2009 | 2010 | ||||||
Price: | 23.98 | EPS | $3.70 | $4.10 | |||
Shares Out. (in M): | 273 | P/E | 6.5x | 5.8x | |||
Market Cap (in $M): | 6,541 | P/FCF | NA | NA | |||
Net Debt (in $M): | 1,095 | EBIT | 1,490 | 1,730 | |||
TEV (in $M): | 7,636 | TEV/EBIT | 5.1x | 4.4x |
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Investment Thesis
CIGNA Corporation (CI) looks like a compelling event-driven long opportunity with at least 20% upside and potentially 40% upside from current levels. The Company is currently evaluating the sale of its pharmacy benefit manager (PBM) unit which would be a value unlocking transaction as PBMs currently trade at a mean valuation of 17.6x 2009 EPS where as CI currently trades at 6.5x 2009E EPS. Further, the Company has significant incentive to sell the business as proceeds from the transaction would be used to address the Company's balance sheet issues (variable annuity exposure, underfunded pension, and commercial real estate holdings). These issues have been an overhang on the Company's stock as the market is concerned the Company could need to issue equity. Of note and as expanded upon below, CI is minimally exposed to any changes in health care brought about by the Obama administration.
Based on its 30-day average trading volume, the stock trades approximately $130 million / day so it's very liquid and easy to take a position in.
Company Description
CIGNA Corporation is one of the largest investor-owned health service organizations in the United States. Its provides health care and related benefits, the majority of which are offered through the workplace, including: health care products and services; group disability, life and accident insurance; and workers' compensation case management and related services. CIGNA's revenues are derived principally from premiums, fees, mail order pharmacy, other revenues and investment income. CIGNA's businesses are divided into the following segments:
Potential Sale of PBM Unit
On June 9th, 2009, CI hosted an investor day during which management commented that they were reviewing a potential sale of the Company's PBM unit. This is close on the heels of Express Scripts' (ESRX) recently announced acquisition of WellPoint's (WLP) PBM business (NextRx) on April 13, 2009. Key points to note are as follows:
Pharmacy Benefit Manager Industry | ||||||||||||||||||||
Consensus Estimates | ||||||||||||||||||||
7/13/09 3:50 PM | ||||||||||||||||||||
Bloomberg | Stock Price | Market | Enterprise | EV / Revenues | EV / EBITDA | EBITDA Margins | PE Ratio | |||||||||||||
Ticker | Name | 7/13/2009 | Cap | Value | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | ||||
MHS | MEDCO HEALTH SOL | $47.66 | 23,511 | 26,250 | 0.5 x | 0.4 x | 0.4 x | 9.6 x | 9.7 x | 8.7 x | 5.4% | 4.6% | 4.9% | 20.9 x | 17.5 x | 14.9 x | ||||
ESRX | EXPRESS SCRIPT | $64.98 | 16,296 | 20,680 | 0.9 x | 0.9 x | 0.7 x | 15.0 x | 12.4 x | 9.9 x | 6.3% | 7.2% | 6.7% | 20.8 x | 17.6 x | 14.5 x | ||||
Mean | 19,903 | 23,465 | 0.7 x | 0.7 x | 0.5 x | 12.3 x | 11.0 x | 9.3 x | 5.8% | 5.9% | 5.8% | 20.8 x | 17.6 x | 14.7 x | ||||||
Median | 19,903 | 23,465 | 0.7 x | 0.7 x | 0.5 x | 12.3 x | 11.0 x | 9.3 x | 5.8% | 5.9% | 5.8% | 20.8 x | 17.6 x | 14.7 x | ||||||
High | 23,511 | 26,250 | 0.9 x | 0.9 x | 0.7 x | 15.0 x | 12.4 x | 9.9 x | 6.3% | 7.2% | 6.7% | 20.9 x | 17.6 x | 14.9 x | ||||||
Low | 16,296 | 20,680 | 0.5 x | 0.4 x | 0.4 x | 9.6 x | 9.7 x | 8.7 x | 5.4% | 4.6% | 4.9% | 20.8 x | 17.5 x | 14.5 x |
Rationale for Sale
There are two main incentives for CI to sell its PBM unit:
Managed Health Care Industry | ||||||||||||||||||||
Consensus Estimates | ||||||||||||||||||||
7/13/09 3:53 PM | ||||||||||||||||||||
Bloomberg | Stock Price | Market | Enterprise | EV / Revenues | EV / EBITDA | EBITDA Margins | PE Ratio | |||||||||||||
Ticker | Name | 7/13/2009 | Cap | Value | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | 2008 | 2009 | 2010 | ||||
