The Idiot Index
Capital Extraction in Pharma & Healthcare · FY 2023
44 of 48 companies · highest first- 1BMYBristol-Myers Squibb153% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 1%1.5275× buybacks+dividends / net incomeverified
- 2AMGNAmgen153% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 3%1.5252× buybacks+dividends / net incomeverified
- 3CICigna149% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 6%1.4921× buybacks+dividends / net incomeverified
- 4BDXBD134% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 8%1.3375× buybacks+dividends / net incomeverified
- 5HCAHCA Healthcare127% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 10%1.2707× buybacks+dividends / net incomeverified
- 6CAHCardinal Health127% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 13%1.2651× buybacks+dividends / net incomeverified
- 7DGXQuest Diagnostics126% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 15%1.2571× buybacks+dividends / net incomeverified
- 8BIIBBiogen116% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 17%1.1567× buybacks+dividends / net incomeverified
- 9MDTMedtronic105% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 19%1.0460× buybacks+dividends / net incomeverified
- 10IDXXIDEXX Labs100% of net profit returned to shareholders — funded beyond current-year earningssector median 0.5294Top 22%1.0026× buybacks+dividends / net incomeverified
Not yet covered (4)
These companies are in the Pharma & Healthcare cohort but don't have a Capital Extraction computed for FY 2023. Either the underlying inputs aren't tagged in their XBRL filings, the DEF 14A pay-ratio narrative didn't parse cleanly, or this fiscal year hasn't been ingested for them yet.
What this measures
Full methodology →How much of net profit goes to shareholders rather than back into the business.
- Ratio
- Capital Extraction
- Sector
- Pharma & Healthcare
- Methodology version
- v1.0.0
Applied to pharmaceutical and integrated healthcare companies. COGS captures manufacturing of drugs, devices, and clinical services; R&D in this sector is capitalized into pipeline value rather than expensed-and-forgotten, so the Shareholder Extraction ratio carries explicit weight as an indicator of capital allocation priority.
What share of after-tax profit is returned to shareholders rather than reinvested. Universal across sectors — works for banks, insurers, REITs, and utilities where the Shareholder Extraction ratio (which divides by R&D) is undefined. A value of 1.0 means 100% of net income flows back out to shareholders; above 1.0 means the company is funding shareholder returns from sources beyond current-year earnings (debt, retained cash, asset sales).
Source data: PaymentsForRepurchaseOfCommonStock, PaymentsOfDividends, NetIncomeLoss (us-gaap) or ProfitLoss (ifrs-full).