McKesson

MCK Q4 2026 Earnings

Reported May 7, 2026 at 4:07 PM ET · SEC Source

Q4 26 EPS

$11.69

BEAT +1.04%

Est. $11.57

Q4 26 Revenue

$96.30B

MISS 5.02%

Est. $101.38B

vs S&P Since Q4 26

+3.1%

BEATING MARKET

MCK +2.5% vs S&P -0.6%

Full Year 2026 Results

FY 26 EPS

$39.11

BEAT +0.25%

Est. $39.01

FY 26 Revenue

$403.43B

MISS 1.24%

Est. $408.51B

Market Reaction

Did MCK Beat Earnings? Q4 2026 Results

McKesson delivered a mixed fiscal fourth-quarter report for Q4 2026, posting adjusted EPS of $11.69 that edged past the $11.57 consensus estimate by 1.05%, while revenue of $96.30 billion fell short of the $101.38 billion Wall Street expected, a 5.02… Read more McKesson delivered a mixed fiscal fourth-quarter report for Q4 2026, posting adjusted EPS of $11.69 that edged past the $11.57 consensus estimate by 1.05%, while revenue of $96.30 billion fell short of the $101.38 billion Wall Street expected, a 5.02% miss, despite growing 6.0% year over year. The headline earnings strength was anchored by the Oncology and Multispecialty segment, where revenue surged 35% to $12.71 billion and adjusted operating profit climbed 53% to $385.00 million, fueled by specialty distribution growth and contributions from recent acquisitions including PRISM Vision and Core Ventures. North American Pharmaceutical, which accounts for the bulk of McKesson's revenue at $79.12 billion in the quarter, also contributed with 11% adjusted operating profit growth. The results come as pharmaceutical distribution peers broadly navigate pricing headwinds across the industry. Looking ahead, McKesson guided fiscal 2027 adjusted EPS to a range of $43.80 to $44.60, representing 12% to 14% growth, while reaffirming long-term annual EPS expansion targets of 13% to 16%.

Key Takeaways

  • Growth in distribution of oncology and multispecialty products, including contributions from acquisitions
  • Increased prescription transaction volumes, including higher volumes from specialty products
  • Lower share count due to robust share repurchase program
  • Lower tax rate in the fourth quarter
  • Higher demand for access solutions in Prescription Technology Solutions
  • Growth in specialty product distribution to health systems
24/7 Wall St

MCK YoY Financials

Q4 2026 vs Q4 2025, source: SEC Filings

24/7 Wall St

MCK Revenue by Segment

With YoY comparisons, source: SEC Filings

Q1 26 Q4 26

“McKesson's fourth quarter results reflect the strength of our diversified portfolio and disciplined execution against our strategic priorities. Our Fiscal 2026 performance, headlined by 12% revenue growth and 18% adjusted EPS growth, exceeded our long-range growth targets and demonstrates our ability to consistently deliver growth and operating leverage across the enterprise.”

— Brian Tyler, Q4 2026 Earnings Press Release