Health Care · FY2025 10‑K ↗ CI · NYSE
Cigna Group
1792 2025
1792 Insurance Company of North America Founded
1871 Chicago Fire Claims Paid
1982 Cigna Created Through Merger
1997 Life Insurance Business Sold
2011 Medicare Expansion Purchase
2013 Global Expansion Milestone
2023 PXDX Claims System Controversy
2023 Humana Merger Discussion
2025 Medicare Business Sold to HCSC
Wikipedia history · XBRL financial data

Cigna Group runs two big businesses under one roof. The first, Evernorth Health Services, processes prescription drug claims through its Express Scripts pharmacy benefit network, ships medications from its own pharmacies directly to patients' homes, and distributes specialty drugs to hospitals and clinics. The second, Cigna Healthcare, collects premiums or fees from employers to cover their workers' medical costs, running health plans in the United States and internationally. Every time a pharmacist fills a prescription inside the Express Scripts network, Cigna earns a fee. Every time an employer pays to insure their workers, Cigna collects a premium. The diagram below traces where the money goes.

How Cigna Group Makes Money
flowchart TD A["Clients Across Two Segments"] --> B["Evernorth Health Services"] A --> C["Cigna Healthcare Medical Plans"] B --> D["Pharmacy Claims & Specialty Drugs 216.7B revenue"] C --> E["Insured & ASO Premiums 68% rev"] D --> F["Fee Income & Pharm Rebates 16.9B revenue"] E --> F F --> G["Operating Margin 3.3% on 274.9B"] G --> H["Cash Flow 9.6B annually"] H --> I["Provider Network & Clinical Partnerships"] I --> J["Better Care Quality Lower Cost Outcomes"] J --> B J --> C D --> I E --> I

Five years of financial data tell a clear story about which engine is doing the heavy lifting. Total revenue has grown every single year, from $174.1 billion in 2021 to $274.9 billion in 2025. But almost all of that growth has come from Evernorth, the pharmacy side, not from the health insurance side. Pharmacy revenues alone reached $216.7 billion in 2025, up from $137.2 billion in 2023. That is a very large number moving very fast.

Total Revenue 2021 to 2025 ($ billions)
2021
$174.1B
2022
$180.5B
2023
$195.3B
2024
$247.1B
2025
$274.9B
Revenue has grown each year, but the jump from 2023 to 2025 is almost entirely driven by the Evernorth pharmacy segment.

There is a catch buried inside that revenue growth. Gross margin, the share of each revenue dollar left after paying for pharmacy drugs and medical care, has been falling steadily. It stood at roughly 32% in 2021 and dropped to about 22% in 2025. This means Cigna is processing far more volume, but keeping a smaller slice of each dollar it handles. The pharmacy business is built on thin margins run at enormous scale, so the math only works if volume keeps growing.

What is gross margin, and why does it matter here?
Gross margin is the percentage of revenue left after paying the most direct costs, like the cost of the actual drugs Cigna dispenses or the medical claims it pays out. A falling gross margin does not necessarily mean the company is doing badly, but it does mean each extra dollar of revenue contributes less to covering all the other costs of running the business. For a high-volume, low-margin operation like pharmacy benefit management, scale is everything.

Operating cash flow tells a slightly different story. It reached a peak of $11.8 billion in 2023, then slipped to $10.4 billion in 2024 and $9.6 billion in 2025. That dip happened even as revenue kept climbing, which means the business is spending more to support its growth than the top-line numbers suggest. Net debt has also stayed stubbornly high, sitting at $23.8 billion at the end of 2025, only modestly improved from $28.6 billion in 2021.

$9.6B
Operating cash flow in 2025, down from $11.8B in 2023 despite revenue growth of nearly $80 billion over the same period

The health insurance side of the business, Cigna Healthcare, went through a major change in 2025. Cigna sold its Medicare Advantage business to Health Care Service Corporation for $4.9 billion, completing the deal on March 19, 2025. This removed a large block of government-funded customers from the books. Medical customers fell by about 1 million as a result, dropping from 19.1 million to 18.1 million. The Cigna Healthcare segment's revenues also fell 11% to $47.2 billion in 2025. The company framed this as a strategic refocus toward its Evernorth pharmacy business.

