Cigna Delivers Strong First Quarter 2021 Results, Raises 2021 Outlook

Rhea-AI Summary

Cigna reported strong first quarter results for 2021, with total revenues of $41.0 billion and net income of $1.2 billion, or $3.30 per share. Adjusted income from operations was $1.7 billion, or $4.73 per share. The company projects full-year adjusted income from operations to reach at least $7.0 billion, or $20.20 per share. Cigna's customer base grew, with medical customers totaling 16.7 million and pharmacy customers 101.0 million. Despite COVID-19 impacts, the firm showcased strong execution across its business segments.

Positive

• Total revenues of $41.0 billion in Q1 2021, a strong performance reflective of business growth.
• Net income increased to $1.2 billion, up from $1.2 billion in Q1 2020.
• Adjusted income from operations anticipated to reach at least $7.0 billion in 2021.

Negative

• Adjusted income from operations decreased from $1.8 billion in Q1 2020 to $1.7 billion in Q1 2021.
• COVID-19 related costs impacted adjusted income and medical care ratio, increasing to 81.8% from 78.3% in Q1 2020.

BLOOMFIELD, Conn., May 7, 2021 /PRNewswire/ --

• Total revenues in the first quarter were $41.0 billion, and adjusted revenues¹ were $41.0 billion
• Shareholders' net income for the first quarter was $1.2 billion, or $3.30 per share
• Adjusted income from operations² for the first quarter was $1.7 billion, or $4.73 per share
• Adjusted income from operations^2,3 is now projected to be at least $7.0 billion in 2021, or at least $20.20 per share³

Global health services company Cigna Corporation (NYSE: CI) today reported strong first quarter 2021 results driven by focused execution across its businesses.

"Cigna remains dedicated to supporting our customers, clients, and communities through the disruption of the COVID-19 pandemic, while also delivering strong financial results, as demonstrated through our first quarter performance," said David M. Cordani, President and Chief Executive Officer. "As we continue to execute against our three-pronged growth framework – delivering differentiated value, partnering and innovating, and expanding our addressable markets – we are well positioned to meet the most pressing needs of those we serve as we make health care more affordable, predictable, and simple, even in a dynamic environment."

Total revenues for first quarter 2021 were $41.0 billion. Adjusted revenues¹ were $41.0 billion and reflect strong contributions from each of Cigna's ongoing businesses.  

Shareholders' net income for first quarter 2021 was $1.2 billion, or $3.30 per share compared with $1.2 billion, or $3.15 per share, for first quarter 2020.

Cigna's adjusted income from operations² for first quarter 2021 was $1.7 billion, or $4.73 per share, compared with $1.8 billion, or $4.69 per share, for first quarter 2020 reflecting focused execution across the ongoing businesses, led by Evernorth.

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
	March 31,						December 31,
	2021			2020			2020
Total Revenues	$	40,971		$	38,469		$	41,712
Net Realized Investment Losses (Gains) from Equity Method Investments1	14			10			(43)
Special Items1	—			(87)			—
Adjusted Revenues1	$	40,985		$	38,392		$	41,669
Consolidated Earnings, net of taxes
Shareholders' Net Income	$	1,161		$	1,181		$	4,135
Net Realized Investment Losses (Gains)2	13			77			(169)
Amortization of Other Acquired Intangible Assets2	388			309			370
Special Items2	102			191			(3,069)
Adjusted Income from Operations2	$	1,664		$	1,758		$	1,267
Shareholders' Net Income, per share	$	3.30		$	3.15		$	11.45
Adjusted Income from Operations2, per share	$	4.73		$	4.69		$	3.51

• Through the end of the first quarter, the Company repurchased 12.7 million shares of common stock for approximately $2.8 billion. Year to date through May 6, 2021, the Company repurchased 14.4 million shares of common stock for approximately $3.2 billion.
• The debt-to-capitalization ratio was 39.9% at March 31, 2021, in line with our long term target of approximately 40%.
• The SG&A expense ratio⁴ was 8.0% for first quarter 2021, a decrease from 8.5% for first quarter 2020, driven by revenue growth, continued expense efficiency, and the repeal of the health insurance industry tax.

