Cardinal Health Reports First Quarter Fiscal Year 2026 Results and Raises Outlook
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Revenue increased 22% to
$64 billion -
GAAP
1
operating earnings increased 18% to
$668 million ; GAAP diluted EPS increased 11% to$1.88 -
Non-GAAP operating earnings increased 37% to
$857 million , driven by segment profit growth across all five of the company's operating segments; non-GAAP diluted EPS increased 36% to$2.55 -
raises fiscal year 2026 non-GAAP EPS guidance2 toCardinal Health $9.65 to$9.85 and fiscal year 2026 non-GAAP adjusted free cash flow outlook to$3.0 to$3.5 billion -
Cardinal Health anticipates completing the acquisition ofSolaris Health in early November
"We are pleased with our strong broad-based operational and financial performance to begin fiscal 2026," said
Q1 FY26 summary
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Q1 FY26 |
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Q1 FY25 |
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Y/Y |
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Revenue |
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22 % |
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Operating earnings |
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18 % |
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Non-GAAP operating earnings |
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37 % |
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Net earnings attributable to |
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8 % |
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Non-GAAP net earnings attributable to |
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33 % |
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Effective Tax Rate |
24.1 % |
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23.0 % |
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Non-GAAP Effective Tax Rate |
21.9 % |
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23.0 % |
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Diluted EPS attributable to |
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11 % |
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Non-GAAP diluted EPS attributable to |
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36 % |
Segment results
Pharmaceutical and Specialty Solutions segment
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Q1 FY26 |
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Q1 FY25 |
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Y/Y |
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Revenue |
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23 % |
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Segment profit |
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26 % |
First quarter revenue for the Pharmaceutical and Specialty Solutions segment increased 23% to
Pharmaceutical and Specialty Solutions segment profit increased 26% to
Global Medical Products and Distribution segment
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Q1 FY26 |
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Q1 FY25 |
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Y/Y |
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Revenue |
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2 % |
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Segment profit |
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N.M. |
First quarter revenue for the Global Medical Products and Distribution segment increased 2% to
Global Medical Products and Distribution segment profit increased by
Other3
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Q1 FY26 |
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Q1 FY25 |
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Y/Y |
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Revenue |
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38 % |
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Segment profit |
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60 % |
First quarter revenue for Other increased 38% to
Other segment profit increased 60% to
Fiscal year 2026 outlook 2
This updated guidance reflects increased expectations at the segment level:
- Pharmaceutical and Specialty Solutions segment profit growth raised to 16% to 19%, from the prior range of 11% to 13%
- Other segment profit growth raised to 29% to 31%, from the prior range of 25% to 27%
The company is also updating the following assumptions for the fiscal year:
- Interest and other expense of
~$325 million , from a prior outlook of~$275 million , reflecting financing costs for theSolaris Health acquisition - Diluted weighted average shares outstanding of ~238 million, from a prior range of 238 million to 240 million
- Capital expenditures of
$600 million to$650 million , from a prior outlook of~$600 million
Recent highlights
-
Cardinal Health's Sonexus Access and Patient Support business successfully onboarded manufacturer hub programs, representing over 30 new specialty therapies launched in Q1 at Sonexus, underpinning growth expectations of over 30% in fiscal year 2026 for the company's BioPharma Solutions business -
Cardinal Health announced the location of its new flagship Pharmaceutical and Specialty Solutions forward distribution center inIndianapolis, Indiana to support the ongoing growth of the business. This 230,000 square foot facility is expected to be fully operational by Fall 2027 and will feature the latest automation and technology advancements to deliver even greater efficiency, quality and service -
Cardinal Health announced the opening of its state-of-the-artConsumer Health Logistics Center , its centralized hub for over-the-counter medications, treatments and diagnostic solutions -
Cardinal Health unveiled its newest at-Home Solutions distribution center inFort Worth, Texas and announced that it will break ground this fiscal year on its next distribution center inSacramento, California , which is expected to be fully operational in Summer 2027 -
Cardinal Health initiated a$375 million accelerated share repurchase program in the first quarter of fiscal year 2026
Webcast
Presentation slides and a webcast replay will be available on the Investor Relations page for 12 months.
