Prepared Remarks:

Operator

Ladies and gentlemen, thank you for standing by for the Cigna Group's second quarter 2023 results review. At this time, all callers are in a listen-only mode. We will conduct a question-and-answer session later during the conference, and we'll review procedures on how to enter queue to ask questions at that time. [Operator instructions] As a reminder, ladies and gentlemen, this call including the question-and-answer session is being recorded.

We'll begin by turning the conference over to Ralph Giacobbe. Please go ahead.

Ralph Giacobbe -- Vice President, Investor Relations

Thank you. Good morning, everyone. Thank you for joining today's call. I'm Ralph Giacobbe, senior vice president of investor relations.

With me on the line this morning are David Cordani, The Cigna Group's chairman and chief executive officer; Brian Evanko, chief financial officer; and Eric Palmer, president and chief executive officer of EverNorth Health Services. In our remarks today, David and Brian will cover a number of topics, including our second quarter financial results and our updated financial outlook for 2023. Following their prepared remarks, David, Brian, and Eric will be available for Q&A. As noted in our earnings release, when describing our financial results, we use certain financial measures, adjusted income from operations, and adjusted revenues, which are not determined in accordance with accounting principles generally accepted in the United States, otherwise known as GAAP.

A reconciliation of these measures to the most directly comparable GAAP measures, shareholders net income, and total revenues, respectively, is contained in today's earnings release, which is posted in the investor relations section of thecignagroup.com. We use the term labeled adjusted income from operations and adjusted earnings per share on the same basis as our principal measures of financial performance. In our remarks today, we will be making some forward-looking statements, including statements regarding our outlook for 2023 and future performance. These statements are subject to risks and uncertainties that could cause actual results to differ materially from our current expectations.

A description of these risks and uncertainties is contained in the cautionary note to today's earnings release and in our most recent reports filed with the SEC. Regarding our results, in the second quarter, we recorded after-tax special item charges of $5 million or $0.01 per share for the integration and transaction-related cost. Additionally, please note that when we make prospective comments regarding financial performance, including our full year 2023 outlook, we will do so on a basis that includes the potential impact of future share repurchases and anticipated 2023 dividends. With that, I will turn the call over to David.