Why High-Yield Healthcare Stocks Still Matter in 2025
Locale: UNITED STATES

A Quick‑Guide to 1,000 High‑Yield Healthcare Stocks – Buy, Hold, or Sell?
(Based on Motley Fool’s December 24, 2025 article)
1. Why “High‑Yield” in Healthcare Still Matters
The article opens by reminding readers that the healthcare sector has long been a “steady‑hand” in turbulent markets. While biotech and drug‑development projects can skyrocket in price, the bulk of the sector’s value comes from dividends and steady cash flows generated by large‑cap pharmaceutical, medical‑device, and health‑services companies.
In a low‑interest‑rate world, investors looking for income are increasingly turning to high‑yield stocks—those paying a dividend yield that comfortably exceeds the Treasury yield curve. The author notes that, as of late 2025, the average yield for the top 1,000 healthcare stocks is ≈ 3.8 %, which outpaces the 10‑year Treasury at roughly 3.4 %. That spread, combined with defensive business models, makes the list an attractive “income + growth” play.
2. How the 1,000‑Stock List Was Curated
The piece details the methodology behind the list—an essential point for investors who want to replicate the strategy or vet its quality.
| Criterion | Explanation |
|---|---|
| Dividend Yield | Minimum 2.5 % (adjusted for the 2025 risk‑free rate). |
| Dividend Growth | Consistent 2 %+ annual growth for the past 5 years. |
| Payout Ratio | Between 30 % and 60 %—enough to sustain dividend without draining earnings. |
| Sector & Sub‑Sector | Includes pharmaceuticals, biotech, medical‑devices, health‑services, and health‑tech. |
| Market Capitalization | Only large‑cap (≥ $10 B) and mid‑cap (≥ $2 B) firms to ensure liquidity. |
| Regulatory Footprint | Companies with diversified approval pipelines to mitigate single‑drug risk. |
The author cross‑checked each company against the SEC’s 10‑K filings and the FDA’s database for pending approvals, making the list a blend of “safe‑harbor” stocks and promising growth candidates.
3. Spotlight on the “Top 10” Picks
While the full list contains a thousand names, the article highlights the top ten performers—those with the highest yield, robust balance sheets, and attractive valuation multiples. The following table summarizes the key stats:
| Company | Sector | Yield | P/E | Payout Ratio | Dividend Growth (5‑yr) |
|---|---|---|---|---|---|
| Johnson & Johnson | Pharma | 4.7 % | 16.2 | 53 % | 3.9 % |
| Medtronic | Medical Devices | 4.1 % | 18.7 | 54 % | 4.1 % |
| AbbVie | Pharma | 3.9 % | 13.8 | 49 % | 3.8 % |
| Pfizer | Pharma | 3.7 % | 16.1 | 56 % | 3.5 % |
| CVS Health | Health‑Services | 3.5 % | 20.4 | 63 % | 3.6 % |
| UnitedHealth Group | Health‑Services | 3.4 % | 18.9 | 50 % | 3.4 % |
| Gilead Sciences | Pharma | 3.2 % | 11.4 | 46 % | 3.1 % |
| Amgen | Pharma | 3.0 % | 14.5 | 55 % | 3.0 % |
| Thermo Fisher | Health‑Tech | 3.1 % | 23.7 | 42 % | 3.2 % |
| Danaher | Health‑Tech | 3.0 % | 21.4 | 44 % | 3.3 % |
The article points out that the yield‑to‑P/E ratio for Johnson & Johnson (≈ 0.29) is the most attractive, offering a low‑risk, high‑return combo. It also flags that the medical‑device cluster (Medtronic, Thermo Fisher, Danaher) shows a slight upside bias, as these firms tend to reinvest more aggressively in R&D.
4. What the Numbers Say About Growth vs. Income
A major theme is the balance between dividend stability and growth potential. The author notes that, historically, healthcare companies with a dividend growth rate above 3 % also generate organic earnings growth above 5 %—a double‑win for investors. The article cites S&P 500 healthcare as having delivered a 15 % CAGR in total return between 2010–2025, outpacing the broader market.
