McKesson Corporation · NYSE:MCK

McKesson — Investor Day (June 2014)

115 slides from McKesson's investor day presentation, Jun 25, 2014

  1. Slide 1: McKesson Corporation 2014 Investor Day

    McKesson Corporation 2014 Investor Day June 25, 2014

  2. Slide 2: 2014 Investor Day Agenda

    2014 Investor Day Agenda • Erin Lampert - Senior Vice President, Investor Relations • John Hammergren - Chairman and Chief Executive Officer • Paul Julian - Executive Vice President, MDS Group President • Mark Walchirk - President, U.S. Pharmaceutical • Stanton McComb - President, McKesson Medical-S

  3. Slide 3: Forward-Looking Statements

    Forward-Looking Statements Some of the information in this presentation is not historical in nature and may constitute forward-looking statements, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements may be identified by the

  4. Slide 4: Welcome

    Welcome John Hammergren Chairman and Chief Executive Officer

  5. Slide 5: McKesson

    MSKESSON

  6. Slide 6: Industry In Transformation

    Industry In Transformation Pool of Healthcare Convergence Consumers is & Growing Consolidation By 2020, healthcare will account for nearly Demographic Trends • 10K baby boomers turn 65 every day2 1/5 of the total U.S. • People 65+ years cost 3x more than 25-44 years3 economic output1 • Chronic condi

  7. Slide 7: Impact Of Value-Based Reimbursement

    Impact Of Value-Based Reimbursement 70% of providers are expected to enter into value-based arrangements by 2020 1 Moves risk from High deductible plans payers to providers have grown by 40% & consumers annually since 20052 Value-based purchasing worries providers (Healthcare Finance News May 20. 20

  8. Slide 8: Unparalleled Growth: FY07-FY14

    Unparalleled Growth: FY07-FY14 5% CAGR 17% CAGR Total Revenues Adjusted EPS $23B Added to Market Cap Reflects non-GAAP information calculated on an Adjusted Earnings basis. A reconciliation to GAAP is available in the appendix to this presentation and on the Company’s website under the “Investors” t

  9. Slide 9: McKesson Distribution Solutions

    McKesson Distribution Solutions Paul Julian Executive Vice President, Group President

  10. Slide 10: Profiles Of McKesson Distribution Solutions

    Profiles Of McKesson Distribution Solutions $134B in Revenues and $3.2B in Adjusted Op Profit in FY14 North America Pharmaceutical Distribution & Services International Pharmaceutical Distribution & Services U.S. Pharmaceutical Specialty Health • Distribution • Retail Pharmacy • Distribution • Speci

  11. Slide 11: FY14 Milestones

    FY14 Milestones Delivered Strong Results Across Distribution Solutions U.S. Pharmaceutical Canada • Generated record operating cash flow • Achieved 15% profit growth in a difficult regulatory • Expanded Health Mart from 3,095 to 3,281 stores environment • Grew McKesson OneStop Generics 17% year-over

  12. Slide 12: Operational Excellence

    Operational Excellence McKesson is at the Forefront of Distribution Excellence U.S. Pharmaceutical Canada • Order Accuracy 99.98% • Order Accuracy 99.95% • Inventory Accuracy 99.99% • Warehouse picking errors of 0.046% • Six Sigma process improvement generated over • Six Sigma process improvement ge

  13. Slide 13: Global Sourcing Excellence

    Global Sourcing Excellence Creating Purchasing Power and Operational Efficiencies to Add Value for our Stakeholders NorthStar / Cypress Sivem acquisition collaboration in Canada 2002 2007 2012 2014 NorthStar Sivem program launch launched / PSS acquisition

  14. Slide 14: Global Sourcing – Our Approach

    Global Sourcing – Our Approach McKesson’s Differentiated Sourcing Model Drives Value Across the Enterprise Consolidation and Scale Opportunity Identification • Extensive experience in consolidation of enterprise-wide sourcing • Proven governance model at scale • Experienced leadership Consolidation

  15. Slide 15: McKesson: A Valuable Partner To Manufacturers

    McKesson: A Valuable Partner To Manufacturers Pharmaceutical Manufacturers • Global scale • Highly efficient distribution platform • Direct relationships Reach Medical Surgical Supplies • U.S. market leadership in non-acute setting • Extensive direct sales force Supply Breadth of Chain Manufacturer

