Cencora Reports Fiscal 2026 Second Quarter Results
CONSHOHOCKEN, Pa.--( BUSINESS WIRE)--Cencora, Inc. (NYSE: COR) reported that in its fiscal year 2026 second quarter ended March 31, 2026, revenue increased 3.8 percent year-over-year to $78.4 billion. On the basis of U.S. generally accepted accounting principles (GAAP), diluted earnings per share (EPS) was $8.40 for the second quarter of fiscal 2026 compared to $3.68 in the prior year second quarter. Adjusted diluted EPS, which is a non-GAAP financial measure that excludes items described below, increased 7.5 percent to $4.75 in the fiscal second quarter from $4.42 in the prior year second quarter.
Cencora is updating its outlook for fiscal year 2026. The Company does not provide forward-looking guidance on a GAAP basis as discussed below in Fiscal Year 2026 Expectations. Adjusted diluted EPS guidance has been raised from the previous range of $17.45 to $17.75 to a range of $17.65 to $17.90.
“Cencora delivered solid results in our second quarter as our team members continued to execute to meet the needs of our customers,” said Robert P. Mauch, President and Chief Executive Officer of Cencora.
“Our fiscal 2026 guidance reflects the strength of our business and focus on our strategy to create long-term value. As we move into the second half of our fiscal year, we are pleased to have made progress on debt paydown and to be in a position to resume opportunistic share repurchases,” Mr. Mauch continued.
Second Quarter Fiscal Year 2026 Summary Results
GAAP
Adjusted (Non-GAAP)
Revenue
$78.4B
$78.4B
Gross Profit
$3.6B
$3.4B
Operating Expenses
$2.4B
$2.1B
Operating Income
$1.1B
$1.3B
Other Income, Net
$1.1B
$8M
Interest Expense, Net
$140M
$140M
Effective Tax Rate
22.0%
18.9%
Net Income Attributable to Cencora, Inc.
$1.6B
$928M
Diluted Earnings Per Share
$8.40
$4.75
Diluted Shares Outstanding
195.4M
195.4M
Below, Cencora presents descriptive summaries of the Company’s GAAP and adjusted (non-GAAP) quarterly results. In the tables that follow, GAAP results and GAAP to non-GAAP reconciliations are presented. For more information related to non-GAAP financial measures, including adjustments made in the periods presented, please refer to the “Supplemental Information Regarding Non-GAAP Financial Measures” following the tables.
Second Quarter GAAP Results
Second Quarter Adjusted (non-GAAP) Results
Segment Discussion
The Company is organized geographically based upon the products and services it provides to its customers under two reportable segments: U.S. Healthcare Solutions and International Healthcare Solutions. Additionally, other businesses for which the Company is exploring strategic alternatives have been grouped together in Other. These businesses include MWI Animal Health, Profarma, U.S. Consulting Services, and certain components of PharmaLex.
U.S. Healthcare Solutions Segment
U.S. Healthcare Solutions revenue was $68.8 billion in the second quarter of fiscal 2026, an increase of 2.9 percent compared to the same quarter of the previous fiscal year primarily due to overall market growth largely driven by unit volume growth, including increased sales of specialty products to health systems and physician practices and products labeled for diabetes and/or weight loss in the GLP-1 class. The revenue growth was offset in part by a decline in manufacturer prices related to certain brand pharmaceutical products, lower sales to our large mail order customer as a result of brand conversions, and the 2025 losses of an oncology customer and a grocery customer. Segment operating income of $998.3 million in the second quarter of fiscal 2026 was up 5.6 percent compared to the same quarter in the previous fiscal year due to the increase in gross profit, as a result of the February 2026 acquisition of OneOncology and increased product sales, offset in part by the increase in operating expenses and the 2025 loss of an oncology customer.
International Healthcare Solutions Segment
International Healthcare Solutions revenue was $7.6 billion in the second quarter of fiscal 2026, an increase of 13.0 percent compared to the previous fiscal year’s second quarter primarily due to growth in our European distribution business. Segment operating income in the second quarter of fiscal 2026 was $175.8 million, an increase of 13.7 percent, primarily due to increased operating income at our European distribution business and our global specialty logistics business. On a constant currency basis, International Healthcare Solutions revenue increased by 7.2 percent in the second quarter of fiscal 2026 compared to the previous fiscal year’s second quarter, while segment operating income increased by 12.9 percent.
