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Side-by-side financial comparison of Costco (COST) and Elevance Health (ELV). Click either name above to swap in a different company.

Costco is the larger business by last-quarter revenue ($67.3B vs $49.7B, roughly 1.4× Elevance Health). Costco runs the higher net margin — 3.0% vs 1.1%, a 1.9% gap on every dollar of revenue. On growth, Costco posted the faster year-over-year revenue change (8.3% vs 1.8%). Over the past eight quarters, Costco's revenue compounded faster (7.9% CAGR vs 6.5%).

Costco Wholesale Corporation, doing business as Costco, is an American multinational corporation which operates a chain of membership-only big-box warehouse club retail stores. As of 2021, Costco is the third-largest retailer in the world, and as of August 2024, Costco is the world's largest retailer of beef, poultry, organic produce, and wine, with just under a third of American consumers regularly shopping at Costco warehouses.

Elevance Health, Inc. is an American health insurance company. Prior to June 2022, Elevance Health was named Anthem, Inc. The company is the world's seventh largest healthcare company based on revenue. Its services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California, Wellpoint, and Carelon.

COST vs ELV — Head-to-Head

Bigger by revenue
COST
COST
1.4× larger
COST
$67.3B
$49.7B
ELV
Growing faster (revenue YoY)
COST
COST
+6.5% gap
COST
8.3%
1.8%
ELV
Higher net margin
COST
COST
1.9% more per $
COST
3.0%
1.1%
ELV
Faster 2-yr revenue CAGR
COST
COST
Annualised
COST
7.9%
6.5%
ELV

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
COST
COST
ELV
ELV
Revenue
$67.3B
$49.7B
Net Profit
$2.0B
$547.0M
Gross Margin
13.1%
88.9%
Operating Margin
3.7%
0.6%
Net Margin
3.0%
1.1%
Revenue YoY
8.3%
1.8%
Net Profit YoY
11.3%
-74.9%
EPS (diluted)
$4.50
$2.56

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
COST
COST
ELV
ELV
Q1 26
$49.7B
Q4 25
$67.3B
$49.7B
Q3 25
$86.2B
$50.7B
Q2 25
$63.2B
$49.8B
Q1 25
$63.7B
$48.9B
Q4 24
$62.2B
$45.4B
Q3 24
$45.1B
Q2 24
$58.5B
$43.9B
Net Profit
COST
COST
ELV
ELV
Q1 26
$547.0M
Q4 25
$2.0B
$547.0M
Q3 25
$2.6B
$1.2B
Q2 25
$1.9B
$1.7B
Q1 25
$1.8B
$2.2B
Q4 24
$1.8B
$418.0M
Q3 24
$1.0B
Q2 24
$1.7B
$2.3B
Gross Margin
COST
COST
ELV
ELV
Q1 26
88.9%
Q4 25
13.1%
88.9%
Q3 25
12.9%
89.4%
Q2 25
13.0%
89.4%
Q1 25
12.5%
89.8%
Q4 24
12.9%
86.8%
Q3 24
88.7%
Q2 24
12.5%
89.0%
Operating Margin
COST
COST
ELV
ELV
Q1 26
0.6%
Q4 25
3.7%
0.6%
Q3 25
3.9%
2.6%
Q2 25
4.0%
4.9%
Q1 25
3.6%
6.5%
Q4 24
3.5%
1.5%
Q3 24
3.1%
Q2 24
3.8%
6.3%
Net Margin
COST
COST
ELV
ELV
Q1 26
1.1%
Q4 25
3.0%
1.1%
Q3 25
3.0%
2.3%
Q2 25
3.0%
3.5%
Q1 25
2.8%
4.5%
Q4 24
2.9%
0.9%
Q3 24
2.3%
Q2 24
2.9%
5.2%
EPS (diluted)
COST
COST
ELV
ELV
Q1 26
$2.56
Q4 25
$4.50
$2.56
Q3 25
$5.87
$5.32
Q2 25
$4.28
$7.72
Q1 25
$4.02
$9.61
Q4 24
$4.04
$1.88
Q3 24
$4.36
Q2 24
$3.78
$9.85