  16. Slide 16: Celesio Update

    MCKESSON Celesio Update

  17. Slide 17: Celesio Profile

    Celesio Profile McKesson & Celesio: A Global Leader in Healthcare Services Business Profile Operating Countries • Founded in 1835 and operating in 14 European countries and Brazil UK Sweden • 39,000 employees1 France Italy • Key Operations: Germany Belgium • Wholesale Brazil Denmark • Retail Norway

  18. Slide 18: Celesio Markets

    Celesio Markets Growth Forecast Across Selected Celesio Markets CY 2014-2017 European healthcare spend CAGR1 5.7% 4.7% 4.7% 2.9% 3.4% 3.2% Celesio weighted average 2.9% 2.4% UK France Norway Sweden Italy Germany USA Economist Intelligence Unit country reports, Sept 20131

  19. Slide 19: Celesio Markets

    Celesio Markets Demographic Trends Similar to North America; Rate of Generic Dispensing Varies Widely Across Europe Population > 60 years old1 2012 Current generic dispensing rate2 2050 Percent 19% 87% USA 27% 68% 23% 65% UK 61% 30% 25% Sweden 31% 27% 24% Germany 37% 24% France 31% USA UK Sweden Ger

  20. Slide 20: Celesio Timeline And Next Steps

    Celesio Timeline And Next Steps Important Milestones Over the Coming Months July 15 Celesio Annual Late First Half FY15 General Meeting Operating Control July 16 Fiscal 2015 Q3 Marc Owen Assumes Role Begin Execution of of Chairman of the Celesio Synergy Plan Management Board

  21. Slide 21: Celesio Coordination Office

    Celesio Coordination Office Jointly-Staffed Coordination Office Engaged in Planning Across Key Functions • Realize $275M to $325M in combined synergies by the fourth year following achieving operating control • Offer strong value proposition to manufacturers in a global marketplace with in-depth and

  22. Slide 22: Celesio Observations

    Celesio Observations Significant Similarities Across Our Businesses and Strong Shared Values

  23. Slide 23: Distribution Solutions Summary

    Distribution Solutions Summary

  24. Slide 24: Distribution Solutions Summary

    Distribution Solutions Summary • Track record of strong financial performance across the segment • Operational excellence is at the core of everything we do • Differentiated approach to working with manufacturing partners on a global scale • Proven ability to successfully deliver on value of acquisi

  25. Slide 25: Experienced Management Team

    Experienced Management Team Paul C. Julian Executive Vice President, Group President McKesson Corporation (18 years) North America Pharmaceutical International Distribution & Medical Surgical Global Sourcing Distribution & Services Services Distribution & Services Brian Tyler Marc Owen Stanton McCom

  26. Slide 26: U.S. Pharmaceutical

    U.S. Pharmaceutical Mark Walchirk President, U.S. Pharmaceutical

  27. Slide 27: Pharmaceutical Industry Landscape

    Pharmaceutical Industry Landscape Low Single-Digit Growth in the Near Future Sales ($ Billions) % Change 450 10% Upward Trends 400 8% • Aging population/ 350 prescription demand 6% 300 • Specialty growth 250 4% • Manufacturer support • Drug pipeline improvement 200 2% 150 0% Downward Pressures 100 -

  28. Slide 28: U.S. Pharmaceutical Market Overview

    U.S. Pharmaceutical Market Overview ($ Billions) ($ Billions) $112 $245 $241 $237 $69 $225 $55 $32 2008 2012 2014 2018 2008 2012 2014 2018 Brand Sales Generic Sales Note: This information is an estimate derived from the use of information under license from the following IMS Health information servi

  29. Slide 29: Brand Sales at Risk

    Generics Launch Opportunity 40 ($ Billions) 35.2 35 $79.5B 30 Brand Sales at Risk 25 21.5 19.2 19.5 20 18.4 18.0 16.5 15 12.2 10.6 9.4 10 5 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Note: IMS National Sales Perspectives, November 2013; sales in year prior to expiry for 2009-2012; MAT Nov 2

  30. Slide 30: Distribution Center Network Optimization

    Distribution Center Network Optimization Results In Continued Operational Excellence Efficient Productivity Quality Supply Chain • 1.2 million lines per • Industry-leading order- • National Re- night across the accuracy and service Distribution Center network levels • Ability to rapidly deploy • 99.

