COR Q4 FY2026 earnings call transcript, November 4, 2026

As the FDA, we participate in the vast majority of retina clinical trials, completing over 40,000 research-related visits annually. And One Oncology has supported more than 130 pharmaceutical partners with their clinical trials to date. As we've invested in the businesses aligned with our pharmaceutical-centric strategy, we've also taken decisive action on businesses that do not align. Concentrating our capital and leadership attention, we're

adapting our organization to better support them while preserving the benefits of Sencora's scale, infrastructure, and expertise. I believe this operating model will make Sencora more effective in three ways. Enhancing our strategic and operational execution, further elevating the voice of our customers, and providing increased visibility for our shareholders. Informed by our updated operating model, we've created two new reports.

Starting with specialty pharmaceutical and provider services, we are connecting capabilities across clinical trial logistics, commercialization, specialty distribution, GPO, and practice management to support innovative therapies from development to delivery to patient. That role is becoming more important, with specialty biologics now accounting for more than half of all pharmaceutical spending in the United States, up 80% in five years.

These are capabilities Sencora has built at scale through focused investments, with specialty logistics operations across more than 50 countries and multinational 3PL solutions in the United States and Europe. We can support pharmaceutical partners as they bring complex therapies to patients across markets. Our role does not end when a therapy reaches its destination. As more specialty care is delivered in community settings. Providers are managing increasing clinical and administrative demands. Through our MSOs, we help independent specialty physicians manage clinical and administrative complexity expand access to. Research and remain focused on patient care. Our agreement to acquire a majority interest in Aon extends the platform through a physician led network and a long standing Sencora partner. Bringing these businesses together deepens our relationships with manufacturers and providers while giving investors a clearer view of the growth potential of our specialty platform. Within pharmaceutical distribution and services, our scale provides us with deep understanding of trends across the healthcare ecosystem. which we use to drive differentiated value to customers. We deliver over 100 million packages annually, shipping nearly 5 million units each day, giving our leaders firsthand insight into the needs of manufacturers. providers, pharmacies, and patients. Combining our scale, our sourcing expertise, and customer-centric partnerships with pharmacies and health systems, large and small, we strengthen their operations.

support their growth, and ensure continued patient access. Two recent customer events illustrate how their perspective shape our priorities. At our Health Systems National Summit, Health Systems Leader discussed how connecting pharmacy, supply chain, technology, and care delivery leads to better decisions for patients and their organizations. These are all areas where our Accelerate Pharmacy Solutions help our health systems customers. At ThoughtSpot, our annual trade show for good neighbor independent pharmacies, we came together with more than 3,000 attendees introducing novel solutions including AI powered tools designed to help pharmacies. run more efficiently, free uptime for patient care, and create new growth opportunities. At both our Health Systems National Summit and ThoughtSpot, I heard customers emphasize that specialties becoming a larger and more complex part of patient care, reinforcing the importance of specialty growth and solutions across both reporting segments. The scale of this opportunity is increasingly visible. and our results. We expect specialty distribution revenue to reach approximately $100 billion in fiscal 2027. Combined with our broader manufacturer and provider capabilities, this makes specialty a central driver of Sancora's long-term growth. In summary, we exit fiscal 2026 with record results in a stronger platform for growth, supported by our scale, specialty capabilities, and an operating model aligned to how we create value. With that, I'll turn the call over to Eva to discuss our fourth quarter and fiscal 2026 results, as well as our fiscal 2026 results.

Thanks, Bob. Good morning, everyone. As Bob highlighted and we shared in our press release this morning, we have introduced a new organizational and financial reporting structure. Designed to strengthen our execution and provide additional performance visibility to our shareholders. Through our new segments, we will highlight the significant opportunity we have to utilize our end-to-end specialty capabilities to deliver value up and downstream while driving sustainable growth. powered by our scale and efficient pharmaceutical distribution foundation. In addition to reiterating Sincor's long-term growth algorithm of 7 to 10% operating income growth. and 10 to 14% EPS growth, we are introducing targets for our new segments. For the pharmaceutical distribution and services segment, we expect long-term operating income to grow in the mid single digits. And for the specialty pharmaceutical and provider services segment, we expect long-term operating income growth in the mid-teens. Now, I'll provide an overview of our fiscal 2026-40. Fourth quarter and full year results and our fiscal 2027 financial guidance. Unless otherwise stated, my remarks will focus on adjusted non-GAAP financial results. For further discussion of our GAAP results, please refer to our earnings press release and presentation. Beginning with fourth quarter, consolidated revenue was $88.4 billion, up 6%, driven by growth in both reportable segments and in other, which I'll describe in more detail when discussing segment-level results. Consolidated adjusted gross profit was $3.6 billion, up 23%.

