AI interpretation based on checked source excerpts. Issuer assertions and evidence limitations remain explicit.
Policy quality-scores-3: six equally weighted categories. The overall score requires full coverage. Missing inputs are not zero. Qualitative grades are sourced interpretations, not probabilities. 5/6 · 31/10/2026
Moat44
Equal-weight average of four evidence-backed rubric grades (0–4), scaled to 100.
structural advantage · 2/4 · The geographic distribution footprint, primary-supplier role and realized volume growth establish scale and operational relevance. These support a plausible cost mechanism, but no relative cost benchmark, purchasing advantage or replication barrier is supplied. Scale alone therefore supports a mixed structural assessment rather than a demonstrated durable moat.
durability · 1/4 · Primary-supplier relationships and increased sales to major customers support persistence, but annual contract expirations and an actual oncology non-renewal show that relationships remain contestable. The catalog supplies little evidence of barriers that preserve superior economics over time. This grades the durability evidence as fragile without asserting that every relationship is weak.
customer dependency · 2/4 · Being the typical primary supplier indicates meaningful participation in customers’ recurring operations, and increased sales to the two largest customers provide indirect repeat-demand evidence. Oncology and grocery customer losses demonstrate alternatives in practice. No migration costs or disruption measures establish stronger dependency.
erosion resilience · 2/4 · U.S. revenue grew despite manufacturer-price declines and customer losses, while international operating income increased over the quarter and nine-month period. These are realized offsets to erosion. Market volume growth and external manufacturer pricing explain part of the performance, so resilience cannot confidently be attributed to a protected competitive position.
Pricing power—
Insufficient evidence for every rubric criterion; no category score is inferred.
realized pricing · 1/4 · Manufacturer-price declines reduced U.S. revenue, while manufacturer increases supported international quarterly operating income. These observed outcomes demonstrate fragile, externally driven product-price exposure. Volume growth is separately identified. The evidence supports a weak pricing assessment but does not isolate changes in Cencora’s own distribution fees or establish their direction.
retention · 2/4 · Primary-supplier status and increased sales to the two largest customers support recurring demand, assessed indirectly from operating disclosures. Actual oncology and grocery customer losses offset that evidence. Product-demand growth can raise sales without improving retention, and no retention rate or completed major supply extension is supplied here.
margin resilience · 2/4 · International operating income increased 20.8% for the quarter and 5.9% for the nine months ended June 30, 2026. Specialty logistics contributed, while manufacturer-price increases helped the quarter. This supports bounded earnings resilience, but does not establish consolidated margin stability or demonstrate that Cencora protected economics through its own pricing decisions.
contractual freedom · — · Annual customer-contract expirations and exposure to manufacturer-price changes are disclosed, but they do not establish who controls distribution fees, repricing provisions or customer terms. Competitive pressure is described as a risk rather than a specific contractual restriction. The supplied catalog cannot support a grade for contractual pricing freedom.
Predictability100
5 consecutive published annual periods. Equal weights: nondeclining revenue frequency; revenue-growth volatility (5–40pp); positive FCF frequency; FCF-margin volatility (3–20pp). Stability indicator, not a growth forecast.
- Nondeclining revenue years (%)
- 100.00
- Revenue growth volatility (pp)
- 1.15
- Positive FCF years (%)
- 100.00
- FCF margin volatility (pp)
- 0.13
- observedAnnualPeriods
- 5.00
Financial strength64
Equal-weight grades: debt/FCF (1–8x), net debt/earnings before interest and tax (0–5x), interest service (1–12x), current ratio (0.75–2x). Earnings use reported operating income, an original issuer-reported unadjusted EBIT reconciled to net income, income tax and signed net interest, or reported pretax profit plus reported gross interest expense. Reported EBIT is distinct from GAAP operating income and gross interest. Interest service uses earnings/interest expense; if unavailable, it uses reported operating cash flow/cash interest paid, without relabeling cash paid as accrued expense. Nonpositive cash flow/earnings score 0 for their service component; reported zero interest with a positive numerator scores 100. Net cash scores 100 for net leverage. Missing disclosures remain unavailable. General nonfinancial-company rubric, not a credit rating; exceptional and nonoperating gains are not normalized out. IFRS finance-cost and cash-flow classifications retain their reported scope.
