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Cigna Group (NYSE:CI)

This company has been moved to the archive! The financial data has not been updated since February 27, 2025.

Analysis of Goodwill and Intangible Assets

Microsoft Excel

Goodwill and Intangible Asset Disclosure

Cigna Group, balance sheet: goodwill and intangible assets

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Goodwill 44,370 44,259 45,811 46,045 44,648
Customer relationships 29,971 29,978 29,974 29,997 29,432
Trade name - Express Scripts 8,400 8,400 8,400 8,400 8,400
Other 316 317 348 447 475
Other intangible assets, cost 38,687 38,695 38,722 38,844 38,307
Accumulated amortization (9,250) (7,755) (6,230) (4,620) (3,128)
Other intangible assets, net carrying value 29,437 30,940 32,492 34,224 35,179
Goodwill and other intangibles 73,807 75,199 78,303 80,269 79,827

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The total value of goodwill and other intangible assets exhibits a gradual downward trend over the observed period, declining from 79,827 million USD in 2020 to 73,807 million USD in 2024. This overall reduction is primarily driven by the steady increase in accumulated amortization rather than significant impairment charges or asset divestments.

Goodwill Stability
Goodwill remained relatively stable, experiencing a slight increase to 46,045 million USD in 2021 before gradually moderating to 44,370 million USD by the end of 2024. The absence of sharp declines suggests that the assets acquired in previous transactions have maintained their projected value without requiring substantial write-downs.
Amortization Dynamics
There is a linear and consistent increase in accumulated amortization, which grew from 3,128 million USD in 2020 to 9,250 million USD in 2024. This systematic expense has led to a corresponding decrease in the net carrying value of other intangible assets, which fell from 35,179 million USD to 29,437 million USD during the same timeframe.
Analysis of Specific Intangible Assets
Certain assets demonstrate high levels of stability. The trade name for Express Scripts remained unchanged at 8,400 million USD throughout the entire five-year period, indicating its classification as an indefinite-lived asset. Similarly, customer relationships remained nearly constant from 2021 onward, hovering around 29,971 million USD.
Other Intangible Assets
The "Other" category of intangible assets showed a consistent decline from 475 million USD in 2020 to 316 million USD in 2024, reflecting a steady erosion of these secondary assets over time.

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Adjustments to Financial Statements: Removal of Goodwill

Cigna Group, Financial Data: Reported vs. Adjusted

Cigna Group, adjustments to financial statements

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Adjustment to Total Assets
Total assets (as reported) 155,881 152,761 143,932 154,889 155,451
Less: Goodwill 44,370 44,259 45,811 46,045 44,648
Total assets (adjusted) 111,511 108,502 98,121 108,844 110,803
Adjustment to Shareholders’ Equity
Shareholders’ equity (as reported) 41,033 46,223 44,872 47,112 50,321
Less: Goodwill 44,370 44,259 45,811 46,045 44,648
Shareholders’ equity (adjusted) (3,337) 1,964 (939) 1,067 5,673

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


An analysis of the financial adjustments from 2020 to 2024 reveals a significant disparity between reported values and adjusted values following the removal of goodwill and intangible assets. While reported total assets remain relatively stable, the adjusted figures indicate a substantially lower tangible asset base, which profoundly alters the perception of the capital structure.

Asset Base Variance
A consistent gap of approximately 44 billion to 46 billion US dollars exists between reported and adjusted total assets throughout the five-year period. Reported total assets fluctuated slightly, reaching a low of 143,932 million US dollars in 2022 before recovering to 155,881 million US dollars by 2024. The adjusted total assets followed a similar trajectory, moving from 110,803 million US dollars in 2020 to 111,511 million US dollars in 2024, confirming that the intangible component of the asset base remained relatively constant.
Equity Erosion and Volatility
The removal of goodwill and intangible assets transforms the equity position from a stable positive figure to one characterized by extreme volatility and periodic deficits. Reported shareholders' equity showed a gradual decline from 50,321 million US dollars in 2020 to 41,033 million US dollars in 2024. In contrast, adjusted shareholders' equity collapsed from 5,673 million US dollars in 2020 to negative 3,337 million US dollars by 2024, crossing into negative territory in both 2022 and 2024.
Tangible Net Worth Analysis
The data indicates a high dependency on intangible assets to maintain a positive equity balance. The transition to negative adjusted equity in 2022 (-939 million US dollars) and 2024 (-3,337 million US dollars) suggests that the company's total liabilities exceed its tangible assets during these periods. This trend highlights a widening gap between the accounting book value and the tangible net worth of the organization.

