McKesson Financials
This page shows McKesson (MCK) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 19 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).
McKesson’s high-volume, thin-spread model turns tiny revenue margins into large cash flow through tight overhead control and modest reinvestment.
From FY2023 to FY2026, gross margin compression from4.5% to3.6% did not prevent a profit recovery. SG&A dollars were lower than FY2024 while operating income reached$6.2B , suggesting the business earns more from processing more volume efficiently than from widening its gross spread.
Cash generation looks higher quality than accounting profit: FY2026 operating cash flow of
The balance sheet looks optically thin: current ratio stayed below 1.0x and equity remained negative, which can look strained if read in isolation. But long-term debt fell to
Financial Health Signals
Based on FY2026 annual data, averaged across the last 3 years for performance metrics (most-recent year weighted highest). How this score is calculated →
Health score ≠ stock price. This rates the quality of McKesson's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.
McKesson has an operating margin of 1.5%, meaning the company retains $2 of operating profit per $100 of revenue. This below-average margin results in a low score of 25/100, suggesting thin profitability after operating expenses. This is up from 1.2% the prior year.
McKesson's revenue grew 12.4% year-over-year to $403.4B, a solid pace of expansion. This earns a growth score of 57/100.
McKesson carries a low D/E ratio of -3.00, meaning only $-3.00 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 77/100, indicating a strong balance sheet with room for future borrowing.
McKesson's current ratio of 0.85 is below the typical benchmark, resulting in a score of 12/100. This tight liquidity could limit financial flexibility if cash inflows slow.
McKesson's free cash flow margin of 1.4% results in a low score of 29/100. Capital expenditures of $436.0M absorb a large share of operating cash flow.
McKesson scores 6.01, well above the 2.99 safe threshold. This indicates low bankruptcy risk based on profitability, leverage, and asset efficiency.
McKesson passes 6 of 9 financial strength tests. All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.
For every $1 of reported earnings, McKesson generates $1.29 in operating cash flow ($6.2B OCF vs $4.8B net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.
McKesson earns $25.1 in operating income for every $1 of interest expense ($6.2B vs $247.0M). This wide margin provides strong safety for debt servicing, even if earnings decline temporarily.
Key Financial Metrics
Earnings & Revenue
McKesson generated $403.4B in revenue in fiscal year 2026. This represents an increase of 12.4% from the prior year.
McKesson's EBITDA was $6.5B in fiscal year 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 38.5% from the prior year.
McKesson reported $4.8B in net income in fiscal year 2026. This represents an increase of 44.5% from the prior year.
Cash & Balance Sheet
McKesson generated $5.7B in free cash flow in fiscal year 2026, representing cash available after capex. This represents an increase of 3.1% from the prior year.
McKesson held $4.0B in cash against $6.5B in long-term debt as of fiscal year 2026.
McKesson had 120M shares outstanding in fiscal year 2026. This represents a decrease of 3.9% from the prior year.
Margins & Returns
McKesson's gross margin was 3.6% in fiscal year 2026, indicating the percentage of revenue retained after direct costs. This is down 0.1 percentage points from the prior year.
McKesson's operating margin was 1.5% in fiscal year 2026, reflecting core business profitability. This is up 0.3 percentage points from the prior year.
McKesson's net profit margin was 1.2% in fiscal year 2026, showing the share of revenue converted to profit. This is up 0.3 percentage points from the prior year.
Capital Allocation
McKesson spent $4.8B on share buybacks in fiscal year 2026, returning capital to shareholders by reducing shares outstanding. This represents an increase of 51.0% from the prior year.
McKesson invested $436.0M in capex in fiscal year 2026, funding long-term assets and infrastructure. This represents a decrease of 18.8% from the prior year.
