Healthcare companies with the highest income tax expense

Income tax expense is the tax a company charged against profit in its income statement for the year. It is not the same as the cash it handed to tax authorities: deferred tax, provisions and timing differences separate the two, often by billions. The cash figure is a different line in the cash-flow statement. Figures are for fiscal year 2025 and are read directly from each company's SEC filings; the source column on every row links to the document.

Ranks 1–100 of 247 · Fiscal year 2025 · Data as of September 25, 2026

Johnson & Johnson (JNJ) tops the list with $5.8B in income tax expense for fiscal 2025, ahead of Eli Lilly ($5.1B) and Novo Nordisk A S ($4.3B). The top 10 together report $30.6B in income tax expense; the gap between #1 and #10 is ×3.06. 247 companies in Healthcare report income tax expense, 10.6% of the 2320-filer universe. The last place on the list, Ascend Wellness, comes in at $51.4M.

Income tax expense
#CompanyIncome tax expenseYoY15-year trend
1Johnson & JohnsonJNJUS$5.8B+120.4%
2Eli LillyLLYUS$5.1B+143.6%
3Novo Nordisk A SNVODK$4.3B+11.9%
4MerckMRKUS$2.8B+0.0%
5AbbVieABBVUS$2.4B+$2.9B
6Bristol Myers SquibbBMYUS$2.3B+310.1%
7AstraZenecaAZNGB$2.2B+31.5%
8HCA HealthcareHCAUS$2.1B+9.9%
9Abbott LaboratoriesABTUS$1.9B+$8.3B
10UnitedHealth GroupUNHUS$1.9B−60.9%
11Cigna GroupCIUS$1.5B+0.1%
12GSKGSKGB$1.5B+118.1%
13MedtronicMDTIE$1.3B+38.8%
14Gilead SciencesGILDUS$1.3B+509.5%
15StrykerSYKUS$1.3B+154.1%
16AmgenAMGNUS$1.3B+143.7%
17McKessonMCKUS$1.1B+25.5%
18Elevance HealthELVUS$1.0B−45.7%
193MMMMUS$1.0B+24.8%
20AflacAFLUS$887M−8.9%
21Regeneron PharmaceuticalsREGNUS$726M+97.6%
22CencoraCORUS$691M+42.5%
23Vertex PharmaceuticalsVRTXUS$690M−12.0%
24ZoetisZTSUS$687M+7.8%
25GE Healthcare TechnologiesGEHCUS$614M+15.6%
26Universe PharmaceuticalsUPCCN$607M−73.1%
27Cardinal HealthCAHUS$532M+52.9%
28Boston ScientificBSXUS$493M+13.1%
29Universal Health ServicesUHSUS$461M+37.7%
30Intuitive SurgicalISRGUS$435M+29.3%
31Tenet HealthcareTHCUS$433M−63.4%
32CVS HealthCVSUS$408M−73.9%
33Baxter InternationalBAXUS$395M+967.6%
34United TherapeuticsUTHRUS$379M+10.3%
35IncyteINCYUS$378M+33.0%
36Fresenius Medical CareFMSDE$363M+6.0%
37Koninklijke PhilipsPHGNL$319M−69.4%
38Quest DiagnosticsDGXUS$314M+15.0%
39DavitaDVAUS$293M+4.8%
40ResmedRMDUS$277M+13.5%
41Idexx LaboratoriesIDXXUS$265M+19.3%
42BiogenBIIBUS$264M−3.7%
43SterisSTEIE$262M+42.0%
44DexcomDXCMUS$252M+89.8%
45IQVIA HoldingsIQVUS$252M−16.3%
46HumanaHUMUS$250M−39.5%
47Bausch Health CompaniesBHCCA$247M+3.3%
48GenmabGMABDK$241M+24.9%
49OrganonOGNUS$238M+$295M
50Labcorp HoldingsLHUS$230M+8.2%
51Neurocrine BiosciencesNBIXUS$227M+56.7%
52Edwards LifesciencesEWUS$217M+42.6%
53Trulieve CannabisTRLVUS$208M+5.3%
54Becton DickinsonBDXUS$203M−32.3%
55Unum GroupUNMUS$195M−58.7%
56Encompass HealthEHCUS$193M+28.4%
57Cooper CompaniesCOOUS$192M+0.8%
58AlconALCUS$180M−24.4%
59Align TechnologyALGNUS$175M−6.7%
60Principal FinancialPFGUS$161M−45.0%
61ExelixisEXELUS$159M−1.1%
62SolventumSOLVUS$157M+23.6%
63Smith & NephewSNNGB$154M+79.1%
64Halozyme TherapeuticsHALOUS$150M+32.7%
65Biomarin PharmaceuticalBMRNUS$134M+16.3%
66Envista HoldingsNVSTUS$130M+284.1%
67Beone MedicinesONCCH$130M+16.2%
68Minimed GroupMMEDUS$128M+146.2%
69Zimmer BiometZBHUS$126M−4.3%
70Curaleaf HoldingsCURLFUS$124M+25.9%
71West Pharmaceutical ServicesWSTUS$122M+13.1%
72Molina HealthcareMOHUS$117M−71.5%
73Dentsply SironaXRAYUS$112M+$138M
74Ensign GroupENSGUS$111M+27.1%
75AlvotechALVOLU$108M+658.2%
76PerrigoPRGOIE$104M+30.5%
77BiontechBNTXDE$96.4M+$110M
78Pacs GroupPACSUS$93.0M+101.2%
79InsuletPODDUS$92.4M+$211M
80Medpace HoldingsMEDPUS$91.3M+27.6%
81MedlineMDLNUS$91.0M+97.8%
82ChemedCHEUS$90.5M−7.1%
83Msa SafetyMSAUS$87.5M−2.8%
84Vanda PharmaceuticalsVNDAUS$81.8M+$85.8M
85Lantheus HoldingsLNTHUS$80.2M−32.3%
86Bright Horizons Family SolutionsBFAMUS$76.8M+33.2%
87Option Care HealthOPCHUS$75.3M+4.9%
88Sotera HealthSHCUS$69.6M+0.1%
89Catalyst PharmaceuticalsCPRXUS$69.2M+32.1%
90Globus MedicalGMEDUS$67.2M+278.8%
91Prestige Consumer HealthcarePBHUS$67.2M−3.4%
92QiagenQGENNL$65.4M+74.1%
93Cno FinancialCNOUS$64.1M−46.2%
94HUTCHMED (China)HCMHK$63.6M+784.5%
95Harmony BiosciencesHRMYUS$56.4M+21.7%
96Ardent HealthARDTUS$56.2M−11.3%
97InnovivaINVAUS$55.7M+297.9%
98Stevanato GroupSTVNIT$55.7M+21.0%
99ModernaMRNAUS$54.0M+$100M
100Ascend WellnessAAWHUS$51.4M+13.7%

All figures from SEC filings · FY2025 · 100

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{{cite web |title=Healthcare companies with the highest income tax expense |url=https://companiesranked.com/en/healthcare-companies-with-the-highest-income-tax-expense |website=CompaniesRanked |date=2026-09-25 |language=en}}

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@misc{companiesranked-en-healthcare-companies-with-the-highest-income-tax-expense-2026,
  author       = {{CompaniesRanked}},
  title        = {{Healthcare companies with the highest income tax expense}},
  year         = {2026},
  howpublished = {\url{https://companiesranked.com/en/healthcare-companies-with-the-highest-income-tax-expense}},
  note         = {Compiled from SEC EDGAR XBRL filings; data as of 2026-09-25},
  urldate      = {2026-09-25}
}

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