Other
Revenue in Other was $2.1 billion in the second quarter of fiscal 2026, an increase of 5.1 percent compared to the previous fiscal year’s second quarter due to growth at Profarma and MWI Animal Health, offset in part by a decrease in sales at our consulting services businesses. Operating income in Other in the second quarter of fiscal 2026 was $91.6 million, a decrease of 1.3 percent, primarily due to lower operating income at our consulting services businesses, offset in part by an increase in operating income at MWI Animal Health.
Recent Company Highlights & Milestones
Fiscal Year 2026 Expectations on an Adjusted (non-GAAP) Basis
Cencora is now updating its fiscal year 2026 financial guidance which reflects its strong full year fiscal 2026 operating income growth in the U.S. Healthcare Solutions segment and updated operating income expectations in Other as a result of MWI now being accounted for as “held for sale”. Additionally, the Company has narrowed its expectations for interest expense and now expects an incrementally lower expected share count as it resumes opportunistic share repurchases.
2026 Guidance (1)
Fiscal 2025 Actuals
Revenue
4% to 6% growth
$321.3B
U.S. Healthcare Solutions Segment (2)
4% to 6% growth
$285.0B
International Healthcare Solutions Segment (2)(3)
8% to 10% growth
$28.3B
Other (2)
1% to 5% growth
$8.2B
Adjusted operating income
12% to 14% growth
$4.2B
U.S. Healthcare Solutions Segment (2)
14% to 16% growth
$3.3B
International Healthcare Solutions Segment (2)(3)
5% to 8% growth
$588M
Other (2)
High-single digit growth
$352M
Adjusted diluted earnings per share
$17.65 to $17.90
$16.00
Net interest expense
~$485M
$292M
Adjusted effective tax rate
~20%
20.6%
Diluted weighted average shares outstanding
Under 195.5M
195.2M
Adjusted free cash flow
~$3.0B
$3.0B
Capital expenditures
~$900M
$668M
(1) Bolded figures indicate updates to guidance metrics.
(2) For further detail on fiscal 2025 revised reportable segment information, please reference Exhibit 99.2 to the Company’s Current Report on Form 8-K dated November 5, 2025.
(3) As reported guidance. For additional details regarding updated guidance expectations on a constant currency basis, please refer to our slide presentation for investors posted on the Company’s website at investor.cencora.com.
Dividend Declaration
The Company’s Board of Directors declared a quarterly cash dividend of $0.60 per common share, payable June 1, 2026, to stockholders of record at the close of business on May 15, 2026.
Conference Call & Slide Presentation
The Company will host a conference call to discuss its operating results at 8:30 a.m. ET on May 6, 2026. A slide presentation for investors has also been posted on the Company’s website at investor.cencora.com. Participating in the conference call will be:
The dial-in number for the live call will be +1 (833) 461-5787. From outside the United States and Canada, dial +1 (585) 542-9983. The meeting ID for the call will be 280720750 and the access code will be 528015. The live call will also be webcast via the Company’s website at investor.cencora.com. Users are encouraged to log on to the webcast approximately 10 minutes in advance of the scheduled start time of the call.
A replay of the webcast will be posted on investor.cencora.com approximately one hour after the completion of the call and will remain available for one year.
Upcoming Investor Event
Cencora management will be attending the following investor event in the coming months:
Please check the Company website for updates regarding the timing of the live presentation webcasts, if any, and for replay information.
About Cencora
Cencora is a leading global pharmaceutical solutions organization centered on improving the lives of people and animals around the world. We partner with pharmaceutical innovators across the value chain to facilitate and optimize market access to therapies. Care providers depend on us for the secure, reliable delivery of pharmaceuticals, healthcare products, and solutions. Our worldwide team members contribute to positive health outcomes through the power of our purpose: We are united in our responsibility to create healthier futures. Cencora is ranked #10 on the Fortune 500 and #18 on the Global Fortune 500 with more than $300 billion in annual revenue. Learn more at investor.cencora.com
Cencora’s Cautionary Note Regarding Forward-Looking Statements
Certain of the statements contained in this press release are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Securities Exchange Act”). Words such as “aim,” “anticipate,” “believe,” “can,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “might,” “on track,” “opportunity,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “strive,” “sustain,” “synergy,” “target,” “will,” “would” and similar expressions are intended to identify such forward-looking statements, but the absence of these words does not mean the statement is not forward-looking. These statements are based on management’s current expectations and are subject to uncertainty and changes in circumstances and speak only as of the date hereof. These statements are not guarantees of future performance and are based on assumptions and estimates that could prove incorrect or could cause actual results to vary materially from those indicated. A more detailed discussion of the risks and uncertainties that could cause our actual results to differ materially from those indicated is included (i) in the "Risk Factors" and "Management's Discussion and Analysis" sections in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2025 and elsewhere in that report and (ii) in other reports filed by the Company pursuant to the Securities Exchange Act. The Company undertakes no obligation to publicly update or revise any forward-looking statements, except as required by the federal securities laws.
