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McKesson (MCK) Q1 2025 earnings summary

Event summary combining transcript, slides, and related documents.

Logotype for McKesson Corporation

Q1 2025 earnings summary

2 Feb, 2026

Executive summary

  • First quarter fiscal 2025 revenues reached $79.3 billion, up 6% year-over-year, driven by growth in U.S. Pharmaceutical and International segments, especially specialty and GLP-1 medications.

  • Adjusted EPS increased 8% to $7.88, while GAAP EPS was $7.00, down $0.02 from the prior year.

  • Full-year adjusted EPS guidance was raised to $31.75–$32.55, reflecting 16%–19% growth and confidence in continued business momentum.

  • The board approved a 15% dividend increase to $0.71 per share and a $4 billion boost to share repurchase authorization, bringing total authorization to $9.9–$10 billion.

  • Dr. Deborah Dunsire joined the Board as an independent director; recognized by Forbes as a top employer for diversity.

Financial highlights

  • Gross profit rose 4% to $3.2 billion, with net income attributable to the company at $915 million, down 4% year-over-year.

  • Adjusted operating profit increased 12% to $1.3 billion; adjusted net income was $1.029 billion, up 4% year-over-year.

  • Free cash flow was negative $1.5 billion, impacted by tax payment timing, new customer onboarding, and higher capital expenditures.

  • Weighted average diluted shares outstanding decreased 4% to 130.7 million.

  • Returned $609 million to shareholders in the quarter, including $527 million in share repurchases and $82 million in dividends.

Outlook and guidance

  • Fiscal 2025 adjusted EPS guidance raised to $31.75–$32.55, up 16%–19% year-over-year, including $0.62 per share from equity investment gains.

  • Revenue growth expected at 13%–15%, operating profit growth at 10%–15%.

  • Segment revenue growth guidance: U.S. Pharmaceutical 13%–16%, Prescription Technology Solutions 14%–18%, Medical-Surgical Solutions 3%–7%, International 4%–8%.

  • Free cash flow guidance is $4.8–$5.2 billion; share repurchases planned at $2.8 billion.

  • Board expects to continue quarterly dividends, subject to earnings and financial condition.

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