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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 2025 (31 Mar 2025), compared with Q4 2024.

The top 20 at Q1 2025

Q1 2025 vs Q4 2024: combined net profit $47.7B (+20%), median EPS +8% (12 of 20 up), market-cap-weighted price +7%. 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 CompanyLLY17.1%4.88 → 3.06−37% −4.2 pp+7%
2UnitedHealth Group IncorporatedUNH11.0%5.98 → 6.85+15% +1.9 pp+4%
3Johnson & JohnsonJNJ9.2%1.41 → 4.54+222% +19.1 pp+15%
4AbbVie Inc.ABBV8.6%−0.02 → 0.72turned profitable +3.3 pp+18%
5Abbott LaboratoriesABT5.3%5.27 → 0.76−86% −19.9 pp+17%
6Merck & Co., Inc.MRK5.2%1.48 → 2.01+36% +3.4 pp−10%
7Thermo Fisher Scientific Inc.TMO4.3%4.78 → 3.98−17% −0.8 pp−3%
8Intuitive Surgical, Inc.ISRG4.1%1.88 → 1.92+2% 0.0 pp−5%
9Amgen Inc.AMGN3.9%1.16 → 3.20+176% +2.8 pp+20%
10Boston Scientific CorporationBSX3.4%0.38 → 0.45+19% +0.3 pp+13%
11Danaher CorporationDHR3.4%1.49 → 1.32−11% −0.3 pp−9%
12Pfizer Inc.PFE3.3%0.07 → 0.52+623% +6.5 pp−4%
13Stryker CorporationSYK3.3%1.41 → 1.69+20% +0.3 pp+3%
14Gilead Sciences, Inc.GILD3.2%1.42 → 1.04−27% −1.2 pp+21%
15Vertex Pharmaceuticals IncorporatedVRTX2.9%3.50 → 2.49−29% −0.7 pp+21%
16Bristol-Myers Squibb CompanyBMY2.9%0.04 → 1.20+3,299% +6.0 pp+8%
17Medtronic plcMDT2.7%1.01 → 0.82−19% −0.6 pp+12%
18Elevance Health Inc.ELV2.3%1.81 → 9.61+431% +4.4 pp+20%
19Cigna CorporationCI2.0%5.13 → 4.85−5% −0.3 pp+11%
20CVS Health Corp.CVS2.0%1.30 → 1.41+8% +0.3 pp+51%
Sector earnings growth100%+20.3 pp

Who joined and who left

1 joined and 1 left the top 20 since Q4 2024, as market caps moved.

Joined the top 20 since Q4 2024 1

Left the top 20 since Q4 2024 1

  • was #20 Regeneron Pharmaceuticals, Inc. REGN

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%
ABBV−12%−54%+67%0%+14%to lossturned profitable−26%−81%+927%−62%+423%
ABT+5%+11%−23%+6%+27%+461%−86%+33%−7%+9%−39%−15%
MRKturned profitableto lossturned profitable+14%−42%+19%+36%−12%+32%−49%to lossloss, smaller
TMO+26%−5%−18%+17%+5%+13%−17%+8%0%+22%−15%+6%
ISRG−2%+46%−11%−3%+7%+21%+2%−6%+8%+13%+3%+3%
AMGN+25%−56%to lossturned profitable+278%−78%+176%−17%+124%−59%+36%+31%
BSXoutsideoutside−2%−35%+44%+20%+19%+17%−6%−10%+100%outside
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
SYK−6%+66%−31%+4%+1%−35%+20%+36%−3%−1%−12%+71%
GILD+108%−34%outsideturned profitable−22%+42%−27%+50%+56%−28%−7%to loss
VRTX+13%−7%+13%to lossturned profitable−13%−29%+60%+5%+11%−14%+7%
BMY−6%−6%to lossoutside−28%−94%+3,299%−47%+69%−51%+147%+24%
MDT+15%+46%−51%+63%+24%+2%−19%−1%+32%−17%+8%+19%
ELV−30%−33%+164%+3%−56%−58%+431%outsideoutsideoutsideoutside−16%
CI−4%outsideto lossturned profitableoutside+95%−5%+18%outsideoutsideoutsideoutside
CVS+18%−9%−45%outsideoutsideoutside+8%outsideto lossturned profitable0%0%