CENCORA, INC.
FINANCIAL SUMMARY
(in thousands, except per share data)
(unaudited)
Three Months
Ended
March 31, 2026
% of
Revenue
Three Months
Ended
March 31, 2025
% of
Revenue
%
Change
Revenue
$
78,355,916
$
75,453,673
3.8%
Cost of goods sold 1
74,767,577
72,393,864
3.3%
Gross profit
3,588,339
4.58%
3,059,809
4.06%
17.3%
Operating expenses:
Distribution, selling, and administrative
1,977,559
2.52%
1,600,040
2.12%
23.6%
Depreciation and amortization
249,292
0.32%
259,818
0.34%
(4.1)%
Litigation and opioid-related expenses
13,858
11,524
Acquisition and divestiture-related deal and integration expenses
164,164
99,380
Restructuring and other expenses
40,873
52,857
Total operating expenses
2,445,746
3.12%
2,023,619
2.68%
20.9%
Operating income
1,142,593
1.46%
1,036,190
1.37%
10.3%
Other (income) loss, net 2
(1,086,439
)
3,546
Interest expense, net
140,460
103,988
35.1%
Income before income taxes
2,088,572
2.67%
928,656
1.23%
124.9%
Income tax expense
459,044
211,239
Net income
1,629,528
2.08%
717,417
0.95%
127.1%
Net loss attributable to noncontrolling interests
11,804
454
Net income attributable to Cencora, Inc.
$
1,641,332
2.09%
$
717,871
0.95%
128.6%
Earnings per share:
Basic
$
8.44
$
3.70
128.1%
Diluted
$
8.40
$
3.68
128.3%
Weighted average common shares outstanding:
Basic
194,545
193,796
0.4%
Diluted
195,383
195,094
0.1%
________________________
1
Includes a $16.5 million gain from antitrust litigation settlements, a $210.0 million LIFO credit, and Türkiye foreign currency remeasurement expense of $12.2 million in the three months ended March 31, 2026. Includes a $198.6 million gain from antitrust litigation settlements, a $39.5 million LIFO expense, and Türkiye foreign currency remeasurement expense of $14.5 million in the three months ended March 31, 2025.
2
In connection with the acquisition of OneOncology, the Company recorded a $1.1 billion gain on the remeasurement of its equity method investment and the extinguishment of the put option liability related to its previously held investment in OneOncology in the three months ended March 31, 2026.
CENCORA, INC.
FINANCIAL SUMMARY
(in thousands, except per share data)
(unaudited)
Six Months
Ended
March 31, 2026
% of
Revenue
Six Months
Ended
March 31, 2025
% of
Revenue
%
Change
Revenue
$
164,287,932
$
156,940,733
4.7%
Cost of goods sold 1
157,627,522
151,322,886
4.2%
Gross profit
6,660,410
4.05%
5,617,847
3.58%
18.6%
Operating expenses:
Distribution, selling, and administrative
3,772,848
2.30%
3,072,095
1.96%
22.8%
Depreciation and amortization
509,693
0.31%
538,310
0.34%
(5.3)%
Litigation and opioid-related (credit) expenses, net 2
(72,293
)
28,289
Acquisition and divestiture-related deal and integration expenses
242,583
138,092
Restructuring and other expenses, net
55,039
98,617
Impairment of assets, including goodwill 3
249,498
—
Total operating expenses
4,757,368
2.90%
3,875,403
2.47%
22.8%
Operating income
1,903,042
1.16%
1,742,444
1.11%
9.2%
Other (income) loss, net 4
(1,107,039
)
61,420
Interest expense, net
212,869
131,921
61.4%
Income before income taxes
2,797,212
1.70%
1,549,103
0.99%
80.6%
Income tax expense
601,558
337,967
Net income
2,195,654
1.34%
1,211,136
0.77%
81.3%
Net loss (income) attributable to noncontrolling interests
5,325
(4,665
)
Net income attributable to Cencora, Inc.
$
2,200,979
1.34%
$
1,206,471
0.77%
82.4%
Earnings per share:
Basic
$
11.32
$
6.23
81.7%
Diluted
$
11.27
$
6.18
82.4%
Weighted average common shares outstanding:
Basic
194,383
193,780
0.3%
Diluted
195,352
195,144
0.1%
________________________
1
Includes a $28.7 million gain from antitrust litigation settlements, a $287.6 million LIFO credit, and Türkiye foreign currency remeasurement expense of $23.0 million in the six months ended March 31, 2026. Includes a $221.5 million gain from antitrust litigation settlements, a $32.1 million LIFO expense, and Türkiye foreign currency remeasurement expense of $21.6 million in the six months ended March 31, 2025.