Primarily due to growth in the U.S. healthcare solution segment. Consolidated adjusted gross margin expanded by 57 basis points to 4.04%. Largely due to our acquisition of One Oncology in February. Consolidated adjusted operating expenses were $2.3 billion, an increase of 23%. Again, largely driven by the impact of the February 2026 acquisition of One Oncology. Excluding both One Oncology and RCA, operating expense growth was less than 3% as we lapped an easier expense comparison. Consolidated adjusted operating income was $1.2 billion, an increase of 22% compared to the prior year quarter, with a another quarter of double digit growth across both reportable segments and other. Moving now to below the line items, net interest expense was $136 million, an increase of $58 million compared to the prior year quarter, primarily due to debt raised to finance the One Oncology acquisition. Our effective tax rate was 20.2% compared to 20.6% in the prior year quarter. Finally, diluted share count was 191.7 million shares, a 1.8% decrease. compared to the prior year quarter, largely due to the $1 billion of opportunistic share repurchases we completed in the June quarter. Taken together, this resulted in adjusted diluted earnings per share. of $4.66, an increase of 21%. Turning to our segment results for the fourth quarter, U.S. Health Care Solutions revenue was $78.3 billion, an increase of 5%. Strength in specialty sales to health systems and physician practice

practices and continued growth in GLP-1s, which increased by $2.8 billion year over year, drove the growth. The growth was partially offset by manufacturer listed price reductions that represented a $2.8 billion headwind to revenue growth, as well as lower sales to our large mail order customer, consistent with the past two quarters. U.S. health care solution segment operating income was $998 million, up 22%, representing our strongest growth quarter of the fiscal year. This was driven by continued momentum in specialty across both health systems and physician practices. The contribution from One Oncology and focused execution across our other pharmaceutical distribution businesses. The quarter also benefited from an easier expense comparison. Turning now to our international health care solution segment, revenue was $7.8 billion, up 5%, driven by growth in all business units. International health care solutions operating income was $152 million, up 16% on an as reported basis and up 19% on a constant currency basis. In the quarter, our Canadian business delivered excellent performance driven by high program win rates. Our global specialty logistics and 3PL business can continue to drive strong performance with double digit operating income growth. As Bob mentioned, we have been investing in these businesses to capitalize on the increasing complexity in the innovation pipeline and have been winning in these areas. Moving to other, which reflects the businesses for which we are.

Pursuing strategic alternatives, revenue and other with $2.3 billion, up 10% largely due to growth at pro pharma and MWI Animal Health. Operate. Operating income was $101 million, up 36% due to operating income growth at MWI Animal Health, also including the benefit from being accounted for as held for sale. This completes the review of our fourth quarter results. Now turn to a discussion of our full year. Fiscal 2026 results. Our consolidated revenue was $337 billion, up 5%, driven by U.S. healthcare solution segment growth of 5% and international healthcare solution segment growth of 8%. Consolidated operating income was 4.8%. $8 billion, an increase of 14% driven by growth in both reportable segments. In the U.S. healthcare solution segment, we benefited from strength in specialty volumes and our strategic investments in MSOs. In the fiscal year, MSOs represented approximately 10% of enterprise operating income. When excluding the impact of our two large MSO acquisitions and the loss of an oncology customer, our core U.S. segment growth was about 13% nicely ahead of our long term growth algorithm. In the international healthcare solutions segment, we were pleased with the businesses return to growth this fiscal year, driven by operational improvements at our global specialty logistics business and increased demand. Finally, as it relates to free cash flow and our balance sheet, during the fiscal year, we generated $3.8 billion of adjusted free cash flow, stronger than our guidance.

Due to a combination of year-end stronger volume, mix, and timing, we ended the year with a cash balance of $4.9 billion. Our strong free cash flow generation gives us significant flexibility to pursue our balanced capital deployment strategy while maintaining our strong investment grade credit ratings. During the fiscal year, we were pleased to return $1.5 billion to shareholders through a combination of opportunistic share repurchases and our dividend. And this morning, we announced a 10% increase to our quarterly dividend. Our 22nd consecutive increase. Turning now to our fiscal 2027 expectations, there are a few items I'll highlight before we get into the details of our guidance. First, our guidance excludes the acquisitions of iSouth Retina Business and American Oncology Network, which we will incorporate upon the close of each transaction. Second, our guidance contemplates a mid-fiscal year close of the MWI merger with Covetris. The operating income headwind is expected to be partially offset by two below-the-line income items associated with the transaction, which would be approximately $40 million in the second half of fiscal 2027. This contribution is expected to bring our other income loss line to approximately $90 million compared to the approximate $26 million in fiscal 2026. Third, as we announced this morning, we reached an agreement to sell our equity stake in pro pharma with the close expected to occur in our fiscal first quarter. Given the nature of our ownership, we can solid.

