Healthcare companies with the highest operating margin

Operating margin is operating income divided by revenue. Only companies with at least $1 billion in revenue are ranked here. 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 132 · Fiscal year 2025 · Data as of September 25, 2026

Only companies with at least $1bn in revenue are ranked.

Royalty Pharma (RPRX) tops the list with 65.6% in operating margin for fiscal 2025, ahead of PTC Therapeutics (50.1%) and United Therapeutics (46.9%). Across the top 10, operating margin ranges from 65.6% down to 34.6%. 132 companies in Healthcare report operating margin, 8.9% of the 1486-filer universe. The last place on the list, Organon, comes in at 6.8%.

Operating margin
#CompanyOperating marginYoY15-year trend
1Royalty PharmaRPRXUS65.6%+14.8%
2PTC TherapeuticsPTCTUS50.1%+87.6 pp
3United TherapeuticsUTHRUS46.9%−2.0%
4Novo Nordisk A SNVODK41.3%−6.5%
5NovavaxNVAXUS40.3%+76.8 pp
6Eli LillyLLYUS39.5%+40.2%
7ExelixisEXELUS37.6%+34.8%
8ZoetisZTSUS35.5%+4.9%
9Vertex PharmaceuticalsVRTXUS34.8%+36.9 pp
10Johnson & JohnsonJNJUS34.6%+84.1%
11Gilead SciencesGILDUS34.0%+488.9%
12Halozyme TherapeuticsHALOUS33.6%−38.2%
13ResmedRMDUS32.7%+16.3%
14MerckMRKUS32.4%+4.3%
15Idexx LaboratoriesIDXXUS31.6%+9.2%
16IncyteINCYUS29.5%+1,936.4%
17Intuitive SurgicalISRGUS29.3%+4.1%
18GenmabGMABDK28.6%−8.1%
19Prestige Consumer HealthcarePBHUS28.4%−4.0%
20Lakefront BiotherapeuticsLKFTBE26.5%+94.9 pp
21AflacAFLUS26.4%−22.1%
22SolventumSOLVUS26.2%+108.7%
23Regeneron PharmaceuticalsREGNUS24.9%−11.2%
24AmgenAMGNUS24.7%+13.8%
25AbbVieABBVUS24.6%+52.0%
26GSKGSKGB24.3%+89.5%
27AstraZenecaAZNGB23.4%+26.5%
28EmbectaEMBCUS22.4%+50.9%
29QiagenQGENNL22.3%+351.3%
30Neurocrine BiosciencesNBIXUS21.6%−10.6%
31Indivior PharmaceuticalsINDVUS21.1%+561.1%
32Medpace HoldingsMEDPUS21.1%−0.2%
33Edwards LifesciencesEWUS20.8%−17.8%
34Lantheus HoldingsLNTHUS20.2%−32.3%
35Msa SafetyMSAUS19.8%−7.9%
36DexcomDXCMUS19.6%+31.5%
37StrykerSYKUS19.5%+19.2%
38Bristol Myers SquibbBMYUS19.4%+36.7 pp
39West Pharmaceutical ServicesWSTUS19.0%−3.4%
40SterisSTEIE18.6%+16.9%
413MMMMUS18.6%−5.4%
42Abbott LaboratoriesABTUS18.2%+11.7%
43Boston ScientificBSXUS18.0%+15.8%
44MedtronicMDTIE17.8%+0.2%
45Bausch Health CompaniesBHCCA17.7%+9.9%
46InsuletPODDUS17.5%+17.3%
47AlkermesALKSIE17.2%−36.3%
48Stevanato GroupSTVNIT16.8%+14.8%
49Cooper CompaniesCOOUS16.7%−7.9%
50Tenet HealthcareTHCUS16.5%−42.9%
51Globus MedicalGMEDUS16.3%+147.8%
52Encompass HealthEHCUS16.1%+15.1%
53BiogenBIIBUS15.7%−20.1%
54Concentra Group Holdings ParentCONUS15.4%−3.7%
55DavitaDVAUS15.0%−8.2%
56LivanovaLIVNGB14.4%+39.5%
57Quest DiagnosticsDGXUS14.1%+3.4%
58Align TechnologyALGNUS13.5%−11.0%
59Alnylam PharmaceuticalsALNYUS13.5%+21.4 pp
60PenumbraPENUS13.5%+1,635.8%
61GE Healthcare TechnologiesGEHCUS13.4%+0.4%
62IQVIA HoldingsIQVUS13.4%−6.4%
63ChemedCHEUS13.4%−11.3%
64Zimmer BiometZBHUS13.3%−20.3%
65AlconALCUS13.1%−8.3%
66Amneal PharmaceuticalsAMRXUS13.1%+46.3%
67HCA HealthcareHCAUS13.0%+7.7%
68Smith & NephewSNNGB12.9%+13.9%
69Biomarin PharmaceuticalBMRNUS12.7%−25.1%
70Sotera HealthSHCUS12.7%−53.1%
71Teva Pharmaceutical IndustriesTEVAIL12.5%+14.3 pp
72Cno FinancialCNOUS12.3%−0.4%
73Merit Medical SystemsMMSIUS12.2%+6.2%
74Trulieve CannabisTRLVUS12.1%+47.4%
75PfizerPFEUS12.0%−4.7%
76Integer HoldingsITGRUS11.9%−1.6%
77Community Health SystemsCYHUS11.9%+177.8%
78Becton DickinsonBDXUS11.8%−0.6%
79Surgery PartnersSGRYUS11.8%+5.1%
80HaemoneticsHAEUS11.7%−27.9%
81Universal Health ServicesUHSUS11.5%+8.1%
82Pediatrix MedicalMDUS10.9%+14.3 pp
83Bright Horizons Family SolutionsBFAMUS10.7%+16.8%
84Aveanna HealthcareAVAHUS10.5%+52.7%
85Labcorp HoldingsLHUS9.9%+18.8%
86Acadia PharmaceuticalsACADUS9.8%−59.4%
87Addus HomecareADUSUS9.7%+9.6%
88HerbalifeHLFKY9.5%+23.5%
89Fresenius Medical CareFMSDE9.3%+29.3%
90Phibro Animal HealthPAHCUS8.5%+62.7%
91National HealthcareNHCUS8.5%+23.0%
92Ensign GroupENSGUS8.4%−0.0%
93Bio-TechneTECHUS8.4%−53.0%
94Beone MedicinesONCCH8.4%+23.3 pp
95Koninklijke PhilipsPHGNL8.0%+172.0%
96Envista HoldingsNVSTUS7.9%+49.3 pp
97MedlineMDLNUS7.8%−7.5%
98ConmedCNMDUS7.5%−51.3%
99Unum GroupUNMUS7.1%−59.1%
100OrganonOGNUS6.8%−45.8%

All figures from SEC filings · FY2025 · 100

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

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

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