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Cardinal Health (CAH)
NYSE:CAH
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Cardinal Health (CAH) AI Stock Analysis

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CAH

Cardinal Health

(NYSE:CAH)

Rating:59Neutral
Price Target:
$155.00
▲(3.64% Upside)
Cardinal Health's overall stock score reflects a mix of strong revenue growth and strategic initiatives, balanced by significant financial challenges and a bearish technical outlook. The company's proactive approach to acquisitions and capital management is promising, but high leverage and valuation concerns weigh on the score.
Positive Factors
Operational Guidance
The company raised FY26 operational guidance just two months after the investor day, another sign of enterprise strength.
Pharma Growth
Cardinal's underlying Pharma business continues to perform well, with FY4Q'25 EBIT coming in ahead of the midpoint of guidance when adjusting for one-off expenses and still growing 13% in the quarter.
Negative Factors
Pharma Segment Miss
Concerns around the F4Q Pharma segment miss pressured the stock due to potential implications for future Pharma growth.
Unexpected Costs
Unexpected individually immaterial costs arose into FYE, weighing on segment AOI growth that otherwise would have been above the midpoint of previous guidance.

Cardinal Health (CAH) vs. SPDR S&P 500 ETF (SPY)

Cardinal Health Business Overview & Revenue Model

Company DescriptionCardinal Health (CAH) is a global, integrated healthcare services and products company, specializing in the distribution of pharmaceuticals and medical products. Operating primarily in two segments, Pharmaceutical and Medical, Cardinal Health provides a wide range of services to healthcare providers, including hospitals, pharmacies, and other facilities. The company is known for its supply chain management services, as well as its manufacturing and distribution of medical and surgical products, including gloves, surgical kits, and other essential medical supplies.
How the Company Makes MoneyCardinal Health generates revenue primarily through two key segments: Pharmaceutical and Medical. In the Pharmaceutical segment, the company earns money by distributing branded and generic pharmaceuticals, as well as providing related services such as inventory management and pharmacy solutions to healthcare providers. The Medical segment generates revenue through the sale of medical products, surgical supplies, and equipment to hospitals and healthcare facilities. Additionally, Cardinal Health benefits from long-term contracts with various healthcare providers, which ensure a steady stream of income. Strategic partnerships with manufacturers and leveraging technology for supply chain efficiencies also contribute to its earnings. The company's ability to negotiate favorable pricing with suppliers and manage logistics effectively enhances its profitability.

Cardinal Health Key Performance Indicators (KPIs)

Any
Any
Profit by Segment
Profit by Segment
Shows profitability across different business units, highlighting which areas drive earnings and where there might be challenges or opportunities for growth.
Chart InsightsCardinal Health's Pharmaceutical segment shows robust growth, with a notable profit increase driven by brand and specialty pharmaceutical sales, aligning with a 14% segment profit rise reported in the latest earnings call. The Medical segment, however, continues to face volatility, with recent profits recovering from previous lows but still under pressure. The company's strategic acquisitions and customer onboarding are expected to bolster future performance, although challenges in the GMPD segment due to tariffs may pose risks. Overall, the company anticipates sustainable long-term growth, supported by strong cash flow and strategic initiatives.
Data provided by:Main Street Data

