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Top Healthcare Stocks by Share Buybacks

Top healthcare companies ranked by share buybacks, latest annual filings.

What Share Buybacks Mean for Healthcare Companies

Share buybacks in healthcare cluster heavily at large pharma, managed care, and medical device firms with predictable cash generation. Developmental biotech, which consumes rather than produces cash, is effectively absent from this ranking. Large pharma typically combines buybacks with a substantial dividend, treating repurchases as the flexible layer on top of a committed payout, while managed-care operators lean on buybacks as their primary capital-return mechanism.

Why It Matters in Healthcare

Buyback programs at mature healthcare firms signal confidence in the existing franchise surviving patent cliffs or reimbursement resets. Yet a repurchase that coincides with a weakening pipeline can mask underlying erosion by lifting per-share earnings even as the underlying business softens. Read alongside R&D intensity and pipeline disclosure, buybacks tell a cleaner story about whether capital return is coming from surplus strength or from a shrinking investment budget.

What to Read Alongside

Pair buybacks with Free Cash Flow to confirm programs are genuinely self-funded, R&D Spending to see whether capital return trades off against pipeline investment, and Net Income for EPS context.

Data as of FY 2025 100 companies Rhea AI
# Symbol Company Sector
1 HCA HCA Healthcare, Inc. Healthcare $10.07B $100.73B
2 NVS Novartis AG Healthcare $9.12B $292.35B
3 JNJ Johnson & Johnson Healthcare $5.95B $641.07B
4 SNY Sanofi Healthcare $5.89B $100.13B
5 UNH UnitedHealth Group Incorporated Healthcare $5.54B $368.64B
6 MRK Merck & Co., Inc. Healthcare $5.08B $346.91B
7 MCK McKesson Corporation Healthcare $4.75B $115.76B
8 LLY Eli Lilly and Company Healthcare $4.11B $1.14T
9 CI The Cigna Group Healthcare $3.62B $80.80B
10 REGN Regeneron Pharmaceuticals, Inc. Healthcare $3.44B $83.15B
11 ZTS Zoetis Inc. Healthcare $3.23B $33.46B
12 DHR Danaher Corporation Healthcare $3.09B $163.77B
13 TMO Thermo Fisher Scientific Inc. Healthcare $3.00B $253.24B
14 ELV Elevance Health, Inc. Healthcare $2.60B $93.54B
15 ISRG Intuitive Surgical, Inc. Healthcare $2.30B $159.55B
16 VRTX Vertex Pharmaceuticals Incorporated Healthcare $2.02B $131.16B
17 GILD Gilead Sciences, Inc. Healthcare $1.92B $196.77B
18 GSK GSK plc Healthcare $1.85B $102.38B
19 THC Tenet Healthcare Corporation Healthcare $1.39B $21.66B
20 CAH Cardinal Health, Inc. Healthcare $1.36B $58.25B
21 DVA DaVita Inc. Healthcare $1.31B $11.74B
22 IQV IQVIA Holdings Inc. Healthcare $1.24B $45.03B
23 RPRX Royalty Pharma plc Healthcare $1.23B $28.84B
24 IDXX IDEXX Laboratories, Inc. Healthcare $1.22B $44.92B
25 MDT Medtronic plc Healthcare $1.03B $121.25B
26 BDX Becton, Dickinson and Company Healthcare $1.00B $53.49B
27 MOH Molina Healthcare, Inc. Healthcare $1.00B $10.65B
28 UTHR United Therapeutics Corporation Healthcare $1.00B $25.43B
29 ABBV AbbVie Inc. Healthcare $980.00M $506.70B
30 UHS Universal Health Services, Inc. Healthcare $967.95M $10.95B
31 EXEL Exelixis, Inc. Healthcare $947.51M $16.13B
32 MEDP Medpace Holdings, Inc. Healthcare $917.39M $18.93B
33 EW Edwards Lifesciences Corporation Healthcare $893.40M $52.20B
34 ABT Abbott Laboratories Healthcare $893.00M $181.48B
35 HSIC Henry Schein, Inc. Healthcare $850.00M $9.42B
36 RVTY Revvity, Inc. Healthcare $820.82M $17.90B
37 MTD Mettler-Toledo International Inc. Healthcare $800.00M $33.45B
38 ICLR ICON Public Limited Company Healthcare $750.00M $14.18B
39 ILMN Illumina, Inc. Healthcare $742.00M $40.93B
40 RMD ResMed Inc. Healthcare $700.04M $35.61B
41 FMS Fresenius Medical Care AG Healthcare $687.84M $12.11B
42 ALC Alcon Inc. Healthcare $682.00M $33.83B
43 SNN Smith & Nephew plc Healthcare $502.00M $12.75B
44 VTRS Viatris Inc. Healthcare $500.50M $21.01B
45 DXCM DexCom, Inc. Healthcare $500.00M $29.65B
46 ZBH Zimmer Biomet Holdings, Inc. Healthcare $487.00M $18.59B
47 CNC Centene Corporation Healthcare $475.00M $33.61B
48 ALGN Align Technology, Inc. Healthcare $465.94M $10.82B
49 DGX Quest Diagnostics Incorporated Healthcare $450.00M $26.82B
50 LH Labcorp Holdings Inc. Healthcare $450.00M $26.75B
51 COR Cencora, Inc. Healthcare $435.47M $62.97B
52 DOCS Doximity, Inc. Healthcare $431.65M $5.90B
53 CHE Chemed Corporation Healthcare $431.50M $6.70B
54 GMAB Genmab A/S Healthcare $430.00M $27.48B
55 A Agilent Technologies, Inc. Healthcare $425.00M $49.61B
56 ATR AptarGroup, Inc. Healthcare $365.00M $8.08B
57 CRL Charles River Laboratories International, Inc. Healthcare $360.67M $17.06B
58 TAK Takeda Pharmaceutical Company Limited Healthcare $346.40M $65.27B
59 HALO Halozyme Therapeutics, Inc. Healthcare $342.37M $14.53B
60 OPCH Option Care Health, Inc. Healthcare $309.95M $4.68B
61 GMED Globus Medical, Inc. Healthcare $300.45M $10.99B
62 LNTH Lantheus Holdings, Inc. Healthcare $300.02M $6.52B
63 TFX Teleflex Incorporated Healthcare $300.00M $5.80B
64 HQY HealthEquity, Inc. Healthcare $299.25M $8.58B
65 BIO Bio-Rad Laboratories, Inc. Healthcare $295.50M $9.96B
66 COO The Cooper Companies, Inc. Healthcare $290.10M $11.63B
67 QGEN Qiagen N.V. Healthcare $280.09M $10.40B
68 STE STERIS plc Healthcare $235.50M $22.44B
69 GDRX GoodRx Holdings, Inc. Healthcare $216.37M $1.21B
70 HLN Haleon plc Healthcare $203.05M $44.86B
71 GEHC GE HealthCare Technologies Inc. Healthcare $200.00M $32.51B
72 INSP Inspire Medical Systems, Inc. Healthcare $175.02M $2.05B
73 HAE Haemonetics Corporation Healthcare $175.00M $5.42B
74 CORT Corcept Therapeutics Incorporated Healthcare $172.91M $9.42B
75 VEEV Veeva Systems Inc. Healthcare $169.95M $51.52B
76 NBIX Neurocrine Biosciences, Inc. Healthcare $167.70M $14.83B
77 NVST Envista Holdings Corporation Healthcare $166.60M $3.80B
78 EHC Encompass Health Corporation Healthcare $158.00M $12.24B
79 PBH Prestige Consumer Healthcare Inc. Healthcare $156.28M $2.28B
80 HUM Humana Inc. Healthcare $151.00M $50.10B
81 PCRX Pacira BioSciences, Inc. Healthcare $148.33M $1.45B
82 WST West Pharmaceutical Services, Inc. Healthcare $134.00M $27.78B
83 INMD InMode Ltd. Healthcare $127.44M $789.51M
84 JAZZ Jazz Pharmaceuticals plc Healthcare $125.02M $13.35B
85 AUPH Aurinia Pharmaceuticals Inc. Healthcare $98.16M $2.27B
86 TGTX TG Therapeutics, Inc. Healthcare $91.24M $8.39B
87 HIMS Hims & Hers Health, Inc. Healthcare $89.96M $6.44B
88 CDNA CareDx, Inc. Healthcare $87.77M $3.57B
89 MD Pediatrix Medical Group, Inc. Healthcare $86.68M $2.36B
90 PGNY Progyny, Inc. Healthcare $81.66M $2.16B
91 OMCL Omnicell, Inc. Healthcare $77.60M $1.69B
92 AMPH Amphastar Pharmaceuticals, Inc. Healthcare $75.59M $1.08B
93 AVTR Avantor, Inc. Healthcare $75.10M $11.69B
94 ANAB AnaptysBio, Inc. Healthcare $68.63M $1.46B
95 HNGE Hinge Health, Inc. Healthcare $65.03M $9.01B
96 HCSG Healthcare Services Group, Inc. Healthcare $61.59M $1.69B
97 PODD Insulet Corporation Healthcare $59.60M $10.35B
98 ACHC Acadia Healthcare Company, Inc. Healthcare $50.03M $2.92B
99 ITGR Integer Holdings Corporation Healthcare $50.01M $4.30B
100 BBIO BridgeBio Pharma, Inc. Healthcare $48.28M $13.32B

