Healthcare / Pharmaceuticals

Cencora sustainability score: 33/100

33/100
Below expectations
Joint 20th of 21 in Healthcare / Pharmaceuticals

Better than 0% of Healthcare / Pharmaceuticals

Making progress starts at 46. The highest score on SINK is 71.

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About Cencora

Cencora, formerly AmerisourceBergen, is a pharmaceutical distributor and services company headquartered in Conshohocken, Pennsylvania, supplying medicines and healthcare products to pharmacies, hospitals and clinics. Incorporated in Delaware in 2001, it had about 51,000 employees and $321.3 billion in FY2025 revenue.

Founded 2001Head office Conshohocken, Pennsylvania, United StatesStaff ~51,000 (FY2025)Revenue $321,333M revenue (FY2025)Website ↗

Read Cencora's own report ↗

Our verdict

Cencora's Scope 1 emissions are up 28% on its FY2019 base and its combined Scope 1 and 2 are slightly above it, while its stated Scope 3 grew to 46.1 Mt in FY2025. Renewable electricity is about 20%, it publishes no biodiversity assessment, and 67% of its waste is diverted. It has an SBTi-validated absolute target for FY2032 but has made no net progress, and its UK subsidiary moved its net-zero date from 2030 to 2040.

Cencora scores 33/100 (Below expectations) on SINK's independent climate assessment, scored from public data only. Scores are free. Nobody can pay to change a score, speed it up or hide it. Last verified October 2026.

That places Cencora joint 629th of 1,023 companies scored, and joint 20th of 21 in Healthcare / Pharmaceuticals.

The ten questions

What is Cencora doing well, and where does it fall short?

Strongest on Carbon Footprint: Operations and Carbon Footprint: Supply Chain (8/10, 7/10). Weakest on Emissions Trajectory and Nature & Biodiversity Impact (1/10, 2/10).

What's missing

Where Cencora lost points

For each question that lost points, the evidence our public rubric looks for that we didn't find.

What would raise this score

  • Whether its emissions are fallingShow its emissions are falling.
  • Its effect on natureAssess its effect on nature and publish a basic environmental policy.
  • Its effect on waterMonitor its water use and take measures to reduce it.

Every question that lost points

  • Emissions from its own operations8/10No verified figures published with their method and a falling trend.
  • Emissions from its supply chain7/10No full value-chain map or supplier engagement programme.
  • Whether its emissions are falling1/10No evidence its emissions are falling.
  • How clean its energy is4/10Less than half its energy shown to be renewable, or no transition plan.
  • Its effect on nature2/10No assessment of its effect on nature, and no basic environmental policy.
  • How it uses materials and handles waste5/10No measurable waste or recycling targets reported publicly.
  • Its effect on water3/10No monitoring of water use, or no measures to reduce it.
  • Its climate targets6/10No validated long-term net zero target.
  • How openly it reports6/10No annual impact report, or no pay linked to climate targets.
  • Its record on controversies6/10Points deducted for controversies or its business model. The finding is under question 10.

A score changes when the evidence does. We use new published evidence at the next rescore. Anyone can send us new evidence, free. How to send it.

The calculation

How is Cencora's SINK score calculated?

Same ten questions for every company. No private weighting.

SINK = (0.3 × Base + 0.7 × Performance) × Scale
Industry base impact
Healthcare / Pharmaceuticals sector ceiling.
45 / 100
Performance score
Sum of the ten questions, each scored 0 to 10.
48 / 100
Raw score
Weighted average before scale penalty.
(0.3 × 45) + (0.7 × 48) = 47.1
Scale penalty
Multiplier based on total emissions. Bigger polluters lose more.
× 0.7
Final score
Rounded. Below expectations.
33 / 100
Where the evidence comes from

What evidence is Cencora's score based on?

11 sources used in this assessment. All publicly available. Each row shows which of the ten questions it informed.

45% of them were published by Cencora itself; the rest come from independent sources.

[1]Self-reported
FY2025 Annual Corporate Responsibility Report

“Our Scope 1 emissions for fiscal 2025 were 189,955 MT CO2e.”

2025
Q1Q2Q3Q4Q5Q6Q7Q8
View →
[2]Self-reported
Alliance Healthcare Limited Carbon Reduction Plan

“Scope 1 and Scope 2 emissions have been reported in accordance with SECR requirements”

Ongoing
Q1Q4Q8
View →
[3]Third-party verified
SBTi Corporate Database (companies-excel.xlsx)

“AmerisourceBergen also commits that 82% of its suppliers by spend, covering purchased goods and services, will have science-based targets by FY2027.”

Ongoing
Q2Q8
View →
[4]SEC filing
SEC Form 10-K FY2025

“Revenue $ 321,332,819 $ 293,958,599 $ 262,173,411”

2025
Q3Q9
View →
[5]Self-reported
FY24 ESG Reporting Index

“Our total Scope 3 emissions for FY24 were 40,504,084 MT CO2e.”

2024
Q3Q6Q7
View →
[6]Self-reported
World Courier Stuttgart Facility Sustainability Insights

“Solar photovoltaic systems help power operations, reducing our carbon footprint while ensuring operational resilience.”

Unknown
Q4
View →
[7]Independent source
Health Care Without Harm: HHS Health Sector Climate Pledge

“Cencora, Chiesi Group”

Ongoing
Q8
View →
[8]SEC filing
2026 Proxy Statement (DEF 14A)

“Oversees the Company's sustainability, corporate responsibility and inclusion strategy, and the Company's related reporting and disclosure practices.”

2026
Q9
View →
[9]Self-reported
2026 Policy Statement on Political Engagement

“Business Roundtable $157,500”

2026
Q10
View →
[10]Independent source
Business Roundtable Members List

“Bob Mauch is the President and Chief Executive Officer of Cencora, Inc.”

Ongoing
Q10
View →
[11]
inquirer.com

“has increased its annual revenue to $262 billion from $80 billion”

Q3
View →

If you believe a source has been misread or a newer version exists, submit a challenge.

For Cencora

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    Cencora: SINK sustainability score 33.

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Cencora in context

How does Cencora compare with other healthcare / pharmaceuticals companies?

Cencora is tied at the bottom of the healthcare / pharmaceuticals pack.

Among the 21 major healthcare / pharmaceuticals brands we've scored, Cencora is tied =20th of 21, with 1 other.

=20/21
Cencora's rank
43
Industry average
33
Industry low
53
Industry high
See all 21 in Healthcare / Pharmaceuticals →
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