AET | AETNA INC | $26.32 | 11,891 | 13,146 | 0.4 x | 0.4 x | 0.4 x | 4.6 x | 4.3 x | 4.2 x | 9.2% | 8.9% | 8.8% | 6.7 x | 7.5 x | 6.7 x | ||||
HUM | HUMANA INC | $30.57 | 5,185 | 1,028 | 0.0 x | 0.0 x | 0.0 x | 0.8 x | 0.5 x | 0.6 x | 4.5% | 6.1% | 5.7% | 7.1 x | 5.0 x | 5.4 x | ||||
CI | CIGNA CORP | $24.66 | 6,725 | 7,820 | 0.4 x | 0.4 x | 0.4 x | 6.0 x | 4.3 x | 3.9 x | 6.9% | 9.5% | 10.1% | 7.2 x | 6.5 x | 6.0 x | ||||
UNH | UNITEDHEALTH GRP | $25.01 | 29,750 | 32,642 | 0.4 x | 0.4 x | 0.4 x | 5.2 x | 4.5 x | 4.6 x | 7.7% | 8.4% | 7.9% | 8.5 x | 8.2 x | 7.8 x | ||||
WLP | WELLPOINT INC | $49.84 | 24,154 | 28,429 | 0.5 x | 0.5 x | 0.5 x | 6.6 x | 5.5 x | 5.6 x | 7.0% | 8.4% | 8.1% | 9.1 x | 8.7 x | 7.9 x | ||||
CVH | COVENTRY HEALTH | $18.12 | 2,690 | 2,790 | 0.2 x | 0.2 x | 0.2 x | 3.4 x | 4.7 x | 4.0 x | 7.0% | 4.3% | 6.0% | 7.1 x | 9.9 x | 8.3 x | ||||
Mean | 13,399 | 14,309 | 0.3 x | 0.3 x | 0.3 x | 4.4 x | 4.0 x | 3.8 x | 7.0% | 7.6% | 7.8% | 7.6 x | 7.7 x | 7.0 x | ||||||
Median | 9,308 | 10,483 | 0.4 x | 0.4 x | 0.4 x | 4.9 x | 4.4 x | 4.1 x | 7.0% | 8.4% | 8.0% | 7.2 x | 7.8 x | 7.3 x | ||||||
High | 29,750 | 32,642 | 0.5 x | 0.5 x | 0.5 x | 6.6 x | 5.5 x | 5.6 x | 9.2% | 9.5% | 10.1% | 9.1 x | 9.9 x | 8.3 x | ||||||
Low | 2,690 | 1,028 | 0.0 x | 0.0 x | 0.0 x | 0.8 x | 0.5 x | 0.6 x | 4.5% | 4.3% | 5.7% | 6.7 x | 5.0 x | 5.4 x |
Minimal Exposure to Health Care Reform
CI's business should be minimally affected, if at all, by health care changes being proposed by the Obama administration. 75% of CI's revenues and approximately 60% of its operating earnings come from its Health Care segment. Within that, CI's medical membership is very heavily weighted (70%) toward the Commercial self-insured / Administrative Service Orientation (ASO) marketplace. Only 1% of CI's membership comes from the "individual and small group" market, the main target for government health care reform. Further, the Company derives minimal revenues from Medicare and is the least exposed of all the managed care companies to Medicare. Accordingly, recently proposed legislation (HR6331), which will cut revenues from Medicare, won't have much, if any, affect on the Company's financial performance.
There is, however, the risk that if the government enacts sweeping health care reform, all of the companies in the space will likely trade down, CI as well, even though it shouldn't. One may wish to hedge a long position in CI against a basket of other market participants (AET, UNH, etc. to hedge out some of this risk).
Valuation / Price Target
As shown in the comp analysis above, CI is trading at a 24% discount to its peers - 6.5x 2009E EPS for CI whereas Aetna (AET), UnitedHealth (UNH), WellPoint (WLP), and Coventry (CVH) are trading at a mean multiple of 8.6x 2009E EPS.
During the Company's June 9, 2009 investor meeting, management reiterated earnings guidance of $3.70-3.90 for 2009. The consensus sell-side EPS estimate for CI for 2009 is currently $3.72. Assuming that CI sells its PBM unit which contributes approximately $0.30 to CI's earnings, EPS should be approximately $3.40. Applying the peer multiple of 8.6x EPS to this $3.40 in EPS generates a per share value of $29.24, ~20% higher than current levels.
Of note, CI has historically traded at over 10x earnings. Applying this multiple to $3.40 generates a per share value of $34.00, ~40% higher than current levels.
The main catalyst for CI would be the sale of its PBM unit which management is currently evaluating. The Company has significant incentive to sell the business as proceeds from the transaction would be used to address the Company's balance sheet issues (variable annuity exposure, underfunded pension, and commercial real estate holdings). These issues have been an overhang on the Company's stock as the market is concerned the Company could need to issue equity.
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