CUSTOMER RELATIONSHIPS

The following table summarizes Cigna's medical customers and overall customer relationships:

Customer Relationships (in thousands):
	As of the Periods Ended
	March 31,				December 31,
	2021		2020		2020
Total Customer Relationships5	189,929		167,019		185,375
Total Pharmacy Customers5	101,002		78,804		98,850
U.S. Commercial6	13,552		14,140		13,626
U.S. Government6	1,464		1,412		1,387
International Markets	1,687		1,666		1,660
Total Medical Customers5	16,703		17,218		16,673
Behavioral Care	38,950		37,231		36,908
Dental	17,800		18,018		17,542
Medicare Part D	3,184		3,295		3,291
International Markets Supplemental Policies5,7	12,290		12,453		12,111

• The pharmacy customer base⁵ at first quarter 2021 grew to 101.0 million, an organic increase of 2.2 million year to date, driven by strong ongoing retention and new sales.
• The total medical customer base⁵ at first quarter 2021 was 16.7 million, an increase of 30,000 customers year to date, driven by growth in the Individual business, Select segment, and Medicare Advantage, partially offset by Commercial disenrollment throughout the quarter.

HIGHLIGHTS OF SEGMENT RESULTS

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

Evernorth⁶

This segment includes a broad range of coordinated and point solution health services, including pharmacy services, benefits management, care solutions and data and analytics, which are provided to health plans, employers, government organizations, and health care providers. 

Financial Results (dollars in millions):
	Three Months Ended
	March 31,						December 31,
	2021			2020			2020
Adjusted Revenues1	$	30,620		$	27,168		$	30,533
Adjusted Income from Operations, Pre-Tax2	$	1,223		$	1,082		$	1,589
Adjusted Margin, Pre-Tax8	4.0%			4.0%			5.2%

• First quarter 2021 adjusted revenues¹ increased 13% relative to first quarter 2020 driven by strong organic growth, including growth in retail network and specialty pharmacy services.
• First quarter 2021 adjusted income from operations, pre-tax² increased 13% relative to first quarter 2020, reflecting benefits from the effective management of the supply chain, business growth, and strong performance in specialty pharmacy services.
• Evernorth fulfilled 393 million adjusted pharmacy scripts⁹ in first quarter 2021, an increase of 9% over first quarter 2020 driven by strong organic growth.

U.S. Medical⁶

This segment includes Cigna's U.S. Commercial and U.S. Government businesses that provide comprehensive medical and coordinated 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 for insured and self-insured customers.  U.S. Government solutions include Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, Medicaid plans, and individual health insurance plans both on and off the public exchanges.

Financial Results (dollars in millions):
	Three Months Ended
	March 31,						December 31,
	2021			2020			2020
Adjusted Revenues1	$	10,362		$	9,860		$	9,725
Adjusted Income from Operations, Pre-Tax2	$	987		$	1,199		$	328
Adjusted Margin, Pre-Tax8	9.5%			12.2%			3.4%

• First quarter 2021 adjusted revenues¹ grew 5% over first quarter 2020, reflecting customer growth in Medicare Advantage, the Individual business and the Select Segment, as well as premium increases and favorable net investment income.
• First quarter 2021 adjusted income from operations, pre-tax² and adjusted margin, pre-tax⁸ decreased relative to first quarter 2020 reflecting COVID-19 related impacts and the net impact of non-recurring items, partially offset by favorable net investment income and the repeal of the health insurance industry tax. COVID-19 related impacts include the direct costs of COVID-19 testing, treatment and vaccines, lower Medicare Advantage risk adjustment revenues, decreased contributions from specialty products, and increased disenrollment resulting from the economic impacts of the pandemic, partially offset by a reduction in non-COVID utilization.
• The medical care ratio⁴ ("MCR") of 81.8% for first quarter 2021 compares to 78.3% for first quarter 2020 and reflects COVID-19 related impacts and the pricing effect of the repeal of the health insurance industry tax, partially offset by one fewer calendar day in the first quarter of 2021.
• U.S. Medical net medical costs payable¹⁰ was $3.32 billion at March 31, 2021, $2.80 billion at March 31, 2020, and $2.96 billion at December 31, 2020. Favorable prior year reserve development on a gross pre-tax basis was $185 million and $152 million through first quarter 2021 and 2020, respectively.

International Markets

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

Financial Results (dollars in millions):
	Three Months Ended
	March 31,						December 31,
	2021			2020			2020
Adjusted Revenues1,7	$	1,572		$	1,470		$	1,535
Adjusted Income from Operations, Pre-Tax2	$	262		$	282		$	91
Adjusted Margin, Pre-Tax8	16.7%			19.2%			5.9%

• First quarter 2021 adjusted revenues^1,7 grew 7% over first quarter 2020, reflecting favorable foreign currency movements and continued business growth.
• First quarter 2021 adjusted income from operations, pre-tax² and adjusted margin, pre-tax⁸ decreased relative to first quarter 2020 reflecting the absence of a favorable impact from a refinement to the accounting for acquisition costs in first quarter 2020 as well as higher claims costs, partially offset by favorable net investment income, favorable foreign currency movements, and ongoing business growth.

