Segment Information (Tables)

3 Months Ended

Mar. 31, 2024

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



	Three Months Ended March 31,
		2024	2023
(In millions)			Pre-tax		After-tax		Pre-tax		After-tax
Integration and transaction-related costs (Selling, general and administrative expenses)			$	37	$	29	$	1	$	1
Loss (gain) on sale of businesses			19		(43)		—		—
Deferred tax expenses, net (Income taxes, less amount attributable to noncontrolling interests)			—		17		—		—





Total impact from special items			$	56	$	3	$	1	$	1

Summarized Segment Financial Information

Summarized segment financial information was as follows:


(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2024
Revenues from external customers	$	44,886	$	12,012	$	66	$	1	$	56,965
Intersegment revenues	1,281		1,124		25		(2,430)
Net investment income	59		149		75		7		290
Total revenues	46,226		13,285		166		(2,422)		57,255
Net realized investment results from certain equity method investments	—		(8)		—		—		(8)


Adjusted revenues	$	46,226	$	13,277	$	166	$	(2,422)	$	57,247

(Loss) income before income taxes	$	(436)	$	943	$	18	$	(446)	$	79
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(77)		—		—		—		(77)
Net realized investment losses (1)	1,456		372		—		—		1,828
Amortization of acquired intangible assets	417		6		—		—		423
Special items
Integration and transaction-related costs	—		—		—		37		37
Loss on sale of businesses	—		19		—		—		19






Pre-tax adjusted income (loss) from operations	$	1,360	$	1,340	$	18	$	(409)	$	2,309

(In millions)	Evernorth Health Services		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2023
Revenues from external customers	$	34,511	$	11,650	$	79	$	—	$	46,240
Intersegment revenues	1,618		963		—		(2,581)
Net investment income	50		143		78		6		277
Total revenues	36,179		12,756		157		(2,575)		46,517

Net realized investment results from certain equity method investments	—		(38)		—		—		(38)


Adjusted revenues	$	36,179	$	12,718	$	157	$	(2,575)	$	46,479

Income (loss) before income taxes	$	918	$	1,077	$	21	$	(415)	$	1,601
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(42)		(1)		—		—		(43)
Net realized investment losses (gains) (1)	—		24		(6)		—		18
Amortization of acquired intangible assets	444		15		—		—		459
Special items
Integration and transaction-related costs	—		—		—		1		1







Pre-tax adjusted income (loss) from operations	$	1,320	$	1,115	$	15	$	(414)	$	2,036

(1)Includes Net realized investment losses as presented in our Consolidated Statements of Income, as well as 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, which are presented within Fees and other revenues in our Consolidated Statements of Income.

Revenue from External Customers

Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type:


	Three Months Ended March 31,
(In millions)		2024		2023
Products (Pharmacy revenues) (ASC 606)
Network revenues		$	24,166	$	15,748
Home delivery and specialty revenues		16,458		16,025
Other revenues		2,546		1,867
Total Evernorth Health Services		43,170		33,640
Total Other Operations		17		—
Intercompany eliminations		(1,151)		(1,496)
Total Pharmacy revenues		42,036		32,144
Insurance premiums (ASC 944)
Cigna Healthcare (1)
U.S. Healthcare
Employer insured		4,393		4,080
Medicare Advantage		2,287		2,236
Stop loss		1,668		1,503
Individual and Family Plans		1,040		1,208
Other		1,258		1,117
U.S. Healthcare		10,646		10,144
International Health		885		786
Total Cigna Healthcare		11,531		10,930

Other		48		79
Intercompany eliminations		24		16
Total Premiums		11,603		11,025
Services (Fees) (ASC 606)
Evernorth Health Services		2,943		2,499
Cigna Healthcare		1,571		1,606
Other Operations		25		1
Other revenues		90		66
Intercompany eliminations		(1,303)		(1,101)
Total Fees and other revenues		3,326		3,071
Total revenues from external customers		$	56,965	$	46,240

(1)Cigna Healthcare includes the U.S. Healthcare and International Health operating segments, which provide comprehensive medical and coordinated solutions to clients and customers. During the fourth quarter of 2023, the U.S. Commercial and U.S. Government operating segments merged to form the U.S. Healthcare operating segment. Information presented for the three months ended March 31, 2023 has been restated to conform to the new operating segment presentation.