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McKesson

To advance health outcomes for all by delivering care-enabling technologies, products and services to improve care in every setting



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Align the strategy

McKesson SWOT Analysis

To advance health outcomes for all by delivering care-enabling technologies, products and services to improve care in every setting

Strengths

  • SCALE: Largest US pharma distributor serving 50k+ sites
  • DIVERSIFICATION: Broad portfolio across healthcare spectrum
  • TECHNOLOGY: Proprietary platforms enabling care delivery
  • PARTNERSHIPS: Strong relationships with pharma manufacturers
  • EXPERTISE: Deep specialty drug distribution capabilities

Weaknesses

  • MARGINS: Thin distribution margins limiting profitability
  • COMPETITION: Intense rivalry in core distribution business
  • REGULATION: Exposure to healthcare policy & price controls
  • INTEGRATION: Challenges fully integrating acquisitions
  • LITIGATION: Ongoing opioid-related legal proceedings

Opportunities

  • SPECIALTY: Expanding high-margin specialty drug services
  • ONCOLOGY: Growing oncology and biopharma tech solutions
  • TECH: Scaling prescription technology service offerings
  • INTERNATIONAL: Expanding global healthcare presence
  • VALUE-BASED: Supporting shift to value-based care models

Threats

  • DISINTERMEDIATION: Direct-to-consumer drug distribution
  • CONSOLIDATION: Healthcare provider & payer consolidation
  • AMAZON: Tech giants entering healthcare distribution space
  • REGULATION: Increased pharmaceutical pricing pressure
  • CYBERSECURITY: Data breaches impacting patient information

Key Priorities

  • SPECIALTY-FOCUS: Accelerate specialty pharma capabilities
  • TECH-INTEGRATION: Expand prescription technology solutions
  • NETWORK-OPTIMIZATION: Enhance distribution efficiency
  • VALUE-PARTNERSHIPS: Strengthen manufacturer relationships
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Align the plan

McKesson OKR Plan

To advance health outcomes for all by delivering care-enabling technologies, products and services to improve care in every setting

SPECIALTY DOMINANCE

Lead the high-growth specialty pharmaceutical market

  • ONCOLOGY: Expand oncology service offerings to 200 additional community practices by EOQ with 92% retention
  • BIOPHARMA: Launch next-gen biopharma services platform supporting 15 new specialty therapies with 99% fulfillment accuracy
  • NETWORK: Optimize specialty distribution network achieving 22% cost efficiency while maintaining 99.8% delivery SLAs
  • INTEGRATION: Complete integration of specialty acquisitions delivering $75M in synergies and 95% customer retention
TECH ACCELERATION

Transform healthcare through digital innovation

  • PLATFORM: Scale prescription technology solutions to 10,000 additional pharmacies with 90% adoption rate
  • AI: Implement AI-powered inventory forecasting reducing stockouts by 35% across top 500 distribution customers
  • DATA: Launch unified data platform connecting 85% of enterprise data sources with 99.9% uptime and compliance
  • AUTOMATION: Deploy automation solutions in 5 distribution centers reducing operating costs by 18% and errors by 45%
NETWORK EXCELLENCE

Optimize distribution network for maximum impact

  • EFFICIENCY: Implement next-gen warehouse management system in 75% of sites reducing cost per unit by 12%
  • DELIVERY: Enhance last-mile logistics reducing delivery time by 24% while improving on-time delivery to 99.5%
  • SUSTAINABILITY: Reduce distribution carbon footprint by 20% while maintaining service levels across network
  • RESILIENCE: Enhance supply chain resilience capabilities preventing 95% of potential stockouts in critical categories
VALUE PARTNERSHIPS

Deepen strategic relationships across healthcare

  • MANUFACTURERS: Expand value-added services with top 25 pharma manufacturers driving $120M incremental revenue
  • PROVIDERS: Implement integrated technology solutions with 500 health systems improving care coordination by 35%
  • PHARMACIES: Launch enhanced pharmacy business services increasing independent pharmacy retention to 94%
  • CUSTOMERS: Deliver $1.5B in documented cost savings to customers through optimization and efficiency initiatives
METRICS
  • Revenue Growth: Achieve 6% YoY organic growth across all segments
  • Adjusted Operating Margin: Improve to 2.4% from current 2.1%
  • Specialty Revenue: Increase specialty segment revenue by 15% YoY
VALUES
  • Customer-First
  • Accountability
  • Respect
  • Integrity
  • Inclusion
  • Innovation
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Align the learnings

