CI
$196.18
Cigna
($.56)
(.28%)
Earnings Details
3rd Quarter September 2019
Thursday, October 31, 2019 6:00:00 AM
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Summary

Cigna Beats

Cigna (CI) reported 3rd Quarter September 2019 earnings of $4.54 per share on revenue of $38.6 billion. The consensus earnings estimate was $4.37 per share on revenue of $34.0 billion. The Earnings Whisper number was $4.44 per share. Revenue grew 236.5% on a year-over-year basis.

The company said it expects 2019 earnings of $16.80 to $17.00 per share on revenue of approximately $138.0 billion. The company's previous guidance was earnings of $16.60 to $16.90 per share on revenue of $136.0 billion to $137.0 billion and the current consensus earnings estimate is $16.77 per share on revenue of $136.65 billion for the year ending December 31, 2019.

Cigna Corp is a health services organization with insurance subsidiaries that are providers of medical, dental, disability, life and accident insurance and related products and services.

Results
Reported Earnings
$4.54
Earnings Whisper
$4.44
Consensus Estimate
$4.37
Reported Revenue
$38.56 Bil
Revenue Estimate
$34.02 Bil
Growth
Earnings Growth
Revenue Growth
Power Rating
Grade
Earnings Release

Cigna’s Continued Momentum Drives Strong Third Quarter 2019 Results and Increased Revenue and Earnings Outlook

  • Total revenues in the third quarter were $38.6 billion. Adjusted revenues1 were $35.8 billion.
  • Shareholders’ net income for the third quarter was $1.35 billion, or $3.57 per share
  • Adjusted income from operations2 for the third quarter was $1.72 billion, or $4.54 per share
  • Adjusted income from operations2,3,4 is now projected to be in the range of $6.38 billion to $6.46 billion in 2019, or $16.80 to $17.00 per share3, which represents per share growth of 18% to 20% over 2018

BLOOMFIELD, Conn.--(BUSINESS WIRE)--Global health service company Cigna Corporation (NYSE: CI) today reported strong third quarter 2019 results led by the Health Services and Integrated Medical segments.

“Cigna's strong results and continued momentum reflect the differentiated value we create for our customers and clients,” said David M. Cordani, President and Chief Executive Officer. “Our combination with Express Scripts enables us to leverage industry leading capabilities and more rapidly innovate to enhance clinical and cost outcomes for those we serve.”

Total revenues for third quarter 2019 were $38.6 billion. Adjusted revenues1 were $35.8 billion and reflect strong contributions from each of Cigna's ongoing businesses.

Shareholders’ net income for third quarter 2019 was $1.35 billion, or $3.57 per share, compared with $0.77 billion, or $3.14 per share, for third quarter 2018.

Cigna's adjusted income from operations2 for third quarter 2019 was $1.72 billion, or $4.54 per share, compared with $0.95 billion, or $3.84 per share, for third quarter 2018. This reflects strong earnings contributions led by the Health Services and Integrated Medical segments.

Reconciliations of total revenues to adjusted revenues1 and of shareholders’ net income to adjusted income from operations2 are provided on the following page, and on Exhibit 1 of this earnings release.

CONSOLIDATED HIGHLIGHTS

The following table includes highlights of results and reconciliations of total revenues to adjusted revenues1 and shareholders’ net income to adjusted income from operations2:

Consolidated Financial Results (dollars in millions):

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

Nine Months Ended

 

September 30,

June 30,

September 30,

 

 

2019

 

 

2018

 

 

2019

 

2019

 

 

 

 

 

 

 

 

 

 

 

Total Revenues

$

38,556

 

$

11,457

 

$

38,819

$

115,321

Net Realized Investment Losses (Gains) from Equity Method Investments1

 

(5)

 

 

1

 

 

6

 

(27)

Special Items and Transitioning Client Contributions1

 

(2,718)

 

 

(13)

 

 

(4,450)

 

(11,657)

Adjusted Revenues1

$

35,833

 

$

11,445

 

$

34,375

$

103,637

 

 

 

 

 

 

 

 

 

 

 

Consolidated Earnings, net of taxes

 

 

 

 

 

 

 

 

 

 

Shareholders’ Net Income

$

1,351

 

$

772

 

$

1,408

$

4,127

Net Realized Investment (Gains) Losses2

 

(49)

 

 

(1)

 

 

(13)