the full pro pharma income statement and eliminate our non controlling interest in the company, making it a much less meaningful contributor at the EPS level, which is fully reflected. in our revenue operating income and EPS guidance. With that as context, we expect adjusted diluted EPS to be in the range of $19 and 40 cents to $19. and 75 cents, reflecting headline growth of 8% to 10%, excluding the assumed 35 cents impact of the mid fiscal year merger of MWI and Covetris. Adjusted EPS growth would be 10 to 12%. We expect consolidated revenue growth to be in the range of 3% to 5%. Operating income growth is expected to be. In the range of 4% to 6%. The businesses and other are expected to have an approximate 5 percentage point negative impact on our growth largely due to the assumed. Mid fiscal year closing of the merger of MWI and Covetris. Excluding the businesses in other, our guidance would reflect adjusted operating growth of eight. And a half to 11% ahead of our long term targets. We expect interest expense to be in the range of $490 million to $510 million, reflecting debt we raised in connection with the one on. Oncology transaction. We expect to pay $1 billion on the remaining one oncology term loan at the end of fiscal year 2027. We expect our effective tax rate. to be approximately 20% for fiscal 2027. We expect full year diluted average shares outstanding to be approximately 190 million shares. This reflects the annualization.

of opportunistic share repurchases we completed in the third quarter of fiscal 2026 and an expectation of an additional 1.25 billion dollars in repurchases in fiscal 2026. We expect capital expenditures to be approximately 1 billion dollars in fiscal 2027 which reflects continued investments in our supply chain. Digital and MSO infrastructure. We expect adjusted free cash flow to be approximately 3.5 billion dollars. That completes the review of our consolidated fiscal 2027. Expectations. I'll now turn to segment level expectations. In the pharmaceutical distribution and services segment, we expect revenue growth to be in the range of 4% to 6%. We expect pharmaceutical distribution and services segment operating income growth to be 2% to 4%, which includes the wraparound impact of a certain customer. Volume shift as previously disclosed. The segment operating income growth expectations also include an approximate $20 million headwind related to our European digital distribution business resulting from the strengthening of the US dollar. Moving now to the specialty pharmaceutical and provider services segment, we expect revenue growth to be in the range of. 9% to 14% and segment operating income growth to be in the range of 18% to 21% ahead of our segment level long term operating income growth. expectations of mid teens. Reflecting the wraparound contribution from the one oncology acquisition that we closed in February 2026. Moving now to other, we expect.

Revenue in other to be approximately $3.5 billion and operating income in other to be approximately $200 million. We are pleased with the significant progress we have made to. simplify our portfolio, allowing us to better capitalize on growth opportunities aligned with our pharmaceutical centric strategy. Before turning to my closing remarks, as you think about. In this quarterly cadence, we expect adjusted diluted EPS in our first quarter to be approximately $4.55. In closing, fiscal 2026 marked a year of significant progress on our strategy. As we delivered strong financial performance. As we look to fiscal 2027 and beyond, we are well positioned to deliver on our long-term targets and drive sustainable shareholder value. creation supported by our differentiated footprint in the high growth specialty market. Scaled and efficient foundation in pharmaceutical distribution and strong free cash flow. I'll turn the call back to Bob for some closing remarks before moving to Q&A. Bob.

Thank you, Eva. Our fiscal 2027 guidance reflects our confidence in the strength of the business, in our team, our strategy, and our ability.

to deliver sustainable growth and long-term value for customers and shareholders. With that, we'll open the call for questions. Operator.

We will now begin the question and answer session. Please limit yourself to one question. If you would like to ask a question, please press star 1 to raise your hand. To withdraw your question, press star 1 again. We ask that you pick up your handset when asking a question.

to allow for optimum sound quality. If you are muted locally, please remember to unmute your device. Please stand by while we compile the Q and A roster. Your first question comes from the line of Elizabeth.

Elizabeth Anderson with Evercore ISI. Your line is open. Please go ahead.

