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Bear Stearns 2003 Global
 Healthcare Conference
      September 9, 2003
John Hammergren

    Chairman and
Chief Executive Officer
Safe Harbor Clause
Some of the information in this presentation
may constitute forward-looking statements
that are subject to various uncertainties.
These uncertainties could cause actual
results to differ materially from those
projected or implied. The risk factors
associated with those uncertainties are
described in the Company’s reports and
exhibits filed with the Securities and
Exchange Commission.
McKesson Corporation Mission


   To advance the health of the healthcare
   system by advancing the success of our
                  partners



     Improve productivity/reduce labor
     Lower administrative and supply costs
     Improve clinical outcomes
     Reduce errors and inappropriate care
Comprehensive Array of Products,
Technology and Services




                            McKesson                                   McKesson               McKesson
   McKesson                                      McKesson
                       Information Solutions                         Health Solutions       Medical-
                                                                                            Medical-Surgical
 Pharmaceutical                                  Automation
                         63% of health                                #1 in medical        #1 in primary care
 #1 in retail chains                            #1 robotic
                        systems                                     management            and extended care
and independents                               hospital pharmacy
                                                                    software and
                                               dispensing
                        51% of hospitals                                                   Strongly positioned in
 Rapid growth in
                                                                    services for payors
                        with 200+ beds                                                    acute care
specialty                                       #2 in new
                                                                      Disease
distribution                                   hospital unit-dose
                         Comprehensive                                                     Rapidly growing
                                                                    management
                                               cabinets
                        product offering:                                                 eSupply component
 #1 in Canada
                                                                      Patient
                        clinical, revenue       Leading bedside
 Large Rx
                                                                    relationship
                        cycle and              administration
repackaging
                                                                    services for
                        resource               scanning
 #1 hospital                                                        manufacturers
                        management              #1 in retail
pharmacy
                                                                      #1 in hospital-
                         Extensive service     pharmacy
outsourcing
                                                                    based call center
                        offering:              automation
business
                                                                    solutions
                        consulting,             Med supply
 Leading generics       technology and
                                               scanning
provider                outsourcing            and cabinets
Broad Customer Base




                                                                   Consumers
   Manufacturers                                             32 Million+ Covered Lives
  450+ Pharmaceutical
2,000+ Medical-Surgical
                                    Providers
                            35,000+ Physician Practices
                          10,000+ Extended Care Facilities
                                  3,100+ Hospitals
                              700+ Home Care Agencies

                                                                  Health Plans
                                                             600+ Payor Organizations
  Retail Pharmacies
   25,000+ Locations
Values and Operating Principles
Working Environment That is World-Class




                                    Shared
                                   Principles
    Performance
    Management




                                   Training
Talent Acquisition   Management/
                      Leadership
Business Metrics Drive Results
                             Financial Success
                             To achieve the best financial
                             performance in the industry




                                                             Employee Satisfaction
Customer Satisfaction                  Metric-
                                       Metric-Driven
                                        Execution            To provide an environment
To have the most satisfied
                                                             that attracts and retains
customers in the industry
                                                             outstanding talent




                             Business Process Success
                             To fulfill our commitments to
                             our customers and to
                             each other
Solid Q1 FY2004 Results
                                                 First Quarter Ended June 30
($ in millions, except EPS)

                                                  FY04      FY03
Revenues                                         $11,360   $10,126     +12%


Net Income                                        $156      $117       +33%

Diluted Earnings per Share                        $0.53     $0.39      +36%


Return on Committed Capital                      24.8%      20.5%     +430bp

Operating Cash Flow                               $43       $(198)      NM

Net Debt/Net Capital Ratio                       14.7%      20.8%


Note: Excluding sales to customers’ warehouses
Pharmaceutical Solutions Q1 Results

 U.S. revenues up 12%, warehouse sales up 48%

 All major agreements renewed plus new
 institutional business

 Canadian revenues up 27%

 Operating profit up 16%
Pharmaceutical Environment
Remains Positive
 Market growth recovering as impact of major generic
 conversions and other issues are anniversaried
 New bi-partisan bill increases visibility for Medicare
 drug benefit and creates other business opportunities
 Drug price increases continue but IMAs are increasing
 and product sourcing opportunities are normalizing
 Incentives for increased use of generics and continued
 conversions create additional profit opportunities
 Improving new drug pipeline, especially oncology
Levers to Further Expand Operating
Profit and Return on Capital

