Thursday, March 14, 2019

All 75 US Health Care Companies With Stock Market Caps Above $10 Bil Saw Their Total Pretax Earnings Decline By 33% in the 4Q 2018

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The 6 Health Care Insurance Cos Total Pretax Earnings Increased By 11% in the 4Q 2018, While the 69 Other Health Care Cos Saw Their Total Pretax Earnings Decline By 41% in the 4Q 2018.
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So, Which US States Were Hit the Hardest By the US Health Care Cos Total Pretax Earnings Decline of 33% in the 4Q 2018?

  • The 17 California Health Care Cos Saw Their Total Pretax Earnings Decline By 42% in the 4Q 2018.
  • The 8 New Jersey Health Care Cos Total Pretax Earnings Dropped By 90% in the 4Q 2018.
  • The 4 Illinois Health Care Cos Saw Their Total Pretax Earnings Decline By 90% in the 4Q 2018.
  • The 4 New York Health Care Cos Saw Their Total Pretax Earnings Drop By 40% in the 4Q 2018.
  • And the 13 Massachusetts Health Care Cos Saw Their Total Pretax Earnings Decline By 13% in the 4Q 2018.
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From a review of SEC filings and individual Company information in  MSN Money, I found 76 US Health Care Companies with with stock market caps sometime in 2018 of more than $10 Bil.

Of these 76 Cos, 1 of them hasn't released its 4Q 2018 earnings by March 13, 2019, which leaves 75 Cos.


My Focus is on Pretax Income rather than on After-Tax Net Income because Corporate Income Taxes are simply a transfer of financial wealth between US Corporations and the US Federal, US State and Foreign Governments.  It has nothing whatsoever to do with Company Operating Performance.

The chart below shows the Gold-Standard US GAAP Total Pretax Income (Loss) From Continuing Operations for the 4Q (November 2018, December 2018 or January 2019 quarter ends) of both 2018 and 2017 for each of these 75 Health Care Companies, sorted by US State Headquarters.

US US
GAAP GAAP
Pretax Pretax
Income Income
(Loss) (Loss)
Nov 18 Nov 17
Dec 18 Dec 17
US Health Care Companies or or Better
US Stock Market Caps > $10 Bil Jan 19 Jan 18 (Worse)
State Releasing Their 4Q 2018 Earnings Quarter Quarter %
HQs By March 13, 2019 End End  Change
mils $ mils $ mils $
California Cos
 CA  Amgen         2,185         2,214 -1%
CA Gilead Sciences         1,016         2,126 -52%
 CA  McKesson            650            697 -7%
CA Intuitive Surgical             359            341 5%
CA Agilent Technologies            248            233 6%
CA Illumina            210            224 -6%
CA Jazz Pharmaceuticals            165            119 39%
CA Resmed            146            142 3%
CA Varian Medical            137            123 11%
CA Align Technologies            120            114 5%
CA Cooper Cos              94              75 25%
CA Neurocrine Biosciences              19                7 171%
 CA  Edwards Lifesciences               (2)            324 -101%
CA Biomarin Pharmaceuticals             (43)              55 -178%
CA Nektar Therapeutics           (100)             (34) NM
CA Dexcom           (177)                9 -2067%
CA Bio-Rad Labs        (1,047)              46 -2376%
Total 17 California Cos         3,980         6,815 -42%
Illinois Cos
IL Walgreen's Boots Alliance         1,280         1,049 22%
IL Abbott Labs            947            574 65%
 IL  Baxter Intl            445            293 52%
IL AbbVie        (2,373)         1,193 -299%
Total 4 Illinois Cos            299         3,109 -90%
Indiana
IN Eli Lilly            939            284 231%
IN Anthem            542            126 330%
IN Elanco Animal Health               (2)           (155) NM
IN Zimmer Biomet           (866)           (124) NM
Total 4 Indiana Cos            613            131 368%
Massachusetts Cos
MA Biogen         1,415         1,400 1%
MA Thermo Fisher Scientific         1,012            820 23%
 MA  Boston Scientific            296            227 30%
MA Waters Corp            198            226 -12%
MA Hologic            104              96 8%
 MA  Abiomed              65              46 41%
MA Vertex Pharmaceutical              32            112 -71%
MA Alkermes               (2)              11 -118%
MA Alexion Pharmaceuticals             (33)              89 -137%
MA Sarepta Therapeutics           (142)             (26) NM
MA bluebird bio           (149)           (117) NM
MA Alnylam Pharmaceuticals           (211)           (142) NM
MA BeiGene Ltd           (275)             (94) NM
Total 13 Massachusetts Cos         2,310         2,648 -13%
New Jersey Cos
NJ Johnson & Johnson         3,122         2,560 22%
 NJ  Merck         2,604         1,879 39%
NJ Celgene         1,117         1,131 -1%
NJ Becton Dickinson            714            105 580%
NJ Zoetis            418            430 -3%
 NJ  Quest Diagnostics            179            244 -27%
NJ Bausch Health Cos           (426)           (804) NM
NJ Allergan plc        (5,593)           (410) NM
Total 8 New Jersey Cos         2,135         5,135 -58%
New York Cos
NY Bristol-Myers Squibb         1,547            698 122%
NY Regeneron Pharmaceuticals            676            555 22%
NY Henry Schein            170            215 -21%
NY Pfizer           (946)            953 -199%
Total 4 New York Cos         1,447         2,421 -40%
Pennsylvania Cos
PA AmerisourceBergen            433            359 21%
PA Universal Health Services            207            302 -31%
PA Teleflex              96              67 43%
PA Mylan NV              77            327 -76%
PA Dentsply Sirona              77           (713) NM
Total 5 Pennsylvania Cos            890            342 160%
Cos in all Other US States
CO DaVita            259              47 451%
 CT  Cigna            228            758 -70%
DE Incyte Corp              71           (148) NM
FL WellCare Health Plans              89                9 889%
KY Humana            438            490 -11%
 ME  Idexx Labs            107              90 19%
MI Stryker            657            649 1%
MI Perrigo Co plc            204            132 55%
MN UnitedHealth Group         4,123         3,669 12%
MN Medtronic plc         1,370         1,027 33%
MO Centene            357            168 113%
MO Cerner            172            222 -23%
NC Laboratory Corp of America            215            266 -19%
NC IQVIA Holdings            106              36 194%
OH Cardinal Health            407            317 28%
OH Steris plc              58              92 -37%
RI CVS Health            102         2,809 -96%
TN HCA Healthcare         1,489         1,377 8%
WA Seattle Genetics           (143)             (87) NM
WI Exact Sciences             (54)             (22) NM
Total 75 Health Care Cos
      21,929       32,502 -33%
….. Total 6 Health Insurance Cos
        5,777         5,220 11%
….. Total all 69 Other HC Cos
      16,152       27,282 -41%