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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 to see what remains after reinvestment, Net Income for the profit the asset base produces, and R&D Spending 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 $92.92B
2 JNJ Johnson & Johnson Healthcare $4.83B $651.25B
3 MRK Merck & Co., Inc. Healthcare $4.11B $376.37B
4 UNH UnitedHealth Group Incorporated Healthcare $3.62B $350.16B
5 CVS CVS Health Corporation Healthcare $2.83B $118.97B
6 AZN AstraZeneca PLC Healthcare $2.81B $257.42B
7 PFE Pfizer Inc. Healthcare $2.63B $159.99B
8 ABT Abbott Laboratories Healthcare $2.17B $194.98B
9 MDT Medtronic plc Healthcare $1.90B $119.49B
10 AMGN Amgen Inc. Healthcare $1.86B $237.52B
11 NVS Novartis AG Healthcare $1.55B $301.95B
12 TMO Thermo Fisher Scientific Inc. Healthcare $1.52B $232.67B
13 WBA Walgreens Boots Alliance, Inc. Healthcare $1.38B $10.37B
14 BMY Bristol-Myers Squibb Company Healthcare $1.31B $136.88B
15 ABBV AbbVie Inc. Healthcare $1.21B $468.22B
16 DHR Danaher Corporation Healthcare $1.16B $153.85B
17 ELV Elevance Health, Inc. Healthcare $1.12B $86.86B
18 UHS Universal Health Services, Inc. Healthcare $1.02B $10.45B
19 THC Tenet Healthcare Corporation Healthcare $1.01B $22.61B
20 REGN Regeneron Pharmaceuticals, Inc. Healthcare $0.90B $85.87B
21 BSX Boston Scientific Corporation Healthcare $0.88B $73.00B
22 CNC Centene Corporation Healthcare $0.77B $32.12B
23 SYK Stryker Corporation Healthcare $0.76B $126.37B
24 BDX Becton, Dickinson and Company Healthcare $0.76B $52.30B
25 EHC Encompass Health Corporation Healthcare $0.74B $11.87B
26 COR Cencora, Inc. Healthcare $0.67B $60.69B
27 CAH Cardinal Health, Inc. Healthcare $0.65B $53.38B
28 ZTS Zoetis Inc. Healthcare $0.62B $32.12B
29 IQV IQVIA Holdings Inc. Healthcare $0.60B $42.77B
30 DVA DaVita Inc. Healthcare $0.58B $11.09B
31 ACHC Acadia Healthcare Company, Inc. Healthcare $0.57B $2.59B
32 GILD Gilead Sciences, Inc. Healthcare $0.56B $181.18B
33 HUM Humana Inc. Healthcare $0.55B $45.50B
34 ISRG Intuitive Surgical, Inc. Healthcare $0.54B $133.83B
35 DGX Quest Diagnostics Incorporated Healthcare $0.53B $26.97B
36 UTHR United Therapeutics Corporation Healthcare $0.52B $22.01B
37 BAX Baxter International Inc. Healthcare $0.51B $13.62B
38 TEVA Teva Pharmaceutical Industries Limited Healthcare $0.50B $43.51B
39 GEHC GE HealthCare Technologies Inc. Healthcare $0.48B $33.80B
40 MDLN Medline Inc. Healthcare $0.45B $30.06B
41 VRTX Vertex Pharmaceuticals Incorporated Healthcare $0.44B $138.91B
42 MCK McKesson Corporation Healthcare $0.44B $100.14B
43 LH Labcorp Holdings Inc. Healthcare $0.43B $27.28B
44 A Agilent Technologies, Inc. Healthcare $0.41B $41.92B
45 BHC Bausch Health Companies Inc. Healthcare $0.40B $2.41B
46 AHCO AdaptHealth Corp. Healthcare $0.38B $0.75B
47 SOLV Solventum Corporation Healthcare $0.38B $15.25B
48 VTRS Viatris Inc. Healthcare $0.38B $18.75B
49 STE STERIS plc Healthcare $0.37B $23.20B
