The Cigna Group Reports Strong Fourth Quarter and Full Year 2023 Results, Raises 2024 Adjusted EPS Outlook, and Increases Dividend
- Total revenues for 2023 were $195.3 billion, reflecting consistent growth and strong performance.
- Shareholders' net income for 2023 was $5.2 billion, demonstrating profitability and financial stability.
- The company declared a 14% increase in the quarterly dividend to $1.40 per share, indicating a commitment to rewarding shareholders.
- Adjusted income from operations for 2023 was $7.4 billion, showcasing operational efficiency and financial strength.
- Projected 2024 adjusted income from operations is at least $8.025 billion, indicating a positive outlook for future earnings.
- Shareholders' net income for 2023 decreased to $5.2 billion from $6.7 billion in 2022, signaling a decline in profitability.
- The net after-tax loss of $552 million for the fourth quarter of 2023 affected the shareholders' net income, potentially impacting investor confidence.
- The SG&A expense ratio increased to 7.9% for the fourth quarter of 2023, reflecting higher costs and potential operational inefficiencies.
Insights
The reported financials indicate a robust performance by The Cigna Group, with total revenues reaching $195.3 billion for 2023. This represents a significant increase from the previous year, underlining the company's growth trajectory. The dividend increase of 14% to $1.40 per share signals a strong cash position and management's confidence in the company's future earnings potential. The projected adjusted income from operations for 2024 at $8.025 billion, or at least $28.25 per share, suggests an optimistic outlook for the company's operational efficiency and profitability.
From a financial perspective, the reduction in the debt-to-capitalization ratio from 41.0% at the end of 2022 to 40.1% at the end of 2023 shows an improvement in the company's financial leverage and risk profile. Additionally, the repurchase of 7.8 million shares for approximately $2.3 billion reflects a shareholder-friendly capital allocation strategy and may be indicative of the company's assessment that its stock is undervalued.
The expansion of The Cigna Group's customer base, particularly the 10% growth in total medical customers, is a strong indicator of the company's competitive positioning in the healthcare market. The increase in pharmacy customers by 5% also highlights the company's successful cross-selling strategies and the potential for sustained organic growth. Furthermore, the company's strategic investments in technology, as mentioned in the report, suggest a focus on digital transformation, which could enhance customer experience and operational efficiencies in the long term.
It is important to note the non-renewal of a supplemental behavioral coverage contract with New York Life, which was deemed insignificant to total revenues and adjusted income from operations. This demonstrates the company's diversified revenue streams and resilience to potential setbacks in individual contracts.
The reported Medical Care Ratio (MCR) for Cigna Healthcare, which measures the percentage of premiums spent on medical claims and healthcare services, stands at 82.2% for the fourth quarter and 81.3% for the full year 2023. These figures are below the industry benchmark of around 85%, indicating efficient management of medical costs and underwriting profitability. Additionally, the favorable prior year reserve development suggests that claims costs were overestimated in the past, which can be a positive sign of conservative financial management.
However, the adjusted margin pre-tax for the Evernorth Health Services segment shows a slight decrease, which could be attributed to increased investments in technology and client onboarding. This strategic choice may impact short-term profitability but is likely aimed at enhancing the segment's long-term competitive edge and scalability.
- Total revenues for 2023 were
$195.3 billion - Shareholders' net income for 2023 was
$5.2 billion $17.39 - Adjusted income from operations1 for 2023 was
$7.4 billion $25.09 - 2024 adjusted income from operations1,2 is projected to be at least
$8.02 5 billion$28.25 - Board of Directors declared a
14% increase in the quarterly dividend to$1.40
Global health company The Cigna Group (NYSE: CI) today reported strong 2023 results reflecting revenue and earnings growth across its diversified portfolio of businesses.
"2023 was another very strong year for our company with consistent execution and sustained growth," said David M. Cordani, chairman and CEO of The Cigna Group. "We will accelerate our momentum in 2024 as we lead in improving value, affordability and clinical outcomes, as well as with expanding access and choice."