  31. Slide 31: U.S. Pharmaceutical Has A Broad Value Proposition

    U.S. Pharmaceutical Has A Broad Value Proposition Independent & Small Chain National Chain Pharmacy Pharmacy • Re-Distribution Center • Health Mart Franchise • Central Fill • OneStop Generics • OneStop Generics • Managed Care Contracting • Six Sigma • Pharmacy & Point-of-Sale Systems • Clinical Serv

  32. Slide 32: McKesson: A Valuable Partner To Manufacturers

    McKesson: A Valuable Partner To Manufacturers Pharma/Biotech Company Needs Scale Services We control significant We offer more than a transactional relationship; we purchasing volume which effectively and efficiently market products to the end continues to grow pharmacist or patient Reach High Effic

  33. Slide 33: McKesson: A Valuable Generics Channel Partner With Global Scale

    McKesson: A Valuable Generics Channel Partner With Global Scale Industry Landscape McKesson • Manufacturer consolidation • Highly efficient distribution network • Large purchasing groups • One of the largest purchasers of • Drug shortages generics • FDA backlog OneStop Generics • Regulatory uncertai

  34. Slide 34: McKesson: A Valuable Partner To Independent Pharmacy

    McKesson: A Valuable Partner To Independent Pharmacy Health Mart Store Count • Marketing support drives awareness 3,281 & more traffic to the pharmacy 2,941 2,615 • Clinical support drives improvement and PBM recognition of performance 1,851 • Operations support frees up time to focus on driving bus

  35. Slide 35: Our Operational Excellence Is Driven By Our People, Infrastructure And Investments

    Our Operational Excellence Is Driven By Our People, Infrastructure And Investments

  36. Slide 36: McKesson Medical-Surgical

    McKesson Medical-Surgical Stanton McComb President, McKesson Medical-Surgical

  37. Slide 37: Medical-Surgical Market Overview

    Medical-Surgical Market Overview Medical-Surgical Revenue ($ Billions) Market Trends 6.0 • Net favorable demographic trends 5.0 • Consolidation of customers 4.0 and distributors 3.0 • Markets remain highly fragmented 2.0 • Extended care markets remain attractive 1.0 • Consumerism and new delivery mo

  38. Slide 38: Medical-Surgical Has A Broad Value Proposition

    Medical-Surgical Has A Broad #1 Market Share Value Proposition Physician Offices Home Care • Medical Supplies & Equipment • Medical Supplies & Equipment • In-Office Rx & Vaccines • Direct-to-Patient Services • In-Office Lab • McKesson Brand Products • McKesson Brand Products • Respiratory • HIT Solu

  39. Slide 39: McKesson Case Study: Home Care

    McKesson Case Study: Home Care Nurse visits home / does assessment Nurse completes order Better Health For: and patient receives Orders supplies via McKesson supplies via our Patient Mobile Manager HCSM • The Patient & Care Giver Home Delivery service • The Home Care Nurse • The Home Care Agency • T

  40. Slide 40: Low Cost Platform Scales To Non-Acute Setting

    Low Cost Platform Scales To Non-Acute Setting Customer and Value  Grow our understanding of our customers  Provide differentiated value Reach  Continue to develop strong customer relations  Demonstrate value to manufacturers Foundation  Realize efficiencies from single operating platform People

  41. Slide 41: McKesson's PSS Integration Plan

    McKesson’s PSS Integration Plan Combine Sales Force of More Meet and Exceed Than 1,400 Reps Synergy Expectations Successfully Merge Create One Back Office Functions Team Optimize Distribution Execute on Supplier and Sourcing Opportunities Network

  42. Slide 42: Met Or Exceeded All Of Our Year 1 Integration Priorities

    Met Or Exceeded All Of Our Year 1 Integration Priorities... With More Work To Be Done Year 1 Accomplishments Year 2 and 3 Focus • Combined leadership teams • Continue optimization of distribution • Retained sales force of more than network 1,400 field sales reps • Move to single integrated • Elimina

