Stocks · Health care · Hospital & Medical Service Plans
United States Fiscal year ends December CIK 0001739940
$282.43 +0.50% Close, 9 Oct 2026
Price $282.43 +38.49% Close, 9 Oct 2026

Closing prices at the end of each trading day, from 12 Oct 2016. Not a live quote. Adjusted for share splits, so the line has no step at a split; dividends are not added back. P/E and P/FCF are the market value over the last full fiscal year's net income or free cash flow, as public on each day, so they step once a year when the annual report comes out. A hatched band marks a stretch with none: a year of net loss, or of cash burnt.

Revenue and profit

What the business sells, and what is left of it. Point at a year for the detail.
RevenueOperating incomeNet income
Fiscal year 2016Revenue39.84Operating income3.09Net income1.84EPS, diluted7.19Fiscal year 2017Revenue41.81 +4.9%Operating income3.94Net income2.23 +21.1%EPS, diluted8.77Fiscal year 2018Revenue48.65 +16.4%Operating income4.16Net income2.65 +18.5%EPS, diluted10.54Fiscal year 2019Revenue153.57 +215.7%Operating income8.08Net income5.12 +93.5%EPS, diluted13.44Fiscal year 2020Revenue160.40 +4.5%Operating income8.15Net income8.49 +65.8%EPS, diluted22.96Fiscal year 2021Revenue174.07 +8.5%Operating income7.94Net income5.42 −36.2%EPS, diluted15.75Fiscal year 2022Revenue180.52 +3.7%Operating income8.45Net income6.78 +25.1%EPS, diluted21.41Fiscal year 2023Revenue195.27 +8.2%Operating income8.54Net income5.16 −23.9%EPS, diluted17.39Fiscal year 2024Revenue247.12 +26.6%Operating income9.42Net income3.43 −33.5%EPS, diluted12.12Fiscal year 2025Revenue274.90 +11.2%Operating income9.20Net income5.96 +73.5%EPS, diluted22.18
FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Revenue 39.84 41.81 48.65 153.57 160.40 174.07 180.52 195.27 247.12 274.90
Growth +4.9% +16.4% +215.7% +4.5% +8.5% +3.7% +8.2% +26.6% +11.2%
Operating income 3.09 3.94 4.16 8.08 8.15 7.94 8.45 8.54 9.42 9.20
Net income 1.84 2.23 2.65 5.12 8.49 5.42 6.78 5.16 3.43 5.96
Growth +21.1% +18.5% +93.5% +65.8% −36.2% +25.1% −23.9% −33.5% +73.5%
EPS, diluted 7.19 8.77 10.54 13.44 22.96 15.75 21.41 17.39 12.12 22.18

Margins

How much of each dollar of revenue it keeps. Point at a year for the detail.
Operating marginNet margin
Fiscal year 2016Operating margin7.8%Net margin4.6%Free cash flow margin8.9%Fiscal year 2017Operating margin9.4%Net margin5.3%Free cash flow margin8.6%Fiscal year 2018Operating margin8.6%Net margin5.4%Free cash flow margin6.7%Fiscal year 2019Operating margin5.3%Net margin3.3%Free cash flow margin5.5%Fiscal year 2020Operating margin5.1%Net margin5.3%Fiscal year 2021Operating margin4.6%Net margin3.1%Fiscal year 2022Operating margin4.7%Net margin3.8%Fiscal year 2023Operating margin4.4%Net margin2.6%Fiscal year 2024Operating margin3.8%Net margin1.4%Fiscal year 2025Operating margin3.3%Net margin2.2%
FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Operating margin 7.8% 9.4% 8.6% 5.3% 5.1% 4.6% 4.7% 4.4% 3.8% 3.3%
Net margin 4.6% 5.3% 5.4% 3.3% 5.3% 3.1% 3.8% 2.6% 1.4% 2.2%
Free cash flow margin 8.9% 8.6% 6.7% 5.5% n/a n/a n/a n/a n/a n/a

