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Cencora (COR)
NYSE:COR

Cencora (COR) AI Stock Analysis

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CO

Cencora

(NYSE:COR)

73Outperform
Cencora's robust revenue growth and strategic acquisitions are significant strengths, offset by high leverage and recent cash flow challenges. While technical indicators show upward momentum, the stock's high valuation remains a consideration.
Positive Factors
Customer Acquisition
COR recently picked up Meijer as a new customer, which likely approaches Publix from a total distribution revenue perspective.
Guidance and Earnings
The company recently increased guidance by another $0.05 ahead of a conference appearance, leaving EPS guidance at $15.30 to $15.60.
Price Target Increase
The price target is increased to $274 due to stronger performance in the core U.S. market.
Negative Factors
International Performance
International distribution performance is less favorable, offsetting some of the positive gains from the U.S. market.
Revenue Growth Concerns
Expected deceleration of U.S. Healthcare revenue growth is tied to the assumption that GLP-1 drug sales growth may slow.
Valuation Concerns
Valuation feels relatively full compared to significant discounts across much of the rest of the coverage universe.

Cencora (COR) vs. S&P 500 (SPY)

Cencora Business Overview & Revenue Model

Company DescriptionCencora, Inc. sources and distributes pharmaceutical products. Its U.S. Healthcare Solutions segment distributes pharmaceuticals, over-the-counter healthcare products, home healthcare supplies and equipment, and related services to acute care hospitals and health systems, independent and chain retail pharmacies, mail order pharmacies, medical clinics, long-term care and alternate site pharmacies, and other customers. The company also provides pharmacy management, staffing, and other consulting services; supply management software to retail and institutional healthcare providers; packaging solutions to various institutional and retail healthcare providers; clinical trial support, product post-approval, and commercialization support services; data analytics, outcomes research, and additional services for biotechnology and pharmaceutical manufacturers; and pharmaceuticals, vaccines, parasiticides, diagnostics, micro feed ingredients, and other products to the companion animal and production animal markets. In addition, this segment distributes plasma and other blood products, injectable pharmaceuticals, vaccines, and other specialty products; and provides other services primarily to physicians who specialize in various disease states, primarily oncology, as well as to other healthcare providers, including hospitals and dialysis clinics. The company's International Healthcare Solutions segment offers international pharmaceutical wholesale and related service, and global commercialization services; and distributes pharmaceuticals, other healthcare products, and related services to pharmacies, doctors, health centers and hospitals primarily in Europe. This segment also provides specialty transportation and logistics services for the biopharmaceutical industry. The company was formerly known as AmerisourceBergen Corporation and changed its name to Cencora, Inc. in August 2023. Cencora, Inc. was incorporated in 2001 and is headquartered in Conshohocken, Pennsylvania.
How the Company Makes MoneyCencora makes money primarily through its pharmaceutical distribution services, acting as a critical intermediary between drug manufacturers and healthcare providers, such as hospitals and pharmacies. The company purchases pharmaceuticals and medical products from manufacturers and distributes them to healthcare facilities, earning revenue from the markup on these products. Additionally, Cencora generates income through value-added services, such as supply chain management, consulting, and technology solutions that improve operational efficiencies for its clients. Significant partnerships with pharmaceutical companies and healthcare organizations contribute to its earnings by ensuring a steady flow of products and services. The company also benefits from economies of scale and an extensive logistics network, which enhance its competitive positioning and profitability.