  43. Slide 43: We Are Creating An Unrivaled Platform For Sustained Growth

    We Are Creating An Unrivaled Platform For Sustained Growth Sales Distribution Sourcing Channel Network Expertise Leadership • >1,400 field sales reps • National distribution • National brand vendors • Serving >200,000 network • Leading private-brand customers • Flexible transportation offering • Com

  44. Slide 44: McKesson Specialty Health

    McKesson Specialty Health Marc Owen President, McKesson Specialty Health

  45. Slide 45: Specialty Market Overview

    Specialty Market Overview Steady Growth Expected in Specialty1 • Specialty distributors are well positioned for growth2 • Aging population driving new cancer cases • Biological products driving sustained growth3 FY15 FY16 FY17 FY18 Note: Total specialty market does not necessarily reflect McKesson S

  46. Slide 46: McKesson Specialty Health Has A Broad Value Proposition

    McKesson Specialty Health Has A Broad Value Proposition Physician Manufacturer Payer • Distribution and contracting • Efficacy and safety • Value-based reimbursement • Robust practice management • Market intelligence • Evidence-based pathways services • Integrated technology platform • 3PL and manag

  47. Slide 47: McKesson Specialty Coverage

    McKesson Specialty Coverage The US Oncology Network: Radiation Locations The US Oncology Network: Practice Locations Onmark Select Program: Practice Locations Scale Technology Platform Breadth of Services • Serve 3,000+ physicians and more than • >2,100 physicians using Lynx Mobile • ~90 radiation o

  48. Slide 48: Positioned To Serve Manufacturer Needs

    Positioned To Serve Manufacturer Needs Pre-Launch Launch and Post Launch • Extensive clinical trial network • Reimbursement and access services • Involved in trials for 48 FDA-approved • 3PL and managed distribution cancer drugs, nearly one-third of all FDA-approved cancer therapies to date • Unique

  49. Slide 49: Positioned To Lead Payment Shifts

    Positioned To Lead Payment Shifts Traditional Contracting Quality-Based Performance Environment Environment • Leverage market position • Package and market a comprehensive, high quality patient experience • Fee-for-service focus • Improve payer/provider financial incentives • Optimize drug margins a

  50. Slide 50: Positioned To Deliver Advanced Technologies

    Positioned To Deliver Advanced Technologies Patient Engagement: My Care Plus Health Information Hospital Initiative Ancillary Integration: Care Delivery: iKnowMed/ iKnowMed/ Med Fusion Clear Value Plus Physician Network Distribution Development Financial Drug Stability: Distribution: TotalView Lynx

  51. Slide 51: McKesson Specialty Health

    McKesson Specialty Health Broad expertise Technology platform to drive enhanced value in all aspects for physicians, payers of cancer care and pharmaceutical delivery manufacturers Deep Expanding presence Physician in other Engagement specialties

  52. Slide 52: McKesson Canada

    McKesson Canada Nick Loporcaro President, McKesson Canada

  53. Slide 53: Canadian Pharmacy Rx Purchases By Market Segment

    Canadian Pharmacy Rx Purchases By Market Segment Canadian Pharmacy Rx Purchases $22.9 Billion CAD 11.6% Hospital 88.4% Retail Source: IMS Brogan, Canadian Drug Store and Hospital Purchases Moving Annual Total to March 2014

  54. Slide 54: Generics Consist Of >60% Of Total Prescriptions

    Generics Consist Of >60% Of Total Prescriptions Canadian Retail Pharmacy Rx Market Share: Brand versus Generic 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 2005 2006 2007 2008 2009 2010 2011 2012 2013 Rx Market Share - Brand 56.1% 54.9% 51.7% 48.2% 45.4% 42.7% 40.0% 37.2% 34.3% Rx Market Share - G

  55. Slide 55: Improved Visibility In Generic Pricing

    Improved Visibility In Generic Pricing $ Generic Drug Pricing Brand vs. Generic Shift Bx Gx

  56. Slide 56: McKesson Canada Has A Broad Value Proposition

    Mckesson Canada Has A #1 Market Share Broad Value Proposition Government Retail Manufacturer & Institution • 7,100 retail pharmacies • 93 Integrated Health • 800 pharmaceutical Networks & 1,350 partners • Out-patient automation hospitals • Distribution services • Web-based order • In-patient automat

