Cash flow generation is highly inconsistent, evidenced by an OCF/NI ratio that swung from a negative 2.71 in 2025Q3 to a positive 8.71 in 2025Q2 due to working capital volatility.
| Metric | Mar'26 | Mar'25 | Mar'24 | Mar'23 | Mar'22 | Mar'21 | Mar'20 | Mar'19 | Mar'18 | Mar'17 | Mar'16 | Mar'15 | Mar'14 | Mar'13 | Mar'12 | Mar'11 | Mar'10 | Mar'09 | Mar'08 | Mar'07 | Mar'06 | Mar'05 | Mar'04 | Mar'03 | Mar'02 | Mar'01 | Mar'00 | Mar'99 | Mar'98 | Mar'97 |
|---|
| Cash from Operations | 6.16B | 6.08B | 4.31B | 5.16B | 4.43B | 4.54B | 4.37B | 4.04B | 4.34B | 4.74B | 3.67B | 3.11B | 3.14B | 2.48B | 2.95B | 2.34B | 2.32B | 1.35B | 869M | 1.54B | 2.74B | 1.54B | 563.4M | 695.5M | 329.3M | 353.1M | -416M | 317.1M | 2.2M | 238.1M |
| Operating CF Margin % | 1.53% | 1.69% | 1.4% | 1.86% | 1.68% | 1.91% | 1.89% | 1.88% | 2.09% | 2.39% | 1.92% | 1.74% | 2.28% | 2.03% | 2.4% | 2.09% | 2.13% | 1.27% | 0.85% | 1.66% | 3.12% | 1.91% | 0.81% | 1.22% | 0.66% | 0.84% | -1.13% | 1.04% | 0.01% | 1.85% |
| Operating CF Growth % | 1.15% | 41.05% | -16.38% | 16.35% | -2.38% | 3.84% | 8.37% | -7.11% | -8.41% | 29.19% | 17.99% | -0.77% | 26.3% | -15.83% | 26.18% | 0.95% | 71.43% | 55.47% | -43.53% | -43.91% | 78.37% | 173.06% | -18.99% | 111.21% | -6.74% | 184.88% | -231.19% | 14313.64% | -99.08% | 9424% |
| Net Income | 4.76B | 3.48B | 3.16B | 3.72B | 1.29B | -4.34B | 1.12B | 33M | 297M | 5.15B | 2.31B | 1.54B | 1.26B | 1.34B | 1.4B | 1.13B | 1.26B | 823M | 990M | 913M | 751M | -156.7M | 646.5M | 562.1M | 418.6M | -42.7M | 207.8M | 84.9M | 154.9M | 133.9M |
| Depreciation & Amortization | 729M | 636M | 635M | 608M | 760M | 887M | 922M | 949M | 951M | 910M | 885M | 1.02B | 704M | 591M | 551M | 496M | 474M | 441M | 371M | 295M | 266M | 250.9M | 232.1M | 203.7M | 207.5M | 246.1M | 201.3M | 199.3M | 87.2M | 71.8M |
| Stock-Based Compensation | 0 | 0 | 0 | 162M | 161M | 0 | 0 | 0 | 69M | 115M | 123M | 174M | 160M | 167M | 154M | 137M | 114M | 99M | 91M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 230M | -110M | -603M | -20M | 34M | -908M | -342M | 189M | -868M | 882M | 64M | 171M | 16M | 606M | 164M | 128M | 161M | 148M | 198M | 167M | 403M | -328.8M | 69.5M | 126.6M | 76.8M | -21.4M | 26.5M | -31.9M | 66.4M | -1.6M |
| Other Non-Cash Items | 272M | 923M | 1.19B | 303M | 2.11B | 1.23B | 1.99B | 2.25B | 2.38B | -4B | 394M | 667M | 422M | -328M | 299M | 145M | -236M | 469M | -1.01B | -83M | -31M | 98.9M | 28.4M | 400K | 47.6M | 295.1M | 103.9M | 314.2M | -76.6M | -128.8M |
| Working Capital Changes | 162M | 1.16B | -64M | 384M | 82M | 7.67B | 689M | 614M | 1.52B | 1.69B | -104M | -460M | 576M | 109M | 379M | 302M | 540M | -629M | 232M | 60M | 1.31B | 468.9M | -413.1M | -274.4M | -505.3M | -356.9M | -1.04B | -338.3M | -256.3M | 3.3M |