About Cardinal Health
Contacts
Media:
Investors: Matt Sims,
1GAAP refers to
2The company does not provide forward-looking guidance on a GAAP basis as certain financial information, the probable significance of which cannot be determined, is not available and cannot be reasonably estimated. See "Use of Non-GAAP Measures" following the attached schedules for additional explanation.
3Other includes the following three operating segments: Nuclear and Precision Health Solutions (NPHS), at-Home Solutions and OptiFreight Logistics, which are not significant enough individually to require reportable segment disclosure.
Cautions Concerning Forward-Looking Statements
This release contains forward-looking statements addressing expectations, prospects, estimates and other matters that are dependent upon future events or developments. These statements may be identified by words such as "expect," "anticipate," "intend," "plan," "believe," "will," "should," "could," "would," "project," "continue," "likely," and similar expressions, and include statements reflecting future results or guidance, statements of outlook and various accruals and estimates. These matters are subject to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied. These risks and uncertainties include our ability to manage uncertainties associated with the pricing of branded pharmaceuticals, including as a result of legislative or executive actions; the risk that we may fail to achieve our strategic objectives, including the continued execution of the GMPD Improvement Plan initiatives, whether as a result of tariffs on products we source or manufacture, an uncertain global economic environment, Cardinal Health Brand sales or ongoing inflationary pressures; competitive pressures in
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Schedule 1 |
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Condensed Consolidated Statements of Earnings (Unaudited) |
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First Quarter |
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(in millions, except per common share amounts) |
2026 |
|
2025 |
|
% Change |
|
Revenue |
$ 64,009 |
|
$ 52,277 |
|
22 % |
|
Cost of products sold |
61,690 |
|
50,375 |
|
22 % |
|
Gross margin |
2,319 |
|
1,902 |
|
22 % |
|
|
|
|
|
|
|
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Operating expenses: |
|
|
|
|
|
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Distribution, selling, general and administrative expenses |
1,461 |
|
1,277 |
|
14 % |
|
Restructuring and employee severance |
20 |
|
24 |
|
|
|
Amortization and other acquisition-related costs |
104 |
|
74 |
|
|
|
Acquisition-related cash and share-based compensation costs |
64 |
|
— |
|
|
|
Impairments and (gain)/loss on disposal of assets, net |
2 |
|
(1) |
|
|
|
Litigation (recoveries)/charges, net |
— |
|
(40) |
|
|
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Operating earnings |
668 |
|
568 |
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18 % |
|
|
|
|
|
|
|
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Other (income)/expense, net |
(10) |
|
(5) |
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Interest expense, net |
80 |
|
32 |
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N.M. |
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Earnings before income taxes |
598 |
|
541 |
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11 % |
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Provision for income taxes |
144 |
|
124 |
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16 % |
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Net earnings |
454 |
|
417 |
|
9 % |
|
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|
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|
|
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Less: Net earnings attributable to noncontrolling interests |
(4) |
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(1) |
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Net earnings attributable to |
$ 450 |
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$ 416 |
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8 % |
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Earnings per common share attributable to |
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Basic |
$ 1.89 |
|
$ 1.71 |
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11 % |
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Diluted |
1.88 |
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1.70 |
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11 % |
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Weighted-average number of common shares outstanding: |
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Basic |
238 |
|
243 |
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Diluted |
239 |
|
245 |
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Schedule 2 |
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Condensed Consolidated Balance Sheets |
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(in millions) |
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(Unaudited) |
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Assets |
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Current assets: |
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Cash and equivalents |
$ 4,593 |
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$ 3,874 |
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Trade receivables, net |
13,770 |
|
13,242 |
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Inventories, net |
17,559 |
|
16,831 |
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Prepaid expenses and other |
2,602 |
|
2,414 |
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Assets held for sale |
13 |
|
12 |
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Total current assets |
38,537 |
|
36,373 |
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Property and equipment, net |
2,831 |
|
2,858 |
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|
12,110 |
|
12,177 |
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Other assets |
1,750 |
|
1,714 |
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Total assets |
$ 55,228 |
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$ 53,122 |
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Liabilities and Shareholders' Deficit |
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Current liabilities: |
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Accounts payable |
$ 36,860 |
|
$ 34,713 |
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Current portion of long-term obligations and other short-term borrowings |
52 |
|
550 |
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Other accrued liabilities |
3,356 |
|
3,634 |
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Total current liabilities |
40,268 |
|
38,897 |
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|
|
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Long-term obligations, less current portion |
8,980 |
|
7,977 |