MCK Income Statement
| Metric | Q4'26 | Q3'26 | Q2'26 | Q1'26 | Q4'25 | Q3'25 | Q2'25 | Q1'25 |
|---|---|---|---|---|---|---|---|---|
| Revenue | $96.3B-9.3% | $106.2B+2.9% | $103.2B+5.4% | $97.8B+7.7% | $90.8B-4.7% | $95.3B+1.8% | $93.7B+18.1% | $79.3B |
| Cost of Revenue | $92.3B-10.0% | $102.5B+2.9% | $99.6B+5.4% | $94.5B+8.4% | $87.2B-5.2% | $92.0B+1.8% | $90.4B+18.7% | $76.1B |
| Gross Profit | $4.0B+9.7% | $3.7B+4.0% | $3.5B+8.0% | $3.3B-9.9% | $3.6B+10.8% | $3.3B+1.1% | $3.2B+3.0% | $3.2B |
| R&D Expenses | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| SG&A Expenses | $1.8B-11.5% | $2.0B-2.1% | $2.1B-5.6% | $2.2B+11.2% | $2.0B-2.6% | $2.0B-19.0% | $2.5B+25.1% | $2.0B |
| Operating Income | $2.1B+32.8% | $1.6B+15.1% | $1.4B+35.8% | $1.0B-34.9% | $1.6B+30.0% | $1.2B+111.8% | $578.0M-43.8% | $1.0B |
| Interest Expense | $61.0M-3.2% | $63.0M-14.9% | $74.0M+51.0% | $49.0M+8.9% | $45.0M-32.8% | $67.0M-14.1% | $78.0M+4.0% | $75.0M |
| Income Tax | $270.0M-28.9% | $380.0M+63.8% | $232.0M+5.5% | $220.0M+5.3% | $209.0M-29.9% | $298.0M+20.6% | $247.0M+99.2% | $124.0M |
| Net Income | $1.7B+41.8% | $1.2B+6.8% | $1.1B+41.6% | $784.0M-37.8% | $1.3B+43.3% | $879.0M+264.7% | $241.0M-73.7% | $915.0M |
| EPS (Diluted) | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
MCK Balance Sheet
| Metric | Q4'26 | Q3'26 | Q2'26 | Q1'26 | Q4'25 | Q3'25 | Q2'25 | Q1'25 |
|---|---|---|---|---|---|---|---|---|
| Total Assets | $82.3B-2.2% | $84.2B0.0% | $84.2B+3.5% | $81.3B+8.2% | $75.1B+5.7% | $71.1B-1.9% | $72.4B+1.1% | $71.7B |
| Current Assets | $57.2B-4.2% | $59.7B-0.3% | $59.9B+5.4% | $56.8B+2.5% | $55.4B+7.1% | $51.7B-3.0% | $53.3B+2.1% | $52.3B |
| Cash & Equivalents | $4.0B+34.3% | $3.0B-26.1% | $4.0B+65.6% | $2.4B-57.5% | $5.7B+403.2% | $1.1B-54.9% | $2.5B+9.0% | $2.3B |
| Inventory | $24.2B-10.6% | $27.1B+3.6% | $26.1B+4.3% | $25.1B+9.0% | $23.0B-3.5% | $23.8B-1.4% | $24.2B-5.5% | $25.6B |
| Accounts Receivable | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Goodwill | $11.3B-0.1% | $11.3B+0.4% | $11.3B-0.7% | $11.4B+13.4% | $10.0B+0.2% | $10.0B-0.8% | $10.1B-0.3% | $10.1B |
| Total Liabilities | $84.5B-1.2% | $85.5B-0.5% | $85.9B+3.1% | $83.3B+7.9% | $77.2B+4.1% | $74.2B-1.7% | $75.4B+2.8% | $73.4B |
| Current Liabilities | $67.0B-1.6% | $68.1B+0.1% | $68.0B+5.8% | $64.3B+4.4% | $61.6B+5.2% | $58.6B-0.4% | $58.8B+4.1% | $56.4B |
| Long-Term Debt | $6.5B-0.5% | $6.6B-15.5% | $7.8B-0.2% | $7.8B+37.5% | $5.7B+1.2% | $5.6B-2.7% | $5.7B+1.9% | $5.6B |