Hi, guys. Good morning. Thanks for all the details about the operating performance. I guess my question is, maybe a little bit more philosophical in nature. Can you talk a little bit more about why the resegmenting at this point makes sense? You've obviously had many specialty assets on the medical side for a while, but why is this the right option? opportunity to kind of do that, and what does that provide for the business that the old setup did not? Kyle Elizabeth, thank you very much for that important question. You know, it starts with the market. You know, as you mentioned, we've been in the specialty market for a long time. We have significant capabilities that we've been building over decades, frankly. But when you look at the growth in the market, you know, the 80% growth that's happened in biologics over the last five years, in fact, there's going to be 100 new oncology products between now and 2030, that says to us that we need to be even more focused on that area. And so the first place to start there is our operating model and the way that we approach our business, the way that we approach our customers, both upstream to manufacturers and downstream to providers. And while we did that very well, our specialty services assets were in different parts of the company and under different leaders. And so what we've done with the operating model change is taken all of those assets and put them under one leader. By doing that, that allows us to discuss.

A new external segmentation, but it's driven by optimizing our performance. The three things that I called out in prepared remarks that are advantages that I see is one, which I just mentioned, is our enhance. Stability to execute both strategically and operationally. It brings us closer to the customers for all of the reasons that I just described. And last but not least, it provides increased visibility to shareholders, which we all also. I think is important. So the specialty pharmaceutical and provider services business puts everything under one leader, as I said, all the way from manufacturer to to physician and they deal with one one. Team at Sancora, which will make things easier and faster for the customers. It will also allow us to innovate even more quickly, which will be important as we go into the future and as as products get more and more complex. Importantly, our pharmaceutical distribution and services segment. That's the foundation of all of this. It's servicing health systems, pharmacies, alternate sites, wholesale and. Europe with significant scale demonstrated efficiency over decades and cash flow that allows us to invest across the enterprise. So while we are separating the two, it's an important takeaway for. Everyone that both are critically important to the growth platform of Sencora. So I think that's I think that's the rationale. Elizabeth, I appreciate the question and we're excited to be able to talk about it today.

Our next question comes from the line of Lisa Gill with J.P. Morgan. Your line is open. Please go ahead.

Thanks, Lisa, for the question. Yeah, but maybe I'll start, you know, start with the end. And as you mentioned, we did have an election last night. It's most important to know that, you know, through multiple cycles of administrations and leadership in Congress and leadership in the regulatory agencies, we have a long history of advocacy and making sure that Sancora is is present and educating everyone about the services that we provide, the value, the very high quality, low cost services that we provide at Sancora. But also importantly, we have visibility. end-to-end to the pharmaceutical supply chain. So we're someone who can advise on what the outcomes might be, the consequences might be of any policy changes. So, you know, the way things, you know, today there'll be lots of opportunity for conversations as we get the new Congress and Senate in place, and we'll be right there to help them with that. I think a second piece, Lisa, is just the overall scale of our specialty business. And, you know, we broke out the specialty pharmaceutical and provider services, but it's also important to note that there's significant specialty distribution products that go into the pharmaceutical distribution and services segment. So the number that we had in our prepared remarks that more than $100 billion is the combination of the two. So we very importantly, whether an oncology product, for example, is going into a community specialist setting, or it's going into a clinic within a health system, Sencor is very well positioned to

support that patient wherever they may present and support that clinician in caring for that patient. So I'll pause there and hand it over to Eva to ask the other part of your question, answer the other part of your question. Sure. Good morning. Good morning, Lisa.

Specialty and pharmaceutical distribution and provider services segment, as you saw in our materials, expected operating income growth of 18 to 21%. You know, that's above our long term growth algorithm. And I would remind you, we have the wraparound. of one oncology for the first four months of the fiscal year. So outside of that impact, our underlying growth would have been in line with our algorithm of mid-teens growth that we. outline today. Your next question comes from the line of Glenn Santangelo with Barclays. Your line is open. Please go ahead.

Your next question comes from the line of Charles.

Rai with TD Cohen. Your line is open. Please go ahead.

Yeah, thanks for taking the question. Maybe I could ask the other side. In the pharmaceutical distribution services, in the... Assumptions you kind of get for long-term segment growth. Can you talk about how you're thinking about the cycle of small molecule generics coming over the next several years? How much do you incorporate that? And obviously, small molecule generics were a huge driver of growth back in the 2000... ...and the 2010s. When we look at this next cycle coming up, it looks significantly bigger in terms of dollar volumes. Maybe you could help us understand, have there been changes in that part of the market that should either make us... We should be more excited. Maybe we should be a little bit more cautious on it. Just try to get a better sense on the dynamics in this part, given what looks to be a big cycle, particularly as we get the back half of next calendar year. Any comments there on helping us size that would be helpful. Thanks. Thanks for the question, Charles. I'll start and I'll hand it to Eve if she wants to add anything as I finish up. So I think just take a step back, whether it's a small molecule generic or whether