 

(100)

Amortization of Other Acquired Intangible Assets2

 

558

 

 

36

 

 

572

 

1,694

Special Items and Transitioning Client Contributions1,2

 

(142)

 

 

138

 

 

(327)

 

(865)

Adjusted Income from Operations2

$

1,718

 

$

945

 

$

1,640

$

4,856

 

 

 

 

 

 

 

 

 

 

 

Shareholders’ Net Income, per share

$

3.57

 

$

3.14

 

$

3.70

$

10.83

Adjusted Income from Operations2, per share

$

4.54

 

$

3.84

 

$

4.30

$

12.74

  • Cigna’s third quarter results reflect strong revenue and earnings growth, as we delivered strong medical and pharmacy cost performance, and continue to create value through the integration of the acquired Express Scripts business.
  • Year to date through October 30, 2019, the Company repurchased 10.8 million shares of common stock for approximately $1.8 billion.
  • The debt to capitalization ratio decreased to 46.4% at September 30, 2019, from 50.9% at December 31, 2018.
  • The SG&A expense ratio5 was 9.2% for third quarter 2019, a significant decrease from 23.8% for third quarter 2018, driven by business mix changes resulting from the Express Scripts combination and the health insurance tax suspension.

CUSTOMER RELATIONSHIPS

The following table summarizes our medical customers and overall customer relationships:

Customer Relationships (in thousands):

 

 

 

As of the Periods Ended

 

 

 

 

September 30,

June 30,

 

December 31,

 

 

2019

 

 

2018

 

 

2019

 

2018

Commercial

 

14,121

 

 

13,899

 

 

14,026

 

13,982

Government

 

1,374

 

 

1,402

 

 

1,382

 

1,407

International Markets

 

1,576

 

 

1,558

 

 

1,589

 

1,572

Total Medical Customers6

 

17,071

 

 

16,859

 

 

16,997

 

16,961

 

 

 

 

 

 

 

 

 

 

 

Pharmacy6

 

75,663

 

 

8,819

 

 

75,171

 

73,230

Behavioral Care

 

28,744

 

 

27,113

 

 

28,577

 

27,215

Dental

 

17,079

 

 

16,518

 

 

17,077

 

16,544

Medicare Part D

 

3,269

 

 

767

 

 

3,266

 

3,295

International Markets Supplemental Policies6,7

 

12,486

 

 

12,281

 

 

12,500

 

12,569

Group Disability and Life Covered Lives6

 

15,400

 

 

15,300

 

 

15,400

 

14,800

Total Customer Relationships

 

169,712

 

 

97,657

 

 

168,988

 

164,614

  • The total medical customer base6 at third quarter 2019 grew to 17.1 million, an organic increase of 110,000 customers year to date and 212,000 over third quarter 2018 driven by growth in the Select and Middle Market segments, partially offset by a decline in National Accounts.
  • The pharmacy customer base6 at third quarter 2019 grew to 75.7 million, an organic increase of 2.4 million customers year to date, driven by strong new commercial sales.
  • Pharmacy6 and Medicare Part D customers in the second and third quarter 2019 and fourth quarter 2018 include customers gained through the completion of the Express Scripts combination on December 20, 2018.

HIGHLIGHTS OF SEGMENT RESULTS

See Exhibit 1 for a reconciliation of adjusted income (loss) from operations2 to shareholders’ net income.

Health Services

This segment includes a broad range of pharmacy services, including benefits management, specialty pharmacy services, clinical solutions, home delivery, and health management services.

Financial Results (dollars in millions):

 

 

 

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

June 30,

 

September 30,

 

 

2019

 

2018

 

 

2019

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted Revenues1

$

24,880

 

$

1,109

 

$

23,537

 

$

70,877

 

Adjusted Income from Operations, Pre-Tax2

$

1,399

 

$

67

 

$

1,162

 

$

3,555

 

Adjusted Margin, Pre-Tax8

 

5.6%

 

 

6.0%

 

 

4.9%

 

 

5.0%

 

 
  • Cigna completed the combination with Express Scripts on December 20, 2018. Accordingly, contributions from the Express Scripts business are reflected in the Health Services segment results for 2019, and are not reflected in third quarter 2018 results.
  • Growth in third quarter 2019 adjusted revenues1 and adjusted income from operations, pre-tax2 over third quarter 2018 were driven by the combination with Express Scripts.
  • Third quarter 2019 adjusted income from operations, pre-tax2 and adjusted margin, pre-tax8 reflect organic growth in adjusted pharmacy script volumes, strong performance in specialty pharmacy care and effective execution of supply chain initiatives.
  • Health Services fulfilled 312 million adjusted pharmacy scripts9 in third quarter 2019, and 294 million adjusted pharmacy scripts9 in second quarter 2019.

