Services - Pharmacy Benefit Services, Evernorth Health Services - Specialty and Care Services, Pharmacy Benefit Services.

Does Cigna pay a dividend?

The filings report on the dividend; most recent entry: dividends paid $2.4 billion (FY2024) (as reported, no assessment of our own). Details with source links are in the report chapters.

Where can I find the official investor relations documents of Cigna?

NadirAlpha links all 45 original filings used (SEC filings) in the sources chapter: quarterly report, earnings release, annual report, each with type, publication date and a direct link; every figure in the report carries a source number.

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