- debtFcfGrade
- 80.16
- netDebtEbitGrade
- 74.86
- interestCoverageGrade
- 89.73
- currentRatioGrade
- 12.28
- Debt / FCF (x)
- 2.39
- Net debt / operating income (x)
- 1.26
- Current ratio (x)
- 0.90
- cashInterestPaid
- 356.50
- cashInterestCoverage
- 10.87
Capital allocation100
Three-year equal-weight indicators: pretax return on average invested capital (0–25%; equity + debt − cash, each year and its prior year), share-count growth (0–5%, lower better), share-based cost/revenue (2–20%, lower better), consolidated FCF/net income (0–1x). Return uses reported operating income, an original issuer-reported unadjusted EBIT reconciled to net income, income tax and signed net interest, or EBIT calculated from reported pretax profit plus reported gross interest expense; the issuer-reported EBIT is distinct from GAAP operating income and gross interest; exceptional/nonoperating gains are not normalized out. Share-based cost uses the reported cash-flow add-back or, if absent, separately reported recognized compensation expense; the latter never becomes an FCF adjustment. Nonpositive net income scores 0 for cash conversion; absent income/FCF stays unavailable. ROIC remains undefined for nonpositive invested capital; the explicit asset-return alternative does not change the ROIC chart. Missing financial inputs alone never trigger an alternative. Does not establish acquisition quality or buyback timing.
- 3-year pre-tax operating return (%)
- 84.01
- 3-year average dilution (%)
- -2.40
- 3-year average SBC / revenue (%)
- 0.05
- cashConversionGrade
- 100.00
Management56
Equal-weight average of four evidence-backed rubric grades (0–4), scaled to 100.
capital discipline · 2/4 · Completed OneOncology consideration and debt-and-cash financing, together with fiscal 2025 repurchases, show actual deployment decisions. PharmaLex goodwill impairments of $723.9 million in fiscal 2025 and $418.0 million in fiscal 2024 materially temper discipline. The catalog does not establish satisfactory long-term acquisition returns or sufficient cash-flow coverage for a stronger grade.
incentive alignment · 3/4 · Fiscal 2025 granted incentives include adjusted ROIC and a relative-TSR modifier, supplemented by post-vesting holding requirements, actual executive ownership compliance and a hedging prohibition. These demonstrate substantial alignment structures. Eligible holdings include time-vested RSUs, and adjusted cash flow excludes certain legal settlements; realized payout discipline is not established.
execution · 2/4 · Realized U.S. revenue growth, international operating-income growth and completion of OneOncology support execution, partly through indirect operating evidence. Actual customer losses and repeated PharmaLex impairments offset these achievements. Market demand and manufacturer pricing explain some growth, and acquisition completion does not demonstrate successful integration or durable returns.
governance · 2/4 · Disclosed independent key committees and the completed transition from Lead Independent Director to Board Chair support functioning oversight structures. The $4.2 billion opioid-related settlement liability at June 30, 2026 is a material adverse legacy outcome. These support a mixed assessment without attributing historical conduct to current directors or assuming an unsupplied audit conclusion.
Evidence
Risk Factors).
1
Table of Contents
The Company
We serve our customers (healthcare providers and pharmaceutical and biotech manufacturers) through a geographically diverse network of distribution service centers and other operations in the United States and select global markets.
2025 Form 10-K, filed 2025-11-25, Business / The Company: distribution footprint · Filed 25/11/2025
In our pharmaceutical distribution businesses, we are typically the primary supplier of pharmaceutical and related products to our healthcare provider customers.
2025 Form 10-K, filed 2025-11-25, Business / The Company: primary-supplier role · Filed 25/11/2025
The U.S. Healthcare Solutions segment grew its revenue by $25.6 billion, or 9.7%, from the prior fiscal year primarily due to overall market growth largely driven by unit volume growth, including increased sales of specialty products to health systems and physician practices and increased sales of products labeled for diabetes and/or weight loss in the GLP-1 class of $7.7 billion, or 26.9%.