Integrated Medical

This segment includes Cigna’s U.S. Commercial and Government businesses that provide comprehensive medical solutions to clients and customers. U.S. Commercial products and services include medical, pharmacy, behavioral health, dental, vision, health advocacy programs and other products and services to insured and self-insured customers. Government solutions include Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, Medicaid plans, and individual health insurance coverage both on and off the public exchanges.

Financial Results (dollars in millions):

 

 

 

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

June 30,

 

September 30,

 

 

2019

 

2018

 

 

2019

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted Revenues1

$

9,148

 

$

8,174

 

$

8,968

 

$

27,311

 

Adjusted Income from Operations, Pre-Tax2

$

953

 

$

932

 

$

990

 

$

3,113

 

Adjusted Margin, Pre-Tax8

 

10.4%

 

 

11.4%

 

 

11.0%

 

 

11.4%

 

 
  • Third quarter 2019 adjusted revenues1 increased 12% relative to third quarter 2018, driven by Commercial customer growth and deepening of relationships, as well as premium increases consistent with underlying cost trends.
  • Third quarter 2019 adjusted income from operations, pre-tax2 and adjusted margin, pre-tax8 reflect strong medical and specialty contributions, continued effective medical cost management, as well as investments to drive long-term growth.
  • Adjusted income from operations, pre-tax2 for third quarter 2019, second quarter 2019, and third quarter 2018 included favorable net prior year reserve development on a pre-tax basis of $8 million, $28 million and $18 million, respectively.
  • The medical care ratio5 (“MCR”) of 80.5% for third quarter 2019 reflects continued effective execution in our commercial and government businesses. The third quarter 2019 MCR increased relative to third quarter 2018, as expected, driven by the pricing effect of the health insurance tax suspension, a higher MCR in our individual medical business, and the effect on medical costs of one additional business day in third quarter 2019.
  • Integrated Medical net medical costs payable10 was approximately $2.73 billion at September 30, 2019, $2.48 billion at September 30, 2018 and $2.43 billion at December 31, 2018.

International Markets

This segment includes supplemental health, life and accident insurance products and health care coverage in our international markets, as well as health care benefits for globally mobile individuals and employees of multinational organizations.

Financial Results (dollars in millions, policies and customers in thousands):

 

Three Months Ended

 

 

Nine Months Ended

 

 

September 30,

June 30,

 

September 30,

 

 

2019

 

 

2018

 

 

2019

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted Revenues1,7

$

1,402

 

$

1,326

 

$

1,389

 

$

4,185

Adjusted Income from Operations, Pre-Tax2

$

194

 

$

195

 

$

207

 

$

607

Adjusted Margin, Pre-Tax8

 

13.8%

 

 

14.7%

 

 

14.9%

 

 

14.5%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of the Periods Ended

 

 

 

 

 

September 30,

June 30,

 

December 31,

 

2019

 

 

2018

 

 

2019

 

 

2018

 

 

 

 

 

 

 

 

 

 

 

International Markets Supplemental Policies6,7

 

12,486

 

 

12,281

 

 

12,500

 

 

12,569

International Markets Medical Customers6

 

1,576

 

 

1,558

 

 

1,589

 

 

1,572

  • Excluding the impact of foreign currency movements, third quarter 2019 adjusted revenues1,7 grew 9% over third quarter 2018 reflecting continued business growth.
  • Third quarter 2019 adjusted income from operations, pre-tax2 and adjusted margin, pre-tax8 reflect continued business growth and operational efficiency, partially offset by unfavorable foreign currency impacts.

Group Disability and Other Operations

This segment includes Cigna’s Group Disability and Life business which offers group long-term and short-term disability, and group life, accident, voluntary and specialty insurance products and services. Additionally, this segment includes Corporate Owned Life Insurance (“COLI”) and the Company’s run-off operations.

