ARTFEED — Contemporary Art Intelligence

Fortune 500 Revenue Ranking: Walmart Leads, Drug Distributors and Insurers Dominate Top 10

economy-finance · 2026-10-19

For fiscal 2023, Walmart secures the top spot on the Fortune 500 list, boasting annual sales of $648 billion, a position it has maintained for over ten years across 10,500 locations. Amazon follows in second place with around $575 billion, while Apple ranks third with approximately $383 billion, largely driven by iPhone sales. UnitedHealth Group comes in fourth at about $372 billion, and Berkshire Hathaway is fifth with roughly $365 billion. CVS Health ranks sixth with close to $358 billion, following its acquisition of Aetna in 2018. In the energy sector, ExxonMobil leads at around $345 billion, with Alphabet at about $307 billion. Major wholesalers McKesson, Cencora, and Cardinal Health manage U.S. prescription drugs with margins below 2%, and the ranking emphasizes dollar volume over profitability.

Key facts

  • Walmart ranked first on the most recently verified Fortune 500 with about $648 billion in annual revenue, a position held for more than a decade
  • Amazon placed second at roughly $575 billion, with AWS producing most operating income despite a modest share of sales
  • Apple reported approximately $383 billion, with the iPhone accounting for about half of revenue
  • UnitedHealth Group posted roughly $372 billion, the largest figure by any U.S. health insurer
  • Berkshire Hathaway recorded about $365 billion assembled from dozens of unrelated subsidiaries
  • CVS Health reached approximately $358 billion following its 2018 acquisition of Aetna
  • ExxonMobil's roughly $345 billion placed it ahead of Alphabet's approximately $307 billion
  • McKesson and Cencora reported about $309 billion and $294 billion respectively, with distributor operating margins under 2%

Entities

Artists

Institutions

  • Fortune
  • Walmart
  • Sam's Club
  • Amazon
  • Amazon Web Services
  • Apple
  • UnitedHealth Group
  • UnitedHealthcare
  • Optum
  • OptumRx
  • CVS Health
  • Aetna
  • Caremark
  • MinuteClinic
  • Oak Street Health
  • Signify Health
  • Berkshire Hathaway
  • GEICO
  • Berkshire Hathaway Reinsurance Group
  • BNSF Railway
  • Berkshire Hathaway Energy
  • See's Candies
  • Dairy Queen
  • Duracell
  • Fruit of the Loom
  • ExxonMobil
  • ExxonMobil Chemical
  • Standard Oil
  • Jersey Standard
  • Socony
  • Alphabet
  • Google
  • YouTube
  • Waymo
  • Verily
  • Google Cloud
  • McKesson
  • US Oncology Network
  • Cencora
  • AmerisourceBergen
  • Cardinal Health
  • Microsoft
  • Meta
  • UPS
  • FedEx
  • U.S. Postal Service
  • BP
  • Shell
  • Coca-Cola
  • American Express
  • Bank of America
  • OpenAI
  • Express Scripts
  • Whole Foods Market
  • Quartz
  • Justice Department
  • European Union

Locations

  • United States
  • Rogers
  • Arkansas
  • Bentonville
  • Seattle
  • Cupertino
  • California
  • Minnetonka
  • Minnesota
  • Omaha
  • Nebraska
  • Woonsocket
  • Rhode Island
  • Spring
  • Texas
  • Houston
  • Irving
  • New York
  • San Francisco
  • Conshohocken
  • Pennsylvania
  • Mexico
  • Central America
  • Canada
  • China
  • Greater China
  • Europe
  • Ukraine

Sources