Shareholders' net income for fourth quarter 2023 was
The Cigna Group's adjusted income from operations1 for fourth quarter 2023 was
Shareholders' net income for 2023 was
A reconciliation of shareholders' net income to adjusted income from operations1 is 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 revenues4 and shareholders' net income to adjusted income from operations1:
Consolidated Financial Results (dollars in millions): | ||||
Three Months Ended | Year Ended | |||
December 31, | December 31, | |||
2023 | 20223 | 2023 | 20223 | |
Total Revenues | $ 51,114 | $ 45,753 | $ 195,265 | $ 180,518 |
Net Realized Investment Losses (Gains) from Equity Method Investments4 | 35 | (8) | 57 | 126 |
Adjusted Revenues4 | $ 51,149 | $ 45,745 | $ 195,322 | $ 180,644 |
Consolidated Earnings, net of taxes | ||||
Shareholders' Net Income | $ 1,029 | $ 1,193 | $ 5,164 | $ 6,704 |
Net Realized Investment Losses (Gains)1 | 58 | (17) | 114 | 496 |
Amortization of Acquired Intangible Assets1 | 360 | 284 | 1,413 | 1,345 |
Special Items1 | 552 | 73 | 757 | (1,232) |
Adjusted Income from Operations1 | $ 1,999 | $ 1,533 | $ 7,448 | $ 7,313 |
Shareholders' Net Income, per share | $ 3.49 | $ 3.91 | $ 17.39 | $ 21.41 |
Adjusted Income from Operations1, per share | $ 6.79 | $ 5.02 | $ 25.09 | $ 23.36 |
- Total revenues for fourth quarter 2023 increased
12% from fourth quarter 2022, reflecting strong growth across Evernorth Health Services and Cigna Healthcare. - Shareholders' net income for fourth quarter 2023 was
$1.0 billion $3.49 $552 million $1.88 $1.2 billion $3.91 - Adjusted income from operations1 for fourth quarter 2023 increased
30% from fourth quarter 20223, reflecting strong contributions from Evernorth Health Services and Cigna Healthcare. - The SG&A expense ratio5 was
7.9% for fourth quarter 2023, compared to7.6% for fourth quarter 20223, reflecting the one-time cost of an organizational efficiency plan, partially offset by revenue growth. The adjusted SG&A expense ratio5 was7.4% for fourth quarter 2023, compared to7.6% for fourth quarter 20223. - The debt-to-capitalization ratio was
40.1% at December 31, 2023 compared to40.5% at September 30, 2023 and41.0% at December 31, 20223. - In 2023, the Company repurchased 7.8 million shares of common stock for approximately
$2.3 billion - On February 2, 2024, the Company's Board of Directors declared a cash quarterly dividend of
$1.40 14% increase from the 2023 cash quarterly dividend of$1.23
CUSTOMER RELATIONSHIPS
The following table summarizes The Cigna Group's medical customers and overall customer relationships:
Customer Relationships (in thousands):
As of the Periods Ended | ||
December 31, | ||
2023 | 2022 | |
Total Pharmacy Customers6 | 98,570 | 93,905 |
18,170 | 16,206 | |
International Health | 1,610 | 1,798 |
Total Medical Customers6 | 19,780 | 18,004 |
Behavioral Care | 24,956 | 44,841 |
Dental | 18,543 | 18,397 |
Medicare Part D | 2,550 | 2,874 |
Total Customer Relationships6 | 164,399 | 178,021 |
- Total pharmacy customers6 at December 31, 2023 increased
5% from December 31, 2022 to 98.6 million due to new sales and the continued expansion of relationships. - Total medical customers6 at December 31, 2023 grew
10% from December 31, 2022 to 19.8 million, an increase of 1.8 million customers, primarily driven by growth inU.S. Healthcare, including fee-based customers as well as Individual and Family Plans and Medicare Advantage customers. - Customer relationships6 were impacted by the non-renewal of a supplemental behavioral coverage contract with New York Life, which was insignificant to total revenues and adjusted income from operations1. Excluding the impact of this contract6, behavioral care and total customer relationships6 at December 31, 2023 increased
1% and4% , respectively, from December 31, 2022.
HIGHLIGHTS OF SEGMENT RESULTS
See Exhibit 1 for a reconciliation of adjusted income (loss) from operations1 to shareholders' net income.