Financial Results (dollars in millions):

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

June 30,

 

September 30,

 

 

2019

 

 

2018

 

 

2019

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted Revenues1

$

1,284

 

$

1,262

 

$

1,309

 

$

3,889

Adjusted Income from Operations, Pre-Tax2

$

143

 

$

143

 

$

149

 

$

376

Adjusted Margin, Pre-Tax8

 

11.1%

 

11.3%

 

 

11.4%

 

 

9.7%

  • Third quarter 2019 adjusted income from operations, pre-tax2 and adjusted margin, pre-tax8 reflect solid disability and life performance.

Corporate

Corporate reflects interest expense, as well as amounts not allocated to operating segments and includes intersegment eliminations.

 

Financial Results (dollars in millions):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

June 30,

 

September 30,

 

 

2019

 

 

2018

 

 

2019

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted (Loss) from Operations, Pre-Tax2

$

(442)

 

$

(83)

 

$

(453)

 

$

(1,385)

 
  • Third quarter 2019 adjusted loss from operations, pre-tax2 increased relative to third quarter 2018 as a result of higher interest expense associated with the financing of the combination with Express Scripts.

2019 OUTLOOK

Cigna's outlook for full year 2019 consolidated adjusted income from operations2,3,4 is in the range of $6.38 billion to $6.46 billion, or $16.80 to $17.00 per share. Cigna’s outlook excludes the impact of additional prior year reserve development of medical costs and potential effects of any future share repurchase4.

 

(dollars in millions, except where noted and per share amounts)

 

Projection for Full-
Year Ending

 

Change
from Prior

 

 

December 31, 2019

 

Projection

 

 

 

 

 

2019 Consolidated Operating Metrics

 

 

 

 

 

Adjusted Income from Operations2,3,4

 

$

6,380 to 6,460

$

+ 0 to 40

Adjusted Income from Operations, per share2,3,4

 

$

16.80 to 17.00

$

+ 0.10 to 0.20

Adjusted Revenues1,3

 

$

~ $138,000

$

+ 1,500

SG&A Expense Ratio5

 

 

less than 10%

 

 

Adjusted Tax Rate11

 

 

~ 23%

 

- 50 bps

2019 Segment-Level Operating Metrics

 

 

 

 

 

Adjusted Income from Operations, Pre-Tax2,3,4

 

 

 

 

 

Health Services

 

$

5,075 to 5,175

 

No change at midpoint

Integrated Medical

 

$

3,800 to 3,850

$

+ 0 to 20

Adjusted Pharmacy Scripts – Health Services9

 

 

~ 1.22 billion

 

No change at midpoint

Medical Customer Growth6

 

~ 200,000 Customers

 

 

Medical Care Ratio5

 

 

80.8% to 81.2%

 

No change at midpoint

Medical Cost Trend12

 

3.5% to 4.5%

 

 

2020 OUTLOOK

Health Services’ projected 2020 retention rate for the 2019 selling season for pharmacy services is 97%. Health Services’ adjusted pharmacy scripts9 are expected to grow 25 to 35 million scripts organically in 2020.

The foregoing statements represent the Company’s current estimates of Cigna's 2019 consolidated and segment adjusted income from operations2,3,4 and other key metrics as of the date of this release. Actual results may differ materially depending on a number of factors. Investors are urged to read the Cautionary Note Regarding Forward-Looking Statements included in this release. Management does not assume any obligation to update these estimates.

This quarterly earnings release and the Quarterly Financial Supplement are available on Cigna’s website in the Investor Relations section (http://www.cigna.com/aboutcigna/investors). Management will be hosting a conference call to review third quarter 2019 results and discuss full year 2019 outlook beginning today at 8:30 a.m. ET. A link to the conference call is available in the Investor Relations section of Cigna's website located at https://www.cigna.com/aboutcigna/investors/events/index.page.

The call-in numbers for the conference call are as follows:

Live Call

(888) 324-7575 (Domestic)

(210) 234-0013 (International)

Passcode: 10312019

Replay

(800) 518-0087 (Domestic)

(402) 998-0052 (International)

It is strongly suggested you dial in to the conference call by 8:15 a.m. ET.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Cigna delivers choice, predictability, affordability and access to quality care through integrated capabilities and connected, personalized solutions that advance whole person health. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna Life Insurance Company of New York, Connecticut General Life Insurance Company, Express Scripts companies or their affiliates, and Life Insurance Company of North America. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products including group life, accident and disability insurance.

