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Expand chart
Source: Axios analysis of company financial documents; Chart: Chris Canipe/Axios

Ten companies controlled half of the health care industry's $50 billion of global profit in the third quarter of this year, according to an analysis of financial documents for 112 publicly traded health care corporations. Nine of those 10 companies at the top are pharmaceutical firms.

The bottom line: Americans spend a lot more money on hospital and physician care than prescription drugs, but pharmaceutical companies pocket a lot more than other parts of the industry.

By the numbers: The health care industry's $50 billion of profit came from $636 billion of revenue, equating to a cumulative profit margin of almost 8%. Those are the highest figures of the past four quarters.

  • Approximately 63% of the profit total went to drug companies, even though they collected 23% of the revenue — numbers that mirror our past analyses.
  • Pfizer had the highest profit total ($4.1 billion) of any publicly traded health care company in the third quarter. Pfizer also said it will go back to its "normal" routine of raising drug prices after a public skirmish with President Trump.
  • Of the 19 companies that tallied at least $1 billion of third-quarter profit, 14 were drug companies. The others were either health insurers (UnitedHealth Group and Aetna) or involved in the drug supply chain (Walgreens, CVS Health, Express Scripts).
  • The analysis does not include not-for-profit hospital systems, but early returns still show the biggest systems have a lot of money.

Between the lines: The Republican tax law, which slashed the corporate tax rate, also continues to bolster the industry.

  • Drug firm AbbVie paid $14 million of income taxes on $2.76 billion of pre-tax earnings in the third quarter — an effective tax rate of just 0.5%. Pfizer's effective tax rate in Q3 was 1.6%.

The big picture: The health care industry arguably has more financial power now than at any point in its history, and a split Congress likely won't change that in the short term — even though patients are fed up with the system.

Go deeper

Heat dome roasts Northwest, Central states as "derecho" threat looms in Midwest

Weather map showing a sprawling heat dome centered over Kansas on July 30, 2021. (WeatherBell.com)

The latest in a series of relentless heat waves is bringing dangerously hot temperatures to a the Central U.S. on Wednesday, and will contribute to a severe thunderstorm outbreak across the Upper Midwest. The heat will expand in scope toward the end of the week.

The big picture: Heat watches, warnings and advisories are in effect across 19 states, from Portland, Oregon east to Minneapolis, and running all the way south to New Orleans. Temperatures of between 10°F and 15°F above average in these areas along with high humidity poses a public health threat.

Google offices to mandate vaccines

Photo: Brooks Kraft LLC/Corbis via Getty Images

Google announced Wednesday it would require all in-office workers and visitors to be vaccinated and that employees could continue working from home through Oct. 18.

Why it matters: It's another sign that the Delta variant's spread is upending corporate plans for a quick and steady resumption of in-office work.

1 hour ago - World

Israeli and Palestinian officials are speaking again

Isaac Herzog (L), then the leader of the opposition, meets with Mahmoud Abbas in 2015. Photo: Abbas MomaniI/AFP via Getty

Relations between the new Israeli government and the Palestinian Authority have shifted substantially in recent weeks, with Israeli officials going so far as to call it “a renaissance."

Why it matters: During Benjamin Netanyahu's 12-year tenure as prime minister, relations deteriorated to the point where there was almost no contact other than security coordination.