Evernorth Health Services
This segment offers a broad range of coordinated and point solution health services and capabilities, as well as those from partners across the health care system, in Pharmacy Benefits, Home Delivery Pharmacy, Specialty Pharmacy, Distribution and Care Delivery and Management Solutions to health plans, employers, government organizations and health care providers.
Financial Results (dollars in millions): | ||||
Three Months Ended | Year Ended | |||
December 31, | December 31, | |||
2023 | 2022 | 2023 | 2022 | |
Adjusted Revenues4 | $ 40,519 | $ 36,188 | $ 153,499 | $ 140,335 |
Adjusted Income from Operations, Pre-Tax1 | $ 1,890 | $ 1,725 | $ 6,442 | $ 6,127 |
Adjusted Margin, Pre-Tax7 | 4.7 % | 4.8 % | 4.2 % | 4.4 % |
- Fourth quarter and full year 2023 adjusted revenues4 increased
12% and9% , relative to fourth quarter and full year 2022, respectively, reflecting strong organic growth in specialty pharmacy and care solutions. - Fourth quarter and full year 2023 adjusted income from operations, pre-tax1, increased
10% and5% , relative to fourth quarter and full year 2022, respectively, reflecting continued affordability improvements and growth in specialty, partially offset by increased strategic investments in technology to support the onboarding of new clients and continued advancement of our digital capabilities and care solutions. - Fourth quarter and full year 2023 adjusted margin, pre-tax7, was
4.7% and4.2% , compared to4.8% and4.4% , for fourth quarter and full year 2022, respectively, reflecting continued strategic investments in technology to support the onboarding of new clients and expansion of existing client relationships.
Cigna Healthcare
This segment includes the
Financial Results (dollars in millions): | ||||
Three Months Ended | Year Ended | |||
December 31, | December 31, | |||
2023 | 20223 | 2023 | 20223 | |
Adjusted Revenues4,8 | $ 13,005 | $ 11,132 | $ 51,205 | $ 45,037 |
Adjusted Income from Operations, Pre-Tax1 | $ 969 | $ 517 | $ 4,478 | $ 4,099 |
Adjusted Margin, Pre-Tax7 | 7.5 % | 4.6 % | 8.7 % | 9.1 % |
- Fourth quarter and full year 2023 adjusted revenues4,8 grew
17% and14% , over fourth quarter and full year 2022, respectively, reflecting customer growth and premium rate increases to cover underlying medical cost trends. - Fourth quarter 2023 adjusted income from operations, pre-tax1, increased relative to fourth quarter 20223, primarily driven by a lower adjusted SG&A expense ratio5, reflecting strong revenue growth, timing of investments, and operating efficiency, as well as a lower MCR5 and higher net investment income.
- Full year 2023 adjusted income from operations, pre-tax1, increased relative to full year 20223, primarily driven by a lower MCR5 and a lower adjusted SG&A expense ratio5.
- The Cigna Healthcare MCR5 was
82.2% and81.3% for fourth quarter and full year 2023 compared to83.8% and81.7% for fourth quarter and full year 2022, respectively. The fourth quarter and full year 2023 MCR5 benefited from continued strong performance in ourU.S. Healthcare business, including affordability initiatives, effective pricing execution, and favorable stop loss results. - Cigna Healthcare net medical costs payable9 was
$4.86 billion $5.09 billion $3.96 billion $279 million $259 million
Corporate and Other Operations
Corporate reflects interest expense, amounts not allocated to operating segments and includes intersegment eliminations. Additionally, this discussion includes items reported in Other Operations, which is comprised of Corporate Owned Life Insurance ("COLI") and the Company's run-off operations.