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Deferred income taxes and other liabilities |
8,711 |
|
8,882 |
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Total shareholders' deficit |
(2,731) |
|
(2,634) |
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Total liabilities and shareholders' deficit |
$ 55,228 |
|
$ 53,122 |
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Schedule 3 |
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Condensed Consolidated Statements of Cash Flows (Unaudited ) |
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First Quarter |
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(in millions) |
2026 |
|
2025 |
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Cash flows from operating activities: |
|
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|
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Net earnings |
$ 454 |
|
$ 417 |
|
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Adjustments to reconcile net earnings to net cash provided by/(used in) operating activities: |
|
|
|
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Depreciation and amortization |
233 |
|
182 |
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Impairments and loss on sale of other investments |
5 |
|
1 |
|
Impairments and (gain)/loss on disposal of assets, net |
2 |
|
(1) |
|
Share-based compensation |
93 |
|
30 |
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Provision for bad debts |
13 |
|
16 |
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Change in operating assets and liabilities, net of effects from acquisitions and divestitures: |
|
|
|
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(Increase)/decrease in trade receivables |
(539) |
|
288 |
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Increase in inventories |
(736) |
|
(678) |
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Increase/(decrease) in accounts payable |
2,147 |
|
(1,394) |
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Other accrued liabilities and operating items, net |
(699) |
|
(508) |
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Net cash provided by/(used in) operating activities |
973 |
|
(1,647) |
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Cash flows from investing activities: |
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|
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Acquisition of subsidiaries, net of cash acquired |
(41) |
|
— |
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Additions to property and equipment |
(108) |
|
(90) |
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Other investing items, net |
7 |
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2 |
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Net cash used in investing activities |
(142) |
|
(88) |
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Cash flows from financing activities: |
|
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|
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Proceeds from long-term obligations, net of issuance costs |
989 |
|
— |
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Reduction of long-term obligations |
(512) |
|
(9) |
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Purchases/(payments) of noncontrolling interests, net |
(3) |
|
— |
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Net tax withholdings from share-based compensation |
(80) |
|
(28) |
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Dividends on common shares |
(129) |
|
(128) |
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Purchase of treasury shares |
(375) |
|
(375) |
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Net cash used in financing activities |
(110) |
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(540) |
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Effect of exchange rates changes on cash and equivalents |
(2) |
|
9 |
|
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|
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Net increase/(decrease) in cash and equivalents |
719 |
|
(2,266) |
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Cash and equivalents at beginning of period |
3,874 |
|
5,133 |
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Cash and equivalents at end of period |
$ 4,593 |
|
$ 2,867 |
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Schedule 4 |
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Segment Information |
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First Quarter |
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Pharmaceutical and Specialty Solutions |
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Global Medical Products and Distribution |
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Other |
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(in millions) |
2026 |
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2025 |
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2026 |
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2025 |
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2026 |
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2025 |
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Revenue |
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Amount |
$ 59,205 |
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$ 47,990 |
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$ 3,184 |
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$ 3,123 |
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$ 1,641 |
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$ 1,186 |
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Growth rate |
23 % |
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(5) % |
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2 % |
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3 % |
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38 % |
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13 % |
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Segment profit |
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Amount |
$ 667 |
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$ 530 |
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$ 46 |
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$ 8 |
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$ 166 |
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$ 104 |
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Growth rate |
26 % |
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16 % |
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N.M. |
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N.M. |
|
60 % |
|
8 % |
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Segment profit margin |
1.13 % |
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1.10 % |
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1.44 % |
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0.26 % |
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10.12 % |
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8.77 % |
