Income StatementBalance SheetCash FlowSegments
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Cencora Business Segments

Business, geographic, and product segment breakdowns

Cencora generates $328.68B in annual revenue across 2 key segments: International Healthcare Solutions ($30.9B), and U. S. Healthcare Solutions ($293.64B). The company-wide operating margin is 0.85%. Based on the Q1 2026 filing.

International Healthcare Solutions (TTM)$30.9BU. S. Healthcare Solutions (TTM)$293.64B
Latest FilingQ1 2026
Report Date2026-05-06
Market Cap$50.8B
P/E Ratio14.08
ROE163.53%

Products & Services

Revenue

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Alliance Healthcare$6.0B$5.8B——$6.5B$6.5B
Animal Health$1.4B$1.4B——$1.5B$1.4B
Other Healthcare Solutions$959.7M$924.8M——$1.1B$1.0B
Other non-strategic businesses$622.5M$593.4M——$657.6M$619.8M

Business Segments

Accumulated impairment losses

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
International Healthcare Solutions———$1.2B——
U.S. Healthcare Solutions———$0.0——

Goodwill

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$6.3B$11.0B$11.0B$11.1B$9.8B$13.8B
International Healthcare Solutions$2.9B$3.1B$3.3B$2.6B$2.6B$2.6B

Goodwill, Foreign Currency Translation, Gain (Loss)

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
International Healthcare Solutions-$144.5M$71.7M$156.5M—$4.1M-$34.9M
U. S. Healthcare Solutions-$2.4M$1.3M$2.0M—$0.0$0.0

Goodwill, Impairment Loss

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
International Healthcare Solutions$181.0M$181.0M$181.0M$181.0M$0.0$0.0
U. S. Healthcare Solutions$0.0$0.0$0.0$0.0$0.0$0.0

Goodwill recognized in connection with acquisitions

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$0.0$4.8B$7.4M$89.2M$140.9M$4.0B
International Healthcare Solutions$6.1M$41.6M$68.8M$6.5M$72.6M$0.0

Purchase accounting adjustments

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions————$2.0M$3.8M
International Healthcare Solutions————$0.0$0.0

Reallocated goodwill

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
International Healthcare Solutions————$0.0$0.0
U. S. Healthcare Solutions————-$1.4B$0.0

Revenue

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$74.0B$68.3B$72.9B$75.8B$76.2B$68.8B
International Healthcare Solutions$7.5B$7.2B$7.8B$7.9B$7.6B$7.6B

Total capital expenditures

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$41.1M$59.4M——$66.5M$96.4M
International Healthcare Solutions$51.0M$57.7M——$36.3M$54.7M

Total depreciation and amortization

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$60.9M$72.2M——$78.3M$88.0M
International Healthcare Solutions$33.4M$31.1M——$35.8M$36.9M

Total segment cost of goods sold

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$71.1B$64.9B——$74.3B$66.5B
International Healthcare Solutions$6.2B$6.0B——$6.8B$6.8B

Total segment operating expenses

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$767.9M$936.4M——$1.1B$1.3B
International Healthcare Solutions$599.1M$561.7M——$647.3M$638.5M

Total segment operating income

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
U. S. Healthcare Solutions$767.3M$1.0B$901.8M$872.4M$831.3M$998.3M
International Healthcare Solutions$182.1M$159.3M$156.2M$150.7M$142.2M$175.8M