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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.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.
- Specialty pharma and MSO growth drive long-term profitability, with stable contracts through 2029.COR
2026 Global Healthcare Conference - Specialty-driven growth and MSO integration position the business for sustained momentum through 2027.COR
Morgan Stanley 24th Annual Global Healthcare Conference - Specialty growth, biosimilars, and MSO expansion fuel strong performance amid stable partnerships.COR
Wells Fargo 21st Annual Healthcare Conference - Q3 FY2026 saw 5.1% revenue growth, higher EPS, and raised guidance, with $1B in share buybacks.COR
Q3 2026 - Raised guidance and specialty investments drive strong growth and long-term confidence.COR
Barclays 28th Annual Global Healthcare Conference - Key votes include board elections, executive pay, and auditor ratification at the 2025 annual meeting.COR
Proxy Filing - Guidance reaffirmed, growth to accelerate, $1B buybacks planned, and AI-driven efficiencies prioritized.COR
Bank of America Global Healthcare Conference 2026 - Adjusted EPS and revenue climbed double digits, with 2025 growth and RCA deal ahead.COR
Q4 2024 - Specialty growth, biosimilars, and disciplined capital deployment drive strong performance.COR
43rd Annual J.P. Morgan Healthcare Conference
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