Quarterly
Annual
| Unit: USD | 2025-09-30 | 2025-06-30 | 2025-03-31 | 2024-12-31 | 2024-09-30 | 2024-06-30 | 2024-03-31 | 2023-12-31 | 2023-09-30 | 2023-06-30 | 2023-03-31 | 2022-12-31 | 2022-09-30 | 2022-06-30 | 2022-03-31 | 2021-12-31 | 2021-09-30 | 2021-06-30 | 2021-03-31 | 2020-12-31 | 2020-09-30 | 2020-06-30 | 2020-03-31 | 2019-12-31 | 2019-09-30 | 2019-06-30 | 2019-03-31 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
revenues | |||||||||||||||||||||||||||
pharmacy revenues | 56,054,000,000 | 53,649,000,000 | 48,633,000,000 | 33,855,250,000 | 48,284,000,000 | 45,101,000,000 | 42,036,000,000 | 25,159,750,000 | 34,531,000,000 | 33,964,000,000 | 32,144,000,000 | 33,135,000,000 | 32,762,000,000 | 31,972,000,000 | 30,697,000,000 | 32,328,000,000 | 31,013,000,000 | 30,047,000,000 | 28,025,000,000 | 28,305,000,000 | 27,802,000,000 | 26,564,000,000 | 25,098,000,000 | 19,363,500,000 | 25,987,000,000 | 26,288,000,000 | 25,179,000,000 |
premiums | 9,081,000,000 | 9,156,000,000 | 12,736,000,000 | 8,623,250,000 | 11,436,000,000 | 11,454,000,000 | 11,603,000,000 | 8,265,500,000 | 10,998,000,000 | 11,039,000,000 | 11,025,000,000 | 9,547,000,000 | 9,586,000,000 | 10,426,000,000 | 10,356,000,000 | 10,342,000,000 | 10,275,000,000 | 10,323,000,000 | 10,214,000,000 | 10,699,000,000 | 10,682,000,000 | 10,406,000,000 | 10,840,000,000 | 7,427,250,000 | 9,935,000,000 | 9,803,000,000 | 9,971,000,000 |
fees and other revenues | 4,380,000,000 | 4,137,000,000 | 3,895,000,000 | 2,715,500,000 | 3,889,000,000 | 3,647,000,000 | 3,326,000,000 | 2,393,500,000 | 3,198,000,000 | 3,305,000,000 | 3,071,000,000 | 2,857,000,000 | 2,728,000,000 | 2,757,000,000 | 2,538,000,000 | 2,638,000,000 | 2,532,000,000 | 2,451,000,000 | 2,341,000,000 | 2,337,000,000 | 2,174,000,000 | 2,072,000,000 | 2,178,000,000 | 1,780,750,000 | 2,285,000,000 | 2,388,000,000 | 2,450,000,000 |
net investment income | 233,000,000 | 236,000,000 | 238,000,000 | 174,000,000 | 85,000,000 | 321,000,000 | 290,000,000 | -854,000,000 | 321,000,000 | 278,000,000 | 277,000,000 | 212,000,000 | 204,000,000 | 325,000,000 | 414,000,000 | 380,000,000 | 468,000,000 | 310,000,000 | 391,000,000 | 371,000,000 | 297,000,000 | 223,000,000 | 353,000,000 | 258,750,000 | 349,000,000 | 340,000,000 | 346,000,000 |
total revenues | 69,748,000,000 | 67,178,000,000 | 65,502,000,000 | -180,977,000,000 | 63,694,000,000 | 60,523,000,000 | 57,255,000,000 | -143,613,000,000 | 49,048,000,000 | 48,586,000,000 | 46,517,000,000 | 45,751,000,000 | 45,280,000,000 | 45,480,000,000 | 44,005,000,000 | 45,688,000,000 | 44,288,000,000 | 43,131,000,000 | 40,971,000,000 | 41,712,000,000 | 40,955,000,000 | 39,265,000,000 | 38,469,000,000 | 38,245,000,000 | 38,556,000,000 | 38,819,000,000 | 37,946,000,000 |