Corporate and Other Operations⁶

Corporate reflects interest expense, as well as amounts not allocated to operating segments and includes intersegment eliminations. Additionally, this discussion includes items reported in our Other Operations segment which is primarily comprised of Corporate Owned Life Insurance ("COLI") and the company's run-off operations. 

Financial Results (dollars in millions):
	Three Months Ended
	March 31,						December 31,
	2021			2020			2020
Adjusted (Loss) from Operations, Pre-Tax2	$	(330)		$	(328)		$	(370)

• First quarter 2021 adjusted loss from operations, pre-tax² was in line with first quarter 2020 reflecting lower interest expense due to lower levels of outstanding debt, offset by the absence of contributions from the Group Disability and Life business which was divested on December 31, 2020.

2021 OUTLOOK

Cigna's outlook for full year 2021 adjusted revenues^1,3 is projected to be at least $166 billion. Cigna's outlook for full year 2021 consolidated adjusted income from operations^2,3 is at least $7.0 billion, or at least $20.20 per share. This outlook includes approximately $1.25 per share in net unfavorable impacts of COVID-19. Additionally, this outlook includes the impact of expected future share repurchases and anticipated 2021 dividends.

(dollars in millions, except where noted and per share amounts)
2021 Consolidated Metrics	Projection for Full Year Ending December 31, 2021	Change from Prior Projection
Adjusted Revenues1,3	at least $166,000	+$1,000
Adjusted Income from Operations2,3	at least $7,000	+$50
Adjusted Income from Operations, per share2,3	at least $20.20	+$0.20
SG&A Expense Ratio3,4	7.5% to 8.0%
Adjusted Margin, After-Tax3,8	~4.2%
Cash Flow from Operations3	at least $7,500
Weighted Average Shares Outstanding (millions)3	346 to 348	-0.5 at the midpoint
2021 Evernorth Metrics
Adjusted Income from Operations, Pre-Tax2,3	at least $5,650	+$50
2021 U.S. Medical Metrics
Adjusted Income from Operations, Pre-Tax2,3	at least $3,800
Medical Care Ratio4	81.0% to 82.0%
Total Medical Customer Growth (lives)5	at least 350,000	+25,000

The foregoing statements represent the Company's current estimates of Cigna's 2021 consolidated and segment adjusted income from operations^2,3 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 (https://investors.cigna.com/home/default.aspx).  Management will be hosting a conference call to review first quarter 2021 results and discuss full year 2021 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://investors.cigna.com/events-and-presentations/default.aspx. 

The call-in numbers for the conference call are as follows:
            Live Call
            (800) 857-1657   (Domestic)
            (773) 799-3811   (International)
            Passcode: 572021

            Replay
            (800) 551-8152   (Domestic)
            (203) 369-3810   (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, Connecticut General Life Insurance Company, Evernorth companies or their affiliates, and Express Scripts companies or their affiliates. 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. 