| Change in Receivables | -2B | -3.94B | -2.95B | -1.08B | -1.84B | 1.15B | -2.49B | -967M | 1.18B | -762M | -1.96B | -2.82B | -885M | 326M | -836M | -673M | -133M | -708M | -288M | -209M | -525M | -324.9M | -704.7M | -641.6M | -736M | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -1.08B | -2.27B | -1.29B | -1.26B | -1.17B | -2.28B | -376M | -368M | -458M | 320M | -1.25B | -2.14B | -1.2B | -59M | -878M | 367M | -782M | 370M | -676M | -928M | 578M | -720M | -681.3M | 13.4M | -901.5M | -985M | -629.8M | -895.5M | -292.2M | -332.6M |
| Change in Payables | 4.32B | 0 | 0 | 3.79B | 2.8B | 0 | 0 | 1.98B | 271M | 2.07B | 3.3B | 4.72B | 2.41B | -125M | 2.03B | 533M | 1.34B | -189M | 762M | 872M | 1.11B | 1.31B | 900.1M | 286.5M | 973.6M | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -3.43B | -733M | -1.07B | -542M | -89M | -415M | -579M | -1.38B | -1.52B | -3.8B | -1.56B | -677M | -5.05B | -2.21B | -1.5B | -624M | -309M | -727M | -5M | -2.1B | -1.82B | -355.3M | -267.9M | -576.1M | -386.8M | -342.8M | 654.8M | -653.9M | -285.2M | -964.2M |
| Capital Expenditures | -745M | -537M | -431M | -558M | -535M | -641M | -506M | -557M | -580M | -562M | -677M | -545M | -415M | -406M | -403M | -388M | -378M | -392M | -356M | -306M | -167M | -139.9M | -115M | -116M | -131.8M | -158.9M | -145.1M | -553.4M | -232.4M | -1.29B |
| CapEx % of Revenue | 0.18% | 0.15% | 0.14% | 0.2% | 0.2% | 0.27% | 0.22% | 0.26% | 0.28% | 0.28% | 0.35% | 0.3% | 0.3% | 0.33% | 0.33% | 0.35% | 0.35% | 0.37% | 0.35% | 0.33% | 0.19% | 0.17% | 0.17% | 0.2% | 0.26% | 0.38% | 0.4% | 1.82% | 1.11% | 9.98% |
| Acquisitions | -2.59B | 155M | -225M | 210M | 572M | 365M | -133M | -804M | -2.39B | -2.8B | 170M | -155M | -4.54B | -1.87B | -1.16B | -183M | -17M | -295M | -610M | -1.76B | -540M | -108.9M | -49.4M | -385.8M | -73.1M | -51.9M | -128.9M | 32.2M | 10.2M | 304.3M |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -101M | -351M | -416M | -1.06B | -126M | -139M | 60M | 111M | 1.63B | -431M | -861M | 192M | 47M | 70M | 57M | -53M | 86M | -40M | 961M | -38M | -1.12B | -106.5M | -103.5M | -74.3M | -181.9M | -157.5M | 927.1M | -222.7M | -94.4M | -77.2M |
| Cash from Financing | -4.63B | -3.96B | -3.34B | -4.37B | -6.32B | -1.69B | -2.73B | -2.23B | -3.08B | -2.07B | -3.45B | -968M | 3.62B | -956M | -1.91B | -1.84B | -421M | 178M | -1.47B | 379M | -577M | -91.1M | -109.5M | -155.2M | 181.7M | -125.5M | 76.4M | 11.3M | 193.9M | 590.1M |
| Debt Issued (Net) | 783M | -21M | 56M | -277M | -1.15B | -540M | -298M | -16M | -948M | 393M | -1.73B | -402M | 3.72B | 255M | -30M | -41M | -219M | 695M | -162M | 966M | -24M | -268M | -17M | -142.5M | 196.6M | -32.8M | 112.1M | -106.8M | 231M | 572M |
| Equity Issued (Net) | -4.66B | -3.04B | -2.91B | -3.48B | -3.52B | -742M | -1.93B | -1.64B | -1.71B | -2.31B | -1.49B | -450M | -130M | -1.05B | -1.71B | -1.68B | -111M | -405M | -1.34B | -604M | -390M | 239M | -64M | 53.8M | 43.9M | -27M | 26.2M | 224.9M | 147.8M | -78.2M |
| Dividends Paid | -381M | -345M | -314M | -292M | -277M | -276M | -294M | -292M | -262M | -253M | -244M | -227M | -214M | -194M | -195M | -171M | -131M | -116M | -70M | -72M | -73M | -70.6M | -69.8M | -79.7M | -78.5M | -78.3M | -77.5M | -94.8M | -46.3M | -43.3M |
