McKesson’s fourth-quarter results met Wall Street’s revenue expectations and modestly exceeded consensus for non-GAAP earnings per share, with the market responding positively. Management attributed the growth to robust performance in oncology, expanded biopharma services, and continued momentum in North American pharmaceutical distribution. CEO Brian Tyler specifically highlighted the integration of recent acquisitions such as Florida Cancer Specialists and Prism Vision as meaningful contributors. The company also cited the impact of technology investments, which improved workflow efficiency and productivity across segments.
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McKesson (MCK) Q4 CY2025 Highlights:
- Revenue: $106.2 billion vs analyst estimates of $106.2 billion (11.4% year-on-year growth, in line)
- Adjusted EPS: $9.34 vs analyst estimates of $9.27 (0.7% beat)
- Adjusted EBITDA: $1.77 billion vs analyst estimates of $1.71 billion (1.7% margin, 3.2% beat)
- Management raised its full-year Adjusted EPS guidance to $39 at the midpoint, a 1% increase
- Operating Margin: 1.5%, in line with the same quarter last year
- Market Capitalization: $114.6 billion
While we enjoy listening to the management's commentary, our favorite part of earnings calls are the analyst questions. Those are unscripted and can often highlight topics that management teams would rather avoid or topics where the answer is complicated. Here is what has caught our attention.
Our Top 5 Analyst Questions From McKesson’s Q4 Earnings Call
- Allen Lutz (Bank of America) asked about the impact of technology investments on productivity and future margin potential. CEO Brian Tyler and CFO Britt Vitalone explained that automation and AI are improving workflows and supporting future margin expansion, with operating margins already up year-over-year.
- Brian Tanquilut (Jefferies) questioned margin variability in oncology and multispecialty. CFO Britt Vitalone noted acquisitions like Prism Vision and Florida Cancer Specialists are accretive, and while quarter-to-quarter variability can occur, the segment’s underlying growth remains strong.
- Lisa Gill (JPMorgan) inquired about drivers behind margin improvement in oncology and multispecialty. Vitalone cited favorable mix from acquisitions and productivity gains from automation and biosimilars, with continued improvements expected as integration progresses.
- Eric Percher (Nephron Research) asked about regulatory impacts, especially the Inflation Reduction Act. Vitalone affirmed McKesson’s strong manufacturer relationships and said policy changes have been in line with expectations, with no material near-term impact to core economics.
- Elizabeth Anderson (ISI) sought clarity on capital allocation between internal investments and acquisitions. Management replied their framework remains balanced, prioritizing both organic growth through technology and strategic M&A aligned with long-term strategy.
Catalysts in Upcoming Quarters
Looking ahead, our analysts will be tracking (1) the pace of provider network expansion and integration within oncology and multispecialty, (2) measurable productivity improvements and margin gains from automation and AI-driven initiatives, and (3) the progress of the medical-surgical business separation. Shifts in U.S. healthcare policy and the adoption of new specialty therapies will also be important indicators.
McKesson currently trades at $936.68, up from $822 just before the earnings. Is there an opportunity in the stock?See for yourself in our full research report (it’s free).
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