Insurance: Segment reporting (ASU 2023-07)

(1) Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.

(2) Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.

(In millions)	Evernorth Health Services	Cigna Healthcare	Other Operations	Corporate and Eliminations	Total
2024
Revenues from external customers	198,177	47,528	440	3	246,148
Intersegment revenues	3,775	4,972	79	( 8,826 )
Net investment income	21	618	309	25	973
Total revenues	201,973	53,118	828	( 8,798 )	247,121
Net investment results from certain equity method investments	—	( 204 )	—	—	( 204 )
Special item related to impairment of dividend receivable	182	—	—	—	182
Adjusted revenues	202,155	52,914	828	( 8,798 )	247,099
Pharmacy and other service costs	190,968	—
Medical costs	—	37,887
Selling, general and administrative expenses	3,779	10,805
Other segment items (1)
Interest (expense) and other	( 2 )	7
Less: Income attributable to noncontrolling interests	405	—
Pre-tax adjusted income (loss) from operations	7,001	4,229	( 9 )	( 1,688 )	9,533
Income (loss) before income taxes	3,929	3,315	( 12 )	( 1,963 )	5,269
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	( 405 )	—	—	—	( 405 )
Net investment losses (2)	2,129	401	3	—	2,533
Amortization of acquired intangible assets	1,662	41	—	—	1,703
Special items
Integration and transaction-related costs	—	—	—	275	275
Impairment of dividend receivable	182	—	—	—	182
Net (gain) loss on sale of businesses	( 496 )	472	—	—	( 24 )

(1) Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.