MCKESSON CORP
For the period ended Mar 31, 2026. Filed May 8, 2026.
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FY2026 · Filed May 8, 2026
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Overview of Segment Results
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Overview of Segment Results:
Segment Revenues:
| Years Ended March 31, | ||||
|---|---|---|---|---|
| (Dollars in millions) · 2026 · 2025 · Change | ||||
| Segment revenues | ||||
| North American Pharmaceutical | $336,652 | $304,507 | 11 | % |
| Oncology & Multispecialty | 48,423 | 36,862 | 31 | |
| Prescription Technology Solutions | 5,805 | 5,216 | 11 | |
| Medical-Surgical Solutions | 11,507 | 11,380 | 1 | |
| Other | 1,043 | 1,086 | (4) | |
| Total revenues | $403,430 | $359,051 | 12 | % |
North American Pharmaceutical
North American Pharmaceutical revenues for the year ended March 31, 2026 increased $32.1 billion or 11% compared to the prior year. Within the segment, sales to U.S. pharmacies and healthcare providers increased $31.6 billion primarily due to higher volumes from retail national account customers, partially offset by branded to generic drug conversions and branded pharmaceutical price decreases.
Oncology & Multispecialty
Oncology & Multispecialty revenues for the year ended March 31, 2026 increased $11.6 billion or 31% compared to the prior year primarily driven by growth in provider solutions due to the addition of providers within practice management and higher specialty pharmaceutical sales.
Prescription Technology Solutions
Prescription Technology Solutions revenues for the year ended March 31, 2026 increased $589 million or 11% compared to the prior year due to increased volumes from our third-party logistics and higher technology services revenues.
Medical-Surgical Solutions
Medical-Surgical Solutions revenues for the year ended March 31, 2026 increased $127 million or 1% compared to the prior year. Within the segment, sales to ambulatory care customers increased $60 million driven by underlying business growth, sales to extended care customers increased by $53 million, and other sales increased by $14 million.
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Other Segment Expense, Segment Operating Profit, and Corporate Expenses, Net:
| Years Ended March 31, | ||||||
|---|---|---|---|---|---|---|
| (Dollars in millions) · 2026 · 2025 · Change | ||||||
| Other segment expense, net (1) | ||||||
| North American Pharmaceutical (2) | $332,994 | $301,562 | 10 | % | ||
| Oncology & Multispecialty (3) | 47,274 | 36,095 | 31 | |||
| Prescription Technology Solutions | 4,761 | 4,341 | 10 | |||
| Medical-Surgical Solutions (4) | 10,569 | 10,601 | — | |||
| Other (5) | 453 | 1,032 | (56) | |||
| Total other expense, net | $396,051 | $353,631 | 12 | % | ||
| Segment operating profit | ||||||
| North American Pharmaceutical | $3,658 | $2,945 | 24 | % | ||
| Oncology & Multispecialty | 1,149 | 767 | 50 | |||
| Prescription Technology Solutions | 1,044 | 875 | 19 | |||
| Medical-Surgical Solutions | 938 | 779 | 20 | |||
| Other | 590 | 54 | 993 | |||
| Subtotal | 7,379 | 5,420 | 36 | |||
| Corporate expenses, net (6) | (931) | (796) | 17 | |||
| Interest expense | (247) | (265) | (7) | |||
| Income from continuing operations before income taxes | $6,201 | $4,359 | 42 | % | ||
| Segment operating profit margin | ||||||
| North American Pharmaceutical | 1.09 | % | 0.97 | % | 12 | bp |
| Oncology & Multispecialty | 2.37 | 2.08 | 29 | |||
| Prescription Technology Solutions | 17.98 | 16.78 | 120 | |||
| Medical-Surgical Solutions | 8.15 | 6.85 | 130 | |||
| Other | 56.57 | 4.97 | 5,160 | |||
(1)Other segment expense, net includes cost of sales, total operating expenses, and other income, net, for our reportable segments.
(2)Other segment expense, net for our North American Pharmaceutical segment includes the following:
a credit of $210 million and a charge of $82 million for the years ended March 31, 2026 and 2025, respectively, related to the LIFO method of accounting for inventories;
cash receipts for our share of antitrust legal settlements of $23 million and $444 million for the years ended March 31, 2026 and 2025, respectively;
a charge of $605 million for the year ended March 31, 2025 to remeasure the assets and liabilities of our Canadian retail disposal group to fair value less costs to sell, as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report;
a credit of $206 million for the year ended March 31, 2025 to reassess the previously reserved prepetition balance related to the bankruptcy of our customer Rite Aid;
restructuring charges of $59 million for the year ended March 31, 2025 for restructuring initiatives, as discussed in Financial Note 3, “Restructuring, Impairment, and Related Charges, Net,” to the consolidated financial statements included in this Annual Report; and
a charge of $57 million for the year ended March 31, 2025 related to our estimated liability for opioid-related claims as discussed in Financial Note 17, “Commitments and Contingent Liabilities,” to the consolidated financial statements included in this Annual Report.
