Cigna (CI) Q1 Earnings: How Key Metrics Compare to Wall Street Estimates

Core Insights - Cigna reported $65.45 billion in revenue for Q1 2025, a 14.3% year-over-year increase, with an EPS of $6.74 compared to $6.47 a year ago, exceeding Zacks Consensus Estimates for both revenue and EPS [1] Financial Performance - Revenue of $65.45 billion surpassed the Zacks Consensus Estimate of $60.8 billion, resulting in a surprise of +7.66% [1] - EPS of $6.74 exceeded the consensus estimate of $6.39, delivering a surprise of +5.48% [1] Key Metrics - Medical Care Ratio was reported at 82.2%, slightly better than the estimated 82.4% [4] - Total Medical Customers were 18.04 million, below the estimated 18.33 million [4] - U.S. Healthcare Insured Medical Customers were 2.65 million, significantly lower than the estimated 3.23 million [4] - International Health Insured Medical Customers were reported at 1.23 million, matching the average estimate [4] Revenue Breakdown - Pharmacy revenues reached $48.63 billion, exceeding the average estimate of $45.58 billion, marking a +15.7% year-over-year change [4] - Net investment income was $238 million, below the average estimate of $255.45 million, reflecting a -17.9% year-over-year decline [4] - Evernorth Health Services generated $53.68 billion, surpassing the estimated $50.54 billion, with a +16.1% year-over-year increase [4] - Cigna Healthcare revenues were $14.53 billion, exceeding the average estimate of $12.16 billion, representing a +9.4% year-over-year change [4] - Premiums from Cigna Healthcare totaled $12.63 billion, above the estimated $11.02 billion, showing a +9.5% year-over-year increase [4] - Evernorth Health Services Pharmacy revenues were $50.23 billion, exceeding the average estimate of $47.34 billion, with a +16.3% year-over-year change [4] - Fees and Other revenues were reported at $3.90 billion, slightly above the estimated $3.84 billion, reflecting a +17.1% year-over-year increase [4] - Total Premiums reached $12.74 billion, surpassing the estimated $10.60 billion, indicating a +9.8% year-over-year increase [4]