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CAH FY2026 Q3 IMPROVING

Cardinal Health, Inc. earnings call

Apr 30, 2026 · 08:30 ET Aaron AultJason HollerMatt Sims
Buzzberg read

Raised fiscal 2026 EPS guidance to $10.70-$10.80, up 30-31%

Cardinal Health reported strong Q3 results, raised full-year EPS and FCF guidance, and highlighted robust pharma demand, particularly in specialty. Management provided a positive outlook for fiscal 2027, citing the durability of its business model and a strong pipeline of growth opportunities, while managing through tariff and IRA-related headwinds. Total revenue grew 11% to $61B, with pharma profit up 18%, driven by strong demand and specialty growth >20%.

Buzzberg read Raised fiscal 2026 EPS guidance to $10.70-$10.80, up 30-31% Cardinal Health reported strong Q3 results, raised full-year EPS and FCF guidance, and highlighted robust pharma demand, particularly in specialty. Management provided a positive outlook for fiscal 2027, citing the durability of its business model and a strong pipeline of growth opportunities, while managing through tariff and IRA-related headwinds. Total revenue grew 11% to $61B, with pharma profit up 18%, driven by strong demand and specialty growth >20%. Read full analysisCollapse analysis

Cardinal Health reported strong Q3 results, raised full-year EPS and FCF guidance, and highlighted robust pharma demand, particularly in specialty. Management provided a positive outlook for fiscal 2027, citing the durability of its business model and a strong pipeline of growth opportunities, while managing through tariff and IRA-related headwinds. Total revenue grew 11% to $61B, with pharma profit up 18%, driven by strong demand and specialty growth >20%.

  • raised full-year FY2026 non-GAAP EPS guidance to $10.70-$10.80 (from prior outlook) and adjusted FCF to $3.3B-$3.7B.
  • Confirmed the start of Solaris distribution volume onboarding in Q4, a positive for future growth.
  • Addressed a $184M non-cash goodwill impairment on NovaSTAT, attributing it to a strategic pivot towards the equity-based MSO model.
Revenue $60.94B -7% QoQ
EPS $3.17 +21% QoQ
Gross margin 4.1% reported
Op margin 0.84% reported

What changed this quarter

01
Guidance

Raised fiscal 2026 EPS guidance to $10.70-$10.80, up 30-31%

Guidance tone

02
Specialty

Specialty revenue on track to exceed $50 billion in fiscal 2026

Total revenue grew 11% to $61B, with pharma profit up 18%, driven by strong demand and specialty growth >20%.

03
M&A

Solaris distribution volume onboarding in Q4, not previously in guidance

raised full-year FY2026 non-GAAP EPS guidance to $10.70-$10.80 (from prior outlook) and adjusted FCF to $3.3B-$3.7B.

04
Specialty

Navista impairment driven by pivot away from non-equity MSO model

Confirmed the start of Solaris distribution volume onboarding in Q4, a positive for future growth.

Demand & capex

Demand

Bookings & conversion

Management raised full-year EPS and FCF guidance, citing strong pharma demand, operational execution, and robust performance across growth businesses, indicating confidence in continued momentum.

Capex

Investment and capacity

Management highlighted continued investment in distribution centers through automation and productivity initiatives, and signed a lease for a new Sacramento Distribution Center to expand capacity on the West Coast. They also noted an expansion of Actinium-225 production capabilities at the Center for Theranostics Advancement. Total capex so far this fiscal year was $385 million.

Tone · Confident

Management raised full-year guidance, cited broad-based strength and durable business model, and reaffirmed long-term targets despite uncertainties.

Supply-chain alpha

A1

Around half of the $200 million in IEEPA tariffs paid by Cardinal could be refunded, with ~$100 million flowing to the P&L as a future net benefit.

“we would anticipate the potential future net benefit to Cardinal to be about half of that $200 million, primarily driven by the repayment of the IEEPA pricing”
Aaron Ault
A2

GLP-1 drugs added 6 percentage points to revenue growth but were offset by a similar impact from IRA and WAC pricing adjustments, which are 'empty calorie' dollars for profit.

“GOP 1s added six percentage points to our revenue growth. ... The growth from GOP 1s was generally offset in the quarter by a six percentage point impact to revenue from inflation reduction and WAC pricing adjustments.”
Aaron Ault

Forward guidance

ImprovingGuidance tone · was IN LINE last Q
Forward guidance
MetricPeriodRangeMidpointStatus
EPSFY2026$10.70–$10.80$10.75RAISED
Free cash flowFY2026$3.3B–$3.7B$3.5BRAISED
RevenuePHARMAFY202615%–70%42.5%MAINTAINED

Guidance credibility

1 / 1met or beat
Guidance credibility
IssuedMetricTargetGuideActualOutcome
FY2026 Q2Free cash flowFY2026$3B–$3.5B$5BMet / beat

Company read-throughs

since call
since call
Supply chainSupply-chain alpha

GLP-1 drugs added 6 percentage points to revenue growth but were offset by a similar impact from IRA and WAC pricing adjustments, which are 'empty calorie' dollars for profit.