McKesson Retrospective

To advance health outcomes for all by delivering care-enabling technologies, products and services to improve care in every setting

What Went Well

  • REVENUE: 10% growth in Prescription Technology Solutions
  • MARGINS: Specialty segment margins improved to 5.6%
  • EFFICIENCY: Operating expense ratio decreased by 47 bps
  • CAPITAL: $3.5B returned to shareholders via dividends
  • ONCOLOGY: Ontada business grew revenues by 14% YoY

Not So Well

  • MEDICAL: Medical-Surgical segment faced margin pressure
  • INTERNATIONAL: European operations underperformed targets
  • INTEGRATION: CoverMyMeds integration behind schedule
  • REGULATORY: Unexpected compliance costs in US segment
  • TALENT: Higher than expected turnover in tech division

Learnings

  • DIGITALIZATION: Need to accelerate digital transformation
  • AGILITY: Importance of adapting to rapid market changes
  • SPECIALTY: Higher ROI in specialty pharma investments
  • PARTNERSHIPS: Strategic alliances more valuable than M&A
  • LOCALIZATION: Regional market differences require focus

Action Items

  • TECHNOLOGY: Accelerate prescription technology investment
  • OPTIMIZATION: Streamline medical-surgical distribution
  • SPECIALTY: Expand oncology and biopharma business units
  • EFFICIENCY: Implement operating model transformation
  • RETENTION: Enhance tech talent acquisition & development
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Overview

McKesson Market

  • Founded: Founded in 1833 in New York
  • Market Share: 33% of US pharmaceutical distribution
  • Customer Base: Hospitals, pharmacies, clinics, and providers
  • Category:
  • Location: Irving, Texas
  • Zip Code: 75039
  • Employees: Over 78,000 employees globally
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Align the business model

McKesson Business Model Canvas

Problem

  • Healthcare supply chain inefficiencies
  • Complex medication management for providers
  • Fragmented patient care coordination
  • Rising healthcare costs across ecosystem
  • Limited access to specialty medications

Solution

  • End-to-end distribution and logistics services
  • Integrated medication management platforms
  • Specialty pharmacy and oncology solutions
  • Healthcare technology and software systems
  • Provider and pharmacy business services

Key Metrics

  • Distribution volume and accuracy rates
  • Customer retention and satisfaction scores
  • Technology platform adoption metrics
  • Operating margin by business segment
  • Market share across key product categories

Unique

  • Unmatched scale of distribution network
  • Integrated technology and physical delivery
  • Comprehensive specialty drug capabilities
  • Direct relationships with manufacturers
  • End-to-end healthcare solutions portfolio

Advantage

  • Largest pharmaceutical distribution network
  • Deep healthcare regulatory expertise
  • Proprietary healthcare technology platforms
  • Long-term provider and pharmacy relationships
  • Data insights from billions of transactions

Channels

  • Direct sales force by segment and geography
  • Distribution centers and logistics network
  • Digital platforms and technology solutions
  • Strategic alliance partnerships
  • Industry conferences and trade associations

Customer Segments

  • Retail pharmacy chains and independents
  • Hospitals and health systems
  • Physician offices and clinics
  • Long-term care facilities
  • Specialty providers and oncology centers

Costs

  • Inventory procurement and management
  • Distribution center operations
  • Transportation and logistics expenses
  • Technology development and maintenance
  • Sales, marketing and customer support
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Overview

McKesson Product Market Fit

1

End-to-end healthcare supply chain optimization

2

Clinical workflow efficiency improvements

3

Advanced analytics for operational insights



Before State

  • Fragmented healthcare supply management
  • Manual inventory tracking processes
  • Delayed medication fulfillment
  • Inefficient provider workflows
  • Limited visibility across care continuum

After State

  • Streamlined healthcare supply operations
  • Automated inventory and ordering systems
  • Rapid medication access and fulfillment
  • Optimized provider clinical workflows
  • Comprehensive care journey visibility

Negative Impacts

  • Increased operational costs for providers
  • Reduced time with patients due to admin burden
  • Higher medication error rates and waste
  • Delayed treatments impacting outcomes
  • Suboptimal resource allocation decisions

Positive Outcomes

  • 30% reduction in supply chain costs
  • 22% increase in clinician productivity
  • 99.9% medication fulfillment accuracy
  • 15% improvement in patient outcomes
  • Real-time data for strategic decisions

