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Cigna (CI) Q4 Earnings Top on U.S. Commercial Unit, Dividend Up

Cigna Corporation CI reported fourth-quarter 2022 adjusted earnings of $4.96 per share, which outpaced the Zacks Consensus Estimate by 2.5% and our estimate of $4.84 per share. The bottom line advanced 4% year over year.

Adjusted revenues inched up 0.1% year over year to $45,743 million, thanks to better pharmacy revenues coupled with higher fees and other revenues. The top line beat the consensus mark by a whisker and exceeded our estimate of $44,354.2 million.

The quarterly results were aided by solid performance of the Evernorth business, strong membership growth and a decline in expense level.

Cigna’s medical customer base came in at 18 million, which grew 5.4% year over year as of Dec 31, 2022. The growth came on the back of a well-performing U.S. Commercial business. The reported figure matched both the consensus mark and our estimate.

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Total benefits and expenses declined 0.3% year over year to $44,026 million in the quarter under review. The adjusted selling, general and administrative (SG&A) expense ratio of 7.6% deteriorated 20 basis points (bps) year over year.

Cigna Corporation Price, Consensus and EPS Surprise

Cigna Corporation Price, Consensus and EPS Surprise
Cigna Corporation Price, Consensus and EPS Surprise

Cigna Corporation price-consensus-eps-surprise-chart | Cigna Corporation Quote

Segmental Performances

Evernorth: Adjusted revenues in the segment rose 3% year over year to $36,188 million on the back of solid organic growth in specialty pharmacy services. The reported figure beat our estimate of $34,238.9 million.

Adjusted operating income on a pretax basis came in at $1,725 million, which grew 6% year over year but lagged the Zacks Consensus Estimate of $1,749 million. The metric witnessed a year-over-year increase resulting from steady affordability enhancements and business growth.

Cigna Healthcare: The segment recorded adjusted revenues of $11,131 million in the fourth quarter, which dipped 1% year over year but outpaced our estimate of $9,820.1 million. The decline in U.S. Government medical customers and net investment income accounted for the year-over-year decrease in the segmental revenues.

Adjusted operating income on a pretax basis advanced 6% year over year to $500 million on the back of an improved Medical care ratio (MCR). The metric, however, fell shy of the consensus mark of $511 million.

The segment’s MCR of 84% improved 300 bps year over year at the fourth-quarter end, courtesy of reduced direct COVID costs and better stop-loss results.

Financial Position (as of Dec 31, 2022)

Cigna exited the fourth quarter with cash and cash equivalents of $5,924 million, which increased 16.6% from the 2021-end level. Total assets of $143.9 billion fell 7.1% from the figure as of Dec 31, 2021.

Long-term debt amounted to $28,100 million, which declined 9.7% from the 2021-end level. Short-term debt totaled $2,993 million.

Shareholders’ equity of $44,872 million tumbled 4.8% from the figure in 2021 end.

During 2022, net cash provided by operating activities came in at $8,656 million, which climbed 20.4% year over year.

Debt-to-capitalization ratio of 40.9% at the fourth-quarter end improved 80 bps year over year.

Share Repurchase Update

Cigna bought back 27.4 million shares of common stock worth $7.6 billion in 2022.

Dividend Hike Announced

On Feb 2, 2023, Cigna’s board of directors approved a 10% hike in the quarterly cash dividend. The increased dividend amounting to $1.23 per share will be paid out on Mar 23, 2023 to shareholders of record as on Mar 8.

2023 Guidance

Adjusted revenues are anticipated at a minimum of $187 billion this year. The outlook indicates growth of at least 3.5% from the 2022 reported figure of $180.5 billion.

Adjusted earnings per share are predicted to be a minimum of $24.60, which suggests minimum growth of 5.7% from the 2022 figure of $23.27.

CI forecasts total medical customer growth of at least 1,200,000 in 2023.

MCR is expected within 81.5-82.5%. The adjusted SG&A expense ratio is estimated at roughly 7.3% for this year.

Adjusted operating income on a pretax basis for Evernorth and Cigna Healthcare businesses is anticipated at around $6,400 million and $4,400 million, respectively.

Operating cash flow is projected to be a minimum of $9,000 million. Meanwhile, capital expenditures are estimated at around $1,400 million.

Long-Term Targets

Cigna expects to achieve average annual adjusted earnings per share growth  within 10-13% in the long term.

Over the 2022-2026 period, management expects CI to generate operating cash flows of roughly $50 billion.

Zacks Rank

Cigna currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.

Other Medical Sector Releases

Of the Medical sector players that have reported fourth-quarter results so far, the bottom lines of Thermo Fisher Scientific Inc. TMO, Elevance Health Inc. ELV and Humana Inc. HUM beat the Zacks Consensus Estimate.

Thermos Fisher reported fourth-quarter 2022 adjusted earnings per share of $5.40 beating the Zacks Consensus Estimate by 4.1%. However, the figure declined 17% year over year. Revenues in the quarter under review grossed $11.45 billion, up 6.9% year over year. The top line exceeded the Zacks Consensus Estimate by 10.6%. Organic revenues of TMO in the reported quarter declined 3% year over year, while currency translation lowered revenues by 4%. Products added with acquisitions boosted revenues by 14%.

Elevance Health’s fourth-quarter 2022 earnings of $5.23 per share beat the Zacks Consensus Estimate of $5.20 by 0.6%. Additionally, the bottom line advanced 1.8% year over year. ELV’s operating revenues improved 10.1% year over year to $39,667 million in the quarter under review. The top line missed the consensus mark by a whisker. Medical membership of Elevance Health as of Dec 31, 2022, totaled 47.5 million, which rose 4.8% year over year in the fourth quarter. Premiums of $33,646 million rose 9.4% year over year.

Humana reported fourth-quarter 2022 adjusted earnings per share of $1.62, beating the Zacks Consensus Estimate by 11%. The bottom line climbed 30.6% year over year. Revenues of HUM amounted to $22,439 million, which rose 6.6% year over year in the quarter under review. Yet, the top line fell short of the consensus mark by a whisker. Total premiums of HUM grew 7.3% year over year to $21,275 million.

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