Financial Results (dollars in millions): | ||||
Three Months Ended | Year Ended | |||
December 31, | December 31, | |||
2023 | 20223 | 2023 | 20223 | |
Adjusted (Loss) from Operations, Pre-Tax1 | $ (400) | $ (375) | $ (1,602) | $ (957) |
- Fourth quarter 2023 adjusted loss from operations, pre-tax1, was
$400 million $375 million - Full year 2023 adjusted loss from operations, pre-tax1, was
$1,602 million $957 million
2024 OUTLOOK2
The Cigna Group's outlook2 for full year 2024 adjusted revenues2,4 is at least
(dollars in millions, except where noted and per share amounts) | ||
2024 Consolidated Metrics | Projection for Full Year Ending December 31, 2024 | |
Adjusted Revenues2,4 | at least | |
Adjusted Income from Operations1,2 | at least | |
Adjusted Income from Operations, per share1,2 | at least | |
Adjusted SG&A Expense Ratio2,5 | ~ | |
Adjusted Effective Tax Rate2,11 | ||
Cash Flow from Operations2 | at least | |
Capital Expenditures2 | ||
Shareholder Dividends2 | ||
Weighted Average Shares Outstanding (millions)2 | 282 to 286 | |
2024 Evernorth Metrics | ||
Adjusted Income from Operations, Pre-Tax1,2 | at least | |
2024 Cigna Healthcare Metrics | ||
Adjusted Income from Operations, Pre-Tax1,2 | at least | |
Medical Care Ratio2,5 | ||
Total Medical Customers2,6 | ~19.3M | |
The foregoing statements represent the Company's current estimates of The Cigna Group's 2024 consolidated and segment adjusted income from operations1,2 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 The Cigna Group's website in the Investor Relations section (https://investors.thecignagroup.com/overview/default.aspx). Management will be hosting a conference call to review full year 2023 results and discuss full year 2024 outlook beginning today at 8:30 a.m. ET. A link to the conference call is available in the Investor Relations section of The Cigna Group's website located at https://investors.thecignagroup.com/events-and-presentations/default.aspx.
The call-in numbers for the conference call are as follows:
Live Call
(888) 566-1889 (Domestic)
(773) 799-3989 (International)
Passcode: 2022024
Replay
(800) 839-9317 (Domestic)
(203) 369-3605 (International)
It is strongly suggested you dial in to the conference call by 8:15 a.m. ET.
About The Cigna Group
The Cigna Group (NYSE: CI) is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Evernorth Health Services, Cigna Healthcare, or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has approximately 165 million customer relationships around the world. Learn more at thecignagroup.com.
Notes: | |
1. | Adjusted income (loss) from operations is a principal financial measure of profitability used by The Cigna Group's management because it presents the underlying results of operations of the Company's businesses and permits analysis of trends in underlying revenue, expenses and shareholders' net income. Adjusted income from operations is defined as shareholders' net income (or income before income taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding net realized investment results, amortization of acquired intangible assets and special items. The Cigna Group's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. Special items are matters that management believes are not representative of the underlying results of operations due to their nature or size. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results. Consolidated adjusted income (loss) from operations 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. |
2. | Management is not able to provide a reconciliation of adjusted income from operations to shareholders' net income (loss), adjusted revenues to total revenues, adjusted SG&A expense ratio to SG&A expense ratio, or adjusted effective tax rate to effective tax rate, 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 The Cigna Group'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 other 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 2024 dividends. | |
As announced in January 2021, The Cigna Group 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 The Cigna Group 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. | |
3. | Effective January 1, 2023, The Cigna Group adopted ASU 2018-12, Targeted Improvements to the Accounting for Long-Duration Contracts, and related amendments. Prior year results have been restated to reflect the adoption of the new accounting guidance. |
4. | Adjusted revenues is used by The Cigna Group's management because it permits analysis of trends in underlying revenue. The Company defines adjusted revenues as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. Special items are matters that management believes are not representative of the underlying results of operations due to their nature or size. We exclude these items from this measure because management believes they are not indicative of past or future underlying performance of the business. Adjusted revenues is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, total revenues. See Exhibit 1 for a reconciliation of consolidated adjusted revenues to total revenues. |