2025 Form 10-K, filed 2025-11-25, Results of Operations: U.S. revenue growth and volume drivers · Filed 25/11/2025
U.S. Healthcare Solutions’ revenue increased by $1.9 billion, or 2.9%, and $5.6 billion, or 4.0%, from the prior year quarter and six-month period, respectively, primarily due to overall market growth largely driven by unit volume growth, including increased sales of specialty products to health systems and physician practices and products labeled for diabetes and/or weight loss in the GLP-1 class of $1.9 billion, or 23.0%, and $2.9 billion, or 16.7% from the prior year quarter and six-month period, respectively, offset in part by a decline in manufacturer prices related to certain brand pharmaceutical products, a decrease in sales due to losses of an oncology customer and a grocery customer, and lower sales to our large mail order customer as a result of brand conversions.
March 2026 Form 10-Q, filed 2026-05-06, Results of Operations: volume growth, manufacturer-price declines and customer losses · Filed 06/05/2026
Evernorth Health Services, the Company’s second largest customer in fiscal 2025, accounted for approximately 13% of revenue and represented approximately 5% of accounts receivable as of September 30, 2025.
2025 Form 10-K, filed 2025-11-25, customer concentration: Evernorth Health Services revenue and receivables · Filed 25/11/2025
•competition and industry consolidation of both customers and suppliers resulting in increasing pressure to reduce prices for our products and services;
June 2026 Form 10-Q, filed 2026-08-05, forward-looking risk factors: competition and consolidation · Filed 05/08/2026
Sales, including GLP-1 products, to our two largest customers increased by $6.2 billion from the prior fiscal year.
2025 Form 10-K, filed 2025-11-25, Results of Operations: sales growth to the two largest customers · Filed 25/11/2025
A number of our contracts with customers, including group purchasing organizations, are typically subject to expiration each year.
2025 Form 10-K, filed 2025-11-25, customer contracts: annual expirations · Filed 25/11/2025
As previously disclosed, we received notice of non-renewal from an oncology customer, and in June 2025, our sales contract with that customer was terminated.
2025 Form 10-K, filed 2025-11-25, customer contracts: oncology non-renewal and June 2025 termination · Filed 25/11/2025
International Healthcare Solutions’ operating income increased by $28.6 million, or 20.8%, from the prior year quarter and increased by $26.8 million, or 5.9%, from the prior year nine-month period.
June 2026 Form 10-Q, filed 2026-08-05, International Healthcare Solutions: quarterly and nine-month operating-income growth · Filed 05/08/2026
The increase from the prior year quarter is primarily due to increased operating income at our European distribution business, which was primarily driven by manufacturer price increases in a developing market country, and our global specialty logistics business, and the increase from the prior year nine-month period is primarily due to an increase in operating income at our global specialty logistics business.
June 2026 Form 10-Q, filed 2026-08-05, International Healthcare Solutions: manufacturer-price and specialty-logistics contributions · Filed 05/08/2026
We completed our required annual impairment assessments relating to goodwill and indefinite-lived intangible assets in fiscal 2025, 2024, and 2023 and, as a result, recorded goodwill impairments (see Note 5 of the Notes to Consolidated Financial Statements) of $723.9 million and $418.0 million in our PharmaLex reporting unit in fiscal 2025 and 2024, respectively.
2025 Form 10-K, filed 2025-11-25, goodwill impairment assessments: PharmaLex fiscal 2025 and 2024 charges · Filed 25/11/2025
Note 2. Acquisitions
OneOncology Acquisition
On February 2, 2026, the Company acquired the majority of the outstanding equity interests that it did not previously own in OneOncology, a physician-led national platform empowering independent medical specialty practices rooted in oncology, for total fair value consideration of $7,387.1 million, which included cash consideration of $4,648.7 million, $1,934.2 million of fair value of its previously held equity method investment, $752.1 million of estimated contingent consideration for certain OneOncology physicians and members of management that retained an 8% interest in OneOncology, and $52.0 million for the settlement of a receivable resulting from a pre-existing commercial arrangement between the Company and OneOncology.
