Strong Full-Year Financial Performance
Consolidated fiscal 2026 revenues of $403.0 billion, up 12% year-over-year; adjusted operating profit grew 15% to $6.5 billion; adjusted earnings per diluted share increased 18% to $39.11 (20% ex-McKesson Ventures fiscal 2025 gains).
Robust Quarterly Results
Fourth quarter revenues were $96.3 billion, up 6% year-over-year; Q4 adjusted earnings per diluted share were $11.69, up 16% year-over-year; gross profit grew 14% to $3.9 billion and operating profit increased 13% to $1.8 billion.
Cash Generation and Capital Returns
Operating cash flow of $6.2 billion (management commentary) and fiscal 2026 free cash flow of $5.4 billion; returned $5.1 billion to shareholders in fiscal 2026 (share repurchases and dividends), executed $2.25 billion accelerated share repurchase in Q4 and received Board approval for an additional $5.0 billion repurchase authorization (total authorization ~ $7.7 billion).
Oncology & Multispecialty Momentum
Oncology and multispecialty segment revenue increased 35% in Q4 to $12.7 billion and operating profit rose 53% to $385 million; added more than 570 providers in fiscal 2026 (largest net increase since 2010); acquisitions (PRISM and Core Ventures) materially contributed (~13% of Q4 growth and ~34% of segment operating profit growth for FY).
Biopharma Services Scale and Productivity Gains
Delivered record annual verifications supporting a record 3.4 million patients; helped patients save ~ $10 billion on brand and specialty medicines (majority non-GLP-1), prevented ~12 million prescription abandonments and enabled access ~135 million times; each FTE supported ~120 more patients this season vs prior year.
GLP-1 and Specialty Growth
GLP-1 distribution revenues were $14 billion in Q4 (+22% YoY) and fiscal 2026 GLP-1 revenues were $53 billion (+27% YoY); North American Pharmaceutical segment operating profit increased 11% to $980 million with modest margin expansion (+9 bps).
Operational Modernization and Supply Chain Resiliency
Launched new Montreal distribution center with advanced automation and AI-driven storage/retrieval; implemented AI-driven integrated planning system contributing to working capital savings and improved resiliency; successfully managed major winter weather event with limited customer disruption.
Progress on Medical-Surgical Separation and Strategic Partnerships
Completed financing steps toward separation ($1.0B Term Loan A and $1.0B revolving facility) and announced a $1.25B Apollo minority investment (~13% stake) valuing NewCo at ~$13B, positioning the business for an eventual IPO and enabling capital deployment (proceeds expected to support share repurchases).