The observed patterns demonstrate that while the reported balance sheet suggests a healthy equity cushion, the adjusted figures reveal a precarious tangible capital position. The consistent magnitude of the adjustment implies that a substantial portion of the reported shareholders' equity is comprised of non-tangible assets, leading to a negative tangible equity position in recent years.

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Adjusted Financial Ratios: Removal of Goodwill (Summary)

Cigna Group, Financial Ratios: Reported vs. Adjusted

Cigna Group, adjusted financial ratios

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Total Asset Turnover
Reported total asset turnover 1.58 1.27 1.25 1.11 1.02
Adjusted total asset turnover 2.21 1.79 1.83 1.59 1.44
Financial Leverage
Reported financial leverage 3.80 3.30 3.21 3.29 3.09
Adjusted financial leverage — 55.25 — 102.01 19.53
Return on Equity (ROE)
Reported ROE 8.37% 11.17% 14.86% 11.39% 16.81%
Adjusted ROE — 262.93% — 502.81% 149.09%
Return on Assets (ROA)
Reported ROA 2.20% 3.38% 4.63% 3.46% 5.44%
Adjusted ROA 3.08% 4.76% 6.80% 4.93% 7.63%

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


An analysis of the financial ratios reveals a significant divergence between reported figures and those adjusted for the removal of goodwill and intangible assets. The systematic exclusion of these non-physical assets results in a marked increase across all efficiency and profitability metrics, indicating that a substantial portion of the total asset base consists of intangible valuations.

Total Asset Turnover
A consistent upward trend is observed in both reported and adjusted asset turnover. Reported turnover increased from 1.02 in 2020 to 1.58 in 2024. The adjusted turnover demonstrates a more aggressive growth trajectory, rising from 1.44 to 2.21 over the same period. The persistent gap between these two metrics suggests that the removal of intangibles reveals a higher level of operational efficiency in utilizing tangible assets to generate revenue.
Financial Leverage
Reported financial leverage shows a steady increase from 3.09 in 2020 to 3.80 in 2024. In contrast, the adjusted financial leverage exhibits extreme volatility and significantly higher magnitudes, reaching a peak of 102.01 in 2021 before settling at 55.25 in 2023. This disparity indicates that goodwill and intangible assets comprise a dominant share of the equity base; their removal drastically reduces the denominator, thereby inflating the leverage ratio.
Return on Equity (ROE)
A downward trend is evident in the reported ROE, which declined from 16.81% in 2020 to 8.37% in 2024. However, the adjusted ROE remains exponentially higher, peaking at 502.81% in 2021 and remaining at 262.93% in 2023. This suggests that when the capital base is stripped of intangible assets, the tangible equity generates a vastly higher return, although this return has also trended downward since 2021.
Return on Assets (ROA)
Both reported and adjusted ROA follow a similar declining pattern over the five-year period. Reported ROA fell from 5.44% in 2020 to 2.20% in 2024, while adjusted ROA fell from 7.63% to 3.08%. While the decline is consistent across both metrics, the adjusted ROA consistently exceeds the reported ROA, confirming that the tangible asset base is more productive than the total asset base inclusive of goodwill.

Overall, the data indicates that while operational efficiency (turnover) has improved, profitability (ROE and ROA) has faced a general decline. The extreme variance between reported and adjusted leverage and ROE highlights a corporate structure heavily weighted toward intangible assets, which masks the high productivity and high leverage of the underlying tangible equity.

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Adjusted Total Asset Turnover

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Revenues from external customers 246,148 194,099 179,361 172,529 159,157
Total assets 155,881 152,761 143,932 154,889 155,451
Activity Ratio
Total asset turnover1 1.58 1.27 1.25 1.11 1.02
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Revenues from external customers 246,148 194,099 179,361 172,529 159,157
Adjusted total assets 111,511 108,502 98,121 108,844 110,803
Activity Ratio
Adjusted total asset turnover2 2.21 1.79 1.83 1.59 1.44

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 Total asset turnover = Revenues from external customers ÷ Total assets
= 246,148 ÷ 155,881 = 1.58

2 Adjusted total asset turnover = Revenues from external customers ÷ Adjusted total assets
= 246,148 ÷ 111,511 = 2.21


An analysis of the asset base and turnover ratios from 2020 to 2024 reveals a consistent disparity between reported and adjusted figures, indicating a significant presence of goodwill and intangible assets. While reported total assets fluctuated slightly, ending the period at 155,881 million USD, adjusted total assets remained substantially lower, concluding at 111,511 million USD. This persistent gap of approximately 44 billion USD suggests that a large portion of the balance sheet consists of non-physical or acquired assets that do not contribute directly to operational turnover in the same manner as tangible assets.