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The sum of the components and certain computations may reflect rounding adjustments. |
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Schedule 5 |
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GAAP / Non-GAAP Reconciliation1 |
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Net |
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Earnings |
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Gross |
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Operating |
Earnings |
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Attributable |
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Net |
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Diluted |
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Margin |
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SG&A2 |
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Earnings |
Before |
Provision for |
to Non- |
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Earnings3 |
Effective |
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EPS3 |
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(in millions, except per common share amounts) |
Gross |
Growth |
|
Growth |
Operating |
Growth |
Income |
Income |
Controlling |
Net |
Growth |
Tax |
Diluted |
Growth |
|
Margin |
Rate |
SG&A2 |
Rate |
Earnings |
Rate |
Taxes |
Taxes |
Interests |
Earnings3 |
Rate |
Rate |
EPS3 |
Rate |
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First Quarter 2026 |
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|
GAAP |
|
22 % |
|
14 % |
$ 668 |
18 % |
$ 598 |
$ 144 |
$ (4) |
$ 450 |
8 % |
24.1 % |
$ 1.88 |
11 % |
|
Restructuring and employee severance |
— |
|
— |
|
20 |
|
20 |
5 |
|
15 |
|
|
0.06 |
|
|
Amortization and other acquisition-related costs |
— |
|
— |
|
104 |
|
104 |
30 |
|
74 |
|
|
0.31 |
|
|
Acquisition-related cash & share-based compensation costs |
— |
|
— |
|
64 |
|
64 |
1 |
|
63 |
|
|
0.26 |
|
|
Impairments and (gain)/loss on disposal of assets, net |
— |
|
— |
|
2 |
|
2 |
1 |
|
1 |
|
|
— |
|
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Litigation (recoveries)/charges, net |
— |
|
— |
|
— |
|
— |
(8) |
|
8 |
|
|
0.03 |
|
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Non-GAAP |
|
22 % |
|
14 % |
$ 857 |
37 % |
$ 788 |
$ 173 |
$ (4) |
$ 611 |
33 % |
21.9 % |
$ 2.55 |
36 % |
|
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First Quarter 2025 |
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GAAP |
|
9 % |
|
8 % |
$ 568 |
N.M. |
$ 541 |
$ 124 |
$ (1) |
$ 416 |
N.M. |
23.0 % |
$ 1.70 |
N.M. |
|
Restructuring and employee severance |
— |
|
— |
|
24 |
|
24 |
6 |
|
18 |
|
|
0.07 |
|
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Amortization and other acquisition-related costs |
— |
|
— |
|
74 |
|
74 |
20 |
|
54 |
|
|
0.22 |
|
|
Impairments and (gain)/loss on disposal of assets, net |
— |
|
— |
|
(1) |
|
(1) |
— |
|
(1) |
|
|
— |
|
|
Litigation (recoveries)/charges, net |
— |
|
— |
|
(40) |
|
(40) |
(12) |
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(28) |
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|
(0.11) |
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Non-GAAP |
|
9 % |
|
8 % |
$ 625 |
12 % |
$ 598 |
$ 138 |
$ (1) |
$ 460 |
7 % |
23.0 % |
$ 1.88 |
9 % |
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1 For more information on these measures, refer to the Use of Non-GAAP Measures and Definitions schedules. |
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2 Distribution, selling, general and administrative expenses. |
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3 Attributable to |
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The sum of the components and certain computations may reflect rounding adjustments. |
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We generally apply varying tax rates depending on the item's nature and tax jurisdiction where it is incurred. |
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Schedule 6 |
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GAAP / Non-GAAP Reconciliation - GAAP Cash Flow to Non-GAAP Adjusted Free Cash Flow |
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First Quarter |
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(in millions) |
2026 |
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2025 |
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GAAP - Cash Flow Categories |
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|
|
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Net cash provided by/(used in) operating activities |
$ 973 |
|
$ (1,647) |
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Net cash used in investing activities |
(142) |
|
(88) |
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Net cash used in financing activities |
(110) |
|
(540) |
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Effect of exchange rates changes on cash and equivalents |
(2) |
|
9 |
|
Net increase/(decrease) in cash and equivalents |
$ 719 |
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$ (2,266) |
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Non-GAAP Adjusted Free Cash Flow |
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|
|
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Net cash provided by/(used in) operating activities |
$ 973 |
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$ (1,647) |
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Additions to property and equipment |
(108) |
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(90) |
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Payments related to matters included in litigation (recoveries)/charges, net |
404 |
|
376 |
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Non-GAAP adjusted free cash flow |
$ 1,269 |
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$ (1,361) |
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For more information on these measures, refer to the Use of Non-GAAP Measures and Definitions schedules. |
Use of Non-GAAP Measures
This earnings release contains financial measures that are not calculated in accordance with
In addition to analyzing our business based on financial information prepared in accordance with GAAP, we use these non-GAAP financial measures internally to evaluate our performance, engage in financial and operational planning, and determine incentive compensation because we believe that these measures provide additional perspective on and, in some circumstances are more closely correlated to, the performance of our underlying, ongoing business. We provide these non-GAAP financial measures to investors as supplemental metrics to assist readers in assessing the effects of items and events on our financial and operating results on a year-over-year basis and in comparing our performance to that of our competitors. However, the non-GAAP financial measures that we use may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies. The non-GAAP financial measures disclosed by us should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations to those financial statements set forth below should be carefully evaluated.