| Share Repurchases | -4.75B | -3.15B | -3.02B | -3.64B | -3.52B | -742M | -1.93B | -1.64B | -1.71B | -2.31B | -1.61B | -450M | -130M | -1.21B | -1.87B | -2.05B | -323M | -502M | -1.7B | -1B | -958M | 0 | -156.8M | -25M | -44.2M | -65.6M | 0 | 0 | 0 | -157.9M |
| Other Financing | -372M | -554M | -175M | -324M | -1.38B | -135M | -208M | -280M | -165M | 102M | 5M | 111M | 239M | 31M | 27M | 54M | 40M | 4M | 106M | 89M | -90M | 7.9M | 41.3M | 13.2M | 19.7M | 12.6M | 15.6M | -900K | -28.3M | 193.1M |
| Net Change in Cash | -1.98B | 1.37B | -94M | 744M | -2.46B | 2.38B | 1.04B | 309M | -111M | -1.26B | -1.29B | 1.15B | 1.74B | -693M | -463M | -119M | 1.62B | 747M | -592M | -185M | 342M | 1.09B | 186M | -35.8M | 124.2M | -115.2M | 315.2M | -325.5M | -89.1M | -136M |
| Free Cash Flow | 5.72B | 5.23B | 3.63B | 4.6B | 3.9B | 3.9B | 3.87B | 3.48B | 3.77B | 4.18B | 3B | 2.57B | 2.72B | 2.08B | 2.55B | 1.95B | 1.94B | 959M | 513M | 1.23B | 2.58B | 1.4B | 448.4M | 579.5M | 197.5M | 194.2M | -561.1M | -236.3M | -230.2M | -1.05B |
| FCF Margin % | 1.42% | 1.46% | 1.17% | 1.66% | 1.48% | 1.64% | 1.67% | 1.62% | 1.81% | 2.11% | 1.57% | 1.43% | 1.98% | 1.7% | 2.08% | 1.74% | 1.78% | 0.9% | 0.5% | 1.33% | 2.93% | 1.74% | 0.65% | 1.01% | 0.4% | 0.46% | -1.53% | -0.78% | -1.1% | -8.13% |
| FCF Growth % | 9.43% | 44.09% | -21.17% | 18% | -0.05% | 0.85% | 11.18% | -7.6% | -9.97% | 39.63% | 16.67% | -5.66% | 31.01% | -18.45% | 30.62% | 0.62% | 102.09% | 86.94% | -58.39% | -52.15% | 84.27% | 211.89% | -22.62% | 193.42% | 1.7% | 134.61% | -137.45% | -2.65% | 78.04% | -867.96% |
| FCF per Share | 46.08 | 40.80 | 27.05 | 32.36 | 25.30 | 24.29 | 21.25 | 17.63 | 18.01 | 18.75 | 12.85 | 10.92 | 11.68 | 8.69 | 10.15 | 7.41 | 7.10 | 3.44 | 1.72 | 4.04 | 8.16 | 4.76 | 1.50 | 1.94 | 0.66 | 0.69 | -1.97 | -0.86 | -2.41 | -12.42 |
| FCF Conversion (FCF/Net Income) | 1.29x | 1.85x | 1.44x | 1.45x | 3.98x | -1.00x | 4.86x | 118.71x | 64.85x | 0.92x | 1.63x | 2.11x | 2.48x | 1.86x | 2.10x | 2.07x | 1.83x | 1.64x | 0.88x | 1.60x | 3.72x | -9.80x | 0.87x | 1.25x | 0.79x | -7.31x | -0.57x | 3.73x | 0.01x | 1.78x |
| Interest Paid | 0 | 273M | 234M | 224M | 186M | 220M | 235M | 383M | 298M | 315M | 337M | 359M | 255M | 207M | 228M | 244M | 188M | 139M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 1.12B | 901M | 562M | 359M | 379M | 368M | 262M | 144M | 587M | 923M | 866M | 508M | 55M | 337M | 347M | 234M | 235M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Working capital volatility
As reported in financial statements, McKesson's OCF/NI ratio has fluctuated wildly, ranging from a negative 2.71 in 2025Q3 to a high of 8.71 in 2025Q2, suggesting that reported net income is a poor proxy for the actual cash-generating capacity of the underlying pharmaceutical distribution business.
