Fiscal 2027 EPS guidance implies 14-16% growth excluding one-time items
Guidance tone
McKesson reported a strong Q4 FY2026, with EPS up 16% and revenue up 6% to $96.3B. The company issued FY27 guidance that implies growth at the upper end of its long-term range, driven by continued momentum in oncology, specialty distribution, and biopharma services. Key strategic moves, including the spinning off of the medical-surgical business with Apollo taking a minority stake, are on track. FY26 EPS grew 18% to $39.11, with revenues up 12% to $403B.
McKesson reported a strong Q4 FY2026, with EPS up 16% and revenue up 6% to $96.3B. The company issued FY27 guidance that implies growth at the upper end of its long-term range, driven by continued momentum in oncology, specialty distribution, and biopharma services. Key strategic moves, including the spinning off of the medical-surgical business with Apollo taking a minority stake, are on track. FY26 EPS grew 18% to $39.11, with revenues up 12% to $403B.
Guidance tone
FY26 EPS grew 18% to $39.11, with revenues up 12% to $403B.
GLP-1 distribution revenue declined 4% sequentially in Q4, but remained up 22% YoY.
Management highlighted strong fiscal 2026 results, reiterated long-term growth targets, and expressed confidence in the separation of the medical surgical business and future growth.
Management discussed using automation and AI to improve workflows and efficiency across oncology, distribution, and biopharma services, including ambient scribe technology used by over 1,900 providers and AI-driven inventory planning that contributed to working capital savings.
GLP-1 distribution revenue grew 27% but declined 4% sequentially. Management highlighted strong fiscal 2026 results, reiterated long-term growth targets, and expressed confidence in the separation of the medical surgical business and future growth.
Capital expenditures in fiscal 2026 were $745 million, centered on distribution technology and infrastructure, and the company continues to invest in technology innovation and efficiency, as reflected in corporate expense guidance.
Management highlighted strong fiscal 2026 results, reiterated long-term growth targets, and expressed confidence in the separation of the medical surgical business and future growth.
“GLP-1 distribution revenues reached $14 billion in the quarter, an increase of $2 billion or 22% compared to the prior year. However, revenues declined 4% sequentially.”
“This growth was partially offset by lower branded pharmaceutical revenue, reflecting declines in manufacture prices on certain products, which reduced year-over-year revenue growth by approximately 3% in the quarter.”
“In the past quarter, we successfully navigated the first wave of branded pharmaceutical price changes related to the Inflation Reduction Act.”
| Показатель | Период | Диапазон | Середина | Статус |
|---|---|---|---|---|
| EPS | FY2027 | $43.80–$44.60 | $44.20 | INITIATED |
| Free cash flow | FY2027 | $4.5B–$4.9B | $4.7B | INITIATED |
| RevenueNORTH_AMERICAN_PHARMACEU | FY2027 | 4%–8% | 6% | INITIATED |
| RevenueONCOLOGY_MULTISPECIALTY | FY2027 | 14.5%–18.5% | 16.5% | INITIATED |
| RevenuePRESCRIPTION_TECHNOLOGY | FY2027 | 2.5%–6.5% | 4.5% | INITIATED |
| RevenueMEDICAL_SURGICAL | FY2027 | 1%–6% | 3.5% | INITIATED |
Apollo is acquiring a 13% stake in McKesson's medical-surgical business at a $13B EV, a key step in the spin-off.
“we signed an agreement to welcome Apollo as a minority interest investor while advancing the separation readiness”
GLP-1 distribution revenues declined 4% sequentially in Q4, though still up 22% YoY, indicating a potential plateau in the rapid growth phase. — A sequential decline in GLP-1 volumes could signal maturation in the weight-loss drug market, potentially impacting the revenue growth outlook for manufacturers and suppliers.
… 12, beginning with North American Pharmaceutical, where revenues were $79.1 billion, an increase of 3% year-over-year, driven by higher prescription volumes, including continued strength in specialty products. This growth was partially offset by lower branded pharmaceutical revenue, reflecting declines in manufacture prices on certain products, which reduced year-over-year revenue growth by approximately 3% in the quarter. GLP-1 distribution revenues reached $14 billion in the quarter, an increase of $2 billion or 22% compared to the prior year. However, revenues declined 4% sequentially. Importantly, the impact of branded pricing declines and the sequential decline in GLP-1 volumes had no impact on operating profit in the quarter. Segment operating profit increased 11% to $980 million. with operating margins expanding nine basis points year-over-year. Performance was primarily driven by specialty product distribution growth, including the health system, and ongoing operating efficiency. Turning to the oncology and multispecialty segment, revenues increased 35% to $12.7 billion, fueled by strong provider growth and expanded specialty distribution and contributions from …