Cigna maintains sales capability in over 30 countries and jurisdictions, and has more than 165 million customer relationships throughout the world. To learn more about Cigna®, including links to follow us on Facebook or Twitter, visit www.cigna.com.

 

Notes:

1.

At the consolidated level, the measure “adjusted revenues” is not determined in accordance with accounting principles generally accepted in the United States (GAAP) and should not be viewed as a substitute for the most directly comparable GAAP measure, “total revenues.” We define adjusted revenues as total revenues excluding revenue contributions from transitioning pharmacy benefit management clients, Anthem Inc. and Coventry Health Care, Inc. (the “transitioning clients”), net realized investment results from equity method investments, and special items. We exclude these items from this measure because they are not indicative of past or future underlying performance of the business. See Exhibit 1 for a reconciliation of consolidated adjusted revenues to total revenues.

2.

Adjusted income (loss) from operations is defined as shareholders’ net income (loss) excluding the following adjustments: earnings contributions from transitioning clients, net realized investment results, amortization of acquired intangible assets, and special items. Special items are identified in Exhibit 1 of this earnings release. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results.

Adjusted income (loss) from operations is a measure of profitability used by Cigna’s management because it presents the underlying results of operations of Cigna’s businesses and permits analysis of trends in underlying revenue, expenses and shareholders’ net income. This consolidated measure is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, shareholders’ net income. See Exhibit 1 for a reconciliation of adjusted income from operations to shareholders’ net income.

 

Effective in the fourth quarter of 2018, Cigna updated its segments. Refer to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 23, 2019 and our Annual Report on Form 10-K for the year ended December 31, 2018 for additional information and prior period results on the historic and new segment bases.

 
3.

Management is not able to provide a reconciliation of adjusted income from operations to shareholders’ net income (loss) or adjusted revenues to total revenues on a forward-looking basis because we are unable to predict, without unreasonable effort, certain components thereof including (i) future net realized investment results (from equity method investments with respect to adjusted revenues) and (ii) future special items. These items are inherently uncertain and depend on various factors, many of which are beyond our control. As such, any associated estimate and its impact on shareholders’ net income could vary materially.

4.

The Company’s outlook excludes the potential effects of any share repurchases or business combinations that may occur after the date of this earnings release.

5.

Operating ratios are defined as follows:

  • Medical care ratio represents medical costs as a percentage of premiums for all U.S. commercial risk products, including medical, pharmacy, dental, stop loss and behavioral products provided through guaranteed cost or experience-rated funding arrangements, as well as Medicare Advantage, Medicare Part D, Medicare Supplement, Medicaid, and individual on and off-exchange products, within our Integrated Medical segment.
  • SG&A expense ratio represents enterprise selling, general and administrative expenses excluding special items and expenses from transitioning clients, as a percentage of adjusted revenue at a consolidated level.
6.

Customer relationships are defined as follows:

  • Total medical customers includes individuals in our Integrated Medical and International Markets segments who meet any one of the following criteria: are covered under a medical insurance policy, managed care arrangement, or service agreement issued by Cigna; have access to Cigna's provider network for covered services under their medical plan; or have medical claims and services that are administered by Cigna.
  • Pharmacy customer relationships excludes transitioning clients.
  • International Markets policies exclude International Markets medical customers included in total medical customers.
  • Group Disability and Life covered lives are estimated.
7.

Cigna owns a 50% noncontrolling interest in its China joint venture. Cigna's 50% share of the joint venture’s earnings is reported in Fees and Other Revenues using the equity method of accounting under GAAP. As such, the adjusted revenues and policy counts for the International Markets segment do not include the China joint venture.

8.

Adjusted margin, pre-tax, is calculated by dividing adjusted income (loss) from operations, pre-tax by adjusted revenues for each segment.

9.

For Health Services adjusted pharmacy scripts, non-specialty network scripts filled through 90-day programs and home delivery scripts are multiplied by three. All other network and specialty scripts are counted as one script. Adjusted pharmacy scripts guidance does not include script volumes associated with transitioning clients. Outlook for organic adjusted pharmacy script growth of 25 to 35 million scripts in 2020 excludes volumes expected to be insourced from OptumRx under the terms of the transition services agreement.

10.