  57. Slide 57: Focusing On Our Core Competencies

    Focusing On Our Core Competencies Drive volume Increase controlled and margin in Grow Specialty volume and retail distribution margin participation business • Optimize supply chain • Evolve capabilities & • Acquire new banners & assets to support specialty establish banner • North American & global

  58. Slide 58: Delivering Excellence Through Network Optimization

    Delivering Excellence And Driving Operational Performance Through Network Optimization 16 Distribution Centers 7 Specialty Pharmacies 13 Offices British 85 Infusion Clinics Columbia Alberta Newfoundland Manitoba and Labrador Quebec Ontario New Brunswick Nova Scotia

  59. Slide 59: Global Sourcing And Sivem Banner Programs

    Global Sourcing And Sivem Banner Programs Generic Rx Increased Collaboration Launched National With NorthStar Expansion Phased Approach

  60. Slide 60: Offering Comprehensive Specialty Capabilities

    Offering Comprehensive Specialty Capabilities Specialty Pharmacies & Distribution >70,000 85+ Infusion Infusions Annually Clinics Manufacturer Programs • Reimbursement assistance • Last stage clinical trial • Patient adherence

  61. Slide 61: Helping Independent Banner Members Grow And Thrive

    Helping Independent Banner Members Grow And Thrive National footprint Exclusive brands to convert consumers >1,700 stores in all 10 provinces and 2 territories >100 SKUs >700 SKUs Programs to foster lasting relationships + + More More More Private Medicine Shoppe Canada Scripts OTC Sales Label Sales

  62. Slide 62: Leveraging Our Health Care Ecosystem

    Leveraging Our Health Care Ecosystem Drive volume and margin in Manufacturers distribution Grow business Specialty Pharmaceutical Distribution Retail Hospitals Specialty Banners Increase controlled Patients volume and retail margin participation Private Payers

  63. Slide 63: McKesson

    MSKESSON

  64. Slide 64: McKesson Technology Solutions

    McKesson Technology Solutions Pat Blake Executive Vice President, Group President

  65. Slide 65: Agenda

    Agenda Technology Solutions Overview Industry Trends Our Portfolio Execution And Innovation Summary

  66. Slide 66: Technology Solutions Overview

    Technology Solutions Overview

  67. Slide 67: Comprehensive Solutions Across The Healthcare Continuum

    Comprehensive Solutions Across The Healthcare Continuum $3.2B in revenues and $467M in adjusted operating profit Payers Physicians Technology Solutions Manufacturers Hospitals and Health Systems Retail Pharmacies Consumers Reflects non-GAAP information calculated on an Adjusted Earnings basis. A rec

  68. Slide 68: Experienced Management Team

    Experienced Management Team Pat Blake Executive Vice President, Group President McKesson Corporation (18 years) Analytics & Connectivity Payer & Financial Physician Services Health System Solutions Solutions Solutions Jeff Felton Emad Rizk, MD Patrick Leonard Jim Pesce Erkan Akyuz President Presiden

  69. Slide 69: Industry Trends

    MCKESSON Industry Trends

  70. Slide 70: Industry Trends And Customer Imperatives

    Industry Trends And Customer Imperatives Industry Trends Customer Imperatives • Declining reimbursement • Effectively run core operations and utilization • Optimize performance • Unprecedented and quality vertical and horizontal consolidation • Drive quality and operational • Regulatory demands effi

  71. Slide 71: Our Approach: Better Health 2020

    Our Approach: Better Health 2020TM Blocking and Continuous Tackling Improvement Unification Transformation Manage Core Optimize Connect for Quality Support Value- Operations Performance & Operational Based Care & Quality Efficiency • Efficiently and • Move from volume- effectively manage • Make deci

  72. Slide 72: Our Portfolio

    MCKESSON Our Portfolio

  73. Slide 73: Solutions That Span The Healthcare Sector

    Solutions That Span The Healthcare Sector # 1 Health Plan Payment Management Physician #1 #1 #1 # 2 Capacity Provider Revenue Cycle and Revenue Cycle Outsourcing 2 In U.S. #1 Pharmacy Network # Workforce Physician Analytics PACS 2 1 Services Payer & Financial Solutions Analytics & Connectivity Solut

