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

Elevance Health brought in $199.1B of revenue in fiscal 2025, McKesson $403.4B in fiscal 2026. Revenue changed by +12.5% at Elevance Health and +12.4% at McKesson on the year before, so Elevance Health grew faster. Elevance Health kept 2.8% of its revenue as net profit, McKesson 1.2%. Free cash flow was $3.2B at Elevance Health and $5.7B at McKesson.

Side by side, latest fiscal year

ELVMCK
Fiscal year endedFY2025 (December 31, 2025)FY2026 (March 31, 2026)
Revenue$199.1B$403.4B
Revenue growth+12.5%+12.4%
Net income$5.7B$4.8B
Net margin2.8%1.2%
Free cash flow$3.2B$5.7B
Free cash flow margin1.6%1.4%
Earnings per share (diluted)$25.21$38.38
Cash$9.5B$4B
Debt$31.9B$6.5B
Price to earnings15.722.6
Market value$85.9B$101B
Dividend yieldn/a0.37%
Rank by revenue in sector#6 of 523 · Health care#2 of 523 · Health care

Over the years

Revenue
ELV FY2018: $92.1BELV FY2019: $104.2BELV FY2020: $121.9BELV FY2021: $138.6BELV FY2022: $156.6BELV FY2023: $171.3BELV FY2024: $177BELV FY2025: $199.1BMCK FY2019: $214.3BMCK FY2020: $231.1BMCK FY2021: $238.2BMCK FY2022: $264BMCK FY2023: $276.7BMCK FY2024: $309BMCK FY2025: $359.1BMCK FY2026: $403.4BFY18FY19FY20FY21FY22FY23FY24FY25FY26
ELV $199.1BMCK $403.4B
Net income
ELV FY2018: $3.8BELV FY2019: $4.8BELV FY2020: $4.6BELV FY2021: $6.2BELV FY2022: $5.9BELV FY2023: $6BELV FY2024: $6BELV FY2025: $5.7BMCK FY2019: $34MMCK FY2020: $900MMCK FY2021: -$4.5BMCK FY2022: $1.1BMCK FY2023: $3.6BMCK FY2024: $3BMCK FY2025: $3.3BMCK FY2026: $4.8BFY18FY19FY20FY21FY22FY23FY24FY25FY26
ELV $5.7BMCK $4.8B
Net margin
ELV FY2018: 4.1%ELV FY2019: 4.6%ELV FY2020: 3.8%ELV FY2021: 4.4%ELV FY2022: 3.8%ELV FY2023: 3.5%ELV FY2024: 3.4%ELV FY2025: 2.8%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
ELV 2.8%MCK 1.2%
Revenue growth
ELV FY2019: +13.1%ELV FY2020: +16.9%ELV FY2021: +13.8%ELV FY2022: +13.0%ELV FY2023: +9.4%ELV FY2024: +3.3%ELV FY2025: +12.5%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
ELV +12.5%MCK +12.4%
Free cash flow
ELV FY2018: $2.6BELV FY2019: $5BELV FY2020: $9.7BELV FY2021: $7.3BELV FY2022: $7.2BELV FY2023: $6.8BELV FY2024: $4.6BELV FY2025: $3.2BMCK FY2019: $3.6BMCK FY2020: $4BMCK FY2021: $4.1BMCK FY2022: $4BMCK FY2023: $4.8BMCK FY2024: $3.9BMCK FY2025: $5.5BMCK FY2026: $5.7BFY18FY19FY20FY21FY22FY23FY24FY25FY26
ELV $3.2BMCK $5.7B

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

Questions about Elevance Health and McKesson

Which is bigger by revenue, Elevance Health or McKesson?

McKesson is bigger by revenue: $403.4B in fiscal 2026, against $199.1B for Elevance Health in fiscal 2025.

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

Elevance Health had a net margin of 2.8% in fiscal 2025; McKesson had 1.2% in fiscal 2026.

Which grew revenue faster, Elevance Health or McKesson?

In their latest fiscal years revenue changed by +12.5% at Elevance 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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