5 | Operating ratios are defined as follows: |
| |
6. | Customer relationships are defined as follows: |
| |
7. | Adjusted margin, pre-tax, is calculated by dividing adjusted income (loss) from operations, pre-tax by adjusted revenues for each segment. |
8. | The Cigna Group owns noncontrolling interests in certain operating joint ventures. As such, the adjusted revenues for the Cigna Healthcare segment only include the Company's share of the joint ventures' earnings reported in Fees and Other Revenues using the equity method of accounting under GAAP. |
9. | Medical costs payable within the Cigna Healthcare segment are presented net of reinsurance and other recoverables. The gross medical costs payable balance was |
10. | On July 1, 2022, the Company completed the sale of its life, accident and supplemental benefits businesses in six countries ( |
11. | The measure "adjusted effective 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 effective tax rate as the consolidated income tax rate applicable to the Company's pre-tax income excluding pre-tax income (loss) attributable to noncontrolling interests, net realized investment results, amortization of acquired intangible assets, and special items. The Cigna Group's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. 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. |
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 The Cigna Group'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 2024 on a consolidated, per share, and segment basis; projected adjusted revenue outlook for 2024; projected capital expenditures for 2024; projected total medical customer growth over year end 2023; projected medical care and adjusted SG&A expense ratios; projected consolidated adjusted effective tax rate; projected cash flow from operations; future dividends, including projected shareholder dividends for 2024; projected weighted average shares outstanding; future financial or operating performance, including our ability to improve the health and vitality of those we serve; future growth, business strategy and strategic or operational initiatives; economic, regulatory or competitive environments, particularly with respect to the pace and extent of change in these areas and the impact of the developing inflationary and interest rate pressures; capital deployment plans and amounts available for future deployment; our prospects for growth in the coming years; the impact of revised accounting rules related to accounting for long-duration contracts; and other statements regarding The Cigna Group'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," "project," "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; our ability to compete effectively, differentiate our products and services from those of our competitors and maintain or increase market share; price competition, inflation 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; our ability to invest in and properly maintain our information technology and other business systems; our ability to prevent or contain effects of potential cyberattack or other privacy or data security incidents; risks related to our use of artificial intelligence and machine learning; political, legal, operational, regulatory, economic and other risks that could affect our multinational operations, including currency exchange rates; risks related to strategic transactions and realization of the expected benefits of such transactions, as well as integration or separation 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; 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 and 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, the risk of a recession or other economic downturn and resulting impact on employment metrics, stock market or changes in interest rates and 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; 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.thecignagroup.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. The Cigna Group 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.
THE CIGNA GROUP | Exhibit 1 | ||||||||||
COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited) | |||||||||||
Three Months Ended | Years Ended | ||||||||||
December 31, | December 31, | ||||||||||
(Dollars in millions, except per share amounts) | 2023 | 2022 (1) | 2023 | 2022 (1) | |||||||
REVENUES | |||||||||||
Pharmacy revenues | $ 137,243 | $ 128,566 | |||||||||
Premiums | 11,175 | 9,548 | 44,237 | 39,916 | |||||||
Fees and other revenues | 3,045 | 2,858 | 12,619 | 10,881 | |||||||