2025
milestone
Medicare business sold to HCSC
Cigna sold its Medicare Advantage, Medicare drug plans, and related businesses to Health Care Service Corporation for $4.9 billion. This shrank Cigna Healthcare's revenue and customer count but gave the company cash to redirect toward Evernorth and reduce debt. It also removed a major source of government-program risk from the balance sheet.

Now for the risks. Cigna's filing names several specific threats that are worth understanding clearly, because they are not vague possibilities but documented vulnerabilities in how the business actually works.

How does a pharmacy benefit manager actually make money?
A pharmacy benefit manager, like Express Scripts, sits between drug companies, pharmacies, and the people who pay for health coverage. It negotiates discounts with drug makers and pharmacies, then processes claims when a customer fills a prescription. It earns fees for each claim processed and keeps a portion of the rebates it negotiates with drug companies. The entire model depends on having large client contracts and a broad pharmacy network, which is why losing either one is a serious risk.

The ten largest pharmacy chains make up about 47% of the stores in Cigna's biggest pharmacy network. If one of those chains walked away or demanded much worse terms, millions of customers could lose convenient access to pharmacies overnight. That kind of disruption would hurt clients and could cause them to switch to a competitor. Separately, a single pharmacy benefit client generated approximately 19% of total revenue from external customers in 2025. That is an enormous concentration in one relationship. The filing also notes that the U.S. Federal Government, through programs like the military's TRICARE health coverage, accounted for 11% of total revenue from external customers in 2024. Governments can cut funding or cancel contracts on short notice.

19%
Share of total external revenue from a single pharmacy benefit client in 2025, highlighting how dependent Cigna is on keeping that one contract intact

There is also the problem of predicting medical costs. Cigna sets insurance premium rates before it knows what it will actually pay out. If real medical costs come in higher than expected, the company absorbs the difference. The medical care ratio for Cigna Healthcare, which measures medical costs as a percentage of premiums, rose from 81.3% in 2023 to 83.2% in 2024 and then to 84.4% in 2025. That trend is moving in the wrong direction. Higher ratios mean less money left over after paying claims. The Individual and Family Plans business was specifically called out as a drag on results in 2025.

On the legal front, the U.S. Federal Trade Commission filed an administrative complaint against Cigna in 2024, alleging unfair rebate practices related to insulin pricing. A settlement was reached in February 2026 without financial penalties, but the company noted it continues to face ongoing government investigations and audits. These could result in fines, restrictions, or limits on participating in government health programs.

Cigna announced in 2025 that it will shift to a transparent, rebate-free pricing model for pharmacy benefits, starting with Cigna Healthcare's fully insured customers in 2027 and becoming standard for Evernorth clients in 2028. The company expects this transition to create short-term costs and income pressure for Evernorth before any long-term benefits arrive.

Cigna launched a strategic optimization program in early 2025, reporting $749 million in pre-tax costs for the year. The company expects that program to generate annualized after-tax savings of at least $500 million once complete, with a portion already realized in 2025. It also repurchased 11.9 million shares for approximately $3.6 billion during 2025, a significant step down from the $7.0 billion spent on repurchases in 2024.

