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Biggest CapEx Healthcare Stocks

Top healthcare companies ranked by capital expenditures, latest annual filings.

What Capital Expenditures Mean for Healthcare Companies

Capital expenditures in healthcare carry very different meanings across subindustries within the sector. Hospital systems spend heavily on buildings, imaging equipment, and electronic health record platforms. Device and instrument makers fund manufacturing capacity and regulatory validation. Drug developers, whose largest investment is research rather than physical plant, run comparatively modest capex programs because their core asset is intellectual property protected by patents, not the factories that manufacture the product.

Why It Matters Less in Healthcare

For providers and device makers, sustained capex funds capacity expansion and productivity improvements that translate into future revenue and margin. For drug developers, the more meaningful investment line is research and development, which is expensed immediately rather than capitalized. A capex ranking mixes these models and risks flattering capital-heavy providers while understating the innovation spend that actually drives value in the pharmaceutical and biotech side of the sector.

What to Read Alongside

Pair capex with [Free Cash Flow](/financials/top-free-cash-flow-stocks/healthcare/) to see what remains after reinvestment, [Net Income](/financials/top-net-income-stocks/healthcare/) for the profit the asset base produces, and [R&D Spending](/financials/top-rd-spending-stocks/healthcare/) for the innovation investment that capex often does not capture.