Cardinal Health Earnings Call Summary

Earnings Call Date:Aug 12, 2025
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Oct 31, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong financial performance, strategic acquisitions, and growth in several business segments. However, it also acknowledged challenges with SG&A expenses and tariff impacts. Overall, the positives slightly outweigh the negatives.
Q4-2025 Updates
Positive Updates
Strong Operating Earnings Growth
At the enterprise level, operating earnings grew 19% in Q4 and 15% for the year. EPS increased by 13% in Q4 and over 9% for the year.
Pharmaceutical Segment Expansion
Excluding customer contract expiration, Pharma segment revenue increased by 22% in Q4, driven by brand and specialty pharmaceutical sales growth.
Acquisition of Solaris Health
Announced acquisition of Solaris Health, enhancing the Specialty Alliances multi-specialty MSO platform and expanding the urology alliance physician network.
Growth in OptiFreight Logistics
OptiFreight Logistics continued to grow, driven by strategic logistics support to customers and technology-driven platform enhancements.
Positive Free Cash Flow
Delivered $2.5 billion in adjusted free cash flow, $500 million ahead of expectations.
Negative Updates
SG&A Expenses Increase
SG&A expenses increased by 16% in Q4, driven by recent acquisitions and investments in technology and R&D.
Challenges Due to Tariffs
GMPD segment faced $50 million to $75 million headwind due to tariffs, with ongoing efforts to mitigate these impacts.
Impact of Customer Contract Expiration
Total company revenue was flat at $60.2 billion in Q4, primarily due to a significant customer contract expiration.
Company Guidance
During the fourth quarter of fiscal year 2025, Cardinal Health showcased strong financial performance, with operating earnings growing 19% for the quarter and 15% for the year. The company achieved an EPS growth of 13% in the quarter and over 9% for the year, with a notable adjusted free cash flow of $2.5 billion, surpassing expectations by $500 million. Cardinal Health also invested $550 million in capital expenditures and returned nearly $500 million to shareholders through dividends, while repurchasing $750 million in shares. The Pharmaceutical and Specialty Solutions segment saw robust demand, contributing to a 21% increase in enterprise-level revenue when adjusted for contract expirations. The GMPD segment delivered $70 million in profit for the quarter, with significant progress in cost containment and supply chain optimization. Looking ahead to fiscal 2026, Cardinal Health has increased its EPS guidance to a range of $9.30 to $9.50, reflecting anticipated growth of 13% to 15%, driven by strategic investments and acquisitions, such as Solaris Health, which is expected to enhance the company's multi-specialty MSO platform and expand its specialty solutions.

Cardinal Health Financial Statement Overview

Summary
Cardinal Health shows strong revenue growth and improving operational margins, but faces significant challenges with its balance sheet due to high leverage and negative equity. Cash flow management needs attention, as declining free cash flow could impact liquidity. Strategic initiatives to strengthen the balance sheet and enhance cash flow generation are crucial for long-term financial health.
Income Statement
75
Positive
Cardinal Health has demonstrated strong revenue growth with a 13.1% increase in the latest year, reflecting robust demand in the medical distribution sector. The gross profit margin has improved slightly to 3.67%, indicating better cost management. However, the net profit margin remains low at 0.70%, suggesting challenges in translating revenue growth into net income. The EBIT and EBITDA margins have shown improvement, but remain modest, highlighting potential areas for operational efficiency gains.
Balance Sheet
45
Neutral
The balance sheet reveals a concerning negative stockholders' equity, resulting in a high debt-to-equity ratio of -3.07. This indicates significant leverage and potential financial risk. The return on equity is negative, reflecting the challenges in generating returns for shareholders. The equity ratio is also negative, suggesting a weak capital structure. These factors highlight the need for strategic financial restructuring to improve stability.
Cash Flow
60
Neutral
Operating cash flow remains positive, but the free cash flow has declined by 24.1%, indicating potential cash management issues. The operating cash flow to net income ratio is low at 0.06, suggesting limited cash generation relative to net income. The free cash flow to net income ratio is healthier at 0.77, but the decline in free cash flow growth raises concerns about future liquidity.
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue222.58B222.58B226.83B204.98B181.33B162.47B
Gross Profit8.17B8.17B7.41B6.89B6.48B6.78B
EBITDA3.11B3.11B1.96B1.44B55.00M1.29B
Net Income1.56B1.56B852.00M330.00M-938.00M611.00M
Balance Sheet
Total Assets53.12B53.12B45.12B43.35B43.88B44.45B
Cash, Cash Equivalents and Short-Term Investments3.87B3.87B5.13B4.08B4.72B3.41B
Total Debt8.53B8.53B5.09B4.70B5.32B6.24B
Total Liabilities55.76B55.76B48.33B46.31B44.58B42.66B
Stockholders Equity-2.78B-2.78B-3.21B-2.96B-709.00M1.79B
Cash Flow
Free Cash Flow1.85B1.85B3.25B2.36B2.73B2.03B
Operating Cash Flow2.40B2.40B3.76B2.84B3.12B2.43B
Investing Cash Flow-5.61B-5.61B-1.85B-454.00M567.00M-378.00M
Financing Cash Flow1.95B1.95B-847.00M-3.05B-2.46B-1.32B

Cardinal Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price149.56
Price Trends
50DMA
156.24
Negative
100DMA
153.06
Negative
200DMA
138.81
Positive
Market Momentum
MACD
-1.75
Negative
RSI
44.85
Neutral
STOCH
58.54
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CAH, the sentiment is Negative. The current price of 149.56 is below the 20-day moving average (MA) of 150.04, below the 50-day MA of 156.24, and above the 200-day MA of 138.81, indicating a neutral trend. The MACD of -1.75 indicates Negative momentum. The RSI at 44.85 is Neutral, neither overbought nor oversold. The STOCH value of 58.54 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CAH.