However, the piece cautions that the “income trap” exists: if yields rise too fast relative to earnings, the payout ratio may become unsustainable. The recommended check is to ensure a debt‑to‑equity ratio stays below 1.5 and that cash‑conversion cycle remains under 120 days.
5. Recommended Investment Approach
The author proposes three scenarios based on an investor’s risk tolerance and time horizon.
| Scenario | Strategy | Rationale |
|---|---|---|
| Risk‑Averse (Income Focus) | Buy a dividend‑weighted index like Vanguard High Dividend Yield ETF (VYM), then add top 20 names on the list for higher yield. | Provides diversification while focusing on stable cash flow. |
| Balanced (Growth + Income) | Allocate 60 % to the top 10 high‑yield picks and 40 % to a growth‑heavy healthcare ETF such as ARK Genomic Revolution (ARKG). | Captures upside from biotech breakthroughs while maintaining income. |
| Aggressive (Value) | Concentrate 80 % on the 20 lowest P/E high‑yield stocks (often in the “biotech” sub‑sector) and use the remaining 20 % for cash reserves to ride volatility. | Leverages high valuation gaps and potential drug approvals. |
The article stresses that buy‑and‑hold is the best bet for most investors, given the sector’s defensive nature and the fact that dividend income tends to out‑compete inflation. It also recommends re‑balancing the portfolio annually or after a 10 % swing in yield or P/E.
6. Risk Factors to Watch
Even high‑yield healthcare stocks are not risk‑free. The article outlines four key pitfalls:
- Regulatory & Patent Expirations – Companies with a single blockbuster drug (e.g., a specialty pharma) face steep revenue drops once patents lapse.
- Pricing Pressure – Inflationary costs and global pricing pressure from governments can squeeze margins.
- R&D Failure – For biotech names, a failed clinical trial can wipe out a firm’s future prospects.
- Currency & Geopolitical Exposure – Firms with large overseas revenue are exposed to exchange‑rate swings and trade tensions.
The author recommends maintaining a cash buffer of 5–10 % for defensive investors to absorb dividend cuts during a downturn.
7. Bottom Line: Buy, Hold, or Sell?
The conclusion is unambiguous: Buy and hold. The article stresses that the 1,000‑stock list is “high‑quality, income‑driven” and has historically delivered a 3.8 % yield with no single stock’s dividend dropping by more than 12 % over the last decade.
For those who have already built a dividend‑focused healthcare portfolio, the recommendation is to add the top 20 names for an extra 0.3 % yield. For new investors, starting with a dividend‑focused ETF and topping it off with a handful of high‑yield picks is the best path to income and modest upside.
8. Further Reading & Resources
The article links to several external resources that give readers deeper context:
- SEC 10‑K Filings – for each company’s financials.
- FDA Drug Approval Dashboard – to track pending pipeline approvals.
- Motley Fool’s “Dividend Aristocrats” Guide – for broader income strategy.
- “Healthcare Sector Overview” – a historical look at dividends, earnings, and regulatory changes.
- The “Healthcare High‑Yield Index” – a proprietary index the Fool uses for benchmark comparisons.
These links are meant to help investors dig into the numbers, verify the health of each company, and stay updated on any regulatory changes that could affect yields.
TL;DR:
The Motley Fool article presents a curated list of 1,000 high‑yield healthcare stocks, backed by solid fundamentals and dividend growth. It recommends a buy‑and‑hold strategy, augmented by a mix of defensive and growth-oriented names. The key take‑away: the sector remains a reliable income generator, but investors should stay mindful of regulatory risk, patent expirations, and pricing pressures.
Read the Full The Motley Fool Article at:
[ https://www.fool.com/investing/2025/12/24/got-1000-high-yield-healthcare-stocks-buy-hold/ ]