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

Centene brought in $194.8B of revenue in fiscal 2025, McKesson $403.4B in fiscal 2026. Revenue changed by +19.4% at Centene and +12.4% at McKesson on the year before, so Centene grew faster. Centene kept -3.4% of its revenue as net profit, McKesson 1.2%. Free cash flow was $4.3B at Centene and $5.7B at McKesson.

Side by side, latest fiscal year

CNCMCK
Fiscal year endedFY2025 (December 31, 2025)FY2026 (March 31, 2026)
Revenue$194.8B$403.4B
Revenue growth+19.4%+12.4%
Net income-$6.7B$4.8B
Net margin-3.4%1.2%
Free cash flow$4.3B$5.7B
Free cash flow margin2.2%1.4%
Earnings per share (diluted)-$13.53$38.38
Cash$17.9B$4B
Debt$17.5B$6.5B
Price to earningsn/a22.6
Market value$30.5B$101B
Dividend yieldn/a0.37%
Rank by revenue in sector#7 of 523 · Health care#2 of 523 · Health care

Over the years

Revenue
CNC FY2018: $60.1BCNC FY2019: $74.6BCNC FY2020: $111.1BCNC FY2021: $126BCNC FY2022: $144.5BCNC FY2023: $154BCNC FY2024: $163.1BCNC FY2025: $194.8BMCK FY2019: $214.3BMCK FY2020: $231.1BMCK FY2021: $238.2BMCK FY2022: $264BMCK FY2023: $276.7BMCK FY2024: $309BMCK FY2025: $359.1BMCK FY2026: $403.4BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CNC $194.8BMCK $403.4B
Net income
CNC FY2018: $900MCNC FY2019: $1.3BCNC FY2020: $1.8BCNC FY2021: $1.3BCNC FY2022: $1.2BCNC FY2023: $2.7BCNC FY2024: $3.3BCNC FY2025: -$6.7BMCK FY2019: $34MMCK FY2020: $900MMCK FY2021: -$4.5BMCK FY2022: $1.1BMCK FY2023: $3.6BMCK FY2024: $3BMCK FY2025: $3.3BMCK FY2026: $4.8BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CNC -$6.7BMCK $4.8B
Net margin
CNC FY2018: 1.5%CNC FY2019: 1.8%CNC FY2020: 1.6%CNC FY2021: 1.1%CNC FY2022: 0.8%CNC FY2023: 1.8%CNC FY2024: 2.0%CNC FY2025: -3.4%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
CNC -3.4%MCK 1.2%
Revenue growth
CNC FY2019: +24.2%CNC FY2020: +48.9%CNC FY2021: +13.4%CNC FY2022: +14.7%CNC FY2023: +6.5%CNC FY2024: +5.9%CNC FY2025: +19.4%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
CNC +19.4%MCK +12.4%
Free cash flow
CNC FY2018: $559MCNC FY2019: $753MCNC FY2020: $4.6BCNC FY2021: $3.3BCNC FY2022: $5.3BCNC FY2023: $7.3BCNC FY2024: -$490MCNC FY2025: $4.3BMCK FY2019: $3.6BMCK FY2020: $4BMCK FY2021: $4.1BMCK FY2022: $4BMCK FY2023: $4.8BMCK FY2024: $3.9BMCK FY2025: $5.5BMCK FY2026: $5.7BFY18FY19FY20FY21FY22FY23FY24FY25FY26
CNC $4.3BMCK $5.7B

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

Questions about Centene and McKesson

Which is bigger by revenue, Centene or McKesson?

McKesson is bigger by revenue: $403.4B in fiscal 2026, against $194.8B for Centene in fiscal 2025.

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

Centene had a net margin of -3.4% in fiscal 2025; McKesson had 1.2% in fiscal 2026.

Which grew revenue faster, Centene or McKesson?

In their latest fiscal years revenue changed by +19.4% at Centene 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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