McKesson Corporation · MCK · FY2026 Q4 · Calendar Q2 2026

McKesson Closes FY2026 With 18% EPS Growth, Reaffirms FY27 Outlook

McKesson closed fiscal 2026 with 18% adjusted EPS growth and $6.2 billion in operating cash flow, but Q4 revenue of $96.3 billion fell short of the $101.3 billion consensus as the North American Pharmaceutical segment lagged estimates. The stock declined 3.3% on an abnormal basis in the session following the report before recovering 4.2% in subsequent trading. Management reaffirmed FY27 EPS guidance of $43.80-$44.60, signaling continued 12-14% earnings growth driven by oncology platform expansion, specialty pharmaceutical distribution, and AI-driven automation. The pending Medical-Surgical Solutions separation, anchored by Apollo Funds' $1.25 billion minority investment for a 13% stake, represents a significant strategic milestone expected to unlock value. The shift from raised guidance in Q3 to maintained guidance in Q4 suggests management views the current trajectory as on track…

Reported After market closeNYSEHealthcare $104.14B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $11.69 Consensus $11.56
EPS surprise +1.1% Reported versus consensus
Reported revenue $96.30B Consensus $101.35B
Revenue surprise -5.0% Reported versus consensus

Market reaction

event-close to next-session close
Stock move -2.5% Event window
SPY move +0.8% Same window
Abnormal move -3.3% Stock minus SPY
Volume 2.3× Versus trailing sessions
Subsequent drift +4.2% Up to 20 sessions
MCKSPY benchmark

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Transcript intelligence

What changed

Q4 FY2026 adjusted EPS of $11.69 beat the $11.56 consensus by 1.1%, while revenue of $96.3 billion missed the $101.3 billion estimate by 5.0%. The stock fell 3.3% on an abnormal basis in the session after the report, against a 2.5% market decline and a 0.8% gain in the SPY benchmark. Trading volume ran 2.3x the baseline. Shares subsequently recovered with a 4.2% drift. Analyst consensus price targets as of July 2026 stand at $999.33 (median $1,010), versus a current price of $889.50, implying roughly 12% upside to the consensus target.

Guidance delta

Management maintained FY27 EPS guidance of $43.80-$44.60, implying 12-14% year-over-year growth. This follows the prior quarter's raised full-year FY26 EPS guidance to $38.80-$39.20. The guidance sentiment shifted from 'raised' in Q3 to 'maintained' in Q4, suggesting management sees the current trajectory as on track rather than accelerating further.

Key takeaways

  • Full-year FY2026 delivered 18% adjusted EPS growth, $6.2 billion in operating cash flow, and $5.1 billion returned to shareholders.
  • Q4 EPS of $11.69 beat consensus by 1.1%, but revenue of $96.3 billion missed the $101.3 billion estimate by 5.0%.
  • Core Ventures and PRISM Vision acquisitions are fully integrated and contributing to oncology and multispecialty platform growth.
  • Medical-Surgical Solutions separation advanced with $2 billion in financing and Apollo Funds' $1.25 billion minority investment for a 13% stake.
  • AI-enabled Montreal distribution center launched with advanced robotics, scaling automation across the distribution network.
  • FY27 EPS guidance of $43.80-$44.60 reaffirmed, indicating 12-14% year-over-year earnings growth.

Management priorities

  • Continue expanding the U.S. Oncology Network provider base across new geographies.
  • Scale AI-enabled automation across distribution centers, including full ramp-up of the Montreal facility.
  • Complete the separation and IPO of Medical-Surgical Solutions with Apollo Funds as strategic minority partner.
  • Invest in technology platforms such as Ambient Scribe and Ontada to enhance provider productivity.
  • Deploy $5 billion in share repurchases in FY27 while maintaining disciplined capital allocation.

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Earnings History

Estimate Beat Miss Match
MCK REVENUE earnings history estimate and actual scatter chart 9 reported fiscal quarters and 3 future estimate-only quarters. Q3 '24 estimate $78B Q3 '24 actual $81B, beat Q4 '24 estimate $79B Q4 '24 actual $76B, miss Q1 '25 estimate $83B Q1 '25 actual $79B, miss Q2 '25 estimate $89B Q2 '25 actual $94B, beat Q1 '26 estimate $96B Q1 '26 actual $98B, beat Q2 '26 estimate $104B Q2 '26 actual $103B, miss Q3 '26 estimate $106B Q3 '26 actual $106B, beat Q4 '26 estimate $101B Q4 '26 actual $96B, miss Q1 '27 estimate $104B Q1 '27 actual $105B, beat Q2 '27 estimate $110B Q3 '27 estimate $113B Q4 '27 estimate $104B
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Analyst Consensus ?

ConsensusBuy31 ratings
Bullish2580.6%
Neutral619.4%
Bearish00.0%

Analyst 52W Price Targets

$992.87Previous close
$257Low
$838.88Average
$1,200High

Latest persisted target per named analyst; persisted previous close from FN2's market snapshot as of Oct 27, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Mizuho Neutral NeutralMaintainOct 20, 2026
UBS Buy BuyMaintainOct 16, 2026
Leerink Partners Outperform OutperformMaintainOct 7, 2026
RBC Capital Sector Perform Sector PerformMaintainSep 14, 2026
Barclays Overweight OverweightMaintainAug 19, 2026
Show 26 more rating actions

Named analyst price targets

Upside is calculated against the persisted previous close $992.87. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Mizuho SecuritiesAnalyst unavailable$1,020$1,010.43 +2.7%Oct 20, 2026
UBSAnalyst unavailable$1,200$998.64 +20.9%Oct 16, 2026
Morgan StanleyErin Wright$977$915.45 -1.6%Oct 6, 2026
BarclaysGlen Santangelo$1,000$869.26 +0.7%Aug 19, 2026
RBC CapitalRyan Halsted$845$869.26 -14.9%Aug 19, 2026
See 39 more

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Company context

Snapshot as of publication

McKesson Corporation is a prominent global provider of healthcare services, operating extensively in both the United States and international markets. Its diverse operations are strategically organized into four key business segments. The U.S. Pharmaceutical division plays a crucial role in the distribution of a comprehensive array of pharmaceutical products, encompassing branded, generic, specialty, biosimilar, and over-the-counter medications, alongside other health-related merchandise. This segment also delivers specialized support to community-based oncology and other specialty medical practices through practice management tools, technology solutions, clinical guidance, and broader business services. Furthermore, it assists pharmacies with consulting, outsourcing, and technology services, while also furnishing financial, operational, and clinical software solutions.…

Historical context

All MCK earnings

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-07-29T02:42:10.854549+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-07-29T02:42:10.851311+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-07-29. For educational purposes only; not investment advice.