                                     Related products and
  Inventory Profit
                                       services
                                       McKesson Canada
  Branded product
                                       Nadro
    sourcing
                                       Specialty Pharmaceuticals
    Price increases
    Manufacturer collaborative         Automation
    agreements (IMAs)
                (IMAs)
                                       Repackaging

  Generic product                      Disease Management
   sourcing                            Pharmacy Outsourcing
    McKesson One Stop Program          Payor Services
    20,000 total pharmacy outlets
                                       Zee Medical
    One Stop FY03 revenues +61%
    Generic Rx GP$ and margin
    higher than that of branded Rx
Pharmaceutical Solutions
FY04 Goals
Continue to leverage cost structure and reduce expense


Continue to capitalize on generic opportunities


Continue to execute Six Sigma process improvements


Expand offering to small chains and independents


Leverage hospital market position
Medical-Surgical Solutions
Turnaround Underway

New leadership has stabilized the business


DC network consolidation has been completed and ERP
system implementation remains on schedule


Fiscal 2003- 04: begin to realize benefits of consolidation
and ERP system, improve processes and increase
McKesson brand sales
Medical-Surgical Solutions Q1 Results

  Operating profit up 19%

  Execution of operating plan remains on
  schedule

  New and effective leadership gaining momentum
Medical-Surgical Solutions
FY04 Goals

 Begin to realize benefits from DC network consolidation
 and ERP system implementation


 Introduce Six Sigma to improve processes


 Expand private label programs and sales


 Expand Closed Loop Supply strategy
Information Solutions Q1 Results

 Revenues up 4%, software revenues up 9%

 Operating profit up 12%

 Strong demand for clinical solutions

 Slower demand for services and financial and
 administrative software
Information Solutions FY04 Goals

 Continue ramp-up of clinical software installations


 Continue to invest in new product innovations


 Continue to leverage McKesson position in hospital
 market


 Introduce Six Sigma to improve processes
One McKesson Strategy

 Internal: Leverage company size and scope
 External: Leverage customer base
   Create long-term customer relationships based on
   ROI and quality improvements
   Penetrate relationship by selling McKesson’s
   comprehensive solutions
   Innovate with new offerings that address emerging
   healthcare challenges faster than the competition
One McKesson Solutions Improve
Quality and Reduce Cost
                Pharmaceutical and medical-                     Clinical, financial and
               surgical distribution to all sites              resource management
                                                              systems for hospital and
Automation for retail and                                                IDNs
  hospital pharmacies
                                                                Physician portal



  Pharmacy outsourcing
                                                                  Solution for
                                                                Medication Safety

Specialty pharmaceutical
      distribution


                                                    Together Rx card
            Services for payors, patients
                and manufacturers

            Unique Conversations with Customers At Higher Levels
Closed-Loop Care


  Resource Management                                      Connect the Physician




                           McKesson’s
                          In the Room
 Revenue Cycle                                                 Improve Nursing Efficiency




  Streamline Operations                                      Reduce Medication
                                                                  Errors

                          Manage Diagnostic Examinations
Reduce Medication Errors
Closed-Loop Medication Management




     PRESCRIBING   TRANSCRIBING   DISPENSING   ADMINIST ERING   MONIT ORING




                      Solutions at Every
  DISTRIBUTION                                                     CONSULTING

                         Point of Care
Manage Diagnostic Examinations
Closed-Loop Medical Image Management




     ORDER                 PERFORM     DIAGNOSTIC     INFORMATION
              SCHEDULING             INTERPRETATION   DISTRIBUTION
     ENTR Y                 STUDY
Improve Physician Care
Anytime, Anywhere Access
Resource Management
Closed-Loop Supply Chain Management




     PRODUCT        ORDER                  DECIS ION
                               LOGISTICS                 PAYMENT
    SELECTION/    MANAGEMENT               SUPPORT
    UTILIZATION




          DISTRIBUTION                             CONSULTING
McKesson Solutions Performance

