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Sankey diagram of Cencora, Inc.. A complete text table follows the diagram.
Enormous pharmaceutical throughput produces a thin gross-profit pool, while OneOncology pushes the model downstream toward physicians and patients
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The primary diagram begins at segment gross profit rather than revenue because pharmaceutical acquisition cost is a large pass-through and obscures the economic engines. Segment operating-expense nodes are directly reported. The diagram reconciles to operating income; the separate $1,086.612M OneOncology remeasurement gain that lifted pretax and net income is disclosed in annotations rather than treated as recurring operations.
Labels and narrative explain the filing. A category marked “arithmetic bridge” or “residual” is calculated from reported totals, rather than a separately reported line.
| Category | Stage | Value | Notes |
|---|---|---|---|
| U.S. Healthcare gross profit | 1 | $2.3B | $68.77B of drug and specialty throughput |
| International Healthcare gross profit | 1 | $814M | Alliance Healthcare and other international services |
| Animal Health & other gross profit | 1 | $312M | Animal health plus non-strategic businesses |
| U.S. Healthcare operating income | 2 | $998M | 44.3% conversion of segment gross profit |
| U.S. platform operating expense | 2 | $1.3B | Distribution, specialty services and support |
| International operating income | 2 | $176M | 21.6% conversion of segment gross profit |
| International operating expense | 2 | $638M | European and global distribution platform |
| Animal Health & other income | 2 | $91.6M | 29.4% conversion of segment gross profit |
| Animal Health & other expense | 2 | $220M | Operating cost of adjacent businesses |
| Operating income before eliminations | 3 | $1.3B | U.S. Healthcare supplies 79% |
| Reported segment operating income | 4 | $1.3B | After intersegment eliminations |
| Intersegment eliminations | 4 | $2.4M | Reported segment-income adjustment |
| LIFO credit & antitrust settlements | 4 | $227M | Positive operating reconciliation |
| Operating income before special charges | 5 | $1.5B | Segments plus positive reported items |
| GAAP operating income | 6 | $1.1B | Up 10% year over year |
| Acquisition, litigation & other charges | 6 | $347M | Amortization, integration, opioids and restructuring |
| From | To | Value |
|---|---|---|
| U.S. Healthcare gross profit | U.S. Healthcare operating income | $998M |
| U.S. Healthcare gross profit | U.S. platform operating expense | $1.3B |
| International Healthcare gross profit | International operating income | $176M |
| International Healthcare gross profit | International operating expense | $638M |
| Animal Health & other gross profit | Animal Health & other income | $91.6M |
| Animal Health & other gross profit | Animal Health & other expense | $220M |
| U.S. Healthcare operating income | Operating income before eliminations | $998M |
| International operating income | Operating income before eliminations | $176M |
| Animal Health & other income | Operating income before eliminations | $91.6M |
| Operating income before eliminations | Reported segment operating income | $1.3B |
| Operating income before eliminations | Intersegment eliminations | $2.4M |
| Reported segment operating income | Operating income before special charges | $1.3B |
| LIFO credit & antitrust settlements | Operating income before special charges | $227M |
| Operating income before special charges | GAAP operating income | $1.1B |
| Operating income before special charges | Acquisition, litigation & other charges | $347M |