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
COST
COST
ELV
ELV
Cash + ST InvestmentsLiquidity on hand
$17.2B
$9.5B
Total DebtLower is stronger
$31.9B
Stockholders' EquityBook value
$30.3B
$43.9B
Total Assets
$82.8B
$121.5B
Debt / EquityLower = less leverage
0.73×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
COST
COST
ELV
ELV
Q1 26
$9.5B
Q4 25
$17.2B
$9.5B
Q3 25
$15.3B
$8.7B
Q2 25
$14.8B
$8.6B
Q1 25
$13.2B
$7.5B
Q4 24
$11.8B
$8.3B
Q3 24
$7.9B
Q2 24
$11.5B
$6.5B
Total Debt
COST
COST
ELV
ELV
Q1 26
$31.9B
Q4 25
$31.9B
Q3 25
Q2 25
Q1 25
Q4 24
$30.9B
Q3 24
Q2 24
Stockholders' Equity
COST
COST
ELV
ELV
Q1 26
$43.9B
Q4 25
$30.3B
$43.9B
Q3 25
$29.2B
$44.0B
Q2 25
$27.1B
$43.7B
Q1 25
$25.6B
$42.5B
Q4 24
$24.5B
$41.3B
Q3 24
$43.8B
Q2 24
$21.8B
$42.2B
Total Assets
COST
COST
ELV
ELV
Q1 26
$121.5B
Q4 25
$82.8B
$121.5B
Q3 25
$77.1B
$122.7B
Q2 25
$75.5B
$121.9B
Q1 25
$73.2B
$119.7B
Q4 24
$73.4B
$116.9B
Q3 24
$116.5B
Q2 24
$67.9B
$113.0B
Debt / Equity
COST
COST
ELV
ELV
Q1 26
0.73×
Q4 25
0.73×
Q3 25
Q2 25
Q1 25
Q4 24
0.75×
Q3 24
Q2 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
COST
COST
ELV
ELV
Operating Cash FlowLast quarter
$4.7B
Free Cash FlowOCF − Capex
$3.2B
FCF MarginFCF / Revenue
4.7%
Capex IntensityCapex / Revenue
2.3%
Cash ConversionOCF / Net Profit
2.34×
TTM Free Cash FlowTrailing 4 quarters
$9.0B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
COST
COST
ELV
ELV
Q1 26
Q4 25
$4.7B
$84.0M
Q3 25
$3.9B
$1.1B
Q2 25
$3.5B
$2.1B
Q1 25
$2.7B
$1.0B
Q4 24
$3.3B
$706.0M
Q3 24
$2.7B
Q2 24
$3.0B
$447.0M
Free Cash Flow
COST
COST
ELV
ELV
Q1 26
Q4 25
$3.2B
$-209.0M
Q3 25
$1.9B
$775.0M
Q2 25
$2.3B
$1.8B
Q1 25
$1.6B
$821.0M
Q4 24
$2.0B
$384.0M
Q3 24
$2.3B
Q2 24
$1.9B
$124.0M
FCF Margin
COST
COST
ELV
ELV
Q1 26
Q4 25
4.7%
-0.4%
Q3 25
2.2%
1.5%
Q2 25
3.7%
3.6%
Q1 25
2.5%
1.7%
Q4 24
3.2%
0.8%
Q3 24
5.2%
Q2 24
3.3%
0.3%
Capex Intensity
COST
COST
ELV
ELV
Q1 26
Q4 25
2.3%
0.6%
Q3 25
2.3%
0.7%
Q2 25
1.8%
0.5%
Q1 25
1.8%
0.4%
Q4 24
2.0%
0.7%
Q3 24
0.7%
Q2 24
1.8%
0.7%
Cash Conversion
COST
COST
ELV
ELV
Q1 26
Q4 25
2.34×
0.15×
Q3 25
1.48×
0.95×
Q2 25
1.82×
1.18×
Q1 25
1.54×
0.47×
Q4 24
1.81×
1.69×
Q3 24
2.63×
Q2 24
1.78×
0.19×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

COST
COST

Foods And Sundries$27.1B40%
Non Foods$19.2B28%
Other$12.1B18%
Fresh Foods$9.9B15%
Membership$1.4B2%

ELV
ELV

Segment breakdown not available.

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