   All 17 hospitals named to 2003 “Honor Roll of Best
   Hospitals” are McKesson customers1

   88 of 100 hospitals on “Most Wired” list are
   McKesson customers2

   21 of 25 “Most Wireless” are McKesson customers2

   22 of 25 “Most Improved” are McKesson customers2

 Sources: 1 - US News & World Report,
          2 – Hospitals and Health Networks
Goals for Delivering Sustained
Financial Performance
Industry-leading solutions and profit growth in
Pharmaceutical Solutions

Clinical leadership, continued new product innovation and
profit growth in Information Solutions

Improving profit in Medical-Surgical Solutions




Value Creation for Customers and Shareholders
	 Bear Stearns 2003 Global Healthcare Conference Presentation

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Bear Stearns 2003 Global Healthcare Conference Presentation

  • 1. Bear Stearns 2003 Global Healthcare Conference September 9, 2003
  • 2. John Hammergren Chairman and Chief Executive Officer
  • 3. Safe Harbor Clause Some of the information in this presentation may constitute forward-looking statements that are subject to various uncertainties. These uncertainties could cause actual results to differ materially from those projected or implied. The risk factors associated with those uncertainties are described in the Company’s reports and exhibits filed with the Securities and Exchange Commission.
  • 4. McKesson Corporation Mission To advance the health of the healthcare system by advancing the success of our partners Improve productivity/reduce labor Lower administrative and supply costs Improve clinical outcomes Reduce errors and inappropriate care
  • 5. Comprehensive Array of Products, Technology and Services McKesson McKesson McKesson McKesson McKesson Information Solutions Health Solutions Medical- Medical-Surgical Pharmaceutical Automation 63% of health #1 in medical #1 in primary care #1 in retail chains #1 robotic systems management and extended care and independents hospital pharmacy software and dispensing 51% of hospitals Strongly positioned in Rapid growth in services for payors with 200+ beds acute care specialty #2 in new Disease distribution hospital unit-dose Comprehensive Rapidly growing management cabinets product offering: eSupply component #1 in Canada Patient clinical, revenue Leading bedside Large Rx relationship cycle and administration repackaging services for resource scanning #1 hospital manufacturers management #1 in retail pharmacy #1 in hospital- Extensive service pharmacy outsourcing based call center offering: automation business solutions consulting, Med supply Leading generics technology and scanning provider outsourcing and cabinets
  • 6. Broad Customer Base Consumers Manufacturers 32 Million+ Covered Lives 450+ Pharmaceutical 2,000+ Medical-Surgical Providers 35,000+ Physician Practices 10,000+ Extended Care Facilities 3,100+ Hospitals 700+ Home Care Agencies Health Plans 600+ Payor Organizations Retail Pharmacies 25,000+ Locations
  • 7. Values and Operating Principles Working Environment That is World-Class Shared Principles Performance Management Training Talent Acquisition Management/ Leadership
  • 8. Business Metrics Drive Results Financial Success To achieve the best financial performance in the industry Employee Satisfaction Customer Satisfaction Metric- Metric-Driven Execution To provide an environment To have the most satisfied that attracts and retains customers in the industry outstanding talent Business Process Success To fulfill our commitments to our customers and to each other
  • 9. Solid Q1 FY2004 Results First Quarter Ended June 30 ($ in millions, except EPS) FY04 FY03 Revenues $11,360 $10,126 +12% Net Income $156 $117 +33% Diluted Earnings per Share $0.53 $0.39 +36% Return on Committed Capital 24.8% 20.5% +430bp Operating Cash Flow $43 $(198) NM Net Debt/Net Capital Ratio 14.7% 20.8% Note: Excluding sales to customers’ warehouses
  • 10. Pharmaceutical Solutions Q1 Results U.S. revenues up 12%, warehouse sales up 48% All major agreements renewed plus new institutional business Canadian revenues up 27% Operating profit up 16%
  • 11. Pharmaceutical Environment Remains Positive Market growth recovering as impact of major generic conversions and other issues are anniversaried New bi-partisan bill increases visibility for Medicare drug benefit and creates other business opportunities Drug price increases continue but IMAs are increasing and product sourcing opportunities are normalizing Incentives for increased use of generics and continued conversions create additional profit opportunities Improving new drug pipeline, especially oncology