| Total Equity | -$2.2B-67.3% | -$1.3B+25.4% | -$1.7B+11.6% | -$2.0B+5.2% | -$2.1B+32.7% | -$3.1B-2.2% | -$3.0B-71.9% | -$1.8B |
| Retained Earnings | $22.3B+7.6% | $20.7B+5.5% | $19.6B+5.4% | $18.6B+3.9% | $17.9B+7.0% | $16.8B+5.0% | $16.0B+0.9% | $15.8B |
MCK Cash Flow Statement
| Metric | Q4'26 | Q3'26 | Q2'26 | Q1'26 | Q4'25 | Q3'25 | Q2'25 | Q1'25 |
|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | $3.4B+177.7% | $1.2B-49.1% | $2.4B+363.6% | -$918.0M-111.8% | $7.7B+425.1% | -$2.4B-213.5% | $2.1B+252.2% | -$1.4B |
| Capital Expenditures | $111.0M+2.8% | $108.0M+1.9% | $106.0M-4.5% | $111.0M-34.3% | $169.0M+34.1% | $126.0M-7.4% | $136.0M+28.3% | $106.0M |
| Free Cash Flow | $3.3B+194.5% | $1.1B-51.4% | $2.3B+324.9% | -$1.0B-113.6% | $7.6B+402.1% | -$2.5B-227.7% | $2.0B+232.2% | -$1.5B |
| Investing Cash Flow | $425.0M+258.0% | -$269.0M-1020.8% | -$24.0M+99.3% | -$3.6B-1491.1% | -$224.0M-64.7% | -$136.0M+52.4% | -$286.0M-228.7% | -$87.0M |
| Financing Cash Flow | -$2.8B-39.2% | -$2.0B-110.8% | -$961.0M-181.7% | $1.2B+141.2% | -$2.9B-320.0% | $1.3B+181.2% | -$1.6B-97.7% | -$809.0M |
| Dividends Paid | $101.0M0.0% | $101.0M+13.5% | $89.0M-1.1% | $90.0M-1.1% | $91.0M-1.1% | $92.0M+15.0% | $80.0M-2.4% | $82.0M |
| Share Buybacks | $2.7B+292.8% | $680.0M-16.9% | $818.0M+40.8% | $581.0M+93.7% | $300.0M-63.7% | $827.0M-44.6% | $1.5B+183.1% | $527.0M |
MCK Financial Ratios
| Metric | Q4'26 | Q3'26 | Q2'26 | Q1'26 | Q4'25 | Q3'25 | Q2'25 | Q1'25 |
|---|---|---|---|---|---|---|---|---|
| Gross Margin | 4.2%+0.7pp | 3.5%+0.0pp | 3.4%+0.1pp | 3.4%-0.7pp | 4.0%+0.6pp | 3.5%-0.0pp | 3.5%-0.5pp | 4.0% |
| Operating Margin | 2.2%+0.7pp | 1.5%+0.2pp | 1.4%+0.3pp | 1.1%-0.7pp | 1.8%+0.5pp | 1.3%+0.7pp | 0.6%-0.7pp | 1.3% |
| Net Margin | 1.8%+0.6pp | 1.1%+0.0pp | 1.1%+0.3pp | 0.8%-0.6pp | 1.4%+0.5pp | 0.9%+0.7pp | 0.3%-0.9pp | 1.1% |
| Return on Equity | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Return on Assets | 2.0%+0.6pp | 1.4%+0.1pp | 1.3%+0.4pp | 1.0%-0.7pp | 1.7%+0.4pp | 1.2%+0.9pp | 0.3%-1.0pp | 1.3% |
| Current Ratio | 0.85-0.0 | 0.880.0 | 0.880.0 | 0.88-0.0 | 0.90+0.0 | 0.88-0.0 | 0.91-0.0 | 0.93 |
| Debt-to-Equity | -3.00+2.0 | -5.05-0.6 | -4.46-0.5 | -3.95-1.2 | -2.73-0.9 | -1.81+0.1 | -1.90+1.3 | -3.21 |
| FCF Margin | 3.4%+2.4pp | 1.1%-1.2pp | 2.2%+3.3pp | -1.1%-9.4pp | 8.3%+11.0pp | -2.6%-4.7pp | 2.1%+4.0pp | -1.9% |
Note: Shareholder equity is negative (-$2.2B), which causes debt-to-equity and return on equity ratios to appear negative or not meaningful. This can occur from accumulated losses or large share buyback programs.
