2019 | 2018 | Name | Country | 2019 | 2018 | 2019 | 2018 |
|---|---|---|---|---|---|---|---|
| 1 | 1 | UnitedHealthcare | United States | $30,577M | $18,614M | AA | AA |
| 2 | 2 | Anthem | United States | $13,559M | $10,084M | AA | AA- |
| 3 | 5 | Optum | United States | $12,705M | $8,407M | AA- | A+ |
| 4 | 3 | Aetna | United States | $10,828M | $9,365M | AA | AA |
| 5 | 4 | Humana | United States | $10,288M | $8,958M | AA | AA |
| 6 | 6 | Medtronic | United States | $9,655M | $7,895M | AA | AA- |
| 7 | 7 | Cigna | United States | $8,165M | $6,948M | AA+ | AA |
| 8 | 8 | Fresenius | Germany | $6,989M | $6,455M | A | A+ |
| 9 | 9 | HCA | United States | $6,295M | $5,123M | A | A |
| 10 | 11 | Centene Corporation | United States | $4,686M | $3,788M | A | A+ |
| 11 | 12 | McKesson | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 12 | 10 | Express Scripts | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 13 | 13 | AmerisourceBergen | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 14 | 18 | BD | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 15 | 14 | Cardinal Health | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 16 | 17 | HealthNet | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 17 | null | IQVIA | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 18 | 16 | Stryker | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 19 | 15 | Tenet Healthcare | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 20 | 19 | DaVita | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 21 | 22 | Boston Scientific | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 22 | 20 | Henry Schein | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 23 | null | Baxter | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 24 | null | Illumina | United States | 🔒 | 🔒 | 🔒 | 🔒 |
| 25 | 23 | Quest Diagnostics | United States | 🔒 | 🔒 | 🔒 | 🔒 |