Cigna maintains sales capability in over 30 countries and jurisdictions, and has approximately 190 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." Cigna defines adjusted revenues as total revenues excluding special items and Cigna's share of certain realized investment results of its joint ventures reported in the International Markets segment using the equity method of accounting. Special items are identified in Exhibit 1 of this earnings release. Cigna excludes 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 from operations is defined as shareholders' net income (or income before income taxes for the segment metric) excluding the following adjustments: net realized investment results, amortization of acquired intangible assets and special items. Cigna's share of certain realized investment results of its joint ventures reported in the International Markets segment using the equity method of accounting are also excluded. 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 consolidated adjusted income from operations to shareholders' net income.
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 it is 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 Cigna's control. As such, any associated estimate and its impact on shareholders' net income and total revenues could vary materially.
	The Company's outlook excludes the potential effects of any business combinations that may occur after the date of this earnings release. The Company's outlook includes the potential effects of expected future share repurchases and anticipated 2021 dividends.
	As announced in January 2021, Cigna currently intends to pay regular quarterly dividends, with future declarations subject to approval by its Board of Directors and the Board's determination that the declaration of dividends remains in the best interests of Cigna and its shareholders. The decision of whether to pay future dividends and the amount of any such dividends will be based on the Company's financial position, results of operations, cash flows, capital requirements, the requirements of applicable law and any other factors the Board of Directors may deem relevant.
	The timing and actual number of shares repurchased will depend on a variety of factors, including price, general business and market conditions, and alternate uses of capital. The share repurchase program may be effected through open market purchases in compliance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended, including through Rule 10b5-1 trading plans, or privately negotiated transactions. The program may be suspended or discontinued at any time.
4.	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 Cigna's U.S. Medical segment.
	•	SG&A expense ratio represents enterprise selling, general and administrative expenses excluding special items as a percentage of adjusted revenue at a consolidated level.
5.	Customer relationships are defined as follows:
	•	Total medical customers includes individuals in Cigna's U.S. 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. Effective January 1, 2021, Pharmacy lives have been updated to reflect actual eligibility data for benefits provided to Prime Therapeutics. Previously these lives had been estimated based on prescriptions filled during the period. Pharmacy lives as of December 31, 2020 have been restated to reflect this change.
	•	International Markets medical customers excludes medical customers served by less than 100% owned subsidiaries.
	•	International Markets supplemental policies exclude International Markets medical customers included in total medical customers.
	•	Total customer relationships excludes covered lives associated with the Group Disability and Life business that was sold on December 31, 2020.
6.	As of the third quarter 2020, the segment previously reported as "Health Services" is reported as "Evernorth", and the segment previously reported as "Integrated Medical" is reported as "U.S. Medical". Additionally, U.S. Medical's two operating segments previously reported as "Commercial" and "Government" are now reported as "U.S. Commercial" and "U.S. Government". There are no changes to the underlying businesses reported in any of these segments.
	Beginning first quarter 2021, in our earnings release and quarterly financial supplement "Corporate and Other Operations" combines the results previously reported as "Corporate" and the segment previously reported as "Group Disability and Other", which is now reported as "Other Operations" in our securities filings. This change to simplify reporting was enabled by the sale of the Group Disability and Life business.
7.	Cigna owns a 50% non-controlling 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.
	Adjusted margin, after-tax, is calculated by dividing consolidated adjusted income (loss) from operations by consolidated adjusted revenues.  Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results.
9.	For Evernorth 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.
10.	Medical costs payable within the U.S. Medical segment are presented net of reinsurance and other recoverables. The gross medical costs payable balance was $3.55 billion as of March 31, 2021, $3.18 billion as of December 31, 2020, and $3.00 billion as of March 31, 2020.