benefits and expenses | |||||||||||||||||||||||||||
pharmacy and other service costs | 55,530,000,000 | 53,268,000,000 | 48,398,000,000 | 33,372,000,000 | 47,565,000,000 | 44,492,000,000 | 41,431,000,000 | 24,635,000,000 | 33,639,000,000 | 33,442,000,000 | 31,459,000,000 | 32,094,000,000 | 31,777,000,000 | 31,150,000,000 | 29,813,000,000 | 31,247,000,000 | 30,070,000,000 | 29,001,000,000 | 27,235,000,000 | 27,059,000,000 | 26,624,000,000 | 25,611,000,000 | 24,190,000,000 | 18,391,250,000 | 24,552,000,000 | 24,963,000,000 | 24,050,000,000 |
medical costs and other benefit expenses | 7,842,000,000 | 7,749,000,000 | 10,498,000,000 | 7,120,500,000 | 9,527,000,000 | 9,515,000,000 | 9,440,000,000 | 6,751,750,000 | 8,927,000,000 | 9,034,000,000 | 9,046,000,000 | 7,992,000,000 | 7,754,000,000 | 8,192,000,000 | 8,268,000,000 | 8,743,000,000 | 8,330,000,000 | 8,484,000,000 | 8,005,000,000 | 8,847,000,000 | 8,429,000,000 | 7,112,000,000 | 8,322,000,000 | 5,732,500,000 | 7,734,000,000 | 7,576,000,000 | 7,620,000,000 |
selling, general and administrative expenses | 3,362,000,000 | 3,433,000,000 | 4,213,000,000 | -10,965,000,000 | 3,590,000,000 | 3,684,000,000 | 3,705,000,000 | -10,758,000,000 | 3,788,000,000 | 3,434,000,000 | 3,538,000,000 | 3,483,000,000 | 3,148,000,000 | 3,256,000,000 | 3,299,000,000 | 3,662,000,000 | 3,093,000,000 | 2,996,000,000 | 3,279,000,000 | 3,966,000,000 | 3,301,000,000 | 3,407,000,000 | 3,398,000,000 | 2,524,000,000 | 3,413,000,000 | 3,380,000,000 | 3,303,000,000 |
amortization of acquired intangible assets | 436,000,000 | 422,000,000 | 422,000,000 | 319,750,000 | 436,000,000 | 420,000,000 | 423,000,000 | 342,000,000 | 454,000,000 | 455,000,000 | 459,000,000 | 457,000,000 | 460,000,000 | 501,000,000 | 458,000,000 | 499,000,000 | 501,000,000 | 503,000,000 | 495,000,000 | 495,000,000 | 493,000,000 | 496,000,000 | 498,000,000 | -2,214,002,949 | 734,000,000 | 737,000,000 | 743,000,000 |
total benefits and expenses | 67,170,000,000 | 64,872,000,000 | 63,531,000,000 | 43,557,000,000 | 61,118,000,000 | 58,111,000,000 | 54,999,000,000 | 34,418,750,000 | 46,808,000,000 | 46,365,000,000 | 44,502,000,000 | 44,026,000,000 | 43,139,000,000 | 43,099,000,000 | 41,838,000,000 | 44,151,000,000 | 41,994,000,000 | 40,984,000,000 | 39,014,000,000 | 40,367,000,000 | 38,847,000,000 | 36,626,000,000 | 36,408,000,000 | 27,201,250,000 | 36,433,000,000 | 36,656,000,000 | 35,716,000,000 |
income from operations | 2,578,000,000 | 2,306,000,000 | 1,971,000,000 | -6,763,000,000 | 2,576,000,000 | 2,412,000,000 | 2,256,000,000 | -5,940,000,000 | 2,240,000,000 | 2,221,000,000 | 2,015,000,000 | 1,725,000,000 | 2,141,000,000 | 2,381,000,000 | 2,167,000,000 | 1,537,000,000 | 2,294,000,000 | 2,147,000,000 | 1,957,000,000 | 1,345,000,000 | 2,108,000,000 | 2,639,000,000 | 2,061,000,000 | 1,629,000,000 | 2,123,000,000 | 2,163,000,000 | 2,230,000,000 |
