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Cardinal Health Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 30 October 2025: press release. Guidance figures: 6 raised, 1 lowered, 1 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 22% to $64 billion: Revenue was $64.0 billion, up 22% from $52.3 billion a year earlier. GAAP operating earnings rose 18% to $668 million and GAAP diluted EPS rose 11% to $1.88. Source
  • Non-GAAP operating earnings up 37%: Non-GAAP operating earnings were $857 million, up 37%, with segment profit growth in all five operating segments. Source
  • Non-GAAP EPS up 36% to $2.55: Non-GAAP diluted EPS was $2.55, up 36%, reflecting higher non-GAAP operating earnings, a lower share count and a lower effective tax rate. Source
  • CEO linked raise to quarter: The CEO tied the raised fiscal 2026 view to the first quarter's focused execution across segments. Source
  • Pharmaceutical segment profit up 26%: Pharmaceutical and Specialty Solutions revenue rose 23% to $59.2 billion. Segment profit rose 26% to $667 million on brand, specialty, MSO platform and generics contributions. Source
  • Adjusted free cash flow turned positive: Adjusted free cash flow was $1,269 million, against negative $1,361 million a year earlier, after operating cash flow of $973 million and capital expenditures of $108 million. Source

“This outstanding first quarter reflects our focused execution across each of our operating segments and provides a solid foundation as we carry forward.”

Jason Hollar, CEO of Cardinal Health

Guidance

AreaPeriodFigureAgainst last quarter
Non-GAAP diluted EPS attributable to Cardinal Health, Inc. Sourcefiscal 2026$9.65 to $9.85Raised from $9.30 to $9.50
Non-GAAP adjusted free cash flow Sourcefiscal 2026$3.0 billion to $3.5 billionRaised from $2.75 billion to $3.25 billion
Pharmaceutical and Specialty Solutions segment profit growth Sourcefiscal 202616% to 19%Raised from 11% to 13%
Other segment profit growth Sourcefiscal 202629% to 31%Raised from 25% to 27%
Interest and other expense Sourcefiscal 2026~$325 millionRaised from ~$275 million
Diluted weighted average shares outstanding Sourcefiscal 2026~238 millionLowered from 238 million to 240 million
Capital expenditures Sourcefiscal 2026$600 million to $650 millionRaised from ~$600 million
BioPharma Solutions business growth Sourcefiscal 2026over 30%New

What changed from last quarter

  • Guidance raised: Non-GAAP diluted EPS guidance raised from $9.30 to $9.50 to $9.65 to $9.85. Source
  • Guidance raised: Adjusted free cash flow guidance raised from $2.75 billion to $3.25 billion to $3.0 billion to $3.5 billion. Source
  • Guidance raised: Pharmaceutical and Specialty Solutions segment profit growth raised from 11% to 13% to 16% to 19%. Source
  • Guidance raised: Other segment profit growth raised from 25% to 27% to 29% to 31%. Source

Results and growth drivers

  • Revenue rose 22% to $64 billion: Revenue was $64.0 billion, up 22% from $52.3 billion a year earlier. GAAP operating earnings rose 18% to $668 million and GAAP diluted EPS rose 11% to $1.88. Source
  • Non-GAAP operating earnings up 37%: Non-GAAP operating earnings were $857 million, up 37%, with segment profit growth in all five operating segments. Source
  • Non-GAAP EPS up 36% to $2.55: Non-GAAP diluted EPS was $2.55, up 36%, reflecting higher non-GAAP operating earnings, a lower share count and a lower effective tax rate. Source
  • CEO linked raise to quarter: The CEO tied the raised fiscal 2026 view to the first quarter's focused execution across segments. Source

Segments and regions

  • Pharmaceutical segment profit up 26%: Pharmaceutical and Specialty Solutions revenue rose 23% to $59.2 billion. Segment profit rose 26% to $667 million on brand, specialty, MSO platform and generics contributions. Source
  • Global Medical profit more than quintupled: Global Medical Products and Distribution segment profit was $46 million, against $8 million a year earlier, on growth from existing customers. Source
  • Other revenue up 38%: Other revenue rose 38% to $1.6 billion and segment profit rose 60% to $166 million, led by at-Home Solutions, OptiFreight Logistics and Nuclear and Precision Health Solutions. Source

“As a result, we are raising our fiscal 2026 outlook.”

Jason Hollar, CEO of Cardinal Health

Demand and customer growth

  • Brand and specialty sales grew broadly: Pharmaceutical revenue growth came from brand and specialty sales to both existing and new customers. Source
  • Sonexus onboarded specialty hub programs: Sonexus onboarded manufacturer hub programs representing over 30 new specialty therapies launched in the first quarter. Source
  • Medical volume growth from customers: Global Medical Products and Distribution revenue rose 2% to $3.2 billion on volume growth from existing customers. Source

Costs, margins and tax

  • Gross margin rose 22%: Gross margin was $2,319 million, up 22%, on revenue of $64,009 million. Source
  • Operating expenses rose 14%: Distribution, selling, general and administrative expenses rose 14% to $1,461 million. Source
  • Acquisition costs excluded from non-GAAP: Amortization and other acquisition-related costs were $104 million and acquisition-related cash and share-based compensation costs were $64 million, excluded from non-GAAP results. Source
  • Tax rate lower on non-GAAP basis: Effective tax rate was 24.1% on a GAAP basis and 21.9% non-GAAP, against 23.0% for both a year earlier. Source

Capital, cash and returns to shareholders

  • Adjusted free cash flow turned positive: Adjusted free cash flow was $1,269 million, against negative $1,361 million a year earlier, after operating cash flow of $973 million and capital expenditures of $108 million. Source
  • $375 million accelerated buyback started: A $375 million accelerated share repurchase program started in the first quarter. Source
  • Long-term borrowing added in quarter: The company recorded $989 million of proceeds from long-term obligations and repaid $512 million; long-term obligations rose to $8,980 million. Source
  • Dividends and buybacks in cash flow: Dividends were $129 million and treasury share purchases were $375 million, against $128 million and $375 million a year earlier. Source

Facilities and strategy

  • Flagship distribution center sited: A flagship Pharmaceutical and Specialty Solutions forward distribution center, 230,000 square feet, was located in Indianapolis, Indiana. Source
  • Consumer health logistics hub opened: A centralized hub for over-the-counter medications, treatments and diagnostic solutions, the Consumer Health Logistics Center, opened. Source
  • New at-Home distribution center in Texas: An at-Home Solutions distribution center in Fort Worth, Texas was unveiled, and groundbreaking on a Sacramento, California center is planned this fiscal year. Source

Coming up, as management said on 30 October 2025

  • Solaris Health acquisition closing: Completion of the Solaris Health acquisition is expected in early November. Source
  • Indianapolis center fully operational: The Indianapolis forward distribution center is expected to be fully operational by Fall 2027. Source
  • Sacramento center groundbreaking and opening: Groundbreaking on the Sacramento distribution center is planned this fiscal year, with full operation expected in Summer 2027. Source

Figures management reported

FigureReported
Specialty therapies launched in Q1 through Sonexus manufacturer hub programs Sourceover 30

Risks management discussed

  • Financial: Interest and other expense rose on financing costs tied to announced acquisitions, partly offsetting the increase in non-GAAP operating earnings. Source

Earlier plans management reported on

  • Not stated: The prior quarter release described the definitive agreement to acquire Solaris Health, a urology MSO with over 750 providers.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.