Data as of FY 2025 100 companies Rhea AI
# Symbol Company Sector
1 HCA HCA Healthcare, Inc. Healthcare $4.94B $86.49B
2 JNJ Johnson & Johnson Healthcare $4.83B $611.36B
3 MRK Merck & Co., Inc. Healthcare $4.11B $317.37B
4 UNH UnitedHealth Group Incorporated Healthcare $3.62B $377.45B
5 CVS CVS Health Corporation Healthcare $2.83B $131.99B
6 AZN AstraZeneca PLC Healthcare $2.81B $294.07B
7 PFE Pfizer Inc. Healthcare $2.63B $137.24B
8 ABT Abbott Laboratories Healthcare $2.17B $158.05B
9 MDT Medtronic plc Healthcare $1.90B $100.14B
10 AMGN Amgen Inc. Healthcare $1.86B $195.44B
11 NVS Novartis AG Healthcare $1.55B $299.04B
12 TMO Thermo Fisher Scientific Inc. Healthcare $1.52B $186.32B
13 WBA Walgreens Boots Alliance, Inc. Healthcare $1.38B $10.37B
14 BMY Bristol-Myers Squibb Company Healthcare $1.31B $117.66B
15 ABBV AbbVie Inc. Healthcare $1.21B $444.60B
16 DHR Danaher Corporation Healthcare $1.16B $134.82B
17 ELV Elevance Health, Inc. Healthcare $1.12B $83.98B
18 UHS Universal Health Services, Inc. Healthcare $1.02B $9.00B
19 THC Tenet Healthcare Corporation Healthcare $1.01B $16.11B
20 REGN Regeneron Pharmaceuticals, Inc. Healthcare $0.90B $65.37B
21 BSX Boston Scientific Corporation Healthcare $0.88B $63.44B
22 CNC Centene Corporation Healthcare $0.77B $31.70B
23 SYK Stryker Corporation Healthcare $0.76B $120.70B
24 BDX Becton, Dickinson and Company Healthcare $0.76B $41.70B
25 EHC Encompass Health Corporation Healthcare $0.74B $10.03B
26 COR Cencora, Inc. Healthcare $0.67B $55.06B
27 ZTS Zoetis Inc. Healthcare $0.62B $30.13B
28 IQV IQVIA Holdings Inc. Healthcare $0.60B $32.25B
29 DVA DaVita Inc. Healthcare $0.58B $14.28B
30 ACHC Acadia Healthcare Company, Inc. Healthcare $0.57B $2.72B
31 GILD Gilead Sciences, Inc. Healthcare $0.56B $156.86B
32 CAH Cardinal Health, Inc. Healthcare $0.55B $55.64B
33 HUM Humana Inc. Healthcare $0.55B $47.69B
34 ISRG Intuitive Surgical, Inc. Healthcare $0.54B $140.84B
35 DGX Quest Diagnostics Incorporated Healthcare $0.53B $23.46B
36 UTHR United Therapeutics Corporation Healthcare $0.52B $23.00B
37 BAX Baxter International Inc. Healthcare $0.51B $11.01B
38 TEVA Teva Pharmaceutical Industries Limited Healthcare $0.50B $39.45B
39 GEHC GE HealthCare Technologies Inc. Healthcare $0.48B $29.12B
40 MDLN Medline Inc. Healthcare $0.45B $33.35B
41 VRTX Vertex Pharmaceuticals Incorporated Healthcare $0.44B $126.07B
42 MCK McKesson Corporation Healthcare $0.44B $88.46B
43 LH Labcorp Holdings Inc. Healthcare $0.43B $22.96B
44 BHC Bausch Health Companies Inc. Healthcare $0.40B $1.84B
45 AHCO AdaptHealth Corp. Healthcare $0.38B $1.42B
46 SOLV Solventum Corporation Healthcare $0.38B $13.36B
47 VTRS Viatris Inc. Healthcare $0.38B $18.49B
48 STE STERIS plc Healthcare $0.37B $20.52B
49 DXCM DexCom, Inc. Healthcare $0.36B $25.99B
50 COO The Cooper Companies, Inc. Healthcare $0.36B $13.99B
51 BLCO Bausch + Lomb Corporation Healthcare $0.35B $5.90B
52 WST West Pharmaceutical Services, Inc. Healthcare $0.29B $25.36B
53 ELAN Elanco Animal Health Incorporated Healthcare $0.28B $12.29B
54 ATR AptarGroup, Inc. Healthcare $0.27B $7.99B
55 EW Edwards Lifesciences Corporation Healthcare $0.26B $52.09B
56 RDY Dr. Reddy's Laboratories Limited Healthcare $0.25B $12.07B
57 ATNF ETHZilla Corporation Healthcare $0.24B $1.08B
58 HIMS Hims & Hers Health, Inc. Healthcare $0.24B $8.02B
59 SEM Select Medical Holdings Corporation Healthcare $0.23B $2.05B
60 ZBH Zimmer Biomet Holdings, Inc. Healthcare $0.22B $16.66B
61 MMED MiniMed Group, Inc. Healthcare $0.22B $4.20B
62 CRL Charles River Laboratories International, Inc. Healthcare $0.22B $10.92B
63 BKD Brookdale Senior Living Inc. Healthcare $0.20B $3.84B
64 QGEN Qiagen N.V. Healthcare $0.20B $8.06B
65 ENOV Enovis Corporation Healthcare $0.20B $1.19B
66 MRNA Moderna, Inc. Healthcare $0.19B $27.79B
67 PODD Insulet Corporation Healthcare $0.19B $10.55B
68 QDEL QuidelOrtho Corporation Healthcare $0.19B $1.19B
69 ONC BeOne Medicines AG Healthcare $0.19B $29.57B
70 ICLR ICON Public Limited Company Healthcare $0.17B $13.31B
71 GMED Globus Medical, Inc. Healthcare $0.16B $10.73B
72 OGN Organon & Co. Healthcare $0.16B $3.56B
73 BIO Bio-Rad Laboratories, Inc. Healthcare $0.16B $7.86B
74 BIIB Biogen Inc. Healthcare $0.15B $31.90B
75 ILMN Illumina, Inc. Healthcare $0.15B $26.60B
76 HSIC Henry Schein, Inc. Healthcare $0.14B $9.51B
77 SHC Sotera Health Company Healthcare $0.14B $5.06B
78 EXAS Exact Sciences Corp Healthcare $0.13B $20.03B
79 XRAY DENTSPLY SIRONA Inc. Healthcare $0.13B $2.13B
80 AVTR Avantor, Inc. Healthcare $0.13B $6.76B
81 IDXX IDEXX Laboratories, Inc. Healthcare $0.12B $41.53B
82 WAT Waters Corporation Healthcare $0.11B $36.82B
83 MTD Mettler-Toledo International Inc. Healthcare $0.11B $25.82B
84 NTRA Natera, Inc. Healthcare $0.11B $38.88B
85 NEOG Neogen Corporation Healthcare $0.10B $1.96B
86 BMRN BioMarin Pharmaceutical Inc. Healthcare $0.10B $11.06B
87 ALGN Align Technology, Inc. Healthcare $0.10B $12.08B
88 SRPT Sarepta Therapeutics, Inc. Healthcare $0.10B $1.90B
89 MOH Molina Healthcare, Inc. Healthcare $0.10B $11.92B
90 BTSG BrightSpring Health Services, Inc. Healthcare $0.10B $13.69B
91 TFX Teleflex Incorporated Healthcare $0.10B $5.61B
92 PRGO Perrigo Company plc Healthcare $0.09B $1.44B
93 ITGR Integer Holdings Corporation Healthcare $0.09B $3.17B
94 BRKR Bruker Corporation Healthcare $0.09B $9.16B
95 RMD ResMed Inc. Healthcare $0.09B $28.27B
96 ICUI ICU Medical, Inc. Healthcare $0.09B $3.66B
97 CON Concentra Group Holdings Parent, Inc. Healthcare $0.08B $3.81B
98 MMSI Merit Medical Systems, Inc. Healthcare $0.08B $4.14B
99 IART Integra LifeSciences Holdings Corporation Healthcare $0.08B $1.40B
100 LIVN LivaNova PLC Healthcare $0.08B $4.52B

How this ranking is built

Companies are ranked by capital expenditures as reported in their most recent annual filing with the SEC. Figures shown are in US dollars (or percent, as noted), rounded to two decimals.

  • Source: annual 10-K / 20-F filings from companies trading on US exchanges (NYSE, Nasdaq, AMEX).
  • Fiscal year: whichever annual period the company has most recently filed. Fiscal years don't always align with the calendar year, so the "as of FY" stamp above reflects the most common year across the table.
  • Filtered out: warrants, preferred shares, and duplicate listings that share a parent company's financials.
  • Update cadence: refreshed as companies file new annual reports (typically within 60–90 days of fiscal year end).

Not financial advice. This is a research tool, not a recommendation.