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Cencora (COR) investor relations material

Cencora Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary5 Aug, 2026

Executive summary

  • Q3 FY2026 revenue rose 5.1% year-over-year to $84.8 billion, driven by growth in both U.S. and International Healthcare Solutions segments, with notable contributions from specialty pharmaceuticals, GLP-1 products, and the OneOncology acquisition.

  • Adjusted diluted EPS increased 12% to $4.48, and GAAP diluted EPS rose 11.9% to $3.94, reflecting strong operational performance.

  • Fiscal 2026 adjusted EPS guidance was raised to $17.75–$17.95, reflecting confidence in continued execution and portfolio strength.

  • $1 billion in shares were repurchased during the quarter, supporting capital deployment priorities.

  • Announced new CFO and CHRO appointments, with prior executives remaining as advisors through year-end.

Financial highlights

  • Gross profit grew 24.1% year-over-year to $3.6 billion, with gross margin expanding by up to 66 bps to 4.26%.

  • Adjusted operating income rose 17% to $1.2 billion; GAAP operating income up 29.1% to $1.1 billion.

  • Net income attributable to shareholders was $764 million for the quarter, up 11.1% year-over-year.

  • Net interest expense increased to $141 million, reflecting financing for the OneOncology acquisition.

  • Diluted shares outstanding decreased 0.7% year-over-year to 193.9 million due to share repurchases.

Outlook and guidance

  • Fiscal 2026 adjusted EPS guidance raised to $17.75–$17.95.

  • Revenue growth expected at 4–6% for U.S. and International Healthcare Solutions segments.

  • Adjusted operating income growth forecasted at 13–14% for U.S. and ~9% for International segments.

  • Adjusted free cash flow guidance for FY2026 is ~$3.0 billion; capital expenditures expected at ~$900 million.

  • Net interest expense for FY26 expected at ~$490 million; diluted shares outstanding at ~194 million.

OneOncology impact on U.S. segment margins
How did GLP-1s affect gross profit margins?
Drivers of U.S. segment revenue headwinds
Contrast Part B and Part D biosimilar margins
Phases of MSO value creation for OneOncology
EPS headwind from MWI Animal Health merger
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