The 71st Fortune 500 ranks America’s largest companies by 2024 fiscal year revenue.
Key healthcare takeaways from the most recent listing from Fortune, released June 2:
1. The list includes 12 companies specializing in medical facilities within its broader healthcare sector, led once again by HCA Healthcare, which holds steady at No. 61 overall.
2. The list includes seven health insurance and managed care companies, with one leading the pack. UnitedHealth Group climbed to No. 3 on the Fortune 500, overtaking Apple with more than $400 billion in annual revenue.
3. Despite economic uncertainty, Fortune declared this year’s list among the most stable in decades — only 22 companies dropped off, the second-lowest turnover in 30 years. Others hold the same spots (Walmart has held No. 1 for 13 years straight, for example).
4. There was some movement in healthcare, with Eli Lilly climbing 27 spots to No. 100; Tenet Healthcare falling by 11 spots to No. 206; and CVS Health following UnitedHealth Group’s lead by climbing a position to No. 5, followed by Berkshire Hathaway.
5. For reference, Walmart holds the No. 1 spot in the Fortune 500 overall, with revenue of approximately $681 billion, up 5% year over year. Amazon is No. 2 with nearly $640 billion in revenue, up 11% year over year.
Here are the top 25 ranked healthcare companies with their revenue and percent change to annual revenue:
1. UnitedHealth Group (No. 3 on Fortune 500)
2024 revenue: $400.28 billion
Change to revenue: 7.7%
2. CVS Health (No. 5 on Fortune 500)
2024 revenue: $372.81 billion
Change to revenue: 4.2%
3. McKesson (No. 9 on Fortune 500)
2024 revenue: $308.95 billion
Change to revenue: 11.7%
4. Cencora (No. 10 on Fortune 500)
2024 revenue: $293.96 billion
Change to revenue: 12.1%
5. Cigna Group (No. 13 on Fortune 500)
2024 revenue: $247.12 billion
Change to revenue: 26.6%
6. Cardinal Health (No. 15 on Fortune 500)
2024 revenue: $226.83 billion
Change to revenue: 10.6%
7. Elevance Health (No. 20 on Fortune 500)
2024 revenue: $177.01 billion
Change to revenue: 3.3%
8. Centene (No. 23 on Fortune 500)
2024 revenue: $163.07 billion
Change to revenue: 5.9%
9. Humana (No. 39 on Fortune 500)
2024 revenue: $117.76 billion
Change to revenue: 10.7%
10. Johnson & Johnson (No. 48 on Fortune 500)
2024 revenue: $88.82 billion
Change to revenue: -6.7%
11. HCA Healthcare (No. 61 on Fortune 500)
2024 revenue: $70.60 billion
Change to revenue: 8.7%
12. Merck (No. 65 on Fortune 500)
2024 revenue: $64.16 billion
Change to revenue: 6.7%
13. Pfizer (No. 67 on Fortune 500)
2024 revenue: $63.63 billion
Change to revenue: 8.8%
14. AbbVie (No. 77 on Fortune 500)
2024 revenue: $56.33 billion
Change to revenue: 3.7%
15. Bristol-Myers Squibb (No. 94 on Fortune 500)
2024 revenue: $48.30 billion
Change to revenue: 7.3%
16. Eli Lilly (No. 100 on Fortune 500)
2024 revenue: $45.04 billion
Change to revenue: 32%
17. Abbott Laboratories (No. 107 on Fortune 500)
2024 revenue: $41.95 billion
Change to revenue: 4.6%
18. Molina Healthcare (No. 111 on Fortune 500)
2024 revenue: $40.65 billion
Change to revenue: 19.3%
19. Amgen (No. 134 on Fortune 500)
2024 revenue: $33.42 billion
Change to revenue: 18.6%
20. Gilead Sciences (No. 149 on Fortune 500)
2024 revenue: $28.75 billion
Change to revenue: 6%
21. Danaher (No. 180 on Fortune 500)
2024 revenue: $23.88 billion
Change to revenue: -13.5%
22. Stryker (No. 195 on Fortune 500)
2024 revenue: $22.60 billion
Change to revenue: 10.2%
23. Tenet Healthcare (No. 206 on Fortune 500)
2024 revenue: $20.67 billion
Change to revenue: 0.6%
24. Becton Dickinson (No. 211 on Fortune 500)
2024 revenue: $20.18 billion
Change to revenue: 4.2%
25. GE HealthCare Technologies (No. 219 on Fortune 500)
2024 revenue: $19.67 billion
Change to revenue: 0.6%
Honorable healthcare mentions: Though not formally categorized in the healthcare sector by Fortune, the following highly ranked companies have significant healthcare operations or influence.
Walgreens Boots Alliance (No. 26 on Fortune 500)
2024 revenue: $147.66 billion
Change to revenue: 6.2%
Oracle (No. 87 on Fortune 500)
2024 revenue: $52.96 billion
Change to revenue: 6%
GuideWell Mutual Holding (No. 136 on Fortune 500)
Holding company of Florida Blue
2024 revenue: $32.95 billion
Change to revenue: 5.9%