  • 12. Levers to Further Expand Operating Profit and Return on Capital Related products and Inventory Profit services McKesson Canada Branded product Nadro sourcing Specialty Pharmaceuticals Price increases Manufacturer collaborative Automation agreements (IMAs) (IMAs) Repackaging Generic product Disease Management sourcing Pharmacy Outsourcing McKesson One Stop Program Payor Services 20,000 total pharmacy outlets Zee Medical One Stop FY03 revenues +61% Generic Rx GP$ and margin higher than that of branded Rx
  • 13. Pharmaceutical Solutions FY04 Goals Continue to leverage cost structure and reduce expense Continue to capitalize on generic opportunities Continue to execute Six Sigma process improvements Expand offering to small chains and independents Leverage hospital market position
  • 14. Medical-Surgical Solutions Turnaround Underway New leadership has stabilized the business DC network consolidation has been completed and ERP system implementation remains on schedule Fiscal 2003- 04: begin to realize benefits of consolidation and ERP system, improve processes and increase McKesson brand sales
  • 15. Medical-Surgical Solutions Q1 Results Operating profit up 19% Execution of operating plan remains on schedule New and effective leadership gaining momentum
  • 16. Medical-Surgical Solutions FY04 Goals Begin to realize benefits from DC network consolidation and ERP system implementation Introduce Six Sigma to improve processes Expand private label programs and sales Expand Closed Loop Supply strategy
  • 17. Information Solutions Q1 Results Revenues up 4%, software revenues up 9% Operating profit up 12% Strong demand for clinical solutions Slower demand for services and financial and administrative software
  • 18. Information Solutions FY04 Goals Continue ramp-up of clinical software installations Continue to invest in new product innovations Continue to leverage McKesson position in hospital market Introduce Six Sigma to improve processes
  • 19. One McKesson Strategy Internal: Leverage company size and scope External: Leverage customer base Create long-term customer relationships based on ROI and quality improvements Penetrate relationship by selling McKesson’s comprehensive solutions Innovate with new offerings that address emerging healthcare challenges faster than the competition
  • 20. One McKesson Solutions Improve Quality and Reduce Cost Pharmaceutical and medical- Clinical, financial and surgical distribution to all sites resource management systems for hospital and Automation for retail and IDNs hospital pharmacies Physician portal Pharmacy outsourcing Solution for Medication Safety Specialty pharmaceutical distribution Together Rx card Services for payors, patients and manufacturers Unique Conversations with Customers At Higher Levels
  • 21. Closed-Loop Care Resource Management Connect the Physician McKesson’s In the Room Revenue Cycle Improve Nursing Efficiency Streamline Operations Reduce Medication Errors Manage Diagnostic Examinations
  • 22. Reduce Medication Errors Closed-Loop Medication Management PRESCRIBING TRANSCRIBING DISPENSING ADMINIST ERING MONIT ORING Solutions at Every DISTRIBUTION CONSULTING Point of Care
  • 23. Manage Diagnostic Examinations Closed-Loop Medical Image Management ORDER PERFORM DIAGNOSTIC INFORMATION SCHEDULING INTERPRETATION DISTRIBUTION ENTR Y STUDY
  • 25. Resource Management Closed-Loop Supply Chain Management PRODUCT ORDER DECIS ION LOGISTICS PAYMENT SELECTION/ MANAGEMENT SUPPORT UTILIZATION DISTRIBUTION CONSULTING
  • 26. McKesson Solutions Performance All 17 hospitals named to 2003 “Honor Roll of Best Hospitals” are McKesson customers1 88 of 100 hospitals on “Most Wired” list are McKesson customers2 21 of 25 “Most Wireless” are McKesson customers2 22 of 25 “Most Improved” are McKesson customers2 Sources: 1 - US News & World Report, 2 – Hospitals and Health Networks
  • 27. Goals for Delivering Sustained Financial Performance Industry-leading solutions and profit growth in Pharmaceutical Solutions Clinical leadership, continued new product innovation and profit growth in Information Solutions Improving profit in Medical-Surgical Solutions Value Creation for Customers and Shareholders