50 DXCM DexCom, Inc. Healthcare $0.36B $34.85B
51 COO The Cooper Companies, Inc. Healthcare $0.36B $14.87B
52 BLCO Bausch + Lomb Corporation Healthcare $0.35B $6.16B
53 WST West Pharmaceutical Services, Inc. Healthcare $0.29B $24.85B
54 ELAN Elanco Animal Health Incorporated Healthcare $0.28B $11.98B
55 ATR AptarGroup, Inc. Healthcare $0.27B $8.57B
56 EW Edwards Lifesciences Corporation Healthcare $0.26B $51.75B
57 RDY Dr. Reddy's Laboratories Limited Healthcare $0.25B $10.15B
58 ATNF ETHZilla Corporation Healthcare $0.24B $1.08B
59 HIMS Hims & Hers Health, Inc. Healthcare $0.24B $7.88B
60 SEM Select Medical Holdings Corp Healthcare $0.23B $2.05B
61 ZBH Zimmer Biomet Holdings, Inc. Healthcare $0.22B $19.26B
62 MMED MiniMed Group, Inc. Healthcare $0.22B $5.74B
63 CRL Charles River Laboratories International, Inc. Healthcare $0.22B $14.09B
64 BKD Brookdale Senior Living Inc. Healthcare $0.20B $2.82B
65 QGEN Qiagen N.V. Healthcare $0.20B $9.10B
66 ENOV Enovis Corporation Healthcare $0.20B $1.50B
67 MRNA Moderna, Inc. Healthcare $0.19B $69.62B
68 PODD Insulet Corporation Healthcare $0.19B $10.28B
69 QDEL QuidelOrtho Corporation Healthcare $0.19B $1.01B
70 ONC BeOne Medicines AG Healthcare $0.19B $42.36B
71 ICLR ICON Public Limited Company Healthcare $0.17B $13.29B
72 GMED Globus Medical, Inc. Healthcare $0.16B $11.67B
73 OGN Organon & Co. Healthcare $0.16B $3.61B
74 BIO Bio-Rad Laboratories, Inc. Healthcare $0.16B $10.16B
75 RMD ResMed Inc. Healthcare $0.16B $33.40B
76 BIIB Biogen Inc. Healthcare $0.15B $32.03B
77 ILMN Illumina, Inc. Healthcare $0.15B $33.13B
78 HSIC Henry Schein, Inc. Healthcare $0.14B $9.86B
79 SHC Sotera Health Company Healthcare $0.14B $5.58B
80 EXAS Exact Sciences Corp Healthcare $0.13B $20.03B
81 XRAY DENTSPLY SIRONA Inc. Healthcare $0.13B $2.18B
82 CTEV Claritev Corporation Healthcare $0.13B $0.63B
83 AVTR Avantor, Inc. Healthcare $0.13B $9.78B
84 IDXX IDEXX Laboratories, Inc. Healthcare $0.12B $43.88B
85 WAT Waters Corporation Healthcare $0.11B $40.35B
86 MTD Mettler-Toledo International Inc. Healthcare $0.11B $27.96B
87 NTRA Natera, Inc. Healthcare $0.11B $47.86B
88 BMRN BioMarin Pharmaceutical Inc. Healthcare $0.10B $12.91B
89 ALGN Align Technology, Inc. Healthcare $0.10B $11.55B
90 SRPT Sarepta Therapeutics, Inc. Healthcare $0.10B $1.98B
91 MOH Molina Healthcare, Inc. Healthcare $0.10B $10.46B
92 BTSG BrightSpring Health Services, Inc. Healthcare $0.10B $11.65B
93 TFX Teleflex Incorporated Healthcare $0.10B $5.88B
94 PRGO Perrigo Company plc Healthcare $0.09B $1.98B
95 ITGR Integer Holdings Corporation Healthcare $0.09B $4.26B
96 BRKR Bruker Corporation Healthcare $0.09B $9.07B
97 ICUI ICU Medical, Inc. Healthcare $0.09B $4.57B
98 CON Concentra Group Holdings Parent, Inc. Healthcare $0.08B $4.46B
99 MMSI Merit Medical Systems, Inc. Healthcare $0.08B $5.42B
100 IART Integra LifeSciences Holdings Corporation Healthcare $0.08B $1.30B

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.