it's a biosimilar. We keep a very close eye on all of those. Those launches of both types would be contemplated in our guidance. But I think the takeaway is just the reminder that that's positive for Sencora. So whether it's a small molecule generic or biosimilar, that's positive. You know, they're different in different segments. You know, the Part B biosimilar is the sweet spot for us. That's where the services that we provide allow us to earn a higher mark. Within Part D, it's much less impactful. That would be, you know, a revenue impact and not really a profit gain. And oral generics, small molecule oral generics. They are positive. They absolutely are. So to the extent that we have more or less launches, that has an impact. But you'll note, Charles, you know, you mentioned the historical driver. You know, they're not that. So we're not calling either a significant increase or a decrease in launches as a driver of our performance. So I think the takeaway is that the assumptions are contemplated in our guidance. And we keep a very close eye on it.

Your next question comes from the line of Alan Lutz with Bank of America. Your line is open. Please go ahead.

The physician and the purpose of all of that is to make sure that the physician has optimal opportunity to care for patients to make the right clinical decisions and to care for patients. So there's a there's a strong thesis there of. value from the manufacturer all the way to the provider and to the patient and the purpose of putting these businesses together inside the specialty pharmaceutical and provider services segment is for us to continue to build that platform and innovate over the long term and Bob. I'll take the capital allocation part of the question. You know, I would say there is no change in our capital deployment strategy. We've remained focused in four key areas, internal investments in the business. Strategic M&A, opportunistic share repurchases, and maintaining a reasonable and growing dividend. And I think you've seen us deliver on that. This morning we announced we're increasing our dividend 10% for fiscal year 2020. 2027 and $1.2 billion in share repurchases. And I think the portfolio optimization that's been done with some of the divestitures will enable us to execute on these. priorities. Your next question comes from the line of Eric Percher with EFRON Research. Your line is open. Please go ahead. Thank you. Wanted to dig a little bit deeper and

Your next question comes from the line of Erin Wright with Morgan Stanley. Your line is open. Please go ahead.

That doesn't mean that we need to own own that capability. We're we're a strong provider to them and we'll continue to do that. Thanks for the question, Erin.

Your next question comes from the line.

of George Hill with Deutsche Bank. Your line is open. Please go ahead.

Yeah, good morning, guys, and thanks for taking the question. I'm going to delve a little bit more into the new specialty segment a little bit. I'm wondering if there's a chance that you guys would either would tell us maybe the dollar percentage contribution from like the MSO segment versus wholesaling versus GPO. Would you talk at all about are there any more significant margin differences by therapeutic category? And should we think of like what is a target margin profile for this segment, given that operating earnings growth is expected to outpace revenue growth in the long term algo? Thanks. Good morning, George. It's Eva. So on on your first on phone.

Your first question around breaking out that the MSO contribution for for 2026, we indicated the MSOs were about 10% of our consolidated operating income. So that should give you a framework. To, to think about that on the margins, on the margin side, right? Our, our specialty is our, our higher margin, higher growth business. I would. Point out that, you know, it's not just the specialty distribution. We have the World Courier, the 3PL, the MSOs, and the consulting businesses in there. So they're carrying a, a higher. Margin profile. And I'd remind you that we consolidate RCA. So think about that as additive to margin.

Your next question comes from the line of Eric Coldwell with Bear.

Yeah, thanks for the question. I'm going to go in reverse. Order, Kevin. On option care, you're right. They are a CENCOR customer and have been for some time. As it relates to the financial impact, I would think about it. It would move us within our guidance range. of our pharmaceutical distribution and services segment. Your point on MSO's One Oncology, more specifically, what I would say is- First, I want to iterate that One Oncology and RCA are both continuing to perform well. They performed well in the quarter. We expect they'll be significant contributors to our specialty growth. They have been in the past and- And we look forward to those continuing to grow nicely. And Kevin, I would just add, I think your question was, you know, how we have thought about kind of our customer relationships in terms of- of guidance. You mentioned one specific one, but I'll just say that, you know, all of our customer relationships are contemplated in our fiscal 27 guidance. And, you know, we wouldn't comment any further than that.

This concludes the Q&A session. I will now- I'll turn the call back to Bob Mosh for closing remarks. Thank you, operator. Our fiscal 2026 performance demonstrates the strength of our business. We move into fiscal 2027 with significant momentum-

and Sancora is focused on execution and advancing our strategy to continue creating long-term value for our customers and shareholders. Thanks, everyone, for your time today.

This concludes today's call. Thank you for attending. You may now disconnect.