yoy | 0.08% | -4.39% | -12.63% | 13.86% | 15.00% | 8.60% | 11.96% | -444.35% | 4.62% | -6.72% | -7.01% | 12.23% | -6.67% | 10.90% | 10.73% | 14.28% | 8.82% | -18.64% | -5.05% | -17.43% | -0.71% | 22.01% | -7.58% | ||||
qoq | 11.80% | 17.00% | -129.14% | -362.54% | 6.80% | 6.91% | -137.98% | -365.18% | 0.86% | 10.22% | 16.81% | -19.43% | -10.08% | 9.88% | 40.99% | -33.00% | 6.85% | 9.71% | 45.50% | -36.20% | -20.12% | 28.04% | 26.52% | -23.27% | -1.85% | -3.00% | |
operating margin % | |||||||||||||||||||||||||||
interest expense and other | -347,000,000 | -337,000,000 | -362,000,000 | -315,000,000 | -376,000,000 | -375,000,000 | -322,000,000 | -271,500,000 | -365,000,000 | -363,000,000 | -358,000,000 | -324,000,000 | -304,000,000 | -301,000,000 | -299,000,000 | -293,000,000 | -303,000,000 | -298,000,000 | -314,000,000 | -337,000,000 | -336,000,000 | -374,000,000 | -391,000,000 | -322,750,000 | -411,000,000 | -428,000,000 | -452,000,000 |
gain on sale of businesses | 38,000,000 | 41,000,000 | -5,250,000 | -21,000,000 | -73,000,000 | 1,735,000,000 | |||||||||||||||||||||
net investment gains | 26,000,000 | 52,000,000 | |||||||||||||||||||||||||
income before income taxes | 2,295,000,000 | 2,021,000,000 | 1,648,000,000 | -4,169,000,000 | 1,192,000,000 | 1,989,000,000 | 79,000,000 | -6,239,000,000 | 1,840,000,000 | 1,884,000,000 | 1,601,000,000 | 1,328,000,000 | 3,491,000,000 | 1,985,000,000 | 1,549,000,000 | 1,312,000,000 | 2,059,000,000 | 1,898,000,000 | 1,513,000,000 | 5,378,000,000 | 1,804,000,000 | 2,289,000,000 | 1,397,000,000 | -5,308,993,430 | 1,763,000,000 | 1,758,000,000 | 1,788,000,000 |
total income taxes | 322,000,000 | 389,000,000 | 239,000,000 | 254,500,000 | 367,000,000 | 360,000,000 | 291,000,000 | 265,000,000 | 391,000,000 | 374,000,000 | 295,000,000 | 130,000,000 | 713,000,000 | 413,000,000 | 351,000,000 | 179,000,000 | 424,000,000 | 422,000,000 | 342,000,000 | 1,236,000,000 | 406,000,000 | 529,000,000 | 208,000,000 | 293,250,000 | 409,000,000 | 348,000,000 | 416,000,000 |
net income | 1,973,000,000 | 1,632,000,000 | 1,409,000,000 | 560,500,000 | 825,000,000 | 1,629,000,000 | -212,000,000 | 1,066,250,000 | 1,449,000,000 | 1,510,000,000 | 1,306,000,000 | 1,198,000,000 | 2,778,000,000 | 1,572,000,000 | 1,198,000,000 | 1,133,000,000 | 1,635,000,000 | 1,476,000,000 | 1,171,000,000 | 4,142,000,000 | 1,398,000,000 | 1,760,000,000 | 1,189,000,000 | 1,034,000,000 | 1,354,000,000 | 1,410,000,000 | 1,372,000,000 |
yoy | 139.15% | 0.18% | -764.62% | -47.43% | -43.06% | 7.88% | -116.23% | -11.00% | -47.84% | -3.94% | 9.02% | 5.74% | 69.91% | 6.50% | 2.31% | -72.65% | 16.95% | -16.14% | -1.51% | 300.58% | 3.25% | 24.82% | -13.34% | ||||