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(3)Other segment expense, net for our Oncology & Multispecialty segment includes the following:
charges of $96 million for the year ended March 31, 2026 related to the acquisition and integration of PRISM Vision and Core Ventures;
a net gain of $51 million for the year ended March 31, 2026 related to the sale of an investment and market decisions; and
a loss of $43 million for the year ended March 31, 2025 related to one of our equity method investments.
(4)Other segment expense, net for our Medical-Surgical Solutions segment includes the following:
charges of $25 million for the year ended March 31, 2026 related to our planned separation of the Medical‑Surgical Solutions segment; and
restructuring charges of $43 million and $204 million for the years ended March 31, 2026 and 2025, respectively, related to a broad set of initiatives to drive operational efficiencies and increase cost optimization efforts, as discussed in Financial Note 3, “Restructuring, Impairment, and Related Charges, Net,” to the consolidated financial statements included in this Annual Report.
(5)Other segment expense, net for Other for the year ended March 31, 2026 includes a net gain of $503 million related to the sale of our Norway disposal group, as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report.
(6)Corporate expenses, net includes the following:
charges of $52 million for the year ended March 31, 2026 related to our planned separation of the Medical‑Surgical Solutions segment;
a net charge of $23 million for the year ended March 31, 2026 related to the sale of our Norway disposal group as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report;
a charge of $87 million for the year ended March 31, 2025 related to the termination of the U.K. pension plan as discussed in Financial Note 13, “Pension Benefits,” to the consolidated financial statements included in this Annual Report;
a charge of $62 million for the year ended March 31, 2025 related to the effect of accumulated other comprehensive loss components from our Canadian retail disposal group, as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report;
a net gain of $101 million for the year ended March 31, 2025 related to our investments in equity securities of certain U.S. growth stage companies in the healthcare industry, as discussed in Financial Note 15, “Fair Value Measurements,” to the consolidated financial statements included in this Annual Report;
charges of $51 million for the year ended March 31, 2025 related to our estimated liability for opioid-related claims as discussed in Financial Note 17, “Commitments and Contingent Liabilities,” to the consolidated financial statements included in this Annual Report; and
restructuring charges of $158 million and $68 million for the years ended March 31, 2026 and 2025, respectively, for restructuring initiatives as discussed in Financial Note 3, “Restructuring, Impairment, and Related Charges, Net,” to the consolidated financial statements included in this Annual Report.
North American Pharmaceutical
Operating profit for this segment increased for the year ended March 31, 2026 compared to the prior year largely due to prior year remeasurement charges related to our Canadian retail disposal group, as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report, higher pharmaceutical distribution volumes across the segment, a LIFO credit of $210 million in fiscal 2026 compared to a charge in the prior year period, and a prior year charge of $57 million related to our estimated liability for opioid-related claims. These increases were partially offset by a decrease in net cash proceeds received for our share of antitrust legal settlements, the prior year impact of the bankruptcy of Rite Aid, and an increase in operating expenses to support higher volumes.
Oncology & Multispecialty
Operating profit for this segment increased for the year ended March 31, 2026 compared to the prior year primarily due to growth in specialty pharmaceuticals, including contributions from FY26 business acquisitions, a net gain of $51 million related to the sale of an investment and market decisions, and a prior year loss of $43 million related to one of our equity method investments, partially offset by an increase in operating expenses to support higher volumes.
Prescription Technology Solutions
Operating profit increased for the year ended March 31, 2026 compared to the prior year primarily driven by higher demand for access solutions.
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Medical-Surgical Solutions
Operating profit increased for the year ended March 31, 2026 compared to the prior year primarily due to lower restructuring charges in fiscal 2026 compared to the prior year period and lower expenses resulting from business rationalization initiatives, partially offset by $25 million charges related to our planned separation of this segment and a decline in the contribution from our ambulatory care business.
Corporate
Corporate expenses, net increased for the year ended March 31, 2026 compared to the prior year primarily driven by higher restructuring charges in fiscal 2026, prior year gains of $101 million related to our investments in equity securities of certain U.S. growth stage companies in the healthcare industry, a charge of $52 million related to our planned separation of the Medical‑Surgical Solutions segment, and charges related to the sale of our Norway disposal group as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report. These increases were partially offset by a prior year charge of $87 million related to the termination of the U.K. pension plan, lower litigation charges in the current year compared to prior year, and prior year remeasurement charges related to our Canadian retail disposal group, as discussed in Financial Note 2, “Business Acquisitions and Divestitures,” to the consolidated financial statements included in this Annual Report.
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