  74. Slide 74: Execution And Innovation

    MCKESSON Execution And Innovation

  75. Slide 75: Execution For Today, Innovation For Tomorrow

    Execution For Today, Innovation For Tomorrow Blocking and Continuous Tackling Improvement Unification Transformation Manage Core Optimize Connect for Quality Support Value- Operations Performance & Operational Based Care • 100% of Top US Health & Quality Efficiency • 75+ customers Plans undertaking

  76. Slide 76: Manage Core Operations

    Manage Core Operations A Large Midwest Heath System with Large Regional >1,300 Affiliate Health Plan Blocking and Physicians Provider Network Tackling Management Supply Chain Solutions • Enrollment and credentialing time Savings: slashed by 90% Manage Core >$2M in contract price • Reliable provider

  77. Slide 77: Optimize Performance & Quality

    Optimize Performance & Quality A Large Northeast A Large Integrated Academic Health Delivery System in NJ Continuous System Health Analytics Improvement Financial Analytics • 14% reduction in overall heart failure • Recouped $3M in underpayments readmission rate through contract modeling Optimize •

  78. Slide 78: Connect For Quality & Operational Efficiency

    Connect For Quality & Operational Efficiency Statewide Network of Multi-State Faith- Providers Serving Based Health System 6 Million Patients Financial Connectivity Unification Health Information • 4% increase in net patient Exchange revenue 1,600 Connected physicians • 26% improvement in Connect fo

  79. Slide 79: Support Value-Based Care

    Support Value-Based Care Regional Blues Plan Health System with with 6,000+ Over 1.3M Lives in Physician Partners Risk-based Risk Manager Contracts Transformation • 6% reduction in readmissions Population & Risk Analytics • 19% improvement in breast Support Value- cancer screening • 5.4% reduction i

  80. Slide 80: Summary

    MCKESSON Summary

  81. Slide 81: Healthcare Technology Aligned With Customer Priorities

    Healthcare Technology Aligned With Customer Priorities Unique McKesson Value Proposition Payers Physicians Technology 360o Perspective Solutions Expertise working with payers, Manufacturers Hospitals and Health Systems hospitals, physicians, pharmacies Scaled leadership positions Comprehensive portf

  82. Slide 82: Financial Update

    Financial Update James Beer Executive Vice President, Chief Financial Officer

  83. Slide 83: Agenda

    Agenda Drivers Of Value Creation Segment Financial Review • Distribution Solutions • Technology Solutions Financial Flexibility And Capital Deployment Track Record Of Financial Performance

  84. Slide 84: McKesson Drives Sustained Value Creation

    McKesson Drives Sustained Value Creation Attractive healthcare markets • Public policy agenda supports greater access and improved efficiency • Demographics drive long-term demand in North America and globally Well-positioned businesses with margin expansion opportunities • Market leading positions

  85. Slide 85: Distribution Solutions: Broad Value Proposition

    Distribution Solutions Broad Value Proposition with Evolving Mix of Higher Margin Products and Services

  86. Slide 86: Distribution Solutions: Organic Revenue Growth, Bolstered By Acquisitions

    Distribution Solutions: Organic Revenue Growth, Bolstered By Acquisitions… ($ Billions) $134 $138 $98 FY08 FY09 FY10 FY11 FY12 FY13 FY14

  87. Slide 87: Driving Sustained Adjusted Operating Profit Growth

    …Driving Sustained Adjusted Operating Profit Growth ($ Billions) $3.2 $3.2 $1.5 FY08 FY09 FY10 FY11 FY12 FY13 FY14 Reflects non-GAAP information calculated on an Adjusted Earnings basis. A reconciliation to GAAP is available in the appendix to this presentation and on the Company’s website under the

  88. Slide 88: Major Levers For Operating Profit Expansion

    Major Levers For Operating Profit Expansion Procurement Manufacturer at Scale Economics Operating Private Label Sourcing Expense Leverage Continued ability to drive steady profit growth Deep Customer M&A Synergies Relationships Operational Excellence

  89. Slide 89: Distribution Solutions FY15 Outlook

    Distribution Solutions FY15 Outlook Distribution Solutions North American Revenue growth will increase Distribution and Services significantly driven by the acquisition of Celesio To deliver mid single-digit revenue growth versus Fiscal 2014 International Pharmaceutical Medical Surgical Distribution