Key Metrics

98.7% On-time delivery rate
93% Customer retention rate
69 Net Promoter Score
87% Technology solution adoption rate
13% Annual revenue growth rate

Requirements

  • Integration with existing clinical systems
  • Staff training on platform utilization
  • Process reengineering for optimization
  • Leadership commitment to transformation
  • Performance measurement framework

Why McKesson

  • Phased implementation approach
  • Dedicated customer success teams
  • Continuous improvement methodology
  • Collaborative solution customization
  • Change management expertise

McKesson Competitive Advantage

  • Industry's largest distribution network
  • Proprietary predictive analytics
  • Clinical workflow optimization expertise
  • End-to-end integrated solutions
  • Superior implementation methodology

Proof Points

  • 94% of top 100 US hospital systems as clients
  • Over 10,000 independent pharmacies served
  • 10M+ patients supported through tech solutions
  • 99.8% pharmaceutical delivery accuracy
  • $1.4B in customer savings documented annually
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Overview

McKesson Market Positioning

What You Do

  • Distribute pharmaceuticals and healthcare products

Target Market

  • Healthcare providers and pharmacies

Differentiation

  • End-to-end healthcare solutions
  • Advanced technology integration
  • Supply chain optimization
  • Clinical efficiency tools
  • Global scale and reach

Revenue Streams

  • Pharmaceutical distribution
  • Medical-surgical distribution
  • Technology solutions
  • Specialty pharmaceuticals
  • Prescription services
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Overview

McKesson Operations and Technology

Company Operations
  • Organizational Structure: Segment-based business units with central functions
  • Supply Chain: Global network with 30+ distribution centers
  • Tech Patents: Over 100 patents in healthcare technology
  • Website: https://www.mckesson.com/
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Competitive forces

McKesson Porter's Five Forces

Threat of New Entry

Low threat due to high capital requirements, regulatory barriers & established relationships, though Amazon & tech firms pose emerging threats

Supplier Power

Moderate supplier power as pharma manufacturers rely on McKesson's distribution network, balanced by consolidation among major drugmakers

Buyer Power

High buyer power from consolidated healthcare systems, large retail chains & GPOs who can negotiate favorable terms due to volume leverage

Threat of Substitution

Increasing threat from direct distribution models, manufacturer-to-provider arrangements & alternative care delivery platforms

Competitive Rivalry

Intense competition from AmerisourceBergen & Cardinal Health in a market where the top 3 players control 90% of US pharma distribution

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Drive AI transformation

McKesson AI Strategy SWOT Analysis

To advance health outcomes for all by delivering care-enabling technologies, products and services to improve care in every setting

Strengths

  • DATA: Massive healthcare transaction & patient data assets
  • PLATFORMS: Established tech platforms for AI integration
  • INVESTMENT: Committed resources to AI implementation
  • EXPERTISE: Healthcare data science team already in place
  • RELATIONSHIPS: Provider trust enabling AI solution adoption

Weaknesses

  • LEGACY: Older systems requiring modernization for AI
  • SILOED: Data fragmentation across business segments
  • TALENT: Competing for AI specialists against tech giants
  • ADOPTION: Varying AI readiness across customer base
  • GOVERNANCE: Need for stronger AI ethics framework

Opportunities

  • PREDICTION: AI-powered inventory & demand forecasting
  • AUTOMATION: Streamline manual distribution workflows
  • PERSONALIZATION: Tailored medication adherence support
  • INSIGHTS: Delivering actionable analytics to providers
  • OPTIMIZATION: AI-driven route & logistics planning

Threats

  • COMPETITION: Tech giants with superior AI capabilities
  • REGULATION: Evolving AI healthcare compliance landscape
  • SECURITY: AI-specific cybersecurity vulnerabilities
  • BIAS: Risk of biased algorithms affecting care delivery
  • TRANSPARENCY: Provider skepticism of black-box solutions

Key Priorities

  • DATA-UNIFICATION: Integrate data across business units
  • AI-DISTRIBUTION: Implement AI-powered logistics solutions
  • PREDICTIVE-CARE: Develop clinical prediction capabilities
  • ETHICAL-AI: Establish comprehensive AI governance
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McKesson Financial Performance

Profit: $3.56 billion (FY 2023)
Market Cap: Approximately $67 billion
Stock Symbol: MCK
Annual Report: Available on investor relations website
Debt: Long-term debt of $7.8 billion
ROI Impact: 20% ROIC target for FY 2025

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