June 2026 Form 10-Q, filed 2026-08-05, Note 2 / Acquisitions: completed OneOncology transaction and consideration · Filed 05/08/2026
The Company funded the transaction through a combination of new debt financing (see Note 7) and cash on-hand.
June 2026 Form 10-Q, filed 2026-08-05, Note 2 / Acquisitions: OneOncology financing · Filed 05/08/2026
During fiscal 2025, the Company purchased 1.9 million shares of its common stock for $435.4 million.
2025 Form 10-K, filed 2025-11-25, Issuer Purchases of Equity Securities: completed fiscal 2025 buybacks · Filed 25/11/2025
Long-Term Incentives
•Performance shares
•RSUs
•75% Adjusted EPS CAGR
•25% Average Annual Adjusted ROIC
•+/- 15% relative TSR modifier (target payout requires relative TSR performance at the 55th percentile)
2026 proxy statement, filed 2026-01-22, Executive compensation: long-term incentive metrics · Filed 22/01/2026
•Require post-vest holding on 50% of earned performance shares for two years for the CEO and one year for the other NEOs.
2026 proxy statement, filed 2026-01-22, Executive compensation: post-vesting holding requirements · Filed 22/01/2026
(1)Long-term incentives reflect grant date value of the fiscal 2025 awards.
2026 proxy statement, filed 2026-01-22, Executive compensation: fiscal 2025 award grant-date scope · Filed 22/01/2026
Shares held in our Employee Stock Purchase Plan
Outstanding time-vested RSUs
No
Stock options
Unvested performance shares
Under our executive stock ownership guidelines, our CEO must own shares worth six times his base salary and the other NEOs must own shares worth three times their respective base salaries.
2026 proxy statement, filed 2026-01-22, Executive stock ownership: eligible equity and salary multiples · Filed 22/01/2026
Following its annual review, the Compensation Committee determined that each of the NEOs is in compliance with the guidelines.
2026 proxy statement, filed 2026-01-22, Executive stock ownership: actual compliance determination · Filed 22/01/2026
We have a policy against the hedging and pledging of our securities that is applicable to our executive officers and directors.
2026 proxy statement, filed 2026-01-22, Executive compensation: hedging and pledging prohibition · Filed 22/01/2026
All members of the Audit, Compensation, and Governance Committees are independent
2026 proxy statement, filed 2026-01-22, Corporate governance: key committee independence · Filed 22/01/2026
Upon Steve’s retirement, the Board determined that I should transition from Lead Independent Director to Board Chair on October 1, 2025.
2026 proxy statement, filed 2026-01-22, Board composition: transition from Lead Independent Director to Board Chair · Filed 22/01/2026
Our accrued litigation liability related to the Distributor Settlement Agreement, as well as other opioid-related litigation for which we have reached settlement agreements on our Consolidated Balance Sheet as of June 30, 2026 is $4.2 billion and is expected to be paid over the next 13 years.
June 2026 Form 10-Q, filed 2026-08-05, Commitments and Obligations: opioid-related settlement liability · Filed 05/08/2026
Adjusted free cash flow is a non-GAAP financial measure defined as net cash provided by operating activities, excluding significant unpredictable or non-recurring cash payments or receipts relating to legal settlements, minus capital expenditures.
2026 proxy statement, filed 2026-01-22, non-GAAP definitions: adjusted free cash flow exclusions · Filed 22/01/2026
October 21, 2026 — Cencora, Inc. (NYSE: COR) today announced it has signed a definitive agreement to acquire American
Acquisition announcement, filed 2026-10-21: definitive agreement to acquire AON, sentence continued in adjacent catalog passage · Filed 21/10/2026
Oncology Network, Inc. (“AON”) (OTCQX: AONC), a physician-led network of more than 350 oncology providers across 21 states.
Acquisition announcement, filed 2026-10-21: AON identity and network scope, continuation of preceding catalog passage · Filed 21/10/2026
of customary closing conditions, including receipt of required regulatory clearances and AON stockholder approvals.
Acquisition announcement, filed 2026-10-21: outstanding closing conditions · Filed 21/10/2026