Summary of Cencora (NYSE:COR) FY Conference Call - December 02, 2025 Company Overview - **Company**: Cencora - **Industry**: Healthcare Services, specifically focusing on pharmaceutical distribution and management services organizations (MSOs) Key Points and Arguments Financial Performance and Guidance - Cencora reported strong fourth-quarter results for fiscal year 2025, with guidance for fiscal year 2026 indicating 9%-11% operating income growth in the US segment [4][22] - Long-term guidance has been increased, reflecting confidence in the specialty market's growth [4][5] Acquisition Strategy - The acquisition of OneOncology is highlighted as a significant growth driver, with Cencora currently owning 35% and looking to acquire the remaining 65% [6][7] - The acquisition is expected to enhance operating income and create synergies between OneOncology and RCA, particularly in clinical trials [7][8] Specialty Market Focus - Cencora's strength lies in its leadership position in the specialty market, benefiting from sales to specialty physician practices and health systems [5][14] - The company is pursuing both organic and inorganic growth opportunities in oncology and retina markets, with a focus on acquiring smaller practices [15][16] Capital Deployment - Projected free cash flow of $15 billion-$20 billion by the end of the decade will be strategically deployed, with a significant portion earmarked for the acquisition of OneOncology [21][22] - Cencora plans to invest approximately $900 million in capital expenditures, primarily in infrastructure for its specialty business [21] International Segment Performance - The international segment, which includes Alliance and World Courier, is a significant contributor to operating income, with Alliance being the largest revenue source [24][27] - World Courier is expected to stabilize and grow as clinical trial activities pick up [29][30] Regulatory Environment and Drug Pricing - The company is actively engaging in discussions regarding the impact of regulatory changes, particularly around the Physician Fee Schedule and drug pricing negotiations under the IRA [33][41] - Cencora emphasizes the importance of maintaining access to pharmaceuticals and affordability for patients [46] Growth Drivers and Market Trends - Cencora anticipates a wave of generic launches and biosimilars, which will positively impact revenue, although the profit margins may differ from previous years due to contract rebalancing [54][57] - The company is focused on digital transformation and productivity improvements as part of its long-term strategy [76][79] Conclusion - Cencora is positioned for continued growth through strategic acquisitions, a strong focus on the specialty market, and effective capital deployment. The company aims to enhance its operational efficiency and maintain a strong value proposition in the healthcare supply chain [76][79]