Asset Base Trends
Total assets exhibited a period of volatility with a notable decline in 2022 to 143,932 million USD before recovering to peak levels in 2024. Adjusted total assets followed a nearly identical trajectory, reflecting that the underlying valuation of goodwill and intangible assets remained relatively stable over the five-year duration, as the variance between reported and adjusted assets stayed within a narrow range.
Reported Total Asset Turnover
A steady upward trend is observed in the reported total asset turnover ratio, which increased from 1.02 in 2020 to 1.58 in 2024. This progression indicates a sustained improvement in the organization's ability to generate revenue relative to its entire asset base, including intangible components.
Adjusted Total Asset Turnover
The adjusted total asset turnover ratio consistently outperformed the reported ratio, rising from 1.44 in 2020 to a peak of 2.21 in 2024. The significant margin between the adjusted and reported turnover ratios underscores the impact of goodwill and intangible assets on efficiency metrics; when these non-operational assets are excluded, the underlying tangible asset base demonstrates substantially higher productivity.
Comparative Efficiency Analysis
The divergence between the two turnover ratios widened over the analyzed period. The increase in the adjusted ratio from 1.44 to 2.21 represents a more aggressive growth in operational efficiency than the increase seen in the reported ratio. This suggests that revenue growth has outpaced the growth of tangible assets more significantly than it has outpaced the total asset base.

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Adjusted Financial Leverage

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Total assets 155,881 152,761 143,932 154,889 155,451
Shareholders’ equity 41,033 46,223 44,872 47,112 50,321
Solvency Ratio
Financial leverage1 3.80 3.30 3.21 3.29 3.09
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Adjusted total assets 111,511 108,502 98,121 108,844 110,803
Adjusted shareholders’ equity (3,337) 1,964 (939) 1,067 5,673
Solvency Ratio
Adjusted financial leverage2 — 55.25 — 102.01 19.53

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 Financial leverage = Total assets ÷ Shareholders’ equity
= 155,881 ÷ 41,033 = 3.80

2 Adjusted financial leverage = Adjusted total assets ÷ Adjusted shareholders’ equity
= 111,511 ÷ -3,337 = —


The financial structure demonstrates a significant divergence between reported figures and adjusted values, primarily driven by the exclusion of goodwill and intangible assets. While reported total assets remained relatively stable between 2020 and 2024, fluctuating between 143.9 billion and 155.9 billion US$, the adjusted total assets consistently tracked at a lower level, ranging from 98.1 billion to 111.5 billion US$. This gap indicates that a substantial portion of the asset base consists of intangible components.

Equity Erosion and Volatility
Reported shareholders’ equity exhibited a steady decline from 50.3 billion US$ in 2020 to 41.0 billion US$ in 2024. However, the adjusted shareholders’ equity reveals a much more volatile and precarious capital position. Adjusted equity plummeted from 5.7 billion US$ in 2020 to negative 3.3 billion US$ by 2024, crossing into negative territory in both 2022 and 2024. This trend suggests that the company's tangible net worth is minimal or negative, with reported equity being heavily supported by intangible asset valuations.
Financial Leverage Discrepancy
A sharp contrast is observed between reported and adjusted financial leverage. Reported leverage showed a moderate upward trend, increasing from 3.09 in 2020 to 3.80 in 2024, suggesting a controlled increase in debt relative to equity. In contrast, adjusted financial leverage is extremely high and unstable, peaking at 102.01 in 2021 and remaining at 55.25 in 2023. The absence of reported ratios for 2022 and 2024 in the adjusted category coincides with periods of negative adjusted equity, where traditional leverage ratios become mathematically anomalous or non-representative.
Capital Structure Implications
The data indicates that the company relies heavily on intangible assets to maintain its reported solvency and leverage ratios. The transition of adjusted equity from a positive balance in 2020 to a negative balance by 2024 signifies an increase in financial risk when intangible assets are removed from the balance sheet. The widening gap between reported and adjusted leverage underscores a high degree of sensitivity to the valuation of goodwill and other intangible assets.

