# The biggest health and pharma companies in West Midlands

The health and pharma companies registered in West Midlands with the highest turnover in their latest filed accounts, ranked, with profit and growth.

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.

| Rank | Company | Town | Turnover | Year |
| ---: | --- | --- | ---: | --- |
| 1 | [Swanton Care & Community](https://firmfacts.co/company/swanton-care-community-05789785) | Coventry | £136m | FY to Dec 2025 |
| 2 | [Etac](https://firmfacts.co/company/etac-03936516) | Kidderminster | £29.1m | FY to Dec 2024 |
| 3 | [Breas Medical](https://firmfacts.co/company/breas-medical-07190611) | Stratford-Upon-Avon | £27.8m | FY to Dec 2025 |
| 4 | [I-Smart Developments](https://firmfacts.co/company/i-smart-developments-11153428) | Birmingham | £22.2m | FY to Jan 2025 |
| 5 | [Extel](https://firmfacts.co/company/extel-03275554) | Birmingham | £17.2m | FY to Mar 2025 |
| 6 | [National Unplanned Pregnancy Advisory Service](https://firmfacts.co/company/national-unplanned-pregnancy-advisory-service-01087755) | Birmingham | £14.8m | FY to Mar 2025 |
| 7 | [Healthharmonie](https://firmfacts.co/company/healthharmonie-04724733) | Birmingham | £13.1m | FY to Sept 2024 |
| 8 | [Mercian Surgical Supply Co](https://firmfacts.co/company/mercian-surgical-supply-co-00933463) | Bromsgrove | £13m | FY to Jul 2025 |
| 9 | [Manx Healthcare](https://firmfacts.co/company/manx-healthcare-02904497) | Warwick | £12.6m | FY to Sept 2025 |
| 10 | [Lentulus Properties](https://firmfacts.co/company/lentulus-properties-08988410) | Whitchurch | £12.4m | FY to Dec 2025 |

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Updated 2026-11-04 from the latest filed accounts at Companies House (Open Government Licence v3.0). Page: https://firmfacts.co/blog/biggest-health-and-pharma-companies-in-west-midlands