Medical costs payable within the Integrated Medical segment are presented net of reinsurance and other recoverables. The gross medical costs payable balance was $3.06 billion as of September 30, 2019, $2.70 billion as of December 31, 2018, and $2.72 billion as of September 30, 2018. The Integrated Medical days claims payable was 41.6 days at September 30, 2019, 40.7 days at December 31, 2018 and 43.7 days at September 30, 2018.

11.

The measure “adjusted tax rate” is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, “consolidated effective tax rate.” We define adjusted tax rate as the consolidated income tax rate applicable to the Company’s pre-tax income excluding net realized investment results, amortization of acquired intangible assets, special items, and transitioning clients. Management is not able to provide a reconciliation to the consolidated effective tax rate on a forward-looking basis because we are unable to predict, without unreasonable effort, certain components thereof including (i) future net realized investment results and (ii) future special items.

12.

Medical cost trend includes all U.S. commercial employer funding arrangements.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This press release, and oral statements made in connection with this release, may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on Cigna's current expectations and projections about future trends, events and uncertainties. These statements are not historical facts. Forward-looking statements may include, among others, statements concerning our projected adjusted income (loss) from operations outlook for 2019, on a consolidated, per share, and segment basis; projected adjusted revenue outlook for 2019; projected global medical customer growth over year end 2018; projected client retention; projected growth beyond 2019; statements concerning our long-term projected adjusted income (loss) from operations outlook; projected medical care and SG&A expense ratios and medical cost trends; projected adjusted pharmacy scripts; our projected consolidated adjusted tax rate; projected debt to capitalization ratio; projected cash flow from operations; future financial or operating performance, including our ability to deliver affordable, personalized and innovative solutions for our customers and clients; future growth, business strategy, strategic or operational initiatives; economic, regulatory or competitive environments, particularly with respect to the pace and extent of change in these areas; financing or capital deployment plans and amounts available for future deployment; our prospects for growth in the coming years; the merger (the “Merger”) with Express Scripts Holding Company (“Express Scripts”) and other statements regarding Cigna's future beliefs, expectations, plans, intentions, financial condition or performance. You may identify forward-looking statements by the use of words such as “believe,” “expect,” “plan,” “intend,” “anticipate,” “estimate,” “predict,” “potential,” “may,” “should,” “will” or other words or expressions of similar meaning, although not all forward-looking statements contain such terms.

Forward-looking statements are subject to risks and uncertainties, both known and unknown, that could cause actual results to differ materially from those expressed or implied in forward-looking statements. Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical and pharmacy costs and price effectively; our ability to adapt to changes or trends in an evolving and rapidly changing industry; our ability to effectively differentiate our products and services from those of our competitors and maintain or increase market share; our ability to develop and maintain good relationships with physicians, hospitals, other health care providers and pharmaceutical manufacturers; changes in drug pricing; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits (including anticipated synergies) of such transactions in full or within the anticipated time frame, including with respect to the Merger, as well as our ability to integrate operations, resources and systems; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and/or guaranty fund assessments; uncertainties surrounding participation in government-sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; the impact of our debt service obligations on the availability of funds for other business purposes; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; as well as more specific risks and uncertainties discussed in our most recent report on Form 10-K and subsequent reports on Forms 10-Q and 8-K available on the Investor Relations section of www.cigna.com. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made, are not guarantees of future performance or results, and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Cigna undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as may be required by law.

 
CIGNA CORPORATION

 

 

 

 

 

Exhibit 1
COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)

 

 

 

 

(Dollars in millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended Three Months Ended

 

September 30,

 

September 30,June 30,

 

2019

 

 

2018

 

 

2019

 

 

2018

 

2019

 

 

 

 

 

REVENUES

 

 

 

 

 

 

 

 

 

 

Pharmacy revenues

$

25,987

$

747

$

77,454

$

2,222

$

26,288

Premiums

 

9,935

 

8,994

 

29,709

 

27,005

 

9,803

Fees and other revenues

 

2,285

 

1,361

 

7,123

 

4,087

 

2,388

Net investment income including special items

 

349

 

355

 

1,035

 

1,036

 

340

Total revenues

 

38,556

 

11,457

 

115,321

 

34,350

 

38,819

Revenue contributions from transitioning clients

 

(2,718)

 

-

 

(11,657)

 

-

 

(4,450)

Net realized investment results from certain equity method subsidiaries

 

(5)

 

1

 

(27)

 

