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McKesson Finance

To advance health outcomes for all by delivering healthcare solutions that improve efficiency and create exceptional value for patients and stakeholders

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To advance health outcomes for all by delivering healthcare solutions that improve efficiency and create exceptional value for patients and stakeholders

Strengths

  • SCALE: Massive distribution network with unparalleled reach
  • PORTFOLIO: Diverse business segments providing stability
  • TECHNOLOGY: Advanced data analytics and digital capabilities
  • CAPITAL: Strong cash flow supporting strategic investments
  • RELATIONSHIPS: Extensive partner network across healthcare

Weaknesses

  • MARGINS: Thin profit margins in distribution business
  • INTEGRATION: Challenges with systems across acquisitions
  • COMPLEXITY: Complicated regulatory/compliance landscape
  • DEPENDENCE: Over-reliance on US pharmaceutical distribution
  • TRANSFORMATION: Ongoing need for operational excellence

Opportunities

  • SPECIALTY: Continued growth in high-margin specialty pharma
  • TECHNOLOGY: Expansion of data/analytics service offerings
  • INTERNATIONAL: Strategic growth in European markets
  • SOLUTIONS: Value-based care enablement services
  • INNOVATION: Oncology ecosystem development and expansion

Threats

  • COMPETITION: Increasing consolidation in healthcare sector
  • PRICING: Drug pricing reform impacting distribution margins
  • DISRUPTION: Tech giants entering healthcare space
  • REGULATION: Evolving healthcare policies and compliance
  • LITIGATION: Ongoing opioid-related legal proceedings

Key Priorities

  • SPECIALTY: Accelerate specialty pharma and oncology growth
  • TECHNOLOGY: Invest in data and analytics solutions
  • MARGINS: Implement operational efficiency improvements
  • INNOVATION: Develop value-based care enablement platforms
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To advance health outcomes for all by delivering healthcare solutions that improve efficiency and create exceptional value for patients and stakeholders

MARGIN MASTERY

Transform financial performance through margin excellence

  • EFFICIENCY: Implement zero-based budgeting across all business units, targeting $150M in annual savings
  • AUTOMATION: Deploy AI-powered procure-to-pay system reducing processing costs by 30% and errors by 75%
  • ANALYTICS: Launch margin optimization analytics platform for the top 200 product lines by Q3
  • VISIBILITY: Create real-time financial dashboard with predictive KPIs for all business unit leaders
DATA DOMINANCE

Leverage data as a strategic asset for value creation

  • PLATFORM: Deploy unified data analytics platform integrating financial and operational data by Q4
  • INSIGHTS: Develop 5 new AI-driven financial forecasting models with 90%+ accuracy rate
  • GOVERNANCE: Implement enterprise-wide data governance framework with 100% compliance by Q3
  • TALENT: Upskill 85% of finance organization in data analytics fundamentals through certification
SPECIALTY SURGE

Accelerate growth in high-margin specialty businesses

  • INVESTMENT: Create dedicated $200M investment fund for specialty pharma and oncology growth
  • ANALYTICS: Build specialty business financial model with 95% accuracy in projections
  • EFFICIENCY: Optimize working capital in specialty distribution reducing DSO by 15%
  • METRICS: Implement specialty-specific KPI dashboard with real-time margin visibility
VALUE VANGUARD

Lead transformation to value-based financial models

  • FRAMEWORK: Develop financial framework for value-based care partnerships by end of Q2
  • TOOLS: Build ROI calculator for provider customers transitioning to value-based models
  • PARTNERSHIPS: Structure financial models for 3 new strategic value-based care alliances
  • MEASUREMENT: Create comprehensive tracking system for value-based care financial outcomes
METRICS
  • ADJUSTED EPS GROWTH: 16-18% (FY2025)
  • FREE CASH FLOW: $3.5B+
  • OPERATING MARGIN: Increase by 60-80 basis points
VALUES
  • Customer-First Culture
  • Accountability
  • Integrity
  • Respect
  • Excellence
  • Innovation
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Align the learnings

McKesson Finance Retrospective

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To advance health outcomes for all by delivering healthcare solutions that improve efficiency and create exceptional value for patients and stakeholders

What Went Well

  • GROWTH: Strong performance in U.S. Pharmaceutical segment with 15% growth
  • MARGINS: Specialty provider business delivered significant margin expansion
  • EXECUTION: Exceeded operational efficiency targets saving $120M+ annually
  • CAPITAL: Generated $3.2B in free cash flow enabling strategic flexibility
  • INTERNATIONAL: European pharmaceutical solutions showed solid momentum

Not So Well

  • PHARMACY: Certain retail pharmacy customers facing increased pressure
  • COMPETITION: Market share pressure in select distribution segments
  • COSTS: Higher than expected expenses in technology transformation
  • INTEGRATION: Slower than planned integration of recent acquisitions
  • TALENT: Continued challenges in recruiting specialized finance talent

Learnings

  • FOCUS: Specialty provider business delivers superior growth and margins
  • ANALYTICS: Data-driven decision making proving highly valuable
  • AGILITY: Need for more responsive financial planning processes
  • DIGITAL: Technology investments yield better returns than expected
  • FORECASTING: Better precision in financial forecasting methods needed

Action Items

  • AUTOMATION: Accelerate finance automation to reduce manual processes
  • VISIBILITY: Implement real-time financial analytics dashboard
  • PLANNING: Redesign FP&A processes to enable faster scenario planning
  • TRAINING: Upskill finance team on advanced analytics and visualization
  • METRICS: Align performance metrics with long-term value creation
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To advance health outcomes for all by delivering healthcare solutions that improve efficiency and create exceptional value for patients and stakeholders

Strengths

  • DATA: Massive healthcare data assets across the supply chain
  • ANALYTICS: Strong foundation in business intelligence
  • TALENT: Growing team of data scientists and AI specialists
  • INFRASTRUCTURE: Modern cloud architecture enabling AI/ML
  • PARTNERS: Strategic tech partnerships with leading vendors

Weaknesses

  • INTEGRATION: Siloed data across business units limiting AI
  • LEGACY: Technical debt in core systems hampering innovation
  • TALENT: Competition for specialized AI healthcare talent
  • GOVERNANCE: Inconsistent data governance framework
  • ADOPTION: Variable AI literacy across organization

Opportunities

  • FORECASTING: AI-driven inventory and demand prediction
  • AUTOMATION: Process automation across finance operations
  • INSIGHTS: Prescriptive analytics for healthcare partners
  • EFFICIENCY: Cost reduction through intelligent automation
  • PERSONALIZATION: Custom insights for healthcare providers

Threats

  • COMPETITION: Tech companies with superior AI capabilities
  • PRIVACY: Evolving regulations around AI and patient data
  • DISRUPTION: New AI-native healthcare entrants
  • ETHICS: Ensuring responsible AI use in healthcare
  • INVESTMENT: Keeping pace with rapidly evolving AI landscape

Key Priorities

  • AUTOMATION: Deploy intelligent automation in finance ops
  • ANALYTICS: Develop AI-driven predictive insights platform
  • TALENT: Build specialized healthcare AI capability
  • GOVERNANCE: Establish enterprise data/AI governance