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Cencora (COR) Q4 2024 earnings summary

Event summary combining transcript, slides, and related documents.

Logotype for Cencora Inc

Q4 2024 earnings summary

9 Jul, 2026

Executive summary

  • Delivered strong fiscal 2024 results with adjusted diluted EPS up 14.8% to $13.76 and Q4 adjusted EPS up 16.8% to $3.34 year-over-year, driven by U.S. Healthcare Solutions and specialty product sales.

  • Announced acquisition of Retina Consultants of America (RCA), expanding MSO and specialty capabilities.

  • Leadership transition with Bob Mauch as CEO and Steve Collis as Executive Chairman.

  • Continued investments in distribution infrastructure, technology, automation, and ESG initiatives to support innovation and operational efficiency.

Financial highlights

  • Q4 consolidated revenue reached $79.1 billion, up 14.7% year-over-year; full-year revenue was $294.0 billion, up 12.1%.

  • Q4 adjusted operating income rose 6.3% to $851 million; full-year adjusted operating income up 10.9% to $3.6 billion.

  • Q4 gross profit was $2.5 billion, up 10.6%, with adjusted gross margin at 3.10%, down 24 basis points year-over-year.

  • Q4 net interest expense decreased 66% to $21 million, aided by higher investment income and lower borrowings.

  • Adjusted free cash flow reached $3.1 billion; $1.5 billion in share repurchases completed.

Outlook and guidance

  • Fiscal 2025 adjusted diluted EPS expected in the range of $14.80–$15.10, representing 8%–10% growth.

  • Revenue growth projected at 7%–9% and adjusted operating income growth at 5%–6.5% for both segments.

  • Guidance excludes impact of RCA acquisition, which will be incorporated post-close.

  • Adjusted free cash flow expected between $2.0 billion and $3.0 billion; capital expenditures around $600 million.

  • Weighted average diluted shares outstanding expected at approximately 196 million.

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