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McKesson(MCK) - 2025 Q4 - Annual Report

Pharmaceutical Distribution - The U.S. Pharmaceutical segment distributes branded, generic, specialty, biosimilar, and OTC pharmaceutical drugs, operating through a network of 27 distribution centers in the U.S.[20] - McKesson Canada is one of the largest pharmaceutical wholesale and retail distributors in Canada, providing logistics and distribution services through a national network of distribution centers[36] - The International segment completed the sale of Rexall and Well.ca businesses in Canada during fiscal 2025[23] - The U.S. Pharmaceutical segment utilizes Six Sigma methodology to enhance distribution efficiency and service accuracy[25] - The company extended its pharmaceutical distribution partnership with CVS to June 2027, indicating a strong ongoing relationship[72] Financial Performance - For the fiscal year ended March 31, 2025, revenues increased by 16% compared to the prior year, while gross profit increased by 4%[177] - Revenues for the year ended March 31, 2025, increased to 359,051million,a16359,051 million, a 16% rise from 308,951 million in 2024[185] - Gross profit rose to 13,323million,up413,323 million, up 4% from 12,828 million, with a gross profit margin of 3.71%, down 44 basis points from 4.15%[185] - Net income attributable to McKesson Corporation increased by 10% to 3,295 million compared to 3,002millioninthepreviousyear[185]Dilutedearningspercommonsharefromcontinuingoperationsroseto3,002 million in the previous year[185] - Diluted earnings per common share from continuing operations rose to 25.72 in fiscal 2025 from 22.39intheprioryear[177]CostManagementandInvestmentsThecompanyisinvestinginnewandexistingdistributioncenterstoimproveefficiencythroughautomationandtechnology,withafocusondataandanalytics,includingartificialintelligence(AI)capabilities[39]Thecompanyrecordedrestructuringchargesof22.39 in the prior year[177] Cost Management and Investments - The company is investing in new and existing distribution centers to improve efficiency through automation and technology, with a focus on data and analytics, including artificial intelligence (AI) capabilities[39] - The company recorded restructuring charges of 298 million related to an enterprise-wide initiative to drive operational efficiencies[177] - McKesson anticipates total charges of 650millionto650 million to 700 million related to enterprise-wide initiatives aimed at modernizing technology and improving operational efficiency[202] Compliance and Regulatory Environment - The company is subject to significant compliance obligations under various privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA) and the General Data Protection Regulation (GDPR)[67] - The regulatory framework affecting the company is continuously evolving, creating uncertainties regarding compliance costs and operational impacts[54] - The Drug Supply Chain Security Act (DSCSA) compliance deadlines have been extended to May 27, 2025, for manufacturers, August 27, 2025, for distributors, and November 27, 2025, for dispensers[65] - Compliance with climate change regulations may impose additional costs, including capital expenditures for data gathering and reporting systems[70] Competition and Market Challenges - The company is facing strong competition in the pharmaceutical distribution environment from major competitors such as Cencora, Inc. and Cardinal Health, Inc.[41] - Competition and industry consolidation are significant challenges, potentially leading to reduced profit margins and increased credit risk[115] - Changes in healthcare reform, including reimbursement methodologies, could negatively impact profit margins and create uncertainties for the business[110] Shareholder Returns - The quarterly dividend was raised from 0.62to0.62 to 0.71 per share, with regular cash dividends declared at 2.75,2.75, 2.40, and 2.09persharefortheyearsendedMarch31,2025,2024,and2023,respectively[147]Thecompanyreturned2.09 per share for the years ended March 31, 2025, 2024, and 2023, respectively[147] - The company returned 3.5 billion to shareholders during fiscal 2025 through 3.1billionincommonstockrepurchasesand3.1 billion in common stock repurchases and 345 million in dividend payments[177] - The total remaining authorization for repurchases of the company's common stock at March 31, 2025, was 7.5billion[177]CybersecurityandTechnologyRisksThecompanyhasimplementedaCybersecurityRiskManagementProgramalignedwithindustrybestpracticestomitigatematerialcybersecurityrisks[129]Cybersecurityremainsakeyfocusforthecompany,withannualenterprisewideriskassessmentsidentifyingitasaprincipalrisk[128]Cybersecurityincidentsposeriskstotechnologysystems,potentiallyleadingtodatabreachesandoperationaldisruptions,affectingpatientcareandrevenue[91]EmployeeandOperationalConsiderationsThecompanyiscommittedtoinvestinginemployeehealthandwellnessbenefits,training,andcompetitivecompensationtoattractandretaintalent[50]AsofMarch31,2025,thecompanyhadapproximately45,000employeesworldwide,including36,000intheU.S.,5,000inCanada,and4,000inotherregions[49]AcquisitionsandDivestituresThecompanycompletedtheacquisitionofa707.5 billion[177] Cybersecurity and Technology Risks - The company has implemented a Cybersecurity Risk Management Program aligned with industry best practices to mitigate material cybersecurity risks[129] - Cybersecurity remains a key focus for the company, with annual enterprise-wide risk assessments identifying it as a principal risk[128] - Cybersecurity incidents pose risks to technology systems, potentially leading to data breaches and operational disruptions, affecting patient care and revenue[91] Employee and Operational Considerations - The company is committed to investing in employee health and wellness benefits, training, and competitive compensation to attract and retain talent[50] - As of March 31, 2025, the company had approximately 45,000 employees worldwide, including 36,000 in the U.S., 5,000 in Canada, and 4,000 in other regions[49] Acquisitions and Divestitures - The company completed the acquisition of a 70% controlling interest in Community Oncology Revitalization Enterprise Ventures, LLC for approximately 2.49 billion cash[172] - The company completed the acquisition of an 80% interest in PRISM Vision Holdings, LLC, a provider of general ophthalmology and retina management services[173] - The company has divested the majority of its European businesses during fiscal 2022 and 2023, with ongoing evaluations for remaining operations in Norway[38] Legal and Environmental Risks - The company faces potential liabilities from litigation related to the distribution of controlled substances, which could adversely affect financial position[83] - The company incurred cleanup costs under environmental laws, which may increase due to new regulations[85] - There are potential intellectual property infringement claims against the company, which could result in substantial damages and affect financial results[106]