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Cardinal Health Inc.: Q1 FY2027 earnings call

What management said about Q1 FY2027, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 5 raised, 2 lowered. The quarter’s numbers.

Key takeaways

  • Revenue and operating earnings grew: Revenue rose 5% to $67.5 billion. GAAP operating earnings rose 13% to $753 million, from $668 million a year earlier. Source
  • Non-GAAP EPS rose 28%: Non-GAAP diluted EPS rose 28% to $3.26. The company attributes the increase to higher non-GAAP operating earnings, a lower share count and a lower effective tax rate. Source
  • Pharma revenue and profit grew: Pharmaceutical and Specialty Solutions revenue rose 6% to $62.6 billion. Segment profit rose 17% to $783 million, driven by brand and specialty products and generics program performance. Source
  • Global Medical Products profit fell: Global Medical Products and Distribution revenue was approximately flat at $3.2 billion. Segment profit fell 28% to $33 million, with Cardinal Health Brand growth partly offsetting lower distribution. Source
  • CVS renewal letter of intent: The company entered a binding letter of intent to renew its CVS Health pharmaceutical distribution agreements. Management said this enables continued volume growth in the Pharmaceutical and Specialty Solutions segment. Source
  • Operating cash flow rose: Net cash from operating activities was $1.4 billion, against $973 million. Non-GAAP adjusted free cash flow was $1.6 billion, against $1.3 billion. Source

“Our results reflect a strong start to fiscal 2027 and demonstrate consistent execution against our strategic priorities,”

Jason Hollar, CEO of Cardinal Health

Guidance

AreaPeriodFigureAgainst last quarter
Non-GAAP diluted EPS Sourcefiscal year 2027$12.80 to $13.00Raised from $12.40 to $12.60
Non-GAAP EPS growth, ex-tariff FY26 baseline Sourcefiscal year 202717% to 19%Raised from 13% to 15%
Non-GAAP EPS growth, reported FY26 base Sourcefiscal year 202714% to 15%
Pharmaceutical and Specialty Solutions segment profit growth Sourcefiscal year 202710% to 12%Raised from 8% to 11%
Other segment profit growth Sourcefiscal year 202717% to 20%Raised from 15% to 18%
Other segment revenue growth Sourcefiscal year 202712% to 14%Raised from 11% to 13%
Non-GAAP effective tax rate Sourcefiscal year 202718.5% to 19.5%Lowered from 19.0% to 20.0%
Diluted weighted average shares outstanding Sourcefiscal year 2027231 million to 232 millionLowered from approximately 233 million

What changed from last quarter

  • Guidance raised: Fiscal 2027 non-GAAP diluted EPS guidance raised to $12.80 to $13.00 from $12.40 to $12.60. Source
  • Guidance raised: Segment growth ranges raised: Pharmaceutical and Specialty Solutions profit, Other profit and Other revenue. Source
  • Guidance lowered: Non-GAAP effective tax rate assumption lowered to 18.5% to 19.5% from 19.0% to 20.0%. Source
  • Guidance lowered: Diluted weighted average share count assumption lowered to 231 million to 232 million from approximately 233 million. Source
  • New: Binding letter of intent to renew pharmaceutical distribution agreements with CVS Health. Source
  • New: Launch of INSIGHT-IBD real-world evidence study with Eli Lilly. Source
  • New: Announcement of an additional $1.0 billion in uncommitted revolving credit facilities. Source
  • New: Sale of the Outcomes business completed in the quarter, with a gain recognized. Source

Results and growth drivers

  • Revenue and operating earnings grew: Revenue rose 5% to $67.5 billion. GAAP operating earnings rose 13% to $753 million, from $668 million a year earlier. Source
  • Non-GAAP EPS rose 28%: Non-GAAP diluted EPS rose 28% to $3.26. The company attributes the increase to higher non-GAAP operating earnings, a lower share count and a lower effective tax rate. Source
  • GAAP diluted EPS rose 27%: GAAP diluted EPS rose 27% to $2.38. Net earnings attributable to Cardinal Health rose 23% to $554 million. Source
  • Non-GAAP operating earnings rose 17%: Non-GAAP operating earnings rose 17% to $1.0 billion, from $857 million. Non-GAAP net earnings attributable to Cardinal Health rose 24% to $759 million. Source