Cencora Financial Statement Overview

Summary
Cencora shows strong revenue growth and stable profitability margins, but high leverage and recent negative cash flows pose financial stability risks.
Income Statement
85
Very Positive
Cencora demonstrates strong revenue growth with a consistent increase from $189.89 billion in 2020 to $303.19 billion in TTM 2024, indicating robust market demand. Gross profit and net profit margins have remained stable, with a recent gross profit margin of 3.1% and net profit margin of 0.46% as of TTM 2024, reflecting efficiency in operations. The EBIT and EBITDA margins show consistent performance around 0.8% and 0.96%, respectively, indicating healthy operational profitability. However, the slight decline in net income in TTM 2024 compared to previous periods suggests a need for careful monitoring of profitability.
Balance Sheet
60
Neutral
The balance sheet reveals a concerning high leverage with a debt-to-equity ratio of 22.52 in TTM 2024, posing a potential risk to financial stability. While the company's total assets have grown to $69.05 billion, the stockholders' equity remains low at $361.9 million, limiting financial flexibility. The equity ratio is a mere 0.52%, indicating significant reliance on debt. Despite these risks, the company has managed to increase its total assets consistently, showing underlying business growth.
Cash Flow
70
Positive
Cencora's cash flow analysis shows a negative operating cash flow in TTM 2024, which is a point of concern. The free cash flow has also turned negative at -$638 million, contrasting with positive cash flows in previous years. The operating cash flow to net income ratio has dropped significantly, indicating potential cash-generation issues. Although the past years have shown positive free cash flow, the recent downturn suggests a need for improved cash flow management.
Breakdown
TTMSep 2024Sep 2023Sep 2022Sep 2021Sep 2020
Income StatementTotal Revenue
303.19B293.96B262.17B238.59B213.99B189.89B
Gross Profit
9.40B9.91B8.96B8.33B6.77B5.20B
EBIT
2.41B2.18B2.34B2.37B2.35B-5.14B
EBITDA
3.17B3.25B3.41B3.11B2.91B-4.75B
Net Income Common Stockholders
1.40B1.51B1.75B1.70B1.54B-3.41B
Balance SheetCash, Cash Equivalents and Short-Term Investments
1.20B3.13B2.59B3.39B2.55B4.60B
Total Assets
13.82B67.10B62.56B56.56B57.34B43.95B
Total Debt
1.36B4.39B4.79B5.70B6.68B4.12B
Net Debt
159.14M1.26B2.20B2.31B4.14B-478.23M
Total Liabilities
10.99B66.31B61.89B56.49B56.75B44.79B
Stockholders Equity
2.83B645.94M666.29M-289.78M223.35M-839.64M
Cash FlowFree Cash Flow
-638.10M3.00B3.45B2.21B2.23B1.84B
Operating Cash Flow
-119.25M3.48B3.91B2.70B2.67B2.21B
Investing Cash Flow
-895.34M-618.10M-2.60B-368.44M-6.14B-379.87M
Financing Cash Flow
1.43B-2.33B-2.22B-1.75B1.95B-603.62M

Cencora Technical Analysis

Technical Analysis Sentiment
Positive
Last Price279.15
Price Trends
50DMA
259.00
Positive
100DMA
248.66
Positive
200DMA
239.91
Positive
Market Momentum
MACD
6.84
Negative
RSI
76.26
Negative
STOCH
87.69
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For COR, the sentiment is Positive. The current price of 279.15 is above the 20-day moving average (MA) of 272.29, above the 50-day MA of 259.00, and above the 200-day MA of 239.91, indicating a bullish trend. The MACD of 6.84 indicates Negative momentum. The RSI at 76.26 is Negative, neither overbought nor oversold. The STOCH value of 87.69 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for COR.

Cencora Risk Analysis

Cencora disclosed 33 risk factors in its most recent earnings report. Cencora reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cencora Peers Comparison

Overall Rating
UnderperformOutperform
Sector (48)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
MCMCK
77
Outperform
$84.19B30.7951.23%0.41%14.29%-1.20%
CVCVS
76
Outperform
$88.59B19.206.07%3.79%4.02%-43.51%
CNCNC
75
Outperform
$31.07B10.0312.65%5.89%27.09%
COCOR
73
Outperform
$53.24B39.06245.32%0.77%11.64%-23.54%
GSGSK
69
Neutral
$65.80B21.3619.11%4.44%6.28%-47.11%
CACAH
61
Neutral
$31.51B24.35-43.80%1.55%2.85%110.82%
48
Neutral
$6.36B1.28-45.04%2.64%19.24%1.69%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
COR
Cencora
279.15
45.61
19.53%
CAH
Cardinal Health
128.88
24.33
23.27%
CNC
Centene
62.39
-9.25
-12.91%
CVS
CVS Health
68.97
2.27
3.40%
GSK
GlaxoSmithKline
33.60
-5.65
-14.39%
MCK
McKesson
679.33
158.37
30.40%

