Common-Size Income Statement
Quarterly Data
Based on: 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31), 10-K (reporting date: 2021-12-31), 10-Q (reporting date: 2021-09-30), 10-Q (reporting date: 2021-06-30), 10-Q (reporting date: 2021-03-31), 10-K (reporting date: 2020-12-31), 10-Q (reporting date: 2020-09-30), 10-Q (reporting date: 2020-06-30), 10-Q (reporting date: 2020-03-31).
The financial trajectory from early 2020 through early 2025 is characterized by a fundamental shift in the revenue composition and a corresponding compression of profit margins. There is a clear transition in the business model, with a decreasing reliance on product-based revenue and an increasing dependence on insurance premiums, which has introduced higher volatility in cost structures and overall net profitability.
- Revenue Composition Trends
- A structural pivot in revenue streams is evident. Product revenues, which accounted for approximately 70% to 71% of total revenues between 2020 and 2022, declined significantly to a range of 61% to 63% by 2024 and 2025. Conversely, premium revenues grew from approximately 25% to 26% in the 2020-2022 period to between 31% and 34% in the final quarters of the analysis. Service-based revenues remained a minor component but showed a slight increase from roughly 3% to 4% over the observed period.
- Cost of Revenue and Margin Analysis
- The cost of revenues has generally trended upward, moving from roughly 82% in 2020 to peak at 87.47% in late 2024. This is primarily driven by a substantial increase in health care costs, which rose from an average of 21% to 22% in the early periods to over 30% starting in early 2024. While the cost of products sold as a percentage of revenue decreased from approximately 61% to 54% over the same timeframe, this improvement was insufficient to offset the rising health care costs. Consequently, gross profit margins experienced a gradual decline from approximately 17-18% in 2020 to between 12% and 14% in the later periods.
- Operating Performance and Non-Recurring Charges
- Operating income exhibits significant volatility, particularly in 2022. A sharp decline to -4.86% of revenue occurred in the third quarter of 2022, largely attributable to opioid litigation charges totaling 6.45% and losses on assets held for sale. Other non-recurring pressures include store impairments in late 2021 and periodic restructuring charges. Despite these disruptions, operating expenses as a percentage of revenue showed a slight downward trend, improving from approximately 13% in 2020 to roughly 11% by 2024, indicating a degree of operational efficiency in overhead management.
- Net Profitability and Bottom-Line Results
- Net income attributable to the parent company has trended downward over the five-year period. From a peak of 4.57% in mid-2020, the net margin generally settled into a range of 1.2% to 2.5% by 2024 and 2025. The volatility in the bottom line is closely tied to the aforementioned litigation charges and the shifting cost of health care delivery. Net investment income provided a minor but consistent positive contribution, generally ranging between 0.2% and 0.7% of revenues, providing a slight buffer against operating losses.
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