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 from operations outlook for 2021 on a consolidated per share, and segment basis; projected adjusted revenue outlook for 2021; projected total medical customer growth over year end 2020; projected medical care and SG&A expense ratios; projected adjusted margin; projected cash flow from operations; projected weighted average shares outstanding; future financial or operating performance, including our ability to deliver affordable, personalized and innovative solutions for our customers and clients, including in light of the challenges presented by the COVID-19 pandemic; 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; strategic transactions; and other statements regarding Cigna's future beliefs, expectations, plans, intentions, liquidity, cash flows, 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 strategic and operational initiatives; our ability to adapt to changes in an evolving and rapidly changing industry; the scale, scope and duration of the COVID-19 pandemic and its potential impact on our business, operating results, cash flows or financial condition, our ability to compete effectively, differentiate our products and services from those of our competitors and maintain or increase market share; price competition and other pressures that could compress our margins or result in premiums that are insufficient to cover the cost of services delivered to our customers; the potential for actual claims to exceed our estimates related to expected medical claims; our ability to develop and maintain satisfactory relationships with physicians, hospitals, other health service providers and with producers and consultants; our ability to maintain relationships with one or more key pharmaceutical manufacturers or if payments made or discounts provided decline; changes in the pharmacy provider marketplace or pharmacy networks; changes in drug pricing or industry pricing benchmarks; political, legal, operational, regulatory, economic and other risks that could affect our multinational operations; risks related to strategic transactions and realization of the expected benefits of such transactions, as well as integration difficulties or underperformance relative to expectations; dependence on success of relationships with third parties; risk of significant disruption within our operations or among key suppliers or third parties; our ability to invest in and properly maintain our information technology and other business systems; our ability to prevent or contain effects of a potential cyberattack or other privacy or data security incident; potential liability in connection with managing medical practices and operating pharmacies, onsite clinics and other types of medical facilities; 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; uncertainties surrounding participation in government-sponsored programs such as Medicare; the outcome of litigation, regulatory audits, investigations; compliance with applicable privacy, security and data laws, regulations and standards; potential failure of our prevention, detection and control systems; unfavorable economic and market conditions, stock market or interest rate declines, risks related to a downgrade in financial strength ratings of our insurance subsidiaries; the impact of our significant indebtedness and the potential for further indebtedness in the future; unfavorable industry, economic or political conditions; credit risk related to our reinsurers; 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 through 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						Three Months Ended
	March 31,						December 31,
	2021			2020			2020
REVENUES
Pharmacy revenues	$	28,025		$	25,098		$	28,305
Premiums	10,214			10,840			10,699
Fees and other revenues	2,341			2,178			2,337
Net investment income	391			353			371
Total Revenues	40,971			38,469			41,712
Net realized investment results from certain equity method investments	14			10			(43)
Special item related to contractual adjustment for a former client	—			(87)			—
Adjusted revenues (1)	$	40,985		$	38,392		$	41,669
SHAREHOLDERS' NET INCOME
Shareholders' net income	$	1,161		$	1,181		$	4,135
After-tax adjustments to reconcile adjusted income from operations
Net realized investment (gains) losses (2)	13			77			(169)
Amortization of acquired intangible assets	388			309			370
Special Items
Debt extinguishment costs	101			140			—
Integration and transaction-related costs	22			74			148
Charges associated with litigation matters	(21)			19			—
Charge for organizational efficiency plan	—			24			—
Contractual adjustment for a former client	—			(66)			—
(Gain) on sale of business	—			—			(3,217)
Adjusted income from operations	$	1,664		$	1,758		$	1,267
Pre-tax adjusted income (loss) from operations by segment
Evernorth	$	1,223		$	1,082		$	1,589
U.S. Medical	987			1,199			328
International Markets	262			282			91
Corporate and Other Operations	(330)			(328)			(370)
Consolidated pre-tax adjusted income from operations	2,142			2,235			1,638
Adjusted income tax expense	(478)			(477)			(371)
Consolidated after-tax adjusted income from operations	$	1,664		$	1,758		$	1,267
DILUTED EARNINGS PER SHARE
Shareholders' net income	$	3.30		$	3.15		$	11.45
After-tax adjustments to reconcile to adjusted income from operations
Net realized investment (gains) losses (2)	0.04			0.21			(0.47)
Amortization of acquired intangible assets	1.10			0.82			1.03
Special items
Debt extinguishment costs	0.29			0.38			—
Integration and transaction-related costs	0.06			0.20			0.41
Charges associated with litigation matters	(0.06)			0.05			—
Charge for organizational efficiency plan	—			0.06			—
Contractual adjustment for a former client	—			(0.18)			—
(Gain) on sale of business	—			—			(8.91)
Adjusted income from operations (3)	$	4.73		$	4.69		$	3.51
Weighted average shares (in thousands)	351,976			374,639			361,115
Common shares outstanding (in thousands)	344,454			369,317			354,771
SHAREHOLDERS' EQUITY at March 31,	$	48,149		$	45,079
SHAREHOLDERS' EQUITY PER SHARE at March 31,	$	139.78		$	122.06
(1)  Adjusted revenues is defined as total revenues excluding the following adjustments: special items and Cigna's share of certain realized investment results of its joint ventures reported in the International Markets segment using the equity method of accounting. These items are excluded because they are not indicative of past or future underlying performance of our businesses.
(2) Includes the Company's share of certain realized investments results of its joint ventures reported in the International Markets segment using the equity method of accounting.
(3) Adjusted income from operations is defined as shareholders' net income (or income before income taxes for the segment metric) excluding the following adjustments: net realized investment results, amortization of acquired intangible assets and special items. Cigna's share of certain realized investment results of its joint ventures reported in the International Markets segment using the equity method of accounting are also excluded.

                

INVESTOR RELATIONS CONTACT:
Alexis Jones
215-761-3637
Alexis.Jones@cigna.com

MEDIA CONTACT:
Justine Sessions
860-810-6523
Justine.Sessions@cigna.com

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SOURCE Cigna

FAQ

What were Cigna's total revenues for the first quarter of 2021?

Cigna's total revenues for Q1 2021 were $41.0 billion.

What is Cigna's adjusted income from operations projected for 2021?

Cigna projects its adjusted income from operations to be at least $7.0 billion for 2021.

What was Cigna's net income per share for the first quarter of 2021?

Cigna's net income per share for Q1 2021 was $3.30.

How did Cigna's medical customer base change in Q1 2021?

Cigna's total medical customer base increased to 16.7 million in Q1 2021.

What impact did COVID-19 have on Cigna's performance in Q1 2021?

COVID-19 related costs negatively affected Cigna's adjusted income and increased the medical care ratio to 81.8%.