23

 

6

Special items reported in integration and transaction-related costs

 

-

 

(13)

 

-

 

(13)

 

-

Adjusted revenues (1)

$

35,833

$

11,445

$

103,637

$

34,360

$

34,375

 

 

 

 

 

SHAREHOLDERS' NET INCOME

 

 

 

 

 

 

 

 

 

 

Shareholders' net income

$

1,351

$

772

$

4,127

$

2,493

$

1,408

After-tax adjustments to reconcile to adjusted income from operations:

 

 

 

 

 

Adjustment for transitioning clients

 

(207)

 

-

 

(1,217)

 

-

 

(506)

Net realized investment (gains) losses

 

(49)

 

(1)

 

(100)

 

46

 

(13)

Amortization of acquired intangible assets

 

558

 

36

 

1,694

 

74

 

572

Special items

 

 

 

 

 

Integration and transaction-related costs

 

88

 

108

 

311

 

267

 

115

Charges associated with litigation matters

 

(23)

 

35

 

41

 

35

 

64

U.S. tax reform

 

-

 

(5)

 

-

 

(5)

 

-

Adjusted income from operations (2)

$

1,718

$

945

$

4,856

$

2,910

$

1,640

 

 

 

 

 

Pre-tax adjusted income (loss) from operations by segment

 

 

 

 

 

Health Services

$

1,399

$

67

$

3,555

$

227

$

1,162

Integrated Medical

 

953

 

932

 

3,113

 

2,859

 

990

International Markets

 

194

 

195

 

607

 

615

 

207

Group Disability and Other

 

143

 

143

 

376

 

420

 

149

Corporate

 

(442)

 

(83)

 

(1,385)

 

(255)

 

(453)

Consolidated pre-tax adjusted income from operations (2)

 

2,247

 

1,254

 

6,266

 

3,866

 

2,055

Income tax expense

 

(529)

 

(309)

 

(1,410)

 

(956)

 

(415)

Consolidated after-tax adjusted income from operations (2)

$

1,718

$

945

$

4,856

$

2,910

$

1,640

 

 

 

 

 

DILUTED EARNINGS PER SHARE

 

 

 

 

 

 

 

 

 

 

Shareholders' net income

$

3.57

$

3.14

$

10.83

$

10.14

$

3.70

After-tax adjustments to reconcile to adjusted income from operations:

 

 

 

 

 

Adjustment for transitioning clients

 

(0.55)

 

-

 

(3.19)

 

-

 

(1.33)

Net realized investment (gains) losses

 

(0.13)

 

-

 

(0.26)

 

0.19

 

(0.03)

Amortization of acquired intangible assets

 

1.47

 

0.15

 

4.43

 

0.30

 

1.49

Special items

 

 

 

 

 

Integration and transaction-related costs

 

0.24

 

0.43

 

0.82

 

1.09

 

0.30

Charges associated with litigation matters

 

(0.06)

 

0.14

 

0.11

 

0.14

 

0.17

U.S. tax reform

 

-

 

(0.02)

 

-

 

(0.02)

 

-

Adjusted income from operations (2)

$

4.54

$

3.84

$

12.74

$

11.84

$

4.30

Weighted average shares (in thousands)

 

378,321

 

246,112

 

381,091

 

245,747

 

380,969

Common shares outstanding (in thousands)

 

 

 

373,978

 

243,505

 

377,883

 

 

 

 

 

SHAREHOLDERS' EQUITY at September 30

 

 

$

44,696

$

15,555

 

 

 

 

 

 

SHAREHOLDERS' EQUITY PER SHARE at September 30

 

 

$

119.52

$

63.88

 

 

 

 

 

 

(1) Adjusted revenues is defined as total revenues excluding the following adjustments: revenue contributions from transitioning clients, special items and Cigna's share of certain realized investment results of its joint ventures reported using the equity method. These items are excluded because they are not indicative of past or future underlying performance of our businesses.
(2) Adjusted income (loss) from operations is defined as shareholders' net income (loss) excluding the following after-tax adjustments: realized investment results, amortization of acquired intangible assets, special items and earnings contributions from transitioning clients.

 

INVESTOR RELATIONS:
Will McDowell
215-761-4198
william.mcdowell2@cigna.com

MEDIA:
Ellie Polack
860-902-4906
elinor.polack@cigna.com

Source: Cigna Corporation