2
Includes an $86.8 million credit related to a derivative lawsuit settlement in the six months ended March 31, 2026.
3
Impairment of assets held for sale, including goodwill, related to our U.S. Consulting Services business.
4
In connection with the acquisition of OneOncology, the Company recorded a $1.1 billion gain on the remeasurement of its equity method investment and the extinguishment of the put option liability related to its previously held investment in OneOncology in the six months ended March 31, 2026.
CENCORA, INC.
GAAP TO NON-GAAP RECONCILIATIONS
(in thousands, except per share data)
(unaudited)
Three Months Ended March 31, 2026
Gross Profit
Operating
Expenses
Operating
Income
Income
Before
Income Taxes
Income Tax
Expense
Net Income
Attributable
to Cencora
Diluted
Earnings
Per Share
GAAP
$
3,588,339
$
2,445,746
$
1,142,593
$
2,088,572
$
459,044
$
1,641,332
$
8.40
Gains from antitrust litigation settlements
(16,538
)
—
(16,538
)
(16,538
)
(2,346
)
(14,192
)
(0.07
)
LIFO credit
(210,030
)
—
(210,030
)
(210,030
)
(35,761
)
(174,269
)
(0.89
)
Türkiye highly inflationary impact
12,153
—
12,153
10,474
—
10,474
0.05
Acquisition-related intangibles amortization
—
(116,276
)
116,276
116,276
13,407
102,211
0.52
Litigation and opioid-related expenses
—
(13,858
)
13,858
13,858
9,454
4,404
0.02
Acquisition and divestiture-related deal and integration expenses
—
(164,164
)
164,164
164,164
32,393
131,771
0.67
Restructuring and other expenses
—
(40,873
)
40,873
40,873
4,265
36,608
0.19
Remeasurement gain related to OneOncology acquisition 1
—
—
—
(1,086,612
)
(252,460
)
(834,152
)
(4.27
)
Other, net
—
—
—
7,691
(1,833
)
9,524
0.05
Tax reform 2
—
—
—
1,880
(12,482
)
14,362
0.07
Adjusted Non-GAAP
$
3,373,924
$
2,110,575
$
1,263,349
$
1,130,608
$
213,681
$
928,073
$
4.75
3
Adjusted Non-GAAP % change vs. prior year
15.7
%
22.5
%
6.0
%
3.8
%
(5.7
)%
7.6
%
7.5
%
Percentages of Revenue:
GAAP
Adjusted
Non-GAAP
Gross profit
4.58%
4.31%
Operating expenses
3.12%
2.69%
Operating income
1.46%
1.61%
________________________
1
In connection with the acquisition of OneOncology, the Company recorded a gain on the remeasurement of its equity method investment and the extinguishment of the put option liability related to its previously held investment in OneOncology.
2
Tax reform includes the foreign currency remeasurement of Swiss deferred tax assets arising from 2020 Swiss tax reform and the amortization of those deferred tax assets.
3
The sum of the components does not equal the total due to rounding.
CENCORA, INC.
GAAP TO NON-GAAP RECONCILIATIONS
(in thousands, except per share data)
(unaudited)
Three Months Ended March 31, 2025
Gross Profit
Operating
Expenses
Operating
Income
Income
Before
Income Taxes
Income Tax
Expense
Net Income
Attributable
to Cencora
Diluted
Earnings
Per Share
GAAP
$
3,059,809
$
2,023,619
$
1,036,190
$
928,656
$
211,239
$
717,871
$
3.68
Gains from antitrust litigation settlements
(198,646
)
—
(198,646
)
(198,646
)
(54,162
)
(144,484
)
(0.74
)
LIFO expense
39,469
—
39,469
39,469
10,899
28,570
0.15
Türkiye highly inflationary impact
14,479
—
14,479
18,394
—
18,394
0.09
Acquisition-related intangibles amortization
—
(137,011
)
137,011
137,011
35,632
100,628
0.52
Litigation and opioid-related expenses
—
(11,524
)
11,524
11,524
2,964
8,560
0.04
Acquisition and divestiture-related deal and integration expenses
—
(99,380
)
99,380
99,380
16,517
82,863
0.42
Restructuring and other expenses
—
(52,857
)
52,857
52,857
13,953
38,904
0.20
Other, net
—
—
—
5,763
952
4,811
0.02
Tax reform 1
—
—
—
(4,855
)
(11,367
)
6,512
0.03
Adjusted Non-GAAP
$
2,915,111
$
1,722,847
$
1,192,264
$
1,089,553
$
226,627
$
862,629
$
4.42
2
Percentages of Revenue:
GAAP
Adjusted
Non-GAAP
Gross profit
4.06%
3.86%
Operating expenses
2.68%
2.28%
Operating income
1.37%
1.58%
________________________
1
Tax reform includes the foreign currency remeasurement of Swiss deferred tax assets arising from 2020 Swiss tax reform and the amortization of those deferred tax assets.