How this ranking is built

Companies are ranked by share buybacks 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.

Frequently asked questions

Why are developmental biotechs absent from healthcare buyback rankings?

Biotechs without approved products are generally cash-consuming rather than cash-generating. Their priority is funding clinical programs through trial readouts, and every available dollar typically goes into R&D and operating costs rather than into repurchasing stock. Returning capital when the firm will likely need to raise new capital to complete development makes little sense. Buybacks therefore only become relevant once a biotech has commercialized products and generates cash in excess of its own pipeline needs.

How do buybacks interact with patent cliffs in pharma?

A sustained buyback in the face of an approaching patent cliff can support per-share earnings as the legacy product fades, but it does not address the underlying revenue gap. The better question is whether the firm is allocating enough capital to R&D, business development, or bolt-on acquisitions to rebuild the pipeline. A buyback funded by running down the research budget borrows from the future to smooth current reporting, which is why reading buybacks alongside R&D trends and licensing activity matters more than either figure alone.

Why do managed care organizations lean so heavily on buybacks?

Managed care generates steady cash flow from insurance operations and often faces limited high-return reinvestment opportunities inside the existing business once network and technology infrastructure is in place. Buybacks let these firms return surplus capital while preserving flexibility to fund acquisitions or navigate regulatory cycles. Dividend commitments grow more slowly and remain a smaller share of capital return than at traditional pharma, reflecting different cash-flow durability and different management preferences.