Rankings · Quality
A+ companies
Graded A on the five growth-and-cash checks and strong on business quality — margins, returns and debt — which is what the plus means. Ranked by size.
48 companies meet this test
Figures as of September 30, 2026
| # | Company | Grade | Market value | Net margin | Return on capital | Revenue growth |
|---|---|---|---|---|---|---|
| 1 | LLYELI LILLY AND COMPANY | A+ | $1.12T | 33.5% | — | +39% a year |
| 2 | JNJJohnson & Johnson | A+ | $644.8B | 21.5% | 12.7% | +6% a year |
| 3 | AZNASTRAZENECA PLC | A+ | $256.5B | 16.7% | 14.5% | +11% a year |
| 4 | TMOTHERMO FISHER SCIENTIFIC INC. | A+ | $251.4B | 15.0% | 7.6% | +2% a year |
| 5 | AMGNAmgen Inc. | A+ | $229B | 23.0% | 12.4% | +13% a year |
| 6 | ISRGIntuitive Surgical, Inc. | A+ | $145.6B | 28.4% | 14.4% | +18% a year |
| 7 | MDTMedtronic plc | A+ | $111.4B | 13.9% | 6.6% | +6% a year |
| 8 | SYKSTRYKER CORP | A+ | $107B | 14.4% | 9.4% | +10% a year |
| 9 | GSKGSK plc | A+ | $106.5B | 17.5% | 19.2% | +4% a year |
| 10 | EWEdwards Lifesciences Corporation | A+ | $50.8B | 15.4% | 9.4% | +15% a year |
More rankings
A ranking orders companies by one stated measure. It is not a recommendation, and it says nothing about whether any share price is reasonable.