Note: The current ratio is below 1.0 (0.85), indicating current liabilities exceed current assets, which may suggest potential short-term liquidity concerns.
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Frequently Asked Questions
What is McKesson's annual revenue?
McKesson (MCK) reported $403.4B in total revenue for fiscal year 2026. This represents a 12.4% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.
How fast is McKesson's revenue growing?
McKesson (MCK) revenue grew by 12.4% year-over-year, from $359.1B to $403.4B in fiscal year 2026.
Is McKesson profitable?
Yes, McKesson (MCK) reported a net income of $4.8B in fiscal year 2026, with a net profit margin of 1.2%.
What is McKesson's EBITDA?
McKesson (MCK) had EBITDA of $6.5B in fiscal year 2026, measuring earnings before interest, taxes, depreciation, and amortization.
How much debt does McKesson have?
As of fiscal year 2026, McKesson (MCK) had $4.0B in cash and equivalents against $6.5B in long-term debt.
What is McKesson's gross margin?
McKesson (MCK) had a gross margin of 3.6% in fiscal year 2026, indicating the percentage of revenue retained after direct costs of goods sold.
What is McKesson's operating margin?
McKesson (MCK) had an operating margin of 1.5% in fiscal year 2026, reflecting the profitability of core business operations before interest and taxes.
What is McKesson's net profit margin?
McKesson (MCK) had a net profit margin of 1.2% in fiscal year 2026, representing the share of revenue converted into profit after all expenses.
What is McKesson's free cash flow?
McKesson (MCK) generated $5.7B in free cash flow during fiscal year 2026. This represents a 3.1% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.
What is McKesson's operating cash flow?
McKesson (MCK) generated $6.2B in operating cash flow during fiscal year 2026, representing cash generated from core business activities.
What are McKesson's total assets?
McKesson (MCK) had $82.3B in total assets as of fiscal year 2026, including both current and long-term assets.
What are McKesson's capital expenditures?
McKesson (MCK) invested $436.0M in capital expenditures during fiscal year 2026, funding long-term assets and infrastructure.
What is McKesson's current ratio?
McKesson (MCK) had a current ratio of 0.85 as of fiscal year 2026, which is below 1.0, which may suggest potential liquidity concerns.
What is McKesson's debt-to-equity ratio?
McKesson (MCK) had a debt-to-equity ratio of -3.00 as of fiscal year 2026, measuring the company's financial leverage by comparing total debt to shareholder equity.
What is McKesson's return on assets (ROA)?
McKesson (MCK) had a return on assets of 5.8% for fiscal year 2026, measuring how efficiently the company uses its assets to generate profit.
Why is McKesson's debt-to-equity ratio negative or unusual?
McKesson (MCK) has negative shareholder equity of -$2.2B as of fiscal year 2026, which causes the debt-to-equity ratio to appear negative or not meaningful. This can occur when accumulated losses exceed invested capital, or after large share buyback programs. Other solvency metrics like the current ratio or interest coverage may be more informative.
What is McKesson's Altman Z-Score?
McKesson (MCK) has an Altman Z-Score of 6.01, placing it in the Safe Zone (low bankruptcy risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.
What is McKesson's Piotroski F-Score?
McKesson (MCK) has a Piotroski F-Score of 6 out of 9, indicating neutral financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.
Are McKesson's earnings high quality?
McKesson (MCK) has an earnings quality ratio of 1.29x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.
Can McKesson cover its interest payments?
McKesson (MCK) has an interest coverage ratio of 25.1x, meaning it can comfortably cover its interest obligations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.
How financially healthy is McKesson?
McKesson (MCK) scores 33 out of 100 on our Financial Profile, indicating weak overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.