Cigna Group (CI) FY2025 results: revenue $274.9 billion, up 11.2% on the year
Cigna Group (CI) reported revenue of $274.9 billion for fiscal 2025, the year ended 31 December 2025, up 11.2% on the year before. Net income was $6.0 billion, up 73.5%, and diluted earnings per share $22.18. The figures are the company's own, from the 10-K it filed with the SEC on 26 February 2026.
Revenue
$274.9 billion
+11.2% on the year
FY2018FY2025
Operating margin
3.3%
3.8% a year earlier
FY2018FY2025
Net income
$6.0 billion
+73.5% on the year
FY2018FY2025
Diluted EPS
$22.18
+83.0% on the year
FY2018FY2025
this yearthe year beforeHover a bar for its figure.
The year in brief
What management said about the year
Guidance figures: 13 new.
Full-year revenue rose 11%: Total revenues were $274.9 billion for 2025, up 11%, and $72.5 billion for the fourth quarter, up 10%; the company credited Evernorth Health Services and specialty pharmacy growth.
Adjusted EPS rose to $29.84: Adjusted income from operations was $8.0 billion, or $29.84 per share, for 2025, against $27.33 in 2024; fourth quarter was $2.1 billion, or $8.08 per share.
Fourth-quarter adjusted income up 16%: Adjusted income from operations for the fourth quarter rose 16% to $2.1 billion, or $8.08 per share, with higher contributions mainly from Cigna Healthcare and Evernorth.
Pharmacy income fell on investments: Pharmacy Benefit Services adjusted pre-tax income fell 4% in the fourth quarter and 2% for 2025, which management attributed to investments and initiatives for growth and the patient experience.
Revenue up 7% excluding divestiture: Cigna Healthcare adjusted revenues fell 11% for 2025 after the HCSC sale of Medicare businesses; excluding the divested businesses, revenues rose 7%, driven by premium rate increases.
The Cigna Group is two businesses that fit together: one that manages pharmacy benefits and care services, and one that sells health insurance. At the end of 2025 it had a workforce of about 67,700 people and reported more than 185 million customer relationships in more than 30 markets and jurisdictions, alongside about 1.7 million relationships with health care providers, clinics and facilities.
$ million except per share. Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are.
Cash flow
$ million
FY2025
FY2024
FY2023
On the year
Last 8 years
Operating cash flow
9,601
10,363
11,813
-7.4%
Cash from investing
-4,407
-2,102
-5,174
Cash from financing
-6,421
-7,647
-4,294
Depreciation and amortisation
2,775
2,775
3,035
0.0%
Share-based compensation
291
308
286
-5.5%
Buybacks
3,621
7,034
2,284
-48.5%
Dividends paid
1,611
1,567
1,450
+2.8%
Dividend per share
$6.04
$5.60
$4.92
+7.9%
Diluted shares, weighted
269m
283m
297m
-5.2%
Shares outstanding at period end
263m
274m
293m
-3.8%
Balance sheet
$ million
FY2025
FY2024
FY2023
On the year
Last 8 years
Shareholders' equity
41,713
41,033
46,223
+1.7%
Non-controlling interest
161
210
21.0
-23.3%
Redeemable equity
0.0
0.0
107
Debt
31,463
31,972
30,930
-1.6%
Operating lease liabilities
n/a
n/a
340
Finance lease liabilities
68.0
41.0
66.0
+65.9%
Other liabilities
84,514
82,625
75,074
+2.3%
Total liabilities and equity
157,919
155,881
152,761
+1.3%
Fixed assets
3,651
n/a
n/a
Goodwill
44,924
44,370
44,259
+1.2%
Intangible assets
28,560
29,417
30,863
-2.9%
Investments
19,527
15,793
18,910
+23.6%
Cash and equivalents
7,676
7,550
7,822
+1.7%
Receivables
28,768
24,227
17,722
+18.7%
Inventory
7,338
6,692
5,645
+9.7%
Other assets
17,475
27,832
27,540
-37.2%
Total assets
157,919
155,881
152,761
+1.3%
10-K for the year ended 31 December 2025, filed 26 February 2026: the filing.