Exclusions from Non-GAAP Financial Measures
Management believes it is useful to exclude the following items from the non-GAAP measures presented in this report for its own and for investors' assessment of the business for the reasons identified below:
- LIFO charges and credits are excluded because the factors that drive last-in first-out ("LIFO") inventory charges or credits, such as pharmaceutical manufacturer price appreciation or deflation and year-end inventory levels (which can be meaningfully influenced by customer buying behavior immediately preceding our fiscal year-end), are largely out of our control and cannot be accurately predicted. The exclusion of LIFO charges and credits from non-GAAP metrics facilitates comparison of our current financial results to our historical financial results and to our peer group companies' financial results. We did not recognize any LIFO charges or credits during the periods presented.
- State opioid assessments related to prior fiscal years is the portion of state assessments for prescription opioid medications that were sold or distributed in periods prior to the period in which the expense is incurred. This portion is excluded from non-GAAP financial measures because it is retrospectively applied to sales in prior fiscal years and inclusion would obscure analysis of the current fiscal year results of our underlying, ongoing business. Additionally, while states' laws may require us to make payments on an ongoing basis, the portion of the assessment related to sales in prior periods are contemplated to be one-time, nonrecurring items. Income from state opioid assessments related to prior fiscal years represents reversals of accruals due to changes in estimates or when the underlying assessments were invalidated by a Court or reimbursed by manufacturers.
- Restructuring and employee severance costs are excluded because they are not part of the ongoing operations of our underlying business and include, but are not limited to, costs related to divestitures, closing and consolidating facilities, changing the way we manufacture or distribute our products, moving manufacturing of a product to another location, changes in production or business process outsourcing or insourcing, employee severance, and realigning operations.
- Amortization and other acquisition-related costs, which include transaction costs, integration costs, and changes in the fair value of contingent consideration obligations, are excluded because they are not part of the ongoing operations of our underlying business and to facilitate comparison of our current financial results to our historical financial results and to our peer group companies' financial results. Additionally, costs for amortization of acquisition-related intangible assets and amortization as a result of basis differences in equity method investments are non-cash amounts, which are variable in amount and frequency and are significantly impacted by the timing and size of acquisitions, so their exclusion facilitates comparison of historical, current, and forecasted financial results. We also exclude other acquisition-related costs, which are directly related to an acquisition but do not meet the criteria to be recognized on the acquired entity's initial balance sheet as part of the purchase price allocation. These costs are also significantly impacted by the timing, complexity, and size of acquisitions.
- Acquisition-related cash and share-based compensation costs are incurred in connection with contingent cash payments or the issuance of share-based payment awards, which include service requirements, as a part of certain physician practice acquisitions. These costs include fair value adjustments for liability-classified awards. These costs are excluded because they are unrelated to the underlying operating results of our business and to facilitate comparison of our current financial results to our historical financial results and to our peer group companies' financial results. In addition, the magnitude of these expenses is significantly impacted by the timing and size of the acquisitions of physician practices.