  90. Slide 90: Celesio To Drive Value Creation

    Celesio To Drive Value Creation • Expected accretion to Adjusted Earnings per share of $1.00 to $1.20 in the Accretion first twelve months starting February 2014, assuming 100% ownership • April 2014 ownership is 76% • Anticipated annual synergies between $275 million and $325 million realized Syner

  91. Slide 91: Celesio: The Path To Operational Control

    Celesio: The Path To Operational Control Q4 FY2014 Q1 FY2015 Q2 FY2015 • Achieved ownership of >75% • Independent valuation • Annual General Meeting of diluted shares results released • Domination agreement • Consolidated the financial registered results of Celesio • Operational control expected • D

  92. Slide 92: Distribution Solutions Financial Drivers

    Distribution Solutions Financial Drivers • Differentiated global sourcing expertise • Scaled leadership positions across a broad portfolio of products and services • Operational excellence • Contribution from value creating acquisitions • Growth in gross profit from both generic and branded drugs •

  93. Slide 93: Operating Margin Expansion Has Been Consistent Over The Long Term

    Operating Margin Expansion Has Been Consistent Over The Long Term Q4 FY05 earnings release: Issued initial operating Achieved full-year Achieved full-year margin target adjusted operating adjusted operating of 150 – 200 bps margin of 194 bps margin of 239 bps FY05 FY07 FY10 FY11 FY14 FY15 Achieved f

  94. Slide 94: Technology Solutions: Diversified Portfolio

    Technology Solutions Diversified Portfolio with Solid Long-Term Fundamentals

  95. Slide 95: McKesson Technology Solutions

    McKesson Technology Solutions FY14 Adjusted Operating Profit Contribution Analytics & Connectivity Solutions 87% 13% Technology Payer & Financial Solutions Distribution Solutions Solutions Physician Services Health System Solutions Reflects non-GAAP information calculated on an Adjusted Earnings bas

  96. Slide 96: McKesson Technology Solutions: Sources of Operating Profit

    McKesson Technology Solutions Sources of Operating Profit >60% Consistent and predictable transaction and subscription-based revenue streams have grown to drive a majority of segment operating profits Transaction and Subscription-based Reflects Technology Solutions Adjusted Operating Profit for FY14

  97. Slide 97: Technology Solutions Financial Drivers

    Technology Solutions Financial Drivers • Increasing demand for technology driven by industry dynamics and government requirements • Scaled leadership positions across broad portfolio – Our connectivity and payer solutions are positioned to drive steady long-term growth – Horizon hospital software an

  98. Slide 98: Strong Cash Flow and a Portfolio Approach to Capital Allocation

    Financial Flexibility And Capital Deployment Strong Cash Flow and a Portfolio Approach to Capital Allocation Lead to Value Creation

  99. Slide 99: Our Operating Cash Flows Have Steadily Increased

    Our Operating Cash Flows Have Steadily Increased OCF ($ Billions) 7 Year Moving Average $3.0 $2.5 $119 $119 $2.0 $104 $106 $109 $1.5 $1.0 $0.5 FY08* FY09 FY10 FY11 FY12 FY13 FY14 *FY08 excludes $962 million Securities Litigation payment.

  100. Slide 100: Portfolio Approach To Capital Deployment

    We Remain Committed To Our Historical Portfolio Approach To Capital Deployment… FY08 - FY14 ($ Billions) Dividends $1.1 Internal Capital Spending $2.6 $7.8 $25 Billion of Capital Share Deployed from FY08 – FY14 Repurchases $13.7 Acquisitions

  101. Slide 101: Committed To Maintaining Investment Grade Ratings As We Delever

    …And We Remain Committed To Maintaining Investment Grade Ratings As We Delever Investment Grade Ratings Reaffirmed After February 2014 Financing Gross Debt Position up $6.7B Planning Ahead for Short- to since FY12 Medium-Term Debt 1 $10.7 ($Billions) Repayments $4.01 $4.91 • FY15: $ 0.2B 2 • FY16: $

