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Cigna Group

For the period ended Dec 31, 2023. Filed Feb 29, 2024.

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FY2023 · Filed Feb 29, 2024

CI$293.59-2.6%Stored close · as of Nov 6, 2026

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Segment Information

Note 25 – Segment Information

See Note 1 to the Consolidated Financial Statements for a description of our segments. A description of our basis for reporting segment operating results is outlined below. Intersegment revenues primarily reflect pharmacy and care services transactions between the Evernorth Health Services and Cigna Healthcare segments.

The Company uses "pre-tax adjusted income (loss) from operations" and "adjusted revenues" as its principal financial measures of segment operating performance because management believes these metrics best reflect the underlying results of business operations and permit analysis of trends in underlying revenue, expenses and profitability. We define pre-tax adjusted income from operations as income before income taxes excluding pre-tax income (loss) attributable to noncontrolling interests, net realized investment results, amortization of acquired intangible assets, and special items. The Cigna Group's share of certain realized 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.

The Company defines adjusted revenues as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain realized 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.

The Company does not report total assets by segment because this is not a metric used to allocate resources or evaluate segment performance.

The following table presents the special items charges (benefits) recorded by the Company, as well as the respective financial statement line items impacted:

For the Years Ended December 31,
202320222021
(In millions)Pre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-tax
Loss (gain) on sale of businesses$1,499$1,429$(1,662)$(1,332)$—$—
Charge for organizational efficiency plan (Selling, general and administrative expenses)2521932217168119
Charges (benefits) associated with litigation matters (Selling, general and administrative expenses)201171(28)(20)(27)(21)
Integration and transaction-related costs (Selling, general and administrative expenses)453513510316971
Deferred tax (benefits), net (Income taxes, less amount attributable to noncontrolling interests)—(1,071)————
Debt extinguishment costs————141110
Total impact from special items$1,997$757$(1,533)$(1,232)$451$279

Effective January 1, 2023, we adopted amended accounting guidance for long-duration insurance contracts. See Note 2 to the Consolidated Financial Statements for further information. Prior period summarized segment information has been retrospectively adjusted to conform to this new basis of accounting. Summarized segment financial information was as follows:

(In millions) · Evernorth Health Services · Cigna Healthcare · Other Operations · Corporate and Eliminations · Total
2023
Revenues from external customers$147,588$46,219$291$1$194,099
Intersegment revenues5,6704,332—(10,002)
Net investment income241597305231,166
Total revenues153,49951,148596(9,978)195,265
Net realized investment results from certain equity method investments—57——57
Adjusted revenues$153,499$51,205$596$(9,978)$195,322
Depreciation and amortization$2,438$569$3$25$3,035
Income (loss) before income taxes$4,768$2,664$76$(1,995)$5,513
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(144)(2)——(146)
Net realized investment losses (1)—1332—135
Amortization of acquired intangible assets1,77445——1,819
Special items
Loss on sale of businesses—1,48118—1,499
Charge for organizational efficiency plan———252252
Charges associated with litigation matters44157——201
Integration and transaction-related costs———4545
Pre-tax adjusted income (loss) from operations$6,442$4,478$96$(1,698)$9,318
(In millions)Evernorth Health ServicesCigna HealthcareOther OperationsCorporate and EliminationsTotal
2022
Revenues from external customers$135,786$41,738$1,839$—$179,363
Intersegment revenues4,4632,535—(6,998)
Net investment income8663842471,155
Total revenues140,33544,9112,263(6,991)180,518
Net realized investment results from certain equity method investments—126——126
Adjusted revenues$140,335$45,037$2,263$(6,991)$180,644
Depreciation and amortization$2,283$638$6$10$2,937
Income (loss) before income taxes$4,421$3,470$2,101$(1,595)$8,397
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(66)(4)(14)—(84)
Net realized investment losses (1)—53083—613
Amortization of acquired intangible assets1,7721031—1,876
Special items
(Gain) on sale of businesses——(1,662)—(1,662)
Charge for organizational efficiency plan———2222
(Benefits) associated with litigation matters———(28)(28)
Integration and transaction-related costs———135135
Pre-tax adjusted income (loss) from operations$6,127$4,099$509$(1,466)$9,269
(In millions)Evernorth Health ServicesCigna HealthcareOther OperationsCorporate and EliminationsTotal
Revenues from external customers$127,692$41,369$3,459$—$172,520
Intersegment revenues4,2032,271—(6,474)
Net investment income (loss)171,003530(1)1,549
Total revenues131,91244,6433,989(6,475)174,069
Net realized investment results from certain equity method investments—————
Adjusted revenues$131,912$44,643$3,989$(6,475)$174,069
Depreciation and amortization$2,316$551$52$4$2,923
Income (loss) before income taxes$3,908$3,804$868$(1,790)$6,790
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(31)(3)(24)—(58)
Net realized investment losses (gains) (1)4(247)45—(198)
Amortization of acquired intangible assets1,9374714—1,998
Special items
Charge for organizational efficiency plan———168168
(Benefits) associated with litigation matters———(27)(27)
Integration and transaction-related costs———169169
Debt extinguishment costs———141141
Pre-tax adjusted income (loss) from operations$5,818$3,601$903$(1,339)$8,983

(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.

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