Third Quarter 2023 Investor Presentation
Connecting for a healthier future
T H E C I G N A G R O U P I N V E S T O R P R E S E N T A T I O N
N O V E M B E R 2 , 2 0 2 3
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Forward-looking statements
CAUTIONARY STATEMENT FOR PURPOSES OF THE "SAFE HARBOR" PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995
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
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; 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 downtuand 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.
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Non-GAAP measures and other key financial information
Throughout this presentation, the term "adjusted earnings" means adjusted income (loss) from operations, and "adjusted earnings per share" or "adjusted EPS" means adjusted income (loss) from operations on a diluted per share basis.
Adjusted income (loss) from operations is a principal financial measure of profitability used by
Adjusted revenues is used by
Note Regarding Outlook
The Company's long-term outlooks include future share repurchases and anticipated dividends, but does not include the potential effects from other business combinations or divestitures that may occur after the date of this presentation.
Management is not able to provide a reconciliation of adjusted income from operations to shareholders' net income (loss) (including on a per share basis) 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 and total revenues could vary materially.
Note Regarding Share Repurchases and Dividends
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.
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Connecting for a healthier future
Purpose and mission
Well-positioned growth platforms
Long-term framework
Quarter results
2023 full year guidance
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O U R P U R P O S E A N D M I S S I O N
To improve the health
and vitality of those we serve.
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Two well-positioned growth platforms
Portfolio of health services
Provides coordinated and point solution health services and capabilities to health plans, employers, government organizations and health care providers
- Pharmacy Benefit Services
Specialty Pharmacy - Care Services
Suite of health benefits
Provides comprehensive medical and coordinated solutions to clients and customers
U.S. CommercialU.S. Government International Health
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Our pathways to growth
FOUNDATIONAL
GROWTH
Scaled businesses contributing steady, predictable growth
- Pharmacy Benefit Services
U.S. CommercialInternational Health
~60%
of revenue
ACCELERATED
GROWTH
High-growth businesses in very attractive markets
Specialty Pharmacy - Evernorth Care Services
U.S. Government
~40%
of revenue
CROSS-ENTERPRISE
LEVERAGE
A focus on working together to create even greater value
- Deepening relationships
- Driving digital-first future
- Generating free cash flow
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Enterprise leverage - deepening relationships
~30% ~50%
todaylong-term opportunity
Enterprise leverage expected to create
of additional
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Expected cash flow generation and capital deployment framework
|
long-term target |
||
~40% debt-to-capitalization |
ratio |
||
capital expenditures |
|||
|
and surplus |
||
to fund growth |
|||
2022-2026 cash flow |
|
STRATEGIC M&A |
|
from operations |
~20% dividend |
Strategically aligned |
|
~10% repay debt |
Financially attractive |
||
~70% share repurchase, |
|||
strategic M&A |
High probability of closing |
||
Dividends, debt repayment, share repurchases, and strategic M&A are subject to Board discretion. |
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Strong long-term shareholder value
6 - 8%
- 4 - 5%
- 10 - 13%
long-term targeted average annual adjusted earnings growth
long-term targeted average annual contribution from accretive capital deployment
long-term targeted average annual adjusted EPS growth
PLUS AN ATTRACTIVE DIVIDEND
Dividends are subject to Board discretion. |
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