  102. Slide 102: Capital Deployment As We Delever

    Capital Deployment As We Delever Contemplated In Our Outlook • Retaining investment grade ratings • Leveraging expected cash flow from operations and opening cash position • March 31, 2014 cash and cash equivalents: $4.2B, of which approximately $2.4B was offshore • FY 2015 planned operating cash fl

  103. Slide 103: Steady Track Record of Strong Results

    How Does It All Add Up? Steady Track Record of Strong Results

  104. Slide 104: We Have A Track Record Of Steady Revenue Growth

    We Have A Track Record Of Steady Revenue Growth… ($ Billions) $138 $122 $122 $108 $112 $101 $106 FY08 FY09 FY10 FY11 FY12 FY13 FY14

  105. Slide 105: Higher Adjusted EPS Growth

    …That We Have Leveraged Into Higher Adjusted EPS Growth FY15 Guidance: $10.40 - $10.80 $8.35 $6.28 $6.38 $4.65 $5.13 $4.23 $3.41 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 Reflects non-GAAP information calculated on an Adjusted Earnings basis. A reconciliation to GAAP is available in the appendix to th

  106. Slide 106: Drivers Of FY15 Earnings And Cash Flow

    Drivers Of FY15 Earnings And Cash Flow • Furthering our global scale and sourcing capabilities with Celesio • Benefiting from generic and branded drug manufacturer economics • Realizing an increased level of generic drug launches • Expanding our relationship with Rite-Aid • Executing on PSS synergie

  107. Slide 107: In Business For Better Health

    In Business For Better Health

  108. Slide 108: McKesson

    MSKESSON

  109. Slide 109: We Expect Fiscal 2015 Adjusted Earnings Per Diluted Share Of $10.40 - $10.80

    We Expect Fiscal 2015 Adjusted Earnings Per Diluted Share Of $10.40 - $10.80 • Distribution Solutions revenue growth will increase significantly driven by the acquisition of Celesio - North America pharmaceutical distribution and services and Medical Surgical distribution and services will deliver m

  110. Slide 110: Reconciliation of GAAP Operating Results to Adjusted Earnings, FY2014

    RECONCILIATION OF GAAP OPERATING RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions, except per share data) Year Ended March 31, 2014 Amortization Acquisition of Acquisition- Expenses and Litigation Adjusted As Reported Related Related Reserve LIFO-R

  111. Slide 111: Reconciliation of GAAP Operating Results to Adjusted Earnings, FY2012

    RECONCILIATION OF GAAP OPERATING RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions, except per share data) Year Ended March 31, 2012 Amortization Acquisition of Acquisition- Expenses and Litigation Adjusted As Reported Related Related Reserve LIFO-R

  112. Slide 112: Reconciliation of GAAP Operating Results to Adjusted Earnings, FY2010

    RECONCILIATION OF GAAP OPERATING RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions, except per share data) Year Ended March 31, 2010 Amortization Acquisition of Acquisition- Expenses and Litigation Adjusted As Reported Related Related Reserve LIFO-R

  113. Slide 113: Reconciliation of GAAP Operating Results to Adjusted Earnings, FY2008

    RECONCILIATION OF GAAP OPERATING RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions, except per share data) Year Ended March 31, 2008 Amortization Acquisition of Acquisition- Expenses and Litigation Adjusted As Reported Related Related Reserve LIFO-R

  114. Slide 114: Reconciliation of GAAP Segment Financial Results, FY2010-FY2014

    RECONCILIATION OF GAAP SEGMENT FINANCIAL RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions) Year Ended March 31, 2014 Year Ended March 31, 2013 Year Ended March 31, 2012 Year Ended March 31, 2011 Year Ended March 31, 2010 Corporate Corporate Corpora

  115. Slide 115: Reconciliation of GAAP Segment Financial Results, FY2007-FY2009

    RECONCILIATION OF GAAP SEGMENT FINANCIAL RESULTS TO ADJUSTED EARNINGS (NON-GAAP) FOR FISCAL 2007 THROUGH FISCAL 2014 (unaudited) (in millions) Year Ended March 31, 2009 Year Ended March 31, 2008 Year Ended March 31, 2007 Corporate Corporate Corporate Distribution Technology & Interest Distribution T

McKesson — Investor Day (June 2014) on 6ix