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McKesson Corp.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 4 February 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.

Key takeaways

  • Revenue rose 11% to $106.2 billion: Revenue was $106.2 billion, up 11% from a year earlier. Nine-month revenue rose 15% to $307.1 billion. Source
  • Adjusted EPS rose 16% to $9.34: Adjusted diluted EPS was $9.34 against $8.03, up 16%. Nine-month adjusted EPS was $27.46, up 20%. Adjusted results are non-GAAP measures. Source
  • Oncology revenue up 37%: Oncology and multispecialty revenue was $13.0 billion, up 37%, from provider solutions and specialty distribution, including acquisitions. Source
  • Oncology adjusted profit up 57%: Adjusted segment operating profit rose 57% to $366 million. Reported segment operating profit was $304 million. Source
  • Medical-Surgical profit down 10%: Adjusted segment operating profit was $265 million, down 10%, on lower physician office volumes and lower illness incidence. Revenue was $3.0 billion, up 1%. Source
  • Rite Aid credit excluded from adjusted: A pre-tax credit of $160 million in North American Pharmaceutical, tied to the Rite Aid bankruptcy, is in GAAP results and excluded from adjusted results. Source
  • Quarterly operating cash flow $1.2 billion: Operating cash flow was $1.2 billion and capital expenditures were $175 million, leaving free cash flow of $1.1 billion for the quarter. Source

“Our oncology and multispecialty platforms, together with our expanding suite of biopharma services programs, continue to create differentiated value and deepen the impact for our customers, partners, and patients.”

Brian Tyler, chief executive officer

Guidance

AreaPeriodFigureAgainst last quarter
Adjusted diluted EPS Sourcefiscal 2026 full year$38.80 to $39.20Raised from $38.35 to $38.85
Adjusted EPS growth versus prior year Sourcefiscal 202617% to 19%Raised from 16% to 18%
Items included in adjusted EPS guidance Sourcefiscal 2026 year-to-date$0.09

What changed from last quarter

  • Guidance raised: Adjusted diluted EPS guidance range raised and narrowed to $38.80 to $39.20 from $38.35 to $38.85. Source
  • Ended: Sale of the Norwegian retail and distribution businesses to NorgesGruppen closed on January 30, 2026. Source
  • New: Transition service agreements took effect January 1, 2026 to support Medical-Surgical Solutions as it prepares to become independent. Source

Results and growth drivers

  • Revenue rose 11% to $106.2 billion: Revenue was $106.2 billion, up 11% from a year earlier. Nine-month revenue rose 15% to $307.1 billion. Source
  • Adjusted EPS rose 16% to $9.34: Adjusted diluted EPS was $9.34 against $8.03, up 16%. Nine-month adjusted EPS was $27.46, up 20%. Adjusted results are non-GAAP measures. Source
  • GAAP diluted EPS rose $2.64: GAAP diluted EPS was $9.59 against $6.95. Net income attributable to McKesson was $1,186 million, up 35%. Source
  • Health Mart honored with award: The American Pharmacists Association gave Health Mart its H.A.B. Dunning Award in January, recognizing support for community pharmacies nationwide. Source

Oncology and multispecialty

  • Oncology revenue up 37%: Oncology and multispecialty revenue was $13.0 billion, up 37%, from provider solutions and specialty distribution, including acquisitions. Source
  • Oncology adjusted profit up 57%: Adjusted segment operating profit rose 57% to $366 million. Reported segment operating profit was $304 million. Source
  • Oncology adjusted margin widened: Adjusted segment operating margin was 2.81% against 2.45%, up 36 basis points. Reported margin was 2.34% against 2.13%. Source

“We remain focused on advancing a strategy to continue delivering sustainable growth and long-term value creation.”

Brian Tyler, chief executive officer

Pharmacy, technology and medical segments

  • North American Pharmaceutical revenue up 9%: North American Pharmaceutical revenue was $88.3 billion, up 9%, on higher prescription transaction volumes, including retail national account and specialty volumes. Source
  • North American Pharmaceutical adjusted profit up 6%: Adjusted segment operating profit was $872 million, up 6%. Reported segment operating profit was $1,055 million. Source
  • Prescription Technology profit up 18%: Prescription Technology Solutions revenue was $1.5 billion, up 9%. Adjusted segment operating profit was $277 million, up 18%. Source
  • Medical-Surgical profit down 10%: Adjusted segment operating profit was $265 million, down 10%, on lower physician office volumes and lower illness incidence. Revenue was $3.0 billion, up 1%. Source

Costs and one-time items

  • GAAP gross profit up 12%: Adjusted gross profit was $3,662 million, up 10%. GAAP gross profit was $3,685 million, up 12%. Source
  • Adjusted operating expenses up 7%: Adjusted operating expenses were $2,084 million, up 7%. GAAP total operating expenses were $2,066 million, flat year on year. Source
  • Rite Aid credit excluded from adjusted: A pre-tax credit of $160 million in North American Pharmaceutical, tied to the Rite Aid bankruptcy, is in GAAP results and excluded from adjusted results. Source
  • Restructuring charges of $36 million: Pre-tax restructuring, impairment and related charges were $36 million, mainly in Medical-Surgical Solutions and Corporate expenses, versus $32 million a year earlier. Source

Cash flow and acquisitions

  • Quarterly operating cash flow $1.2 billion: Operating cash flow was $1.2 billion and capital expenditures were $175 million, leaving free cash flow of $1.1 billion for the quarter. Source
  • Nine-month free cash flow $2.2 billion: Nine-month operating cash flow was $2.7 billion and capital expenditures were $560 million, leaving free cash flow of $2.2 billion. Source
  • Acquisitions used $3.4 billion: Acquisitions used $3.4 billion of cash in the first nine months, against $3 million in the same period a year earlier. Source

Capital returns and share count

  • Returned $2.4 billion to shareholders: In the first nine months the company returned $2.4 billion: $2.1 billion of common stock repurchases and $280 million of dividend payments. Source
  • Dividends declared up 15%: Dividends declared were $0.82 per share in the quarter, up 15% from $0.71. Source
  • Diluted share count down 2%: Diluted weighted-average shares were 123.7 million in the quarter, down 2% from 126.6 million a year earlier. Source

Coming up, as management said on 4 February 2026

  • Two March investor conferences: Management will take part in the Leerink Partners and Barclays global healthcare conferences in March 2026. Source

Risks management discussed

  • Financial: Management said it cannot reasonably forecast LIFO, litigation, restructuring and other adjustments, which could vary materially from estimates. Source

Earlier plans management reported on

  • Met: Management said the completed Norway divestiture fulfills its commitment to exit Europe. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.