qoq | 20.89% | 15.83% | 151.38% | -32.06% | -49.36% | -868.40% | -119.88% | -26.41% | -4.04% | 15.62% | 9.02% | -56.88% | 76.72% | 31.22% | 5.74% | -30.70% | 10.77% | 26.05% | -71.73% | 196.28% | -20.57% | 48.02% | 14.99% | -23.63% | -3.97% | 2.77% | |
net income margin % | |||||||||||||||||||||||||||
less: net income attributable to noncontrolling interests | 105,000,000 | 100,000,000 | 86,000,000 | 58,000,000 | 86,000,000 | 81,000,000 | 65,000,000 | 32,500,000 | 41,000,000 | 50,000,000 | 39,000,000 | 29,000,000 | 21,000,000 | 13,000,000 | 15,000,000 | 17,000,000 | 14,000,000 | 9,000,000 | 10,000,000 | 7,000,000 | 10,000,000 | 6,000,000 | 8,000,000 | 2,250,000 | 3,000,000 | 2,000,000 | 4,000,000 |
shareholders' net income | 1,868,000,000 | 1,532,000,000 | 1,323,000,000 | -277,000,000 | 1,029,000,000 | 1,408,000,000 | 1,460,000,000 | 1,267,000,000 | 1,169,000,000 | 2,757,000,000 | 1,559,000,000 | 1,183,000,000 | 1,116,000,000 | 1,621,000,000 | 1,467,000,000 | 1,161,000,000 | |||||||||||
shareholders' net income per share | |||||||||||||||||||||||||||
basic | 7.02 | 5.76 | 4.88 | 1.783 | 2.65 | 5.51 | -0.97 | 3.508 | 4.79 | 4.96 | 4.28 | 3.94 | 9.07 | 4.95 | 3.71 | ||||||||||||
diluted | 6.98 | 5.71 | 4.85 | 1.763 | 2.63 | 5.45 | -0.97 | 3.473 | 4.74 | 4.92 | 4.24 | 3.88 | 8.97 | 4.9 | 3.68 | ||||||||||||
net investment losses | -2,000,000 | ||||||||||||||||||||||||||
loss on sale of businesses | -26,500,000 | -87,000,000 | -19,000,000 | ||||||||||||||||||||||||
net realized investment losses | -701,250,000 | -921,000,000 | -1,836,000,000 | -11,000,000 | -14,000,000 | -56,000,000 | |||||||||||||||||||||
shareholders’ net income | 502,500,000 | 739,000,000 | 1,548,000,000 | 1,080,750,000 | 1,388,000,000 | 1,754,000,000 | 1,181,000,000 | 977,000,000 | 1,351,000,000 | 1,408,000,000 | 1,368,000,000 | ||||||||||||||||
net realized investment gains | -48,000,000 | 26,000,000 | -81,000,000 | -95,000,000 | -319,000,000 | 68,000,000 | 68,000,000 | 59,000,000 | 1,000,000 | 167,000,000 | 32,000,000 | 38,000,000 | -88,000,000 | 21,000,000 | 51,000,000 | 23,000,000 | 10,000,000 | ||||||||||
debt extinguishment costs | -10,000,000 | -131,000,000 | -14,000,000 | -185,000,000 | |||||||||||||||||||||||
shareholders’ net income per share | |||||||||||||||||||||||||||
basic | 3.11 | 4.84 | 4.3 | 3.33 | 11.4 | 3.81 | 4.77 | 3.19 | 2.735 | 3.6 | 3.73 | 3.61 | |||||||||||||||
diluted | 3.08 | 4.8 | 4.25 | 3.3 | 11.3 | 3.78 | 4.73 | 3.15 | 2.708 | 3.57 | 3.7 | 3.56 | |||||||||||||||
the accompanying notes to the consolidated financial statements (unaudited) are an integral part of these statements. |
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