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The Cigna Group Q1 Earnings Highlights

$CI (+1.62%)


🔹 Adj EPS: $6.74 (Est. $6.35) 🟢; +4% YoY

🔹 Revenue: $65.45 B (Est. $60.46 B) 🟢; +14% YoY

🔹 MCR: 82.2 % (Est. 82.4%) 🟢; +230 bps YoY

🔹 Adjusted Income from Operations: $1.84 B; –2% YoY

🔹 SG&A Expense Ratio: 5.8% (vs 6.4%)


FY25 Guidance:

🔹 Adj. EPS: ≥ $29.60 (Prior ≥ $29.50; Est. $29.60) 🟡

🔹 Evernorth Adj. Op. Income (pre-tax): ≥ $7.20 B

🔹 Cigna Healthcare Adj. Op. Income (pre-tax): ≥ $4.125 B

🔹 Cigna Healthcare MCR Outlook: 83.2 % – 84.2 %


Segment Performance

Evernorth Health Services

🔹 Adjusted Revenue: $53.68 B; +16 % YoY

  • Pharmacy Benefit Services: $29.74 B; +14 % YoY

  • Specialty & Care Services: $23.94 B; +19 % YoY

🔹 Pre-tax Adj. Op. Income: $1.43 B; +5 % YoY

🔹 Pre-tax Margin: 2.7 % (–20 bps YoY)


Cigna Healthcare

🔹 Adjusted Revenue: $14.48 B; +9 % YoY

🔹 Pre-tax Adj. Op. Income: $1.29 B; –4 % YoY

🔹 Medical Care Ratio: 82.2 % (+230 bps YoY)


Customer Metrics

🔹 Total Pharmacy Customers: 122.3 M; +3 % QoQ

🔹 Total Medical Customers: 18.0 M; –6 % QoQ (ex-Medicare divestiture, flat)


Commentary & Strategic Updates

🔸 CEO David Cordani: “Our diversified growth engines—Evernorth and Cigna Healthcare—drove a strong start to 2025; increased transparency and affordability remain core.”

🔸 Completed $3.7 B Medicare-business divestiture to HCSC on Mar 19 2025.

🔸 Repurchased 8.2 M shares YTD for $2.6 B; reiterates commitment to balanced capital deployment.

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