The extreme divergence between net income and operating cash flow indicates that non-cash adjustments and significant working capital swings frequently distort the company's earnings quality. Investors should interpret these figures with caution, as the lack of a stable conversion ratio suggests that cash flow is driven more by timing of payments and receipts than by consistent operational profitability.
Based on McKesson's reported figures, FCF margins have demonstrated significant instability, swinging from a peak of 8.2% in 2025Q4 to a low of negative 2.7% in 2025Q3, highlighting the inherent difficulty in maintaining consistent cash flow generation within a low-margin, high-volume distribution model.
The erratic trajectory of free cash flow suggests that the company's ability to convert revenue into cash is highly sensitive to operational timing and inventory management. This volatility may imply that the business is susceptible to sudden cash outflows, which could limit the predictability of capital allocation strategies over the medium term.
According to recent SEC filings, quarterly working capital changes have been highly erratic, with fluctuations as large as $6.7 billion in 2025Q4 and negative $4.2 billion in 2025Q3, which directly dictates the company's ability to generate positive operating cash flow in any given period.
The massive swings in working capital appear to be the primary driver of cash flow volatility, likely reflecting the complex timing of pharmaceutical procurement and customer collections. This suggests that the company's cash position is heavily dependent on managing the delicate balance between inventory build-up and the settlement of trade payables.
As documented in financial statements, McKesson has consistently utilized significant cash for share repurchases, including a $2.7 billion outflow in 2026Q4, even as operating cash flow remains subject to substantial quarterly volatility and periodic negative cycles in working capital management.
The company's commitment to share buybacks appears to be a central pillar of its capital allocation, potentially signaling management's confidence in long-term cash generation despite short-term operational noise. However, investors should monitor whether this aggressive return of capital remains sustainable if working capital requirements continue to demand large, unpredictable cash outlays.
Quick answers to the most common questions about buying MCK stock.
McKesson Corporation (MCK) generated $6.16B in net cash from operating activities in 2026. This reflects the cash generated directly from core business operations.
McKesson Corporation (MCK) generated $5.72B in free cash flow in 2026. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
McKesson Corporation (MCK) spent $745.0M on capital expenditures in 2026. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2026, McKesson Corporation (MCK) returned $381.0M to shareholders via cash dividends and spent $4.75B on share repurchases. This shows the company's commitment to returning capital to its equity investors.