Cash flow

The cash the business makes, what it reinvests, and what it hands back. Point at a year for the detail.
Operating cash flowCapital expenditureFree cash flow
Fiscal year 2016Operating cash flow4.03Capital expenditure−0.46Free cash flow3.57Buybacks−0.14Fiscal year 2017Operating cash flow4.09Capital expenditure−0.47Free cash flow3.62 +1.4%Buybacks−2.73Fiscal year 2018Operating cash flow3.77Capital expenditure−0.53Free cash flow3.24 −10.3%Buybacks−0.34Fiscal year 2019Operating cash flow9.49Capital expenditure−1.05Free cash flow8.44 +160.2%Buybacks−1.99Dividends paid−0.02Fiscal year 2020Operating cash flow10.35Buybacks−4.04Dividends paid−0.02Fiscal year 2021Operating cash flow7.19Buybacks−7.74Dividends paid−1.34Fiscal year 2022Operating cash flow8.66Buybacks−7.61Dividends paid−1.38Fiscal year 2023Operating cash flow11.81Buybacks−2.28Dividends paid−1.45Fiscal year 2024Operating cash flow10.36Buybacks−7.03Dividends paid−1.57Fiscal year 2025Operating cash flow9.60Buybacks−3.62Dividends paid−1.61
FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Operating cash flow 4.03 4.09 3.77 9.49 10.35 7.19 8.66 11.81 10.36 9.60
Capital expenditure −0.46 −0.47 −0.53 −1.05 n/a n/a n/a n/a n/a n/a
Free cash flow 3.57 3.62 3.24 8.44 n/a n/a n/a n/a n/a n/a
Growth +1.4% −10.3% +160.2%
Buybacks −0.14 −2.73 −0.34 −1.99 −4.04 −7.74 −7.61 −2.28 −7.03 −3.62
Dividends paid n/a n/a n/a −0.02 −0.02 −1.34 −1.38 −1.45 −1.57 −1.61

Balance sheet

What it holds against what it owes, at each year end. Point at a year for the detail.
CashTotal debt
Fiscal year 2016Cash3.19Shareholders’ equity13.70Fiscal year 2017Cash2.97Total debt0.13Net cash (debt)2.84Shareholders’ equity13.71Debt to equity0.01Fiscal year 2018Cash3.86Total debt39.52Net cash (debt)−35.67Shareholders’ equity41.03Debt to equity0.96Fiscal year 2019Cash4.62Shareholders’ equity45.34Fiscal year 2020Cash10.18Shareholders’ equity50.32Fiscal year 2021Cash5.08Shareholders’ equity47.11Fiscal year 2022Cash5.92Shareholders’ equity44.68Fiscal year 2023Cash7.82Shareholders’ equity46.22Fiscal year 2024Cash7.55Shareholders’ equity41.03Fiscal year 2025Cash7.68Shareholders’ equity41.71
FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025
Cash 3.19 2.97 3.86 4.62 10.18 5.08 5.92 7.82 7.55 7.68
Total debt n/a 0.13 39.52 n/a n/a n/a n/a n/a n/a n/a
Net cash (debt) n/a 2.84 −35.67 n/a n/a n/a n/a n/a n/a n/a
Shareholders’ equity 13.70 13.71 41.03 45.34 50.32 47.11 44.68 46.22 41.03 41.71
Debt to equity n/a 0.01 0.96 n/a n/a n/a n/a n/a n/a n/a

In billions of USD, except per-share figures and ratios. Fiscal years, as last filed with the SEC.

Financial statements FY2025 · 10-K

Ratios

Percentages worked out from the filed figures; debt to equity in times. Fiscal years ending December, each column as last filed with the SEC.
Click a line to chart it
Fiscal year FY2016 31 Dec 2016 FY2017 31 Dec 2017 FY2018 31 Dec 2018 FY2019 31 Dec 2019 FY2020 31 Dec 2020 FY2021 31 Dec 2021 FY2022 31 Dec 2022 FY2023 31 Dec 2023 FY2024 31 Dec 2024 FY2025 31 Dec 2025
Margins
7.8% 9.4% 8.6% 5.3% 5.1% 4.6% 4.7% 4.4% 3.8% 3.3%
7.5% 8.6% 7.4% 4.3% 6.8% 3.9% 4.7% 2.8% 2.1% 2.8%
4.6% 5.3% 5.4% 3.3% 5.3% 3.1% 3.8% 2.6% 1.4% 2.2%
8.9% 8.6% 6.7% 5.5% n/a n/a n/a n/a n/a n/a
Spending
24.6% 24.0% 24.5% 9.2% 8.8% 7.5% 7.3% 7.6% 6.0% 5.3%
1.2% 1.1% 1.1% 0.7% n/a n/a n/a n/a n/a n/a
38.1% 38.1% 26.1% 22.1% 21.9% 20.2% 19.2% 2.6% 28.3% 19.2%
Returns
13.4% 16.3% 6.4% 11.3% 16.9% 11.5% 15.2% 11.2% 8.4% 14.3%
n/a 3.6% 1.7% 3.3% 5.5% 3.5% 4.7% 3.4% 2.2% 3.8%
Balance and payout
n/a 0.01 0.96 n/a n/a n/a n/a n/a n/a n/a
n/a 77.7% 73.2% 70.9% 67.6% 69.5% 68.9% 69.7% 73.5% 73.5%
n/a n/a n/a 0.3% 0.2% 24.7% 20.4% 28.1% 45.6% 27.0%
3.9% 75.4% 10.5% 23.7% n/a n/a n/a n/a n/a n/a