Cencora Earnings Call Summary

Earnings Call Date: Feb 5, 2025 | % Change Since: 11.22% | Next Earnings Date: May 7, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue and EPS growth, particularly in the U.S. healthcare solutions segment, and the strategic acquisition of RCA. Despite these positive developments, there were challenges such as decreased gross profit margin, subdued international operation results, and negative free cash flow. The overall sentiment is cautiously optimistic with strong underlying performance offset by some challenges.
Highlights
Strong Revenue and EPS Growth
Cencora delivered a strong start to fiscal year 2025 with revenue growth of 13% and adjusted EPS growth of 14%.
U.S. Healthcare Solutions Segment Outperformance
The U.S. healthcare solutions segment revenue was $74 billion, up 14%, due to strong prescription utilization trends and increased sales of GLP-1 products.
Raising Full-Year Guidance
Cencora raised its full-year diluted EPS guidance to a range of $15.25 to $15.55 and consolidated revenue growth to 8% to 10%.
Acquisition of Retina Consultants of America (RCA)
Cencora completed the acquisition of RCA, a leading retina MSO, which is expected to contribute significantly to operating income growth.
Lowlights
Decreased Gross Profit Margin
Consolidated gross profit margin decreased by 20 basis points, driven by increased sales of low-margin GLP-1 products and lower sales of COVID-19 vaccines and therapies.
Challenges in International Healthcare Solutions
International healthcare solutions operating income was down 3% as-reported, with challenges in the global specialty logistics business due to subdued clinical trial activity.
Negative Adjusted Free Cash Flow
Cencora used $2.7 billion of cash in operations, resulting in negative adjusted free cash flow of $2.8 billion due to timing of flows at the end of the calendar year.
Company Guidance
During Cencora's Q1 fiscal year 2025 earnings call, the company reported a robust start with a 13% increase in revenue and a 14% rise in adjusted EPS. The U.S. healthcare solutions segment was highlighted as a significant contributor to this growth, with revenues up 14%, driven by strong prescription utilization trends and increased sales of GLP-1 products, which alone saw a 53% increase year-over-year. Operating income for the segment grew by 10%, despite headwinds from reduced COVID-19 vaccine sales. The company also raised its full-year adjusted diluted EPS guidance to a range of $15.25 to $15.55, reflecting continued momentum in its business segments and the impact of strategic acquisitions like RCA - Retina Consultants of America. Cencora expects consolidated revenue growth to be between 8% and 10%, with the U.S. segment leading at 9% to 11%, while international revenue growth is projected at 4% to 5% due to foreign currency impacts. The call emphasized strategic growth areas, including leadership in specialty, efficiency improvements, and a customer-centric approach to drive innovation and collaboration.

Cencora Corporate Events

Business Operations and StrategyFinancial Disclosures
Cencora to Update 2025 Financial Guidance at Conference
Positive
Mar 10, 2025

On March 10, 2025, Cencora, Inc. executives will present at the Leerink Partners Global Healthcare Conference, where they will update their fiscal year 2025 financial guidance. The adjusted diluted earnings per share for fiscal 2025 is now projected to be between $15.30 and $15.60, reflecting positive momentum in their core U.S. Healthcare Solutions segment.

Business Operations and StrategyFinancial Disclosures
Cencora Reports Strong Q1 2025 Financial Performance
Positive
Feb 5, 2025

On February 5, 2025, Cencora reported a revenue increase of 12.8% year-over-year to $81.5 billion for the first quarter of fiscal 2025. The adjusted diluted earnings per share rose by 13.7% to $3.73. The company has raised its adjusted diluted EPS guidance range for fiscal 2025 and emphasized its strategic focus on specialty services following the acquisition of Retina Consultants of America. Despite a decrease in GAAP diluted EPS and operating income, Cencora highlighted its customer-centric approach and execution of its pharmaceutical strategy as key drivers for maintaining its market leadership.

Executive/Board ChangesShareholder Meetings
Cencora Announces Retirement of Two Board Members
Neutral
Jan 22, 2025

On January 22, 2025, Cencora, Inc. announced that two members of its Board of Directors, Richard W. Gochnauer and Kathleen W. Hyle, plan to retire at the upcoming Annual Meeting of Stockholders on March 6, 2025. Their retirements will result in the reduction of the Board size from 13 to 11 members. Both directors indicated there were no disagreements involved in their decision to retire. Mr. Gochnauer has been on the board since 2008 and was part of the Audit and Compliance and Risk Committees, while Ms. Hyle, who joined in 2010, served as Chair of the Compensation and Succession Planning Committee and was a member of the Executive and Finance Committees.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.