Segment results

  • Pharma revenue and profit grew: Pharmaceutical and Specialty Solutions revenue rose 6% to $62.6 billion. Segment profit rose 17% to $783 million, driven by brand and specialty products and generics program performance. Source
  • Global Medical Products profit fell: Global Medical Products and Distribution revenue was approximately flat at $3.2 billion. Segment profit fell 28% to $33 million, with Cardinal Health Brand growth partly offsetting lower distribution. Source
  • Other segments grew: Other revenue rose 7% to $1.8 billion and Other profit rose 16% to $193 million. Growth was across Nuclear and Precision Health Solutions, at-Home Solutions and OptiFreight Logistics. Source

“We continue to benefit from focused investments, disciplined operations and the strength of our diversified portfolio.”

Jason Hollar, CEO of Cardinal Health

Costs, tax and margins

  • Gross margin rose 12%: Gross margin rose 12% to $2.6 billion. Distribution, selling, general and administrative expenses rose 9% to $1.6 billion. Source
  • Amortization and acquisition costs rose: Amortization and other acquisition-related costs were $182 million, up from $104 million. Acquisition-related cash and share-based compensation costs were $94 million, up from $64 million. Source
  • Effective tax rate fell: GAAP effective tax rate was 19.2%, against 24.1% a year earlier. Non-GAAP effective tax rate was 18.5%, against 21.9%. Source
  • Litigation recoveries of $47 million: The company recorded $47 million of net litigation recoveries in the quarter. The company excludes this item from non-GAAP results. Source

Customers and contracts

  • CVS renewal letter of intent: The company entered a binding letter of intent to renew its CVS Health pharmaceutical distribution agreements. Management said this enables continued volume growth in the Pharmaceutical and Specialty Solutions segment. Source
  • Growth came from existing customers: Pharmaceutical and Specialty Solutions revenue growth came from sales growth from existing customers, according to the release. Source

“Given this quarter's strong performance and our updated expectations for the remainder of the year, we are raising our fiscal 2027 non-GAAP EPS outlook.”

Jason Hollar, CEO of Cardinal Health

Cash and capital returns

  • Operating cash flow rose: Net cash from operating activities was $1.4 billion, against $973 million. Non-GAAP adjusted free cash flow was $1.6 billion, against $1.3 billion. Source
  • $500 million buyback completed: The company completed its $500 million share repurchase program in the first quarter. Purchases of treasury shares in the prior-year quarter were $375 million. Source
  • Dividends and share count: Dividends on common shares were $126 million, against $129 million. Diluted weighted-average shares were 233 million, against 239 million. Source
  • Revolving credit capacity added: The company announced an additional $1.0 billion in uncommitted revolving credit facilities. Source
  • Inventory and payables drove cash: Operating cash flow included a $1.2 billion increase in inventories and a $2.7 billion increase in accounts payable. Source

Strategy and investment

  • Outcomes sale completed, gain booked: The company recognized a gain on completing the sale of the Outcomes business in the quarter. Source
  • AdaptHealth Diabetes deal anticipated: Cardinal Health anticipates completing the AdaptHealth Diabetes Health acquisition in the third quarter of fiscal 2027. Source
  • INSIGHT-IBD study launched: The company launched INSIGHT-IBD, a real-world evidence study with Eli Lilly on treatment patterns and outcomes for IBD patients in routine practice. Source
  • Acquisitions and capex increased: Acquisitions of subsidiaries used $149 million, against $41 million. Additions to property and equipment were $157 million, against $108 million. Source

Coming up, as management said on 5 November 2026

  • AdaptHealth Diabetes deal closing: Management expects to complete the AdaptHealth Diabetes Health acquisition in the third quarter of fiscal 2027. Source
  • CVS renewal still at letter stage: The documents describe a binding letter of intent to renew the CVS agreements. No closing date for the renewal is given. Source

Risks management discussed

  • Operational: Global Medical Products and Distribution segment profit was reduced by distribution and foreign exchange impacts, with lower distribution revenue noted. Source

Earlier plans management reported on

  • Met: Management said the company completed the $500 million share repurchase program in the first quarter of fiscal 2027. Source
  • Not stated: Management anticipates completing the acquisition in the third quarter of fiscal 2027. No status beyond the anticipated timing is given. Source

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.