CI 10-K Analysis: $28B Revenue Growth That Generated $220M in Profit
Cigna Group added $27.8 billion in new revenue in FY 2025 — and generated just $220 million in additional operating income. The 10-K reveals Evernorth's PBS sub-segment margin collapsed 55 basis points to 2.65% as the rebate-free transition extracted ~$722 million in foregone profit, exceeding the company's own $500 million optimization savings target. Meanwhile, CI simultaneously ran a $749 million restructuring program and acquired $548 million in new specialty pharmacy goodwill, funded by a $4.5 billion debt issuance.