Cardinal Health Risk Analysis

Cardinal Health disclosed 19 risk factors in its most recent earnings report. Cardinal Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cardinal Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$8.22B21.8011.18%2.29%14.98%
66
Neutral
$86.01B27.5751.23%0.43%20.35%11.96%
65
Neutral
$3.29B15.6612.05%0.63%4.23%
60
Neutral
$57.16B30.33130.60%0.75%11.56%5.31%
59
Neutral
$35.66B23.34-43.80%1.36%-1.94%85.70%
51
Neutral
$7.92B-0.43-41.69%2.21%22.29%-1.85%
43
Neutral
$417.12M-144.11%-17.10%-2720.40%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CAH
Cardinal Health
149.56
39.52
35.91%
COR
Cencora
292.50
59.47
25.52%
HSIC
Henry Schein
69.43
0.62
0.90%
MCK
McKesson
687.40
185.46
36.95%
OMI
Owens & Minor
5.62
-9.87
-63.72%
PBH
Prestige Consumer Healthcare
65.05
-9.29
-12.50%

Cardinal Health Corporate Events

Private Placements and FinancingM&A Transactions
Cardinal Health Completes $1 Billion Notes Offering
Neutral
Aug 27, 2025

On August 27, 2025, Cardinal Health completed a public offering of $1 billion in notes, with proceeds intended to fund part of its proposed acquisition of Solaris Health. If the acquisition is not completed by August 12, 2026, or if Cardinal Health decides not to pursue it, the company will be required to redeem the notes at a premium.

Private Placements and FinancingBusiness Operations and Strategy
Cardinal Health Secures $1 Billion in Notes Sale
Positive
Aug 14, 2025

On August 13, 2025, Cardinal Health entered into an underwriting agreement with major financial institutions for the sale of $1 billion in notes, consisting of $600 million in 4.500% Notes due 2030 and $400 million in 5.150% Notes due 2035. This financial maneuver is part of Cardinal Health’s strategy to optimize its capital structure, potentially impacting its market positioning and offering implications for investors and stakeholders in terms of financial stability and growth prospects.

M&A TransactionsBusiness Operations and StrategyFinancial Disclosures
Cardinal Health Reports Q4 2025 Financial Results
Positive
Aug 12, 2025

On August 12, 2025, Cardinal Health announced its fourth quarter and fiscal year 2025 financial results, reporting a relatively flat revenue of $60.2 billion for the fourth quarter. However, excluding the impact of a contract expiration, revenue increased by 21%. The company also reported a significant increase in non-GAAP operating earnings and EPS, driven by strong performance across its segments. Additionally, Cardinal Health raised its fiscal year 2026 non-GAAP EPS guidance and announced the acquisition of Solaris Health, a leading urology management services organization, indicating strategic growth and expansion in its specialty solutions segment.

Stock BuybackBusiness Operations and StrategyFinancial Disclosures
Cardinal Health Updates FY25 Outlook and FY26 Guidance
Positive
Jun 12, 2025

On June 12, 2025, Cardinal Health announced updates to its fiscal year 2025 outlook and preliminary guidance for 2026, highlighting strategic initiatives and financial targets at its Investor Day. The company raised its non-GAAP diluted EPS guidance for FY25 and set preliminary FY26 guidance, emphasizing growth in Pharmaceutical and Specialty Solutions and other segments. Cardinal Health is investing in its Specialty Alliance MSO platform and expanding its Biopharma Solutions, while also enhancing its pharmaceutical distribution network with new facilities and technologies. The company aims to achieve sustainable long-term growth and value creation, with expectations of significant cash flow and share repurchases.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 23, 2025