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Top Healthcare Stocks by Free Cash Flow

Top healthcare companies ranked by free cash flow, latest annual filings.

What Free Cash Flow Means for Healthcare Companies

Free cash flow in healthcare tends to be lumpier than in most sectors because the business model swings between long pre-approval cash burns and multi-year harvesting periods once a drug or device reaches market. Large pharma and device makers with broad portfolios can produce steady cash across cycles, while single-asset biotechs often report negative free cash flow for extended periods as trials, regulatory work, and launch spending precede any revenue at all.

Why It Matters in Healthcare

For established healthcare firms, consistent free cash flow tends to signal durable payer relationships and diversified pipelines, and it is what funds research spending, acquisitions, and shareholder returns. In biotech, free cash flow is often a poor snapshot of value because cash burn is expected until approval; runway and trial timelines matter more than current cash generation. Patent cliffs and pricing pressure can also flip steady cash generators into declining ones over a few years.

What to Read Alongside

Pair free cash flow with Net Income to check accounting quality, Share Buybacks to see capital return behavior, and Revenue for how sales are converting into cash across the portfolio.

Data as of FY 2025 100 companies Rhea AI
# Symbol Company Sector
1 JNJ Johnson & Johnson Healthcare $19.70B $643.92B
2 ABBV AbbVie Inc. Healthcare $17.82B $462.58B
3 NVS Novartis AG Healthcare $17.60B $263.48B
4 UNH UnitedHealth Group Incorporated Healthcare $16.07B $337.43B
5 BMY Bristol-Myers Squibb Company Healthcare $12.85B $130.18B
6 MRK Merck & Co., Inc. Healthcare $12.36B $354.75B
7 AZN AstraZeneca PLC Healthcare $11.77B $251.01B
8 GILD Gilead Sciences, Inc. Healthcare $9.46B $181.41B
9 PFE Pfizer Inc. Healthcare $9.07B $157.03B
10 AMGN Amgen Inc. Healthcare $8.10B $203.09B
11 CVS CVS Health Corporation Healthcare $7.81B $120.85B
12 HCA HCA Healthcare, Inc. Healthcare $7.69B $91.76B
13 ABT Abbott Laboratories Healthcare $7.39B $176.55B
14 TMO Thermo Fisher Scientific Inc. Healthcare $6.29B $237.15B
15 MCK McKesson Corporation Healthcare $5.72B $104.88B
16 MDT Medtronic plc Healthcare $5.43B $119.92B
17 DHR Danaher Corporation Healthcare $5.26B $140.70B
18 CAH Cardinal Health, Inc. Healthcare $4.53B $54.11B
19 CNC Centene Corporation Healthcare $4.32B $33.42B
20 SYK Stryker Corporation Healthcare $4.28B $107.98B
21 REGN Regeneron Pharmaceuticals, Inc. Healthcare $4.08B $79.70B
22 BSX Boston Scientific Corporation Healthcare $3.66B $63.58B
23 COR Cencora, Inc. Healthcare $3.21B $61.69B
24 VRTX Vertex Pharmaceuticals Incorporated Healthcare $3.19B $130.44B
25 ELV Elevance Health, Inc. Healthcare $3.17B $90.55B
26 BDX Becton, Dickinson and Company Healthcare $2.67B $50.64B
27 THC Tenet Healthcare Corporation Healthcare $2.53B $21.00B
28 ISRG Intuitive Surgical, Inc. Healthcare $2.49B $133.24B
29 ZTS Zoetis Inc. Healthcare $2.28B $30.34B
30 IQV IQVIA Holdings Inc. Healthcare $2.05B $44.39B
31 BIIB Biogen Inc. Healthcare $2.05B $31.94B
32 VTRS Viatris Inc. Healthcare $1.94B $19.12B
33 RMD ResMed Inc. Healthcare $1.65B $33.10B
34 GEHC GE HealthCare Technologies Inc. Healthcare $1.50B $28.94B
35 ZBH Zimmer Biomet Holdings, Inc. Healthcare $1.47B $18.77B
36 DGX Quest Diagnostics Incorporated Healthcare $1.36B $26.26B
37 EW Edwards Lifesciences Corporation Healthcare $1.33B $49.42B
38 DVA DaVita Inc. Healthcare $1.31B $12.18B
39 JAZZ Jazz Pharmaceuticals plc Healthcare $1.30B $15.63B
40 MDLN Medline Inc. Healthcare $1.30B $28.17B
41 LH Labcorp Holdings Inc. Healthcare $1.21B $26.27B
42 A Agilent Technologies, Inc. Healthcare $1.15B $41.39B
43 GMAB Genmab A/S Healthcare $1.15B $21.00B
