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Cigna vs McKesson: revenue, profit, margins and growth compared

Cigna brought in $274.9B of revenue in fiscal 2025, McKesson $403.4B in fiscal 2026. Revenue changed by +11.2% at Cigna and +12.4% at McKesson on the year before, so McKesson grew faster. Cigna kept 2.2% of its revenue as net profit, McKesson 1.2%.

Side by side, latest fiscal year

CIMCK
Fiscal year endedFY2025 (December 31, 2025)FY2026 (March 31, 2026)
Revenue$274.9B$403.4B
Revenue growth+11.2%+12.4%
Net income$6B$4.8B
Net margin2.2%1.2%
Free cash flown/a$5.7B
Free cash flow marginn/a1.4%
Earnings per share (diluted)$22.18$38.38
Cash$7.7B$4B
Debt$30.9B$6.5B
Price to earnings12.322.6
Market value$71.9B$101B
Dividend yield2.22%0.37%
Rank by revenue in sector#4 of 523 · Health care#2 of 523 · Health care

Over the years

Revenue
CI FY2018: $48.7BCI FY2019: $153.6BCI FY2020: $160.4BCI FY2021: $174.1BCI FY2022: $180.5BCI FY2023: $195.3BCI FY2024: $247.1BCI FY2025: $274.9BMCK FY2019: $214.3BMCK FY2020: $231.1BMCK FY2021: $238.2BMCK FY2022: $264BMCK FY2023: $276.7BMCK FY2024: $309BMCK FY2025: $359.1BMCK FY2026: $403.4BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CI $274.9BMCK $403.4B
Net income
CI FY2018: $2.6BCI FY2019: $5.1BCI FY2020: $8.5BCI FY2021: $5.4BCI FY2022: $6.7BCI FY2023: $5.2BCI FY2024: $3.4BCI FY2025: $6BMCK FY2019: $34MMCK FY2020: $900MMCK FY2021: -$4.5BMCK FY2022: $1.1BMCK FY2023: $3.6BMCK FY2024: $3BMCK FY2025: $3.3BMCK FY2026: $4.8BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CI $6BMCK $4.8B
Net margin
CI FY2018: 5.4%CI FY2019: 3.3%CI FY2020: 5.3%CI FY2021: 3.1%CI FY2022: 3.7%CI FY2023: 2.6%CI FY2024: 1.4%CI FY2025: 2.2%MCK FY2019: 0.0%MCK FY2020: 0.4%MCK FY2021: -1.9%MCK FY2022: 0.4%MCK FY2023: 1.3%MCK FY2024: 1.0%MCK FY2025: 0.9%MCK FY2026: 1.2%FY18FY19FY20FY21FY22FY23FY24FY25FY26
CI 2.2%MCK 1.2%
Revenue growth
CI FY2019: +215.7%CI FY2020: +4.5%CI FY2021: +8.5%CI FY2022: +3.7%CI FY2023: +8.2%CI FY2024: +26.6%CI FY2025: +11.2%MCK FY2020: +7.8%MCK FY2021: +3.1%MCK FY2022: +10.8%MCK FY2023: +4.8%MCK FY2024: +11.7%MCK FY2025: +16.2%MCK FY2026: +12.4%FY19FY20FY21FY22FY23FY24FY25FY26
CI +11.2%MCK +12.4%
Free cash flow
CI FY2018: $3.2BCI FY2019: $8.4BMCK FY2019: $3.6BMCK FY2020: $4BMCK FY2021: $4.1BMCK FY2022: $4BMCK FY2023: $4.8BMCK FY2024: $3.9BMCK FY2025: $5.5BMCK FY2026: $5.7BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CI $8.4BMCK $5.7B

Fiscal years as each company reports them; the two may end in different months.

Questions about Cigna and McKesson

Which is bigger by revenue, Cigna or McKesson?

McKesson is bigger by revenue: $403.4B in fiscal 2026, against $274.9B for Cigna in fiscal 2025.

Which keeps more of its revenue as profit, Cigna or McKesson?

Cigna had a net margin of 2.2% in fiscal 2025; McKesson had 1.2% in fiscal 2026.

Which grew revenue faster, Cigna or McKesson?

In their latest fiscal years revenue changed by +11.2% at Cigna and +12.4% at McKesson.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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