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Sector analysis · US

Health Care: which companies drove growth

The 20 largest Health Care companies by market cap at the end of Q1 2024 (31 Mar 2024), compared with Q4 2023.

The top 20 at Q1 2024

Q1 2024 vs Q4 2023: combined net profit $12.3B (−36%), median EPS −21% (6 of 20 up), market-cap-weighted price +9%. 20 of 20 reported.

Weight is each company's share of the 20 companies' combined market cap. Contribution is the change in its owners' profit divided by their combined base profit, in percentage points, so the column adds up to the sector's earnings growth. EPS cannot be added across companies, which is why contributions use profit.

#CompanyWeightEPS $, base → nowEPS growthContributionPrice
1Eli Lilly and CompanyLLY16.5%2.42 → 2.48+2% +0.2 pp+34%
2UnitedHealth Group IncorporatedUNH10.7%5.83 → −1.53to loss −20.5 pp−5%
3Johnson & JohnsonJNJ9.0%1.67 → 1.34−20% −2.4 pp+1%
4Merck & Co., Inc.MRK7.9%−0.48 → 1.87turned profitable +17.8 pp+21%
5AbbVie Inc.ABBV7.6%0.46 → 0.77+67% +1.6 pp+18%
6Thermo Fisher Scientific Inc.TMO5.2%4.20 → 3.46−18% −0.9 pp+9%
7Abbott LaboratoriesABT4.6%0.91 → 0.70−23% −1.1 pp+3%
8Danaher CorporationDHR4.4%1.45 → 1.450% 0.0 pp+8%
9Pfizer Inc.PFE3.7%−0.60 → 0.55turned profitable +19.3 pp−4%
10Amgen Inc.AMGN3.6%1.42 → −0.21to loss −2.6 pp0%
11Intuitive Surgical, Inc.ISRG3.3%1.69 → 1.51−11% −0.2 pp+18%
12Stryker CorporationSYK3.2%2.98 → 2.05−31% −1.1 pp+19%
13Elevance Health Inc.ELV2.8%3.63 → 9.59+164% +4.1 pp+11%
14Medtronic plcMDT2.7%0.99 → 0.49−51% −2.0 pp+6%
15Bristol-Myers Squibb CompanyBMY2.6%0.87 → −5.89to loss −40.8 pp+6%
16Vertex Pharmaceuticals IncorporatedVRTX2.5%3.71 → 4.21+13% +0.4 pp+3%
17Cigna CorporationCI2.5%3.49 → −0.97to loss −3.9 pp+21%
18Regeneron Pharmaceuticals, Inc.REGN2.4%10.19 → 6.27−38% −1.3 pp+10%
19Boston Scientific CorporationBSX2.4%0.34 → 0.33−2% 0.0 pp+18%
20CVS Health Corp.CVS2.4%1.59 → 0.88−45% −2.8 pp+1%
Sector earnings growth100%−36.0 pp

Who joined and who left

2 joined and 2 left the top 20 since Q4 2023, as market caps moved.

Joined the top 20 since Q4 2023 2

Left the top 20 since Q4 2023 2

  • was #18 Gilead Sciences, Inc. GILD
  • was #20 Zoetis Inc. ZTS

EPS growth by company, Q3 2023 to Q2 2026

Each company's EPS growth quarter on quarter, every quarter it was in the top 20.

≤ −40%−20%0+20%≥ +40% Blue is growth, red is decline, grey is about zero; the colour stops deepening at ±40%.
  • turned profitableto loss crossed zero, so there is no growth rate to print
  • loss, smallerloss, bigger a loss in both quarters
  • outside not in the sector's top 20 that quarter
EPS growth of each company in the sector's top 20, by quarter
CompanyQ3 2023Q4 2023Q1 2024Q2 2024Q3 2024Q4 2024Q1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
LLYto lossturned profitable+2%+32%−67%+356%−37%+106%−1%+19%+12%−4%
UNH+7%−7%to lossturned profitable+43%−8%+15%−45%−31%−100%+62,627%−12%
JNJ+421%−84%−20%+44%−42%+27%+222%−50%−7%−1%+2%+6%
MRKturned profitableto lossturned profitable+14%−42%+19%+36%−12%+32%−49%to lossloss, smaller
ABBV−12%−54%+67%0%+14%to lossturned profitable−26%−81%+927%−62%+423%
TMO+26%−5%−18%+17%+5%+13%−17%+8%0%+22%−15%+6%
ABT+5%+11%−23%+6%+27%+461%−86%+33%−7%+9%−39%−15%
DHR+1%−4%0%−16%−8%+33%−11%−42%+65%+32%−14%−15%
PFEto lossloss, biggerturned profitable−99%+18,567%−91%+623%−2%+22%to lossturned profitableto loss
AMGN+25%−56%to lossturned profitable+278%−78%+176%−17%+124%−59%+36%+31%
ISRG−2%+46%−11%−3%+7%+21%+2%−6%+8%+13%+3%+3%
SYK−6%+66%−31%+4%+1%−35%+20%+36%−3%−1%−12%+71%
ELV−30%−33%+164%+3%−56%−58%+431%outsideoutsideoutsideoutside−16%
MDT+15%+46%−51%+63%+24%+2%−19%−1%+32%−17%+8%+19%
BMY−6%−6%to lossoutside−28%−94%+3,299%−47%+69%−51%+147%+24%
VRTX+13%−7%+13%to lossturned profitable−13%−29%+60%+5%+11%−14%+7%
CI−4%outsideto lossturned profitableoutside+95%−5%+18%outsideoutsideoutsideoutside
REGN+5%+15%−38%+98%−7%−30%outsideoutsideoutsideoutsideoutsideoutside
BSXoutsideoutside−2%−35%+44%+20%+19%+17%−6%−10%+100%outside
CVS+18%−9%−45%outsideoutsideoutside+8%outsideto lossturned profitable0%0%