$234.9B
Evernorth Health Services adjusted revenues in 2025, making the pharmacy segment roughly five times larger than the health insurance segment
The Bet
Evernorth can keep growing pharmacy claim volume fast enough, and efficiently enough, to offset the steady compression in gross margin that comes with that growth. The entire financial logic of Cigna today rests on the pharmacy side expanding its scale while simultaneously making each dollar of scale worth keeping through contract affordability improvements and specialty drug growth. If claim volume growth slows, or if large clients renegotiate to take a bigger share of rebate savings, the margin compression that is already visible in the numbers accelerates without a volume offset to absorb it.
Open question
Cigna has clearly made its choice: it sold Medicare, refocused on Evernorth, and is betting that pharmacy services at massive scale is a more durable business than health insurance. The pharmacy segment already generates the overwhelming majority of revenues and is growing quickly. But gross margins keep falling, operating cash flow has dipped even as revenue surged, and the company is now committing to a major business model change in how it handles drug rebates, with real transition costs ahead. Can Evernorth grow its pharmacy claim volume and specialty drug business fast enough to compensate for shrinking margins per dollar processed, or will the rebate-free transition and client concentration risk arrive before the scale benefits do?
Compiled · 10-K · FY2025
Total Revenue (5-year)
2021
$174B
2022
$181B
2023
$195B
2024
$247B
2025
$275B
Revenue grew from $174B in 2021 to $275B in 2025, a 58% increase over 5 years.
XBRL · Total revenue · Segment breakdown not reported separately
Operating Margin Trend (5-year)
2021 2025
Operating margin fell from 4.6% (2021) to 3.3% (2025), driven by medical cost trends and premium pricing.
Operating Cash Flow (5-year)
2021
$7.2B
2022
$8.7B
2023
$12B
2024
$10B
2025
$9.6B
Cash Conversion
1.61×
At 1.61×, the company converts more than $1 of cash for every $1 it earns, a sign that reported earnings are backed by real cash coming in the door.
XBRL · 10-K Financial Statements · FY2025
FY2025
$24B
↓ 3% year over year
FY2024
$24B
Net debt was roughly stable year over year.
XBRL · Balance Sheet · 10-K · FY2025
David M. Cordani
Chief Executive Officer
$23M
Ann M. Dennison
Executive Vice President, Chief Financial Officer, The Cigna Group
$5M
Brian C. Evanko
President and Chief Operating Officer
$10M
Nicole S. Jones
Executive Vice President, Chief Administrative Officer, and General Counsel
$6M
Everett Neville
Executive Vice President, Strategy and Business Development
$4M
DEF 14A · Proxy Statement
Jun 12, 2026
Kates Jamie G
Chief Accounting Officer
$0.27M
May 12, 2026
Cordani David
Chairman & CEO
$1.12M
May 12, 2026
Cordani David
Chairman & CEO
$4.12M
May 12, 2026
Cordani David
Chairman & CEO
$4.00M
May 12, 2026
Cordani David
Chairman & CEO
$11.92M
May 12, 2026
Cordani David
Chairman & CEO
$4.00M
May 12, 2026
Cordani David
Chairman & CEO
$3.60M
May 12, 2026
Cordani David
Chairman & CEO
$2.30M
May 12, 2026
Cordani David
Chairman & CEO
$0.63M
May 12, 2026
Cordani David
Chairman & CEO
$11.35M
1 purchase and 26 sales by insiders over the past two years.
Form 4 · SEC filings · Last 24 months
Vanguard Group
9.8%
BlackRock
8.9%
State Street
4.6%
DODGE & COX
4.3%
Fidelity (FMR LLC)
4.1%
Geode Capital Management
2.3%
JPMorgan Asset Mgmt
2.2%
Morgan Stanley
1.3%
Vanguard Group is the largest institutional holder with 9.8% of shares outstanding.
13F filings
Medical Cost Estimation
The company must predict future health care costs to set prices for insurance plans. Small differences between what they expect to pay and what they actually pay can cause big swings in profits. If they guess wrong on costs, their business and cash flow could suffer significantly.
Government Program Funding
A large part of the company's revenue comes from government health programs like Medicare and Medicaid. The federal and state governments can cut funding, delay payments, or cancel contracts on short notice, which could greatly reduce revenues or profitability.
Pharmacy Network Concentration
The 10 largest pharmacy chains make up about 47 percent of stores in the company's biggest pharmacy network. If one of these large chains terminates its contract or renegotiates for much worse terms, the company's customers' access to pharmacies and its business could be severely hurt.
Major Client Contract Loss
Large clients like Express Scripts can end contracts or renegotiate for better terms, and the company faces pressure to lower prices and share more rebate money with clients. Loss of a major client would materially harm the company's results of operations.
Regulatory and Legal Compliance
The FTC filed an administrative complaint against the company in 2024 for allegedly engaging in unfair rebate practices related to insulin pricing. While a settlement was reached in February 2026 without penalties, the company faces ongoing investigations and audits from government agencies that could result in sanctions, fines, or restrictions on participating in government programs.
10-K Item 1A · Risk Factors
Cash vs earnings
AR growth
Inventory
Share dilution
Debt trend
·
One-time charges
Goodwill
·
Customer conc.
Money owed to the company is growing faster than sales.
Goodwill and intangibles are 47% of total assets, the business depends on past acquisitions delivering returns.
10-K · XBRL · Computed signals