2
The sum of the components does not equal the total due to rounding.
Note: For more information related to non-GAAP financial measures, refer to the section titled “Supplemental Information Regarding Non-GAAP Financial Measures” of this release.
CENCORA, INC.
GAAP TO NON-GAAP RECONCILIATIONS
(in thousands, except per share data)
(unaudited)
Six Months Ended March 31, 2026
Gross Profit
Operating
Expenses
Operating
Income
Income
Before
Income Taxes
Income Tax
Expense
Net Income
Attributable
to Cencora
Diluted
Earnings
Per Share
GAAP
$
6,660,410
$
4,757,368
$
1,903,042
$
2,797,212
$
601,558
$
2,200,979
$
11.27
Gains from antitrust litigation settlements
(28,690
)
—
(28,690
)
(28,690
)
(5,708
)
(22,982
)
(0.12
)
LIFO credit
(287,592
)
—
(287,592
)
(287,592
)
(57,222
)
(230,370
)
(1.18
)
Türkiye highly inflationary impact
23,042
—
23,042
19,197
—
19,197
0.10
Acquisition-related intangibles amortization
—
(241,434
)
241,434
241,434
48,038
191,905
0.98
Litigation and opioid-related credit, net 1
—
72,293
(72,293
)
(72,293
)
(14,384
)
(57,909
)
(0.30
)
Acquisition and divestiture-related deal and integration expenses
—
(242,583
)
242,583
242,583
42,432
200,151
1.02
Restructuring and other expenses, net
—
(55,039
)
55,039
55,039
11,546
43,493
0.22
Impairment of assets, including goodwill 2
—
(249,498
)
249,498
249,498
54,381
195,117
1.00
Remeasurement gain related to OneOncology acquisition 3
—
—
—
(1,086,612
)
(252,460
)
(834,152
)
(4.27
)
Other, net
—
—
—
6,817
(8
)
6,825
0.03
Tax reform 4
—
—
—
(12,472
)
(25,725
)
13,253
0.07
Adjusted Non-GAAP
$
6,367,170
$
4,041,107
$
2,326,063
$
2,124,121
$
402,448
$
1,725,507
$
8.83
5
Adjusted Non-GAAP % change vs. prior year
16.8
%
22.1
%
8.6
%
5.9
%
(1.8
)%
8.5
%
8.3
%
Percentages of Revenue:
GAAP
Adjusted
Non-GAAP
Gross profit
4.05%
3.88%
Operating expenses
2.90%
2.46%
Operating income
1.16%
1.42%
________________________
1
Includes an $86.8 million credit related to a derivative lawsuit settlement.
2
Impairment of assets held for sale, including goodwill, related to our U.S. Consulting Services business.
3
In connection with the acquisition of OneOncology, the Company recorded a gain on the remeasurement of its equity method investment and the extinguishment of the put option liability related to its previously held investment in OneOncology.
4
Tax reform includes the foreign currency remeasurement of Swiss deferred tax assets arising from 2020 Swiss tax reform and the amortization of those deferred tax assets.
5
The sum of the components does not equal the total due to rounding.
Note: For more information related to non-GAAP financial measures, refer to the section titled “Supplemental Information Regarding Non-GAAP Financial Measures” of this release.
CENCORA, INC.