Net investment income | 290 | 212 | 1,166 | 1,155 | |||||||
Total Revenues | 51,114 | 45,753 | 195,265 | 180,518 | |||||||
Net realized investment results from certain equity method investments | 35 | (8) | 57 | 126 | |||||||
Adjusted revenues (2) | $ 195,322 | $ 180,644 | |||||||||
Shareholders' net income | $ 1,029 | $ 1,193 | $ 5,164 | $ 6,704 | |||||||
Pre-tax adjusted income (loss) from operations by segment | |||||||||||
Evernorth Health Services | $ 1,890 | $ 1,725 | $ 6,442 | $ 6,127 | |||||||
Cigna Healthcare | 969 | 517 | 4,478 | 4,099 | |||||||
Corporate and Other Operations | (400) | (375) | (1,602) | (957) | |||||||
Consolidated pre-tax adjusted income from operations | 2,459 | 1,867 | 9,318 | 9,269 | |||||||
Adjusted income tax expense | (460) | (334) | (1,870) | (1,956) | |||||||
Consolidated after-tax adjusted income from operations | $ 1,999 | $ 1,533 | $ 7,448 | $ 7,313 | |||||||
Weighted average shares (in thousands) | 294,565 | 305,413 | 296,882 | 313,065 | |||||||
Common shares outstanding (in thousands) | 292,504 | 298,676 | |||||||||
SHAREHOLDERS' EQUITY at December 31, | |||||||||||
SHAREHOLDERS' EQUITY PER SHARE at December 31, | |||||||||||
Three Months Ended | Years Ended | ||||||||||
December 31, | December 31, | ||||||||||
2023 | 2022 (1) | 2023 | 2022 (1) | ||||||||
(Dollars in millions, except per share amounts) | Pre-tax | After-tax | Pre-tax | After-tax | Pre-tax | After-tax | Pre-tax | After-tax | |||
SHAREHOLDERS' NET INCOME | |||||||||||
Shareholders' net income | $ 1,029 | $ 1,193 | $ 5,164 | $ 6,704 | |||||||
Adjustments to reconcile adjusted income from operations | |||||||||||
Net realized investment losses (gains) (3) | $ 69 | 58 | $ (14) | (17) | $ 135 | 114 | $ 613 | 496 | |||
Amortization of acquired intangible assets | 451 | 360 | 457 | 284 | 1,819 | 1,413 | 1,876 | 1,345 | |||
Special Items | |||||||||||
Loss (gain) on sale of businesses | 1,478 | 1,410 | 73 | 56 | 1,499 | 1,429 | (1,662) | (1,332) | |||
Charge for organizational efficiency plan | 252 | 193 | — | — | 252 | 193 | 22 | 17 | |||
Charges (benefits) associated with litigation matters | — | — | — | — | 201 | 171 | (28) | (20) | |||
Integration and transaction-related costs | 25 | 20 | 23 | 17 | 45 | 35 | 135 | 103 | |||
Deferred tax (benefits), net | — | (1,071) | — | — | — | (1,071) | — | — | |||
Adjusted income from operations (4) | $ 1,999 | $ 1,533 | $ 7,448 | $ 7,313 | |||||||
DILUTED EARNINGS PER SHARE | |||||||||||
Shareholders' net income | $ 3.49 | $ 3.91 | $ 17.39 | $ 21.41 | |||||||
Adjustments to reconcile to adjusted income from operations | |||||||||||
Net realized investment losses (gains) (3) | $ 0.23 | 0.20 | $ (0.05) | (0.06) | $ 0.45 | 0.38 | $ 1.96 | 1.59 | |||
Amortization of acquired intangible assets | 1.53 | 1.22 | 1.50 | 0.93 | 6.13 | 4.77 | 5.99 | 4.30 | |||
Special Items | |||||||||||
Loss (gain) on sale of businesses | 5.02 | 4.79 | 0.23 | 0.18 | 5.05 | 4.81 | (5.31) | (4.26) | |||
Charge for organizational efficiency plan | 0.86 | 0.66 | — | — | 0.85 | 0.65 | 0.07 | 0.05 | |||
Charges (benefits) associated with litigation matters | — | — | — | — | 0.68 | 0.58 | (0.09) | (0.06) | |||
Integration and transaction-related costs | 0.08 | 0.07 | 0.08 | 0.06 | 0.15 | 0.12 | 0.43 | 0.33 | |||
Deferred tax (benefits), net | — | (3.64) | — | — | — | (3.61) | — | — | |||
Adjusted income from operations (4) | $ 6.79 | $ 5.02 | $ 25.09 | $ 23.36 | |||||||
(1) | Effective January 1, 2023, The Cigna Group adopted ASU 2018-12, Targeted Improvements to the Accounting for Long-Duration Contracts, and related amendments. Prior year results have been restated to reflect the adoption of the new accounting guidance. Please refer to the Summary of Significant Accounting Policies footnote in The Cigna Group's Form 10-K for the period ended December 31, 2023, expected to be filed on February 29, 2024, for additional details. |
(2) | Adjusted revenues is defined as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare 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. |
(3) | Includes The Cigna Group's share of certain realized investments results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. |
(4) | Adjusted income (loss) from operations is defined as shareholders' net income (or income before income taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding the following adjustments: net realized investment results, amortization of acquired intangible assets and special items. The Cigna Group's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. |
INVESTOR RELATIONS CONTACT:
Ralph Giacobbe
860-787-7968
Ralph.Giacobbe@TheCignaGroup.com
MEDIA CONTACT:
Justine Sessions
860-810-6523
Justine.Sessions@Evernorth.com
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SOURCE The Cigna Group
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