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Adjusted Return on Equity (ROE)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Shareholders’ net income 3,434 5,164 6,668 5,365 8,458
Shareholders’ equity 41,033 46,223 44,872 47,112 50,321
Profitability Ratio
ROE1 8.37% 11.17% 14.86% 11.39% 16.81%
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Shareholders’ net income 3,434 5,164 6,668 5,365 8,458
Adjusted shareholders’ equity (3,337) 1,964 (939) 1,067 5,673
Profitability Ratio
Adjusted ROE2 — 262.93% — 502.81% 149.09%

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROE = 100 × Shareholders’ net income ÷ Shareholders’ equity
= 100 × 3,434 ÷ 41,033 = 8.37%

2 Adjusted ROE = 100 × Shareholders’ net income ÷ Adjusted shareholders’ equity
= 100 × 3,434 ÷ -3,337 = —


A significant divergence is observed between reported and adjusted equity metrics over the five-year period ending December 31, 2024. While reported shareholders' equity exhibits a gradual downward trend, adjusted shareholders' equity demonstrates extreme volatility and a tendency to fluctuate into negative values, indicating that a substantial portion of the total equity is composed of intangible assets and goodwill.

Shareholders' Equity Trends
Reported shareholders' equity decreased from 50,321 million USD in 2020 to 41,033 million USD in 2024. In contrast, adjusted shareholders' equity declined sharply from 5,673 million USD in 2020 to a negative 3,337 million USD by 2024. The occurrence of negative adjusted equity in 2022 and 2024 suggests that the value of goodwill and other intangible assets exceeds the total reported equity in those specific periods.
Reported Return on Equity (ROE)
The reported ROE shows a general decline over the observed timeframe. Starting at 16.81% in 2020, the ratio fluctuated before reaching a five-year low of 8.37% in 2024. This indicates a reduction in the efficiency of generating profits relative to the total reported equity base.
Adjusted Return on Equity (ROE)
Adjusted ROE values are exceptionally high compared to reported figures, peaking at 502.81% in 2021. This inflation is a direct result of a significantly smaller denominator, as intangible assets are removed from the equity calculation. The absence of adjusted ROE values for 2022 and 2024 corresponds directly with the years in which adjusted shareholders' equity turned negative, rendering the ratio mathematically non-meaningful for those periods.

The disparity between the two sets of metrics highlights a heavy reliance on intangible asset valuation within the reported balance sheet. The volatility in adjusted equity and the resulting instability of the adjusted ROE underscore the impact that these non-physical assets have on the overall financial structure and performance interpretation of the entity.

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Adjusted Return on Assets (ROA)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Shareholders’ net income 3,434 5,164 6,668 5,365 8,458
Total assets 155,881 152,761 143,932 154,889 155,451
Profitability Ratio
ROA1 2.20% 3.38% 4.63% 3.46% 5.44%
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Shareholders’ net income 3,434 5,164 6,668 5,365 8,458
Adjusted total assets 111,511 108,502 98,121 108,844 110,803
Profitability Ratio
Adjusted ROA2 3.08% 4.76% 6.80% 4.93% 7.63%

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROA = 100 × Shareholders’ net income ÷ Total assets
= 100 × 3,434 ÷ 155,881 = 2.20%

2 Adjusted ROA = 100 × Shareholders’ net income ÷ Adjusted total assets
= 100 × 3,434 ÷ 111,511 = 3.08%


An examination of the financial metrics from 2020 to 2024 reveals a general downward trend in asset efficiency, characterized by significant volatility in the asset base and a consistent divergence between reported and adjusted performance indicators.

Asset Base Composition
A substantial and consistent gap exists between reported total assets and adjusted total assets. Reported assets fluctuated from 155,451 million USD in 2020 to 155,881 million USD in 2024, while adjusted assets moved from 110,803 million USD to 111,511 million USD over the same period. This persistent difference highlights the significant impact of goodwill and intangible assets on the overall balance sheet structure.
Return on Assets (ROA) Analysis
Adjusted ROA consistently exceeds reported ROA across all five years, indicating that the exclusion of goodwill and intangible assets provides a more favorable view of operational asset productivity. Both metrics followed a similar trajectory, peaking in 2020 (Reported 5.44%, Adjusted 7.63%) and reaching a five-year low in 2024 (Reported 2.20%, Adjusted 3.08%).
Performance Anomalies and Trends
A notable deviation occurred in 2022, where both reported and adjusted assets reached their lowest points (143,932 million USD and 98,121 million USD, respectively). This contraction in the asset base coincided with a temporary increase in ROA, suggesting that the spike in efficiency was driven more by a reduction in assets than by an increase in earnings. Following 2022, assets returned to near 2020 levels, but ROA continued to decline, signaling a reduction in the company's ability to generate returns from its expanded asset base.

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