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Cosmos Health vs McKesson: revenue, profit, margins and growth compared

Cosmos Health brought in $65.3M of revenue in fiscal 2025, McKesson $403.4B in fiscal 2026. Revenue changed by +19.9% at Cosmos Health and +12.4% at McKesson on the year before, so Cosmos Health grew faster. Cosmos Health kept -29.3% of its revenue as net profit, McKesson 1.2%. Free cash flow was -$8.5M at Cosmos Health and $5.7B at McKesson.

Side by side, latest fiscal year

COSMMCK
Fiscal year endedFY2025 (December 31, 2025)FY2026 (March 31, 2026)
Revenue$65.3M$403.4B
Revenue growth+19.9%+12.4%
Net income-$19.1M$4.8B
Net margin-29.3%1.2%
Free cash flow-$8.5M$5.7B
Free cash flow margin-13.0%1.4%
Earnings per share (diluted)-$0.63$38.38
Cash$715.7K$4B
Debt$3.8M$6.5B
Price to earningsn/a22.6
Market value$21.8M$101B
Dividend yieldn/a0.37%
Rank by revenue in sector#353 of 646 · Health care#2 of 646 · Health care

Over the years

Revenue
COSM FY2018: $37.1MCOSM FY2019: $39.7MCOSM FY2020: $55.4MCOSM FY2021: $56.2MCOSM FY2022: $50.3MCOSM FY2023: $53.4MCOSM FY2024: $54.4MCOSM FY2025: $65.3MMCK FY2019: $214.3BMCK FY2020: $231.1BMCK FY2021: $238.2BMCK FY2022: $264BMCK FY2023: $276.7BMCK FY2024: $309BMCK FY2025: $359.1BMCK FY2026: $403.4BFY18FY19FY20FY21FY22FY23FY24FY25FY26
COSM $65.3MMCK $403.4B
Net income
COSM FY2018: -$9.1MCOSM FY2019: -$3.3MCOSM FY2020: $820.8KCOSM FY2021: -$8MCOSM FY2022: -$13.8MCOSM FY2023: -$18.5MCOSM FY2024: -$16.2MCOSM FY2025: -$19.1MMCK FY2019: $34MMCK FY2020: $900MMCK FY2021: -$4.5BMCK FY2022: $1.1BMCK FY2023: $3.6BMCK FY2024: $3BMCK FY2025: $3.3BMCK FY2026: $4.8BFY18FY19FY20FY21FY22FY23FY24FY25FY26
COSM -$19.1MMCK $4.8B
Net margin
COSM FY2018: -24.4%COSM FY2019: -8.3%COSM FY2020: 1.5%COSM FY2021: -14.2%COSM FY2022: -27.5%COSM FY2023: -34.7%COSM FY2024: -29.7%COSM FY2025: -29.3%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
COSM -29.3%MCK 1.2%
Revenue growth
COSM FY2019: +7.0%COSM FY2020: +39.6%COSM FY2021: +1.5%COSM FY2022: -10.5%COSM FY2023: +6.0%COSM FY2024: +2.0%COSM FY2025: +19.9%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
COSM +19.9%MCK +12.4%
Free cash flow
COSM FY2018: -$2.1MCOSM FY2020: -$11.6MCOSM FY2021: -$7.7MCOSM FY2022: -$14.9MCOSM FY2023: -$16.9MCOSM FY2024: -$8.1MCOSM FY2025: -$8.5MMCK FY2019: $3.6BMCK FY2020: $4BMCK FY2021: $4.1BMCK FY2022: $4BMCK FY2023: $4.8BMCK FY2024: $3.9BMCK FY2025: $5.5BMCK FY2026: $5.7BFY18FY19FY20FY21FY22FY23FY24FY25FY26
COSM -$8.5MMCK $5.7B

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

Questions about Cosmos Health and McKesson

Which is bigger by revenue, Cosmos Health or McKesson?

McKesson is bigger by revenue: $403.4B in fiscal 2026, against $65.3M for Cosmos Health in fiscal 2025.

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

Cosmos Health had a net margin of -29.3% in fiscal 2025; McKesson had 1.2% in fiscal 2026.

Which grew revenue faster, Cosmos Health or McKesson?

In their latest fiscal years revenue changed by +19.9% at Cosmos Health 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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