Cencora
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Cencora (COR) investor relations material

Cencora Q4 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2026 earnings summary4 Nov, 2026

Executive summary

  • FY2026 revenue rose 5.0% to $337.4B; adjusted operating income grew 14.0% to $4.813B and adjusted diluted EPS rose 12.3% to $17.97.

  • Q4 revenue grew 5.5% to $88.4B; adjusted operating income increased 22.1% to $1.249B and adjusted diluted EPS rose 21.4% to $4.66.

  • FY2027 adjusted diluted EPS guidance is $19.40–$19.75; a new reporting structure and specialty investments support growth amid portfolio-related headwinds.

Financial highlights

  • FY2026 GAAP operating income rose 49.5% to $3.93B; GAAP net income attributable was $3.484B, including a OneOncology remeasurement gain.

  • Q4 GAAP net income attributable was $519M versus a $340M loss a year earlier; adjusted net income was $893M.

  • FY2026 adjusted free cash flow was $3.808B, from $4.790B operating cash flow less $910M capex and $73M antitrust settlement gains.

  • FY2026 year-end cash was $4.9B; adjusted free cash flow exceeded guidance on stronger year-end volume, mix and timing.

Outlook and guidance

  • FY2027 adjusted diluted EPS of $19.40–$19.75 implies 8%–10% growth; excluding the assumed $0.35 MWI-Covetrus merger impact, growth is 10%–12%.

  • FY2027 revenue growth is expected at 3%–5% and adjusted operating income growth at 4%–6%; excluding Other, adjusted operating income growth is 8.5%–11%.

  • FY2027 adjusted free cash flow is expected at $3.5B, capex at ~$1.0B, net interest expense at $490M–$510M, adjusted tax rate at ~20% and diluted shares at ~190M.

  • FY2027 segment guidance: Pharmaceutical Distribution and Services revenue growth 4%–6%, operating income growth 2%–4%; Specialty Pharmaceutical and Provider Services growth 9%–14% and 18%–21%, respectively.

  • Long-term targets are 7%–10% adjusted operating income growth and 10%–14% adjusted diluted EPS growth; FY2027 Q1 adjusted EPS is expected at ~$4.55.

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Frequently asked questions

Cencora Inc (formerly AmerisourceBergen Corporation) provides pharmaceutical products and health-related services. The company offers a range of prescription drugs, generic drugs and other products for patients in pharmacies, hospitals and surgery centers. It also distributes medical supplies and equipment to hospitals, surgical centers, physicians' offices and other end users; and offers a range of comprehensive supply chain management services for pharmaceutical companies. In addition to medication, nutritional supplements and over-the-counter products make up a substantial portion of its sales. The company provides services to the pharmaceutical industry, including drug distribution and logistics solutions. AmerisourceBergen Corporation is based in Conshohocken, Pennsylvania