Updated 2 November 2026 · from filed accounts

The biggest health and pharma companies in West Midlands

Swanton Care & Community is the biggest company among the health and pharma companies registered in West Midlands by turnover, with £136m in its latest filed accounts. Etac and Breas Medical follow. Together the 10 companies below turned over £299m in their latest filed years.

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1
Swanton Care & Community
Coventry · Health & pharma · FY to Dec 2025
£136m
+39% on the year before
2
Etac
Kidderminster · Health & pharma · FY to Dec 2024
£29.1m
+20% on the year before
3
Breas Medical
Stratford-Upon-Avon · Health & pharma · FY to Dec 2025
£27.8m
+1.4% on the year before
4
I-Smart Developments
Birmingham · Health & pharma · FY to Jan 2025
£22.2m
+103% on the year before
5
Extel
Birmingham · Health & pharma · FY to Mar 2025
£17.2m
+3.0% on the year before
6
National Unplanned Pregnancy Advisory Service
Birmingham · Health & pharma · FY to Mar 2025
£14.8m
+7.3% on the year before
7
Healthharmonie
Birmingham · Health & pharma · FY to Sept 2024
£13.1m
-35% on the year before
8
Mercian Surgical Supply Co
Bromsgrove · Health & pharma · FY to Jul 2025
£13m
+6.6% on the year before
9
Manx Healthcare
Warwick · Health & pharma · FY to Sept 2025
£12.6m
-32% on the year before
10
Lentulus Properties
Whitchurch · Health & pharma · FY to Dec 2025
£12.4m
-4.9% on the year before

How this list is made

From each company's latest accounts filed at Companies House, or its annual report for listed groups: the figures as filed, nothing estimated. Changes compare the two latest filed years. Only companies that report in pounds are ranked; groups that report in dollars or euros aren't converted. Subsidiaries whose figures are part of a listed group's are counted once, in the group. Updated daily as new accounts are filed.

How this list is made

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