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McKesson (MCK) investor relations material
McKesson Q4 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Fiscal 2026 consolidated revenues rose 12% to $403.4B, with Q4 revenues up 6% to $96.3B and adjusted EPS up 18% to $39.11, exceeding long-range growth targets.
Strategic actions included onboarding Core Ventures and PRISM Vision, divestiture of European operations, and progress toward separating Medical-Surgical Solutions, with Apollo Global acquiring a 13% minority stake.
Board and leadership transitions announced, including CFO retirement and board changes effective May 2026.
Expanded specialty provider support and biopharma services, including acquisitions in Oncology & Multispecialty and ophthalmology networks.
Returned $5.1B to shareholders and maintained disciplined capital allocation.
Financial highlights
FY26 consolidated revenues reached $403.4B, up 12% year-over-year; Q4 revenues were $96.3B (+6%).
Adjusted operating profit grew 15% to $6.5B; adjusted EPS increased 18% to $39.11.
Q4 adjusted operating profit was $1.8B (+13%), gross profit $3.9B (+14%), and adjusted net income $1.43B (+13%).
Free cash flow for FY26 was $5.41B, exceeding guidance.
Return on invested capital reached 34%.
Outlook and guidance
FY27 adjusted EPS guidance: $43.80–$44.60, representing 12–14% growth; long-term adjusted EPS growth target reaffirmed at 13–16%.
Segment operating profit growth targets: North American Pharmaceutical 5–8%, Oncology & Multispecialty 13–16%, Prescription Technology Solutions 10–13%.
FY27 revenue growth expected at 5–9%, operating profit growth at 8–12%.
Free cash flow guidance for FY27: $4.5B–$4.9B; $5B in planned share repurchases.
- Revenue up 11%, adjusted EPS up 16%, and fiscal 2026 EPS guidance raised to $38.80–$39.20.MCK
Q3 202613 Apr 2026 - Strong growth in core segments and technology, with MedSurg spin-off planned for 2027.MCK
Barclays 28th Annual Global Healthcare Conference12 Mar 2026 - Specialty growth, tech innovation, and operational efficiency drive strong performance.MCK
Leerink Global Healthcare Conference 202611 Mar 2026 - Raised FY26 EPS guidance, specialty growth, and segment separation drive value creation.MCK
Investor Day 20253 Feb 2026 - Adjusted EPS up 8% on 6% revenue growth; guidance and capital returns raised.MCK
Q1 20252 Feb 2026 - Oncology expansion, strategic divestitures, and Optum win drive growth and efficiency.MCK
2024 Wells Fargo Healthcare Conference22 Jan 2026 - Revenue up 21%, Adjusted EPS up 13%, FY25 guidance raised, $2.2B returned to shareholders.MCK
Q2 202516 Jan 2026 - FY25 outlook raised as strong Q2 and oncology expansion drive higher EPS guidance.MCK
Investor Update15 Jan 2026 - Oncology and biopharma platform growth drive robust FY26 financial outlook and value creation.MCK
44th Annual J.P. Morgan Healthcare Conference13 Jan 2026
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