GAAP TO NON-GAAP RECONCILIATIONS
(in thousands, except per share data)
(unaudited)
Six Months Ended March 31, 2025
Gross Profit
Operating Expenses
Operating Income
Income Before Income Taxes
Income Tax Expense
Net Income Attributable
to Cencora
Diluted Earnings
Per Share
GAAP
$
5,617,847
$
3,875,403
$
1,742,444
$
1,549,103
$
337,967
$
1,206,471
$
6.18
Gains from antitrust litigation settlements
(221,516
)
—
(221,516
)
(221,516
)
(60,692
)
(160,824
)
(0.82
)
LIFO expense
32,145
—
32,145
32,145
8,807
23,338
0.12
Türkiye highly inflationary impact
21,634
—
21,634
26,060
—
26,060
0.13
Acquisition-related intangibles amortization
—
(301,867
)
301,867
301,867
82,707
217,975
1.12
Litigation and opioid-related expenses
—
(28,289
)
28,289
28,289
7,751
20,538
0.11
Acquisition and divestiture-related deal and integration expenses
—
(138,092
)
138,092
138,092
27,571
110,521
0.57
Restructuring and other expenses
—
(98,617
)
98,617
98,617
27,020
71,597
0.37
Loss on divestiture of non-core businesses
—
—
—
35,539
—
35,539
0.18
Other, net
—
—
—
7,694
1,875
5,819
0.03
Tax reform 1
—
—
—
10,349
(23,042
)
33,391
0.17
Adjusted Non-GAAP
$
5,450,110
$
3,308,538
$
2,141,572
$
2,006,239
$
409,964
$
1,590,425
$
8.15
2
Percentages of Revenue:
GAAP
Adjusted
Non-GAAP
Gross profit
3.58%
3.47%
Operating expenses
2.47%
2.11%
Operating income
1.11%
1.36%
________________________
1
Tax reform includes the foreign currency remeasurement of Swiss deferred tax assets arising from 2020 Swiss tax reform and the amortization of those deferred tax assets.
2
The sum of the components does not equal the total due to rounding.
Note: For more information related to non-GAAP financial measures, refer to the section titled “Supplemental Information Regarding Non-GAAP Financial Measures” of this release.
CENCORA, INC.
SUMMARY SEGMENT INFORMATION
(in thousands)
(unaudited)
Three Months Ended March 31,
Revenue
2026
2025
% Change
U.S. Healthcare Solutions
$
68,765,078
$
66,819,265
2.9%
International Healthcare Solutions
7,565,749
6,696,779
13.0%
Other
2,055,571
1,956,407
5.1%
Intersegment eliminations
(30,482
)
(18,778
)
Revenue
$
78,355,916
$
75,453,673
3.8%
Three Months Ended March 31,
Operating income
2026
2025
% Change
U.S. Healthcare Solutions
$
998,300
$
944,969
5.6%
International Healthcare Solutions
175,797
154,598
13.7%
Other
91,633
92,851
(1.3)%
Intersegment eliminations
(2,381
)
(154
)
Total segment operating income
1,263,349
1,192,264
6.0%
Gains from antitrust litigation settlements
16,538
198,646
LIFO credit (expense)
210,030
(39,469
)
Türkiye highly inflationary impact
(12,153
)
(14,479
)
Acquisition-related intangibles amortization
(116,276
)
(137,011
)
Litigation and opioid-related expenses
(13,858
)
(11,524
)
Acquisition and divestiture-related deal and integration expenses
(164,164
)
(99,380
)
Restructuring and other expenses
(40,873
)
(52,857
)
Operating income
$
1,142,593
$
1,036,190
10.3%
Percentages of Revenue:
U.S. Healthcare Solutions
Gross profit
3.28
%
2.82
%
Operating expenses
1.82
%
1.40
%
Operating income
1.45
%
1.41
%
International Healthcare Solutions
Gross profit
10.76
%
10.70
%
Operating expenses
8.44
%
8.39
%
Operating income
2.32
%
2.31
%
Other
Gross profit
15.16
%
16.27
%
Operating expenses
10.70
%
11.53
%
Operating income
4.46
%
4.75
%
Cencora, Inc. (GAAP)
Gross profit
4.58
%
4.06
%
Operating expenses
3.12
%
2.68
%
Operating income
1.46
%
1.37
%
Cencora, Inc. (Non-GAAP)
Adjusted gross profit
4.31
%
3.86
%
Adjusted operating expenses
2.69
%
2.28
%
Adjusted operating income
1.61
%
1.58
%
Note: For more information related to non-GAAP financial measures, refer to the section titled “Supplemental Information Regarding Non-GAAP Financial Measures” of this release.
CENCORA, INC.
