Calculation
| ROA | = | 100 | × | Shareholders’ net income1 | ÷ | Total assets1 | |
|---|---|---|---|---|---|---|---|
| Dec 31, 2024 | 2.20% | = | 100 | × | 3,434) | ÷ | 155,881) |
| Dec 31, 2023 | 3.38% | = | 100 | × | 5,164) | ÷ | 152,761) |
| Dec 31, 2022 | 4.63% | = | 100 | × | 6,668) | ÷ | 143,932) |
| Dec 31, 2021 | 3.46% | = | 100 | × | 5,365) | ÷ | 154,889) |
| Dec 31, 2020 | 5.44% | = | 100 | × | 8,458) | ÷ | 155,451) |
| Dec 31, 2019 | 3.28% | = | 100 | × | 5,104) | ÷ | 155,774) |
| Dec 31, 2018 | 1.72% | = | 100 | × | 2,637) | ÷ | 153,226) |
| Dec 31, 2017 | 3.62% | = | 100 | × | 2,237) | ÷ | 61,759) |
| Dec 31, 2016 | 3.15% | = | 100 | × | 1,867) | ÷ | 59,360) |
| Dec 31, 2015 | 3.67% | = | 100 | × | 2,094) | ÷ | 57,088) |
| Dec 31, 2014 | 3.76% | = | 100 | × | 2,102) | ÷ | 55,896) |
| Dec 31, 2013 | 2.72% | = | 100 | × | 1,476) | ÷ | 54,336) |
| Dec 31, 2012 | 3.02% | = | 100 | × | 1,623) | ÷ | 53,734) |
| Dec 31, 2011 | 2.60% | = | 100 | × | 1,327) | ÷ | 51,047) |
| Dec 31, 2010 | 2.94% | = | 100 | × | 1,345) | ÷ | 45,682) |
| Dec 31, 2009 | 3.03% | = | 100 | × | 1,302) | ÷ | 43,013) |
| Dec 31, 2008 | 0.71% | = | 100 | × | 292) | ÷ | 41,406) |
| Dec 31, 2007 | 2.78% | = | 100 | × | 1,115) | ÷ | 40,065) |
| Dec 31, 2006 | 2.72% | = | 100 | × | 1,155) | ÷ | 42,399) |
| Dec 31, 2005 | 3.62% | = | 100 | × | 1,625) | ÷ | 44,863) |
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), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
1 US$ in millions
The analysis of return on assets (ROA) reveals three distinct operational phases characterized by initial stability, a significant structural expansion of the asset base, and a recent period of earnings volatility.
- Stability and Initial Volatility (2005–2017)
- During this period, ROA generally fluctuated within a narrow band between 2.60% and 3.76%. A significant outlier occurred in 2008, where ROA dropped to 0.71%, corresponding with a sharp decline in shareholders' net income to US$ 292 million. Following this dip, the ratio recovered and remained consistent, reflecting a stable relationship between net income and total assets.
- Structural Asset Expansion (2018)
- A fundamental shift occurred in 2018, as total assets increased from US$ 61.76 billion to US$ 153.23 billion. This rapid expansion of the balance sheet led to an immediate dilution of asset efficiency, with ROA falling to 1.72% despite net income reaching a then-record of US$ 2.64 billion.
- Earnings Peaks and Recent Normalization (2019–2024)
- The post-expansion phase was marked by substantial volatility in net income. A peak was reached in 2020, where net income rose to US$ 8.46 billion, pushing ROA to its highest recorded level of 5.44%. However, from 2021 onward, a downward trend is observed; net income declined to US$ 3.43 billion by 2024, resulting in a corresponding decrease in ROA to 2.20%.
