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The 4 biggest healthcare companies on the stock market

KJ
Krystof Jane
· July 20, 2026 · 12 min read

Healthcare is one of the largest sectors of the global economy, and its four biggest publicly traded companies are worth more than $2.6 trillion combined today. While one of them is writing one of the fastest growth stories in pharmaceutical history thanks to weight-loss drugs, another is heading for $100 billion in annual revenue for the first time in its 140-year history. A third has managed to weather the fall of its once best-selling drug, and the last is climbing out of the deepest crisis in its history. What drives the healthcare giants today, and where are their weak spots?

Key points

  • The healthcare sector as a whole is lagging the S&P 500 this year, but the four largest companies in the industry together weigh over $2.6 trillion and were among the main winners in June's capital rotation into defensive names.

  • Each of the giants today represents a different investment profile, from premium-priced growth to a stable dividend to a turnaround story. Price regulation remains a shared risk, and an aging population a shared support.

  • The world's most valuable healthcare company grew its revenue by 56% in the first quarter, and its flagship drug became the best-selling drug on the planet with annual sales of $36.5 billion.

  • The 140-year-old diversified giant will surpass the $100 billion annual revenue mark for the first time in its history this year, and it has increased its dividend for the 64th consecutive year.

  • The largest health insurer in the US is getting back in the game after losing more than $200 billion in market value and has gained almost 50% since its March lows.

The healthcare sector is going through a specific period in 2026. While tech companies tied to artificial intelligence drove much of the performance of US indices in recent years, healthcare as a whole lagged the broader market. In June, however, some capital began shifting into defensive names, and the largest healthcare companies were among the winners of this rotation. The combination of stable demand, strong balance sheets, and in some cases extraordinary growth makes them a segment that deserves attention even in an environment of uncertainty.

Today's overview focuses on the four largest healthcare companies traded on the US stock exchange by market capitalization. If we ranked the companies by revenue, the order would look completely different. The largest company would be insurer UnitedHealth, whose annual revenue exceeds $450 billion, nearly five times Johnson & Johnson's revenue. Market capitalization, however, reflects how the market values the quality, margins, and growth potential of the business, which is precisely why we use it as the primary measure. Each of the four companies also represents a different segment of healthcare, from innovative pharmaceuticals to medical technology to insurance, and together they offer a very good picture of the state of the entire industry.

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