SUMMARY SEGMENT INFORMATION
(in thousands)
(unaudited)
Six Months Ended March 31,
Revenue
2026
2025
% Change
U.S. Healthcare Solutions
$
144,976,903
$
139,374,559
4.0%
International Healthcare Solutions
15,189,722
13,655,674
11.2%
Other
4,184,518
3,958,862
5.7%
Intersegment eliminations
(63,211
)
(48,362
)
Revenue
$
164,287,932
$
156,940,733
4.7%
Six Months Ended March 31,
Operating income
2026
2025
% Change
U.S. Healthcare Solutions
$
1,829,630
$
1,631,894
12.1%
International Healthcare Solutions
317,953
319,778
(0.6)%
Other
183,050
190,180
(3.7)%
Intersegment eliminations
(4,570
)
(280
)
Total segment operating income
2,326,063
2,141,572
8.6%
Gains from antitrust litigation settlements
28,690
221,516
LIFO credit (expense)
287,592
(32,145
)
Türkiye highly inflationary impact
(23,042
)
(21,634
)
Acquisition-related intangibles amortization
(241,434
)
(301,867
)
Litigation and opioid-related credit (expenses), net
72,293
(28,289
)
Acquisition and divestiture-related deal and integration expenses
(242,583
)
(138,092
)
Restructuring and other expenses, net
(55,039
)
(98,617
)
Impairment of assets, including goodwill
(249,498
)
—
Operating income
$
1,903,042
$
1,742,444
9.2%
Percentages of Revenue:
U.S. Healthcare Solutions
Gross profit
2.85
%
2.39
%
Operating expenses
1.59
%
1.22
%
Operating income
1.26
%
1.17
%
International Healthcare Solutions
Gross profit
10.56
%
10.84
%
Operating expenses
8.46
%
8.50
%
Operating income
2.09
%
2.34
%
Other
Gross profit
15.20
%
16.07
%
Operating expenses
10.83
%
11.26
%
Operating income
4.37
%
4.80
%
Cencora, Inc. (GAAP)
Gross profit
4.05
%
3.58
%
Operating expenses
2.90
%
2.47
%
Operating income
1.16
%
1.11
%
Cencora, Inc. (Non-GAAP)
Adjusted gross profit
3.88
%
3.47
%
Adjusted operating expenses
2.46
%
2.11
%
Adjusted operating income
1.42
%
1.36
%
Note: For more information related to non-GAAP financial measures, refer to the section titled “Supplemental Information Regarding Non-GAAP Financial Measures” of this release.
CENCORA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
(unaudited)
March 31,
September 30,
2026
2025
ASSETS
Current assets:
Cash and cash equivalents
$
2,176,496
$
4,356,138
Accounts receivable, net
24,893,220
25,225,299
Inventories
20,010,006
20,492,480
Right to recover assets
1,574,708
1,625,817
Prepaid expenses and other
636,815
539,339
Assets held for sale
3,849,666
—
Total current assets
53,140,911
52,239,073
Property and equipment, net
2,805,419
2,539,076
Goodwill and other intangible assets
22,507,385
17,450,701
Deferred income taxes
192,825
208,810
Other long-term assets
3,005,560
4,152,452
Total assets
$
81,652,100
$
76,590,112
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable
$
51,881,816
$
54,719,761
Accrued expenses and other
3,195,861
2,982,993
Short-term debt
202,660
117,785
Liabilities held for sale
851,949
—
Total current liabilities
56,132,286
57,820,539
Long-term debt
12,182,860
7,542,988
Accrued income taxes
352,768
337,631
Deferred income taxes
1,748,178
1,620,724
Accrued litigation liability
3,856,483
3,881,283
Other liabilities
3,794,575
3,639,862
Total stockholders’ equity
3,584,950
1,747,085
Total liabilities and stockholders’ equity
$
81,652,100
$
76,590,112
CENCORA, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six Months Ended March 31,
2026
2025
Operating Activities:
Net income
$
2,195,654
$
1,211,136
Adjustments to reconcile net income to net cash (used in) provided by operating activities
(244,232
)
815,487
Changes in operating assets and liabilities, excluding the effects of acquisitions and divestitures:
Accounts receivable
(308,675
)
(218,043
)
Inventories
(120,202
)
34,252
Accounts payable
(2,193,885
)
(669,479
)
Other, net
(295,190
)
(540,897
)
Net cash (used in) provided by operating activities
(966,530
)
632,456
Investing Activities:
Capital expenditures
(284,994
)
(234,953
)
Cost of acquired companies, net of cash acquired
(4,932,036
)
(3,947,761
)
Cost of equity investments
(19,210
)
(192,576
)
Other, net
62,024
(45,372
)
Net cash used in investing activities
(5,174,216
)
(4,420,662
)
Financing Activities:
Net debt borrowings 1
4,377,761
3,455,501
Purchases of common stock
—
(435,471
)
Cash dividends on common stock
(243,972
)
(222,076
)
Employee tax withholdings related to restricted share vesting
(105,186
)
(77,558
)
Other, net
(6,832
)
(2,984
)
Net cash provided by financing activities
4,021,771
2,717,412
Effect of exchange rate changes on cash, cash equivalents, and restricted cash
(14,825
)
(48,520
)
Decrease in cash, cash equivalents, and restricted cash, including cash classified within assets held for sale
(2,133,800
)
(1,119,314
)
Less: Increase in cash classified within assets held for sale
(24,487
)
—
Decrease in cash, cash equivalents, and restricted cash
(2,158,287
)
(1,119,314
)
Cash, cash equivalents, and restricted cash at beginning of period 2
4,394,549
3,297,880
Cash, cash equivalents, and restricted cash at end of period 2
$
2,236,262
$
2,178,566
________________________
1
Includes the issuance of $3.0 billion of senior notes and $1.5 billion of term loans to finance a portion of the February 2, 2026 acquisition of OneOncology in the six months ended March 31, 2026. Includes the issuance of $1.8 billion of senior notes and a $1.5 billion term loan to finance a portion of the January 2, 2025 acquisition of Retina Consultants of America in the six months ended March 31, 2025.
