McKesson Corporation (MCK) Cash Flow Statement

NYSE: MCKOperating cash, capex, free cash flow and buybacks.

Where MCK’s cash came from and went, FY2026

March 31, 2026 · U.S. dollars
Cash from operations
$6.16B
+1.2% vs FY2025
Capital expenditures
$745.0M
0.2% of revenue
Free cash flow
$5.41B
1.3% margin
Returned to shareholders
$5.13B
95% of free cash flow
Change in cash
−$1.98B
cash at year-end $3.98B
Cash from operations: $6.16BCash from operations$6.16BBorrowing: $783.0MBorrowing$783.0MDrawn from cash: $1.98BDrawn from cash$1.98BShares issued: $89.0MShares issued$89.0MShare buybacks: $4.75BShare buybacks$4.75B · 53%Acquisitions & other: $2.69BAcquisitions & other$2.69B · 30%Capital expenditures: $745.0MCapital expenditures$745.0M · 8%Dividends: $381.0MDividends$381.0M · 4%Other financing: $372.0MOther financing$372.0M · 4%Currency & other: $73.0MCurrency & other$73.0M · 1%$9.01B
Cash from operations
$6.16B
Capital expenditures
−$745.0M
Acquisitions & other
−$2.69B
Dividends
−$381.0M
Share buybacks (net)
−$4.75B
Net borrowing (repayment)
+$783.0M
Shares issued
+$89.0M
Other financing
−$372.0M
Currency & other
−$73.0M
Change in cash
−$1.98B

Drawn to scale: where the cash came from and how it was used. Hover for values.

MCK operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

MCK cash flow trends, FY2017–FY2026

McKesson Corporation cash flow trends
MetricTrendThenLatestChange
Operating cash flow$4.74BFY2017$6.16BFY2026+2.9%/yr
Capital expenditures$562.0MFY2017$745.0MFY2026+3.2%/yr
Free cash flow$4.18BFY2017$5.41BFY2026+2.9%/yr
Free cash flow margin2.1%FY20171.3%FY2026−0.8 pts
Operating cash flow / net income0.92FY20171.29FY2026+0.37
Stock-based compensation$115.0MFY2017$182.0MFY2024+6.8%/yr
Dividends paid$253.0MFY2017$381.0MFY2026+4.7%/yr
Share buybacks (net)$2.31BFY2017$4.75BFY2026+8.3%/yr
Capex / revenue0.3%FY20170.2%FY2026−0.1 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

MCK cash flow by activity

OperatingInvestingFinancingChange in cash

MCK net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

MCK cash flow statement

McKesson Corporation annual cash flow statement
FY2026FY2025FY2024FY2023FY2022FY2021FY2020FY2019FY2018FY2017
Operating activities
Net income$4.76B$3.48B$3.16B$3.72B$1.29B−$4.34B$1.12B$33.0M$297.0M$5.15B
Depreciation & amortization$729.0M$636.0M$635.0M$608.0M$760.0M$887.0M$922.0M$949.0M$951.0M$910.0M
Stock-based compensation——$182.0M$162.0M$161.0M$233.0M$1.22B$95.0M$69.0M$115.0M
Change in working capital$162.0M$1.16B−$64.0M$384.0M$82.0M$8.19B$689.0M$614.0M$1.52B$1.69B
Other non-cash items$502.0M$813.0M$401.0M$283.0M$2.14B−$424.0M$420.0M$2.35B$1.51B−$3.12B
Cash from operating activities$6.16B$6.08B$4.31B$5.16B$4.43B$4.54B$4.37B$4.04B$4.34B$4.74B
Investing activities
Capital expenditures−$745.0M−$859.0M−$687.0M−$558.0M−$535.0M−$641.0M−$506.0M−$557.0M−$580.0M−$562.0M
Investments (net)—−$733.0M−$1.07B−$542.0M−$89.0M$400.0M$37.0M−$1.38B−$1.52B−$3.80B
Acquisitions & other investing−$2.69B$859.0M$687.0M$558.0M$535.0M−$174.0M−$110.0M$557.0M$580.0M$562.0M
Cash from investing activities−$3.43B−$733.0M−$1.07B−$542.0M−$89.0M−$415.0M−$579.0M−$1.38B−$1.52B−$3.80B
Financing activities
Dividends paid−$381.0M−$345.0M−$314.0M−$292.0M−$277.0M−$276.0M−$294.0M−$292.0M−$262.0M−$253.0M
Share repurchases & issuance (net)−$4.75B−$3.15B−$3.02B−$3.64B−$3.52B−$770.0M−$1.95B−$1.64B−$1.71B−$2.31B
Net borrowing (repayment)$783.0M−$21.0M$56.0M−$277.0M−$1.33B−$540.0M−$298.0M−$16.0M−$1.06B$393.0M
Shares issued$89.0M$101.0M$116.0M$163.0M$220.0M$92.0M$113.0M$75.0M$0$0
Other financing−$372.0M−$554.0M−$175.0M−$324.0M−$1.41B−$199.0M−$301.0M−$355.0M−$53.0M$102.0M
Cash from financing activities−$4.63B−$3.96B−$3.34B−$4.37B−$6.32B−$1.69B−$2.73B−$2.23B−$3.08B−$2.07B
Summary
Net change in cash−$1.98B$1.37B−$94.0M$743.0M−$2.46B$2.37B$1.04B$309.0M−$111.0M−$1.26B
Cash at end of period$3.98B$5.96B$4.58B$4.68B$3.94B$6.40B$4.02B$2.98B$2.67B$2.78B
Free cash flow$5.41B$5.23B$3.63B$4.60B$3.90B$3.90B$3.87B$3.48B$3.77B$4.18B
Free cash flow margin1.3%1.5%1.2%1.7%1.5%1.6%1.7%1.6%1.8%2.1%
Capex / revenue0.2%0.2%0.2%0.2%0.2%0.3%0.2%0.3%0.3%0.3%
Operating cash flow / net income1.291.751.371.393.45—3.91122.3014.630.92

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

MCK cash generation

In fiscal 2026 (ended March 31, 2026), McKesson generated $6.2 billion of cash from operations (up 1.2%) and spent $745.0 million on capital expenditures, leaving free cash flow of $5.4 billion, 1.3% of revenue. It returned $5.1 billion to shareholders through dividends ($381.0 million) and net share buybacks ($4.8 billion). Cash and equivalents fell by $2.0 billion over the year.

Related: MCK income statement, MCK balance sheet, MCK dividend history. See the MCK stock overview for the latest quote and news.

MCK cash flow FAQ

What is McKesson's free cash flow?

McKesson's free cash flow was $5.4 billion in fiscal 2026: $6.2 billion of operating cash flow minus $745.0 million of capital expenditures It was $5.2 billion a year earlier..

How much cash does McKesson generate from operations?

McKesson generated $6.2 billion of cash from operating activities in fiscal 2026, 1.29 times its net income of $4.8 billion.

How much does McKesson spend on capital expenditures?

McKesson spent $745.0 million on capital expenditures in fiscal 2026, 0.2% of revenue, compared with $859.0 million the year before.

How much stock does McKesson buy back?

McKesson spent $4.8 billion on net share repurchases in fiscal 2026.

How much does McKesson pay in dividends?

McKesson paid $381.0 million in dividends in fiscal 2026, 7.0% of free cash flow.

Medical Distribution: cash flow