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Comparison to Competitors
| Cigna Group | Abbott Laboratories | Elevance Health Inc. | Intuitive Surgical Inc. | Medtronic PLC | UnitedHealth Group Inc. | |
|---|---|---|---|---|---|---|
| Dec 31, 2024 | 2.20% | 16.46% | 5.12% | 12.39% | 4.09% | 4.83% |
| Dec 31, 2023 | 3.38% | 7.82% | 5.50% | 11.64% | 4.13% | 8.18% |
| Dec 31, 2022 | 4.63% | 9.31% | 5.86% | 10.19% | 5.54% | 8.19% |
| Dec 31, 2021 | 3.46% | 9.40% | 6.26% | 12.58% | 3.87% | 8.15% |
| Dec 31, 2020 | 5.44% | 6.20% | 5.28% | 9.50% | 5.28% | 7.81% |
| Dec 31, 2019 | 3.28% | 5.43% | 6.21% | 14.17% | 5.16% | 7.96% |
| Dec 31, 2018 | 1.72% | 3.53% | 5.24% | 14.37% | 3.40% | 7.87% |
| Dec 31, 2017 | 3.62% | 0.63% | 5.45% | 11.46% | 4.04% | 7.59% |
| Dec 31, 2016 | 3.15% | 2.66% | 3.79% | 11.34% | 3.55% | 5.71% |
| Dec 31, 2015 | 3.67% | 10.72% | 4.15% | 12.00% | 2.51% | 5.22% |
| Dec 31, 2014 | 3.76% | 5.53% | 4.14% | 10.58% | 8.08% | 6.50% |
| Dec 31, 2013 | 2.72% | 6.00% | 4.18% | 16.99% | 9.95% | 6.87% |
| Dec 31, 2012 | 3.02% | 8.87% | 4.50% | 16.18% | 10.93% | 6.83% |
| Dec 31, 2011 | 2.60% | 7.84% | 5.09% | 16.16% | 10.18% | 7.57% |
| Dec 31, 2010 | 2.94% | 7.78% | 5.75% | 15.97% | 11.03% | 7.35% |
| Dec 31, 2009 | 3.03% | 10.96% | 9.10% | 12.85% | 9.17% | 6.47% |
| Dec 31, 2008 | 0.71% | 11.51% | 5.15% | 13.86% | 10.05% | 5.33% |
| Dec 31, 2007 | 2.78% | 9.08% | 6.43% | 13.90% | 14.36% | 9.14% |
| Dec 31, 2006 | 2.72% | 4.75% | 5.98% | 10.72% | 12.95% | 8.61% |
| Dec 31, 2005 | 3.62% | 11.57% | 4.79% | 18.77% | 10.86% | 7.98% |
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), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
Comparison to Sector (Health Care Equipment & Services)
| Cigna Group | Health Care Equipment & Services | |
|---|---|---|
| Dec 31, 2024 | 2.20% | 6.57% |
| Dec 31, 2023 | 3.38% | 7.05% |
| Dec 31, 2022 | 4.63% | 7.49% |
| Dec 31, 2021 | 3.46% | 7.28% |
| Dec 31, 2020 | 5.44% | 6.62% |
| Dec 31, 2019 | 3.28% | 6.77% |
| Dec 31, 2018 | 1.72% | 5.72% |
| Dec 31, 2017 | 3.62% | 5.00% |
| Dec 31, 2016 | 3.15% | 4.37% |
| Dec 31, 2015 | 3.67% | 4.93% |
| Dec 31, 2014 | 3.76% | 6.03% |
| Dec 31, 2013 | 2.72% | 6.64% |
| Dec 31, 2012 | 3.02% | 7.54% |
| Dec 31, 2011 | 2.60% | 7.54% |
| Dec 31, 2010 | 2.94% | 7.69% |
| Dec 31, 2009 | 3.03% | 8.84% |
| Dec 31, 2008 | 0.71% | 7.51% |
| Dec 31, 2007 | 2.78% | 8.92% |
| Dec 31, 2006 | 2.72% | 7.40% |
| Dec 31, 2005 | 3.62% | 7.94% |
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), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
Comparison to Industry (Health Care)
| Cigna Group | Health Care | |
|---|---|---|
| Dec 31, 2024 | 2.20% | 5.73% |
| Dec 31, 2023 | 3.38% | 7.19% |
| Dec 31, 2022 | 4.63% | 9.66% |
| Dec 31, 2021 | 3.46% | 9.46% |
| Dec 31, 2020 | 5.44% | 5.81% |
| Dec 31, 2019 | 3.28% | 8.32% |
| Dec 31, 2018 | 1.72% | 7.90% |
| Dec 31, 2017 | 3.62% | 5.19% |
| Dec 31, 2016 | 3.15% | 7.31% |
| Dec 31, 2015 | 3.67% | 7.71% |
| Dec 31, 2014 | 3.76% | 8.59% |
| Dec 31, 2013 | 2.72% | 8.76% |
| Dec 31, 2012 | 3.02% | 8.09% |
| Dec 31, 2011 | 2.60% | 7.36% |
| Dec 31, 2010 | 2.94% | 7.24% |
| Dec 31, 2009 | 3.03% | 9.73% |
| Dec 31, 2008 | 0.71% | 9.50% |
| Dec 31, 2007 | 2.78% | 8.88% |
| Dec 31, 2006 | 2.72% | 10.52% |
| Dec 31, 2005 | 3.62% | 9.67% |
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), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31), 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).