Calculation
| Net profit margin | = | 100 | × | Net income attributable to Express Scripts1 | ÷ | Revenues1 | |
|---|---|---|---|---|---|---|---|
| Dec 31, 2017 | 4.51% | = | 100 | × | 4,517,400) | ÷ | 100,064,600) |
| Dec 31, 2016 | 3.39% | = | 100 | × | 3,404,400) | ÷ | 100,287,500) |
| Dec 31, 2015 | 2.43% | = | 100 | × | 2,476,400) | ÷ | 101,751,800) |
| Dec 31, 2014 | 1.99% | = | 100 | × | 2,007,600) | ÷ | 100,887,100) |
| Dec 31, 2013 | 1.77% | = | 100 | × | 1,844,600) | ÷ | 104,098,800) |
| Dec 31, 2012 | 1.40% | = | 100 | × | 1,312,900) | ÷ | 93,858,100) |
| Dec 31, 2011 | 2.77% | = | 100 | × | 1,275,800) | ÷ | 46,128,300) |
| Dec 31, 2010 | 2.63% | = | 100 | × | 1,181,200) | ÷ | 44,973,200) |
| Dec 31, 2009 | 3.34% | = | 100 | × | 827,600) | ÷ | 24,748,900) |
| Dec 31, 2008 | 3.53% | = | 100 | × | 776,100) | ÷ | 21,978,000) |
| Dec 31, 2007 | 3.11% | = | 100 | × | 567,800) | ÷ | 18,273,600) |
| Dec 31, 2006 | 2.69% | = | 100 | × | 474,400) | ÷ | 17,660,000) |
| Dec 31, 2005 | 2.46% | = | 100 | × | 400,000) | ÷ | 16,266,000) |
Based on: 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
1 US$ in thousands
Financial performance from 2005 to 2017 is characterized by substantial revenue expansion and a steady increase in net income, although the net profit margin exhibited a non-linear trajectory with distinct periods of contraction and expansion.
- Revenue and Net Income Trajectory
- Revenues experienced aggressive growth, rising from $16.27 billion in 2005 to approximately $100.06 billion by 2017. This growth was marked by two significant surges in 2010 and 2012, after which revenues stabilized around the $100 billion threshold. Simultaneously, net income attributable to the company maintained a consistent upward trend, growing from $400 million in 2005 to $4.52 billion in 2017.
- Net Profit Margin Volatility
- The net profit margin initially trended upward, moving from 2.46% in 2005 to a peak of 3.53% in 2008. However, a period of margin compression followed, with the ratio declining to a low of 1.40% in 2012. This contraction occurred despite the rapid increase in total revenues, suggesting that the cost of scaling or the nature of the revenue growth during this period exerted downward pressure on profitability ratios.
- Operational Efficiency and Margin Recovery
- A sustained recovery in profitability is observed from 2013 through 2017. During this final phase, the net profit margin expanded from 1.77% to 4.51%. This improvement occurred while revenues remained relatively flat, indicating that the increase in net income was driven by enhanced operational efficiency and cost management rather than further top-line growth.
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Comparison to Competitors
| Express Scripts Holding Co. | Abbott Laboratories | Elevance Health Inc. | Intuitive Surgical Inc. | Medtronic PLC | UnitedHealth Group Inc. | |
|---|---|---|---|---|---|---|
| Dec 31, 2017 | 4.51% | 1.74% | 4.31% | 21.09% | 13.56% | 5.28% |
| Dec 31, 2016 | 3.39% | 6.71% | 2.93% | 27.21% | 12.27% | 3.81% |
| Dec 31, 2015 | 2.43% | 21.68% | 3.27% | 24.69% | 13.20% | 3.72% |
| Dec 31, 2014 | 1.99% | 11.28% | 3.52% | 19.65% | 18.02% | 4.33% |
| Dec 31, 2013 | 1.77% | 11.79% | 3.55% | 29.62% | 20.90% | 4.62% |
| Dec 31, 2012 | 1.40% | 14.95% | 4.37% | 30.14% | 22.35% | 5.03% |
| Dec 31, 2011 | 2.77% | 12.17% | 4.42% | 28.17% | 19.43% | 5.08% |
| Dec 31, 2010 | 2.63% | 13.15% | 4.99% | 27.02% | 19.59% | 4.95% |
| Dec 31, 2009 | 3.34% | 18.68% | 7.80% | 22.11% | 14.86% | 4.42% |
| Dec 31, 2008 | 3.53% | 16.53% | 4.04% | 23.35% | 16.51% | 3.70% |
| Dec 31, 2007 | 3.11% | 13.92% | 5.56% | 24.06% | 22.78% | 6.26% |
| Dec 31, 2006 | 2.69% | 7.64% | 5.52% | 19.33% | 22.55% | 5.89% |
| Dec 31, 2005 | 2.46% | 15.10% | 5.53% | 41.41% | 17.94% | 7.36% |
Based on: 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
Comparison to Sector (Health Care Equipment & Services)
Express Scripts Holding Co., net profit margin, long-term trends, comparison to sector (health care equipment & services)
| Express Scripts Holding Co. | Health Care Equipment & Services | |
|---|---|---|
| Dec 31, 2017 | 4.51% | 5.60% |
| Dec 31, 2016 | 3.39% | 4.73% |
| Dec 31, 2015 | 2.43% | 5.78% |
| Dec 31, 2014 | 1.99% | 5.76% |
| Dec 31, 2013 | 1.77% | 6.37% |
| Dec 31, 2012 | 1.40% | 8.05% |
| Dec 31, 2011 | 2.77% | 7.40% |
| Dec 31, 2010 | 2.63% | 7.67% |
| Dec 31, 2009 | 3.34% | 8.63% |
| Dec 31, 2008 | 3.53% | 6.88% |
| Dec 31, 2007 | 3.11% | 8.40% |
| Dec 31, 2006 | 2.69% | 7.20% |
| Dec 31, 2005 | 2.46% | 9.04% |
Based on: 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).
Comparison to Industry (Health Care)
Express Scripts Holding Co., net profit margin, long-term trends, comparison to industry (health care)
| Express Scripts Holding Co. | Health Care | |
|---|---|---|
| Dec 31, 2017 | 4.51% | 9.26% |
| Dec 31, 2016 | 3.39% | 12.80% |
| Dec 31, 2015 | 2.43% | 13.94% |
| Dec 31, 2014 | 1.99% | 14.40% |
| Dec 31, 2013 | 1.77% | 15.04% |
| Dec 31, 2012 | 1.40% | 13.92% |
| Dec 31, 2011 | 2.77% | 12.06% |
| Dec 31, 2010 | 2.63% | 11.90% |
| Dec 31, 2009 | 3.34% | 17.77% |
| Dec 31, 2008 | 3.53% | 13.00% |
| Dec 31, 2007 | 3.11% | 12.52% |
| Dec 31, 2006 | 2.69% | 15.30% |
| Dec 31, 2005 | 2.46% | 14.61% |
Based on: 10-K (reporting date: 2017-12-31), 10-K (reporting date: 2016-12-31), 10-K (reporting date: 2015-12-31), 10-K (reporting date: 2014-12-31), 10-K (reporting date: 2013-12-31), 10-K (reporting date: 2012-12-31), 10-K (reporting date: 2011-12-31), 10-K (reporting date: 2010-12-31), 10-K (reporting date: 2009-12-31), 10-K (reporting date: 2008-12-31), 10-K (reporting date: 2007-12-31), 10-K (reporting date: 2006-12-31), 10-K (reporting date: 2005-12-31).