2
The following represents a reconciliation of cash and cash equivalents in the Condensed Consolidated Balance Sheets to cash, cash equivalents, and restricted cash in the Condensed Consolidated Statements of Cash Flows:
March 31,
2026
September 30,
2025
March 31,
2025
September 30,
2024
Cash and cash equivalents
$
2,176,496
$
4,356,138
$
1,978,061
$
3,132,648
Restricted cash (included in Prepaid Expenses and Other)
59,766
38,411
132,298
98,596
Restricted cash (included in Other Long-Term Assets)
—
—
68,207
66,636
Cash, cash equivalents, and restricted cash
$
2,236,262
$
4,394,549
$
2,178,566
$
3,297,880
SUPPLEMENTAL INFORMATION REGARDING
NON-GAAP FINANCIAL MEASURES
To supplement the financial measures prepared in accordance with U.S. generally accepted accounting principles (GAAP), the Company uses the non-GAAP financial measures described below. The non-GAAP financial measures should be viewed in addition to, and not in lieu of, financial measures calculated in accordance with GAAP. These supplemental measures may vary from, and may not be comparable to, similarly titled measures by other companies.
The non-GAAP financial measures are presented because management uses non-GAAP financial measures to evaluate the Company’s operating performance, to perform financial planning, and to determine incentive compensation. Therefore, the Company believes that the presentation of non-GAAP financial measures provides useful supplementary information to, and facilitates additional analysis by, investors. The presented non-GAAP financial measures exclude items that management does not believe reflect the Company’s core operating performance because such items are outside the control of the Company or are inherently unusual, non-operating, unpredictable, non-recurring, or non-cash. We have included the following non-GAAP earnings-related financial measures in this release:
Reconciliation of adjusted free cash flows
Operating cash flows
$(966.5)M
Capital expenditures
$(285.0)M
Free cash flows
$(1,251.5)M
Less gains from antitrust litigation settlements
$(28.7)M
Adjusted free cash flows
$(1,280.2)M
The Company also presents certain information related to current period operating results in “constant currency,” which is a non-GAAP financial measure. These amounts are calculated by translating current period results at the foreign currency exchange rates used in the comparable period in the prior year. The Company presents such constant currency financial information because it has significant operations outside of the United States reporting in currencies other than the U.S. dollar and this presentation provides a framework to assess how its business performed excluding the impact of foreign currency exchange rate fluctuations. Below is a summary of revenue and adjusted operating income on an as-reported basis and on a constant currency basis for the three months ended March 31, 2026:
Revenue
Adjusted Operating income
Consolidated
As reported
$78.4B
$1,263M
Impact of foreign currency translation
$(0.4)B
$(1)M
Constant currency
$78.0B
$1,262M
International Healthcare Solutions segment
As reported
$7.6B
$176M
Impact of foreign currency translation
$(0.4)B
$(1)M
Constant currency
$7.2B
$175M
In addition, the Company has provided non-GAAP fiscal year 2026 guidance for diluted earnings per share, operating income, effective income tax rate, and free cash flow that excludes the same or similar items as those that are excluded from the historical non-GAAP financial measures, as well as significant items that are outside the control of the Company or inherently unusual, non-operating, unpredictable, non-recurring or non-cash in nature. The Company does not provide forward looking guidance on a GAAP basis for such metrics because certain financial information, the probable significance of which cannot be determined, is not available and cannot be reasonably estimated. For example, LIFO expense (credit) is largely dependent upon the future inflation or deflation of brand and generic pharmaceuticals, which is out of the Company’s control, and acquisition-related intangibles amortization depends on the timing and amount of future acquisitions, which cannot be reasonably estimated. Similarly, the timing and amount of favorable and unfavorable settlements, the probable significance of which cannot be determined, are unavailable and cannot be reasonably estimated.