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McKesson (MCK) Q4 FY26 earnings results (fourth quarter fiscal 2026)

10-K filed May 8, 2026

McKesson (MCK) reported revenue of $96.3B for the fourth quarter fiscal 2026 (Q4 FY26), +6% from a year earlier and -9% from the quarter before. Operating margin was 2.2%, net earnings $1.7B (1.7% of revenue).

Revenue$96.3B
Year over year+6%
Quarter over quarter-9%
Operating margin2.2%
Net earnings$1.7B

McKesson, Q4 FY26: revenue $96.3B (+6% year over year), operating margin 2.2%, net earnings $1.7B, operating cash flow $3.4B. The chart follows the revenue to costs, profit and cash.

Q4 FY26AmountQ/QY/Y
Revenue$96.3B-9%+6%
Gross profit$4.0B+10%+11%
Operating profit$2.1B+33%+35%
Net earnings$1.7B+42%+33%
Operating cash flow$3.4B+178%-56%
Free cash flow$3.3B+194%-56%

What changed

Revenue was $96.3B in Q4 FY26, up 6% year over year and down 9% from the previous quarter.

Gross margin was 4.2%, up 0.2 points from Q4 FY25. Operating profit was $2.1B, a 2.2% margin (up 0.5 points year over year). Of the extra revenue versus Q4 FY25, 10% reached operating profit, above the 2% margin then. Operating expenses fell 8% while revenue rose 6%. The fastest-growing cost line was Other operating costs (+34%). Net earnings were $1.7B, up 33% year over year. The effective tax rate was 12.7%.

Operating cash flow was $3.4B (down 56% year over year), 184% of net income including minority interests. Non-cash charges added back $0.20B of depreciation and amortization. Working capital and other items added $1.4B. Capital expenditures of $0.11B left free cash flow of $3.3B.

Questions

What was McKesson's revenue in the fourth quarter fiscal 2026?

McKesson (MCK) reported revenue of $96.3B for the fourth quarter fiscal 2026 (Q4 FY26), +6% from a year earlier and -9% from the quarter before.

Was McKesson profitable in the fourth quarter fiscal 2026?

Operating profit was $2.1B (2.2% of revenue) and net earnings $1.7B.

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Source: McKesson 10-K on SEC EDGAR.