- Impairments and gain or loss on disposal of assets, net are excluded because they do not occur in or reflect the ordinary course of our ongoing business operations and are inherently unpredictable in timing and amount, and in the case of impairments, are non-cash amounts, so their exclusion facilitates comparison of historical, current, and forecasted financial results.
- Litigation recoveries or charges, net are excluded because they often relate to events that may have occurred in prior or multiple periods, do not occur in or reflect the ordinary course of our business and are inherently unpredictable in timing and amount.
The tax effect for each of the items listed above is determined using the tax rate and other tax attributes applicable to the item and the jurisdiction(s) in which the item is recorded. The gross, tax and net impact of each item are presented with our GAAP to non-GAAP reconciliations.
Non-GAAP adjusted free cash flow: We provide this non-GAAP financial measure as a supplemental metric to assist readers in assessing the effects of items and events on our cash flow on a year-over-year basis and in comparing our performance to that of our peer group companies. In calculating this non-GAAP metric, certain items are excluded from net cash provided by operating activities because they relate to significant and unusual or non-recurring events and are inherently unpredictable in timing and amount. We believe adjusted free cash flow is important to management and useful to investors as a supplemental measure as it indicates the cash flow available for working capital needs, debt repayments, dividend payments, share repurchases, strategic acquisitions, or other strategic uses of cash. A reconciliation of our GAAP financial results to Non-GAAP adjusted free cash flow is provided in Schedule 6 of the financial statement tables included with this release.
Forward Looking Non-GAAP Measures
In this document, the Company presents certain forward-looking non-GAAP metrics. The Company does not provide outlook on a GAAP basis because the items that the Company excludes from GAAP to calculate the comparable non-GAAP measure can be dependent on future events that are less capable of being controlled or reliably predicted by management and are not part of the Company's routine operating activities. Additionally, management does not forecast many of the excluded items for internal use and therefore cannot create or rely on outlook done on a GAAP basis.
The occurrence, timing and amount of any of the items excluded from GAAP to calculate non-GAAP could significantly impact the Company's fiscal 2026 GAAP results. Over the past five fiscal years, the excluded items have impacted the Company's EPS from
Definitions
Growth rate calculation: growth rates in this report are determined by dividing the difference between current-period results and prior-period results by prior-period results.
Interest and Other, net: other (income)/expense, net plus interest expense, net.
Segment Profit: segment revenue minus (segment cost of products sold and segment distribution, selling, general, and administrative expenses).
Segment Profit margin: segment profit divided by segment revenue.
Non-GAAP gross margin: gross margin, excluding LIFO charges/(credits).
Non-GAAP distribution, selling, general and administrative expenses or Non-GAAP SG&A: distribution, selling, general and administrative expenses, excluding state opioid assessment related to prior fiscal years and shareholder cooperation agreement costs.
Non-GAAP operating earnings: operating earnings excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) acquisition-related cash and share-based compensation costs, (6) impairments and (gain)/loss on disposal of assets, net, and (7) litigation (recoveries)/charges, net.
Non-GAAP earnings before income taxes: earnings before income taxes excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) acquisition-related cash and share-based compensation costs, (6) impairments and (gain)/loss on disposal of assets, net, and (7) litigation (recoveries)/charges, net.
Non-GAAP net earnings attributable to non-controlling interests: net earnings attributable to non-controlling interests excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) acquisition-related cash and share-based compensation costs, (6) impairments and (gain)/loss on disposal of assets, net, and (7) litigation (recoveries)/charges, net, each net of tax.
Non-GAAP net earnings attributable to
Non-GAAP effective tax rate: provision for income taxes adjusted for the tax impacts of (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) acquisition-related cash and share-based compensation costs, (6) impairments and (gain)/loss on disposal of assets, net, and (7) litigation (recoveries)/charges, net, divided by (earnings before income taxes adjusted for the items above).
Non-GAAP diluted earnings per share attributable to
Non-GAAP adjusted free cash flow: net cash provided by operating activities less payments related to additions to property and equipment, excluding settlement payments and receipts related to matters included in litigation (recoveries)/charges, net, as defined above, or other significant and unusual or non-recurring cash payments or receipts.
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