44 TEVA Teva Pharmaceutical Industries Limited Healthcare $1.15B $45.78B
45 DXCM DexCom, Inc. Healthcare $1.08B $32.62B
46 OSCR Oscar Health, Inc. Healthcare $1.06B $10.01B
47 IDXX IDEXX Laboratories, Inc. Healthcare $1.06B $40.24B
48 UTHR United Therapeutics Corporation Healthcare $1.04B $21.46B
49 BHC Bausch Health Companies Inc. Healthcare $1.00B $2.12B
50 HOLX Hologic, Inc. Healthcare $1.00B $16.97B
51 STE STERIS plc Healthcare $0.97B $20.50B
52 ONC BeOne Medicines AG Healthcare $0.94B $39.20B
53 ILMN Illumina, Inc. Healthcare $0.93B $33.57B
54 EXEL Exelixis, Inc. Healthcare $0.88B $14.10B
55 ICLR ICON Public Limited Company Healthcare $0.86B $13.31B
56 UHS Universal Health Services, Inc. Healthcare $0.85B $10.42B
57 MTD Mettler-Toledo International Inc. Healthcare $0.85B $26.66B
58 NBIX Neurocrine Biosciences, Inc. Healthcare $0.75B $15.25B
59 BMRN BioMarin Pharmaceutical Inc. Healthcare $0.72B $12.48B
60 PTCT PTC Therapeutics, Inc. Healthcare $0.70B $5.48B
61 MEDP Medpace Holdings, Inc. Healthcare $0.68B $17.32B
62 ARGX argenx SE Healthcare $0.68B $61.29B
63 HALO Halozyme Therapeutics, Inc. Healthcare $0.64B $12.06B
64 GMED Globus Medical, Inc. Healthcare $0.59B $10.03B
65 HSIC Henry Schein, Inc. Healthcare $0.57B $9.75B
66 WAT Waters Corporation Healthcare $0.54B $40.98B
67 OGN Organon & Co. Healthcare $0.54B $3.59B
68 CRL Charles River Laboratories International, Inc. Healthcare $0.52B $13.03B
69 RVTY Revvity, Inc. Healthcare $0.51B $15.64B
70 AVTR Avantor, Inc. Healthcare $0.49B $10.44B
71 ALGN Align Technology, Inc. Healthcare $0.49B $10.44B
72 ALKS Alkermes plc Healthcare $0.48B $7.72B
73 WST West Pharmaceutical Services, Inc. Healthcare $0.47B $25.69B
74 ALNY Alnylam Pharmaceuticals, Inc. Healthcare $0.47B $31.88B
75 HQY HealthEquity, Inc. Healthcare $0.46B $7.98B
76 QGEN Qiagen N.V. Healthcare $0.45B $8.77B
77 EHC Encompass Health Corporation Healthcare $0.44B $12.04B
78 COO The Cooper Companies, Inc. Healthcare $0.43B $10.13B
79 BTSG BrightSpring Health Services, Inc. Healthcare $0.39B $11.64B
80 PODD Insulet Corporation Healthcare $0.38B $9.66B
81 HUM Humana Inc. Healthcare $0.38B $48.88B
82 BIO Bio-Rad Laboratories, Inc. Healthcare $0.37B $10.11B
83 RDY Dr. Reddy's Laboratories Limited Healthcare $0.36B $9.62B
84 EXAS Exact Sciences Corp Healthcare $0.36B $20.03B
85 HRMY Harmony Biosciences Holdings, Inc. Healthcare $0.35B $2.46B
86 BCRX BioCryst Pharmaceuticals, Inc. Healthcare $0.34B $2.09B
87 BAX Baxter International Inc. Healthcare $0.33B $12.26B
88 COLL Collegium Pharmaceutical, Inc. Healthcare $0.33B $0.71B
89 DOCS Doximity, Inc. Healthcare $0.33B $4.60B
90 CHE Chemed Corporation Healthcare $0.33B $6.62B
91 ATR AptarGroup, Inc. Healthcare $0.30B $7.93B
92 TDOC Teladoc Health, Inc. Healthcare $0.29B $1.20B
93 ELAN Elanco Animal Health Incorporated Healthcare $0.28B $11.49B
94 WAY Waystar Holding Corp. Healthcare $0.28B $5.11B
95 AMRX Amneal Pharmaceuticals, Inc. Healthcare $0.27B $5.80B
96 TECH Bio-Techne Corporation Healthcare $0.26B $11.34B
97 HAE Haemonetics Corporation Healthcare $0.26B $4.83B
98 PBH Prestige Consumer Healthcare Inc. Healthcare $0.25B $2.21B
99 NUTX Nutex Health Inc. Healthcare $0.25B $1.47B
100 TBPH Theravance Biopharma, Inc. Healthcare $0.24B $0.88B

How this ranking is built

Companies are ranked by free cash flow 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.
  • Size floor: A company qualifies at $500 million in market cap or above. Below that, one mis-stated figure outranks the companies the list is about.
  • Currency check: A company whose annual revenue runs above 15 times its market cap is left out, because at that gap the two figures are not in the same currency.
  • Currency check: A company whose balance sheet runs above 150 times its market cap is left out for the same reason.
  • 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.