CAH · Health care(wholesale-drugs, proprietaries & druggists' sundries) · 10 years of annual accounts filed with the SEC · latest fiscal year ended 2026-06-30
Cardinal Health Inc reported revenue of $254.2 billion in fiscal 2026, after growing 7.7% a year over the previous 9 years. Its operating margin held steady at about 1.0% from 2017. Of the $28.4 billion its operations generated over 10 years, 52.2% went to acquisitions and 28.8% to buybacks; the share count fell 25.9%. On the accounting screens, it passes 7 of 8 Piotroski tests, its Altman Z'' of -0.22 is in the distress zone and its Beneish M-score is below the -1.78 line; 1 of the six cross-checks between its statements fires.
Revenue, fiscal 2026254.2B+7.7% a year over 9 years
Operating margin1.0%gross margin 3.8%
Return on invested capital—
Free cash flow after stock pay4.2B1.6% of revenue
Net debt ÷ EBITDA—net debt —
Piotroski F-score7/8tests of improvement passed
Is it growing?
Revenue and the operating income it turns into. Growth that does not reach operating income is growth bought with margin.
RevenueOperating income
-100.0B0100.0B200.0B300.0B
2017Revenue 130.0BOperating income 2.1B
2018Revenue 136.8BOperating income 126.0M
2019Revenue 145.5BOperating income 2.1B
2020Revenue 152.9BOperating income -4.1B
2021Revenue 162.5BOperating income 472.0M
2022Revenue 181.3BOperating income -607.0M
2023Revenue 205.0BOperating income 752.0M
2024Revenue 226.8BOperating income 1.2B
2025Revenue 222.6BOperating income 2.3B
2026Revenue 254.2BOperating income 2.6B
2017201820192020202120222023202420252026
Compound growth a year
3 yrs
5 yrs
9 yrs
Revenue
+7.4%
+9.4%
+7.7%
Operating income
+51.5%
+40.8%
+2.4%
Net income
+73.2%
+22.9%
+3.2%
Earnings per share
+79.1%
+28.3%
+6.7%
Free cash flow per share
+28.4%
+22.6%
+25.4%
Dividend per share
+1.1%
+1.2%
+1.6%
Shares
-3.3%
-4.2%
-3.3%
Falling shares are buybacks: each remaining share owns more of the company.
Does it earn more than its capital costs?
Margins say how much of each sale is kept; return on invested capital says how much the business earns on the money it needs to operate. Growth only creates value when that return is above the cost of the capital.
Return on invested capitalCost of capital today · 10.2%
0.0%5.0%10.0%15.0%
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2017201820192020202120222023202420252026
Economic profit
Needs a cost of capital, which comes from the valuation below.
Return on equity
—
Return on assets
3.0%
Asset turnover
4.44×
Overheads (SG&A)
2.4% of revenue
Is the profit cash, and where does the cash go?
Net income is an accounting opinion; free cash flow is what was left in the bank after investing. Stock-based pay does not leave the bank — shareholders pay it through dilution — so it is shown taken off as well.
Net incomeFree cash flowAfter stock-based pay
-5.0B-2.5B02.5B5.0B
2017Net income 1.3BFree cash flow 797.0MAfter stock-based pay 701.0M
2018Net income 256.0MFree cash flow 2.4BAfter stock-based pay 2.3B
2019Net income 1.4BFree cash flow 2.4BAfter stock-based pay 2.3B
2020Net income -3.7BFree cash flow 1.6BAfter stock-based pay 1.5B
2021Net income 611.0MFree cash flow 2.0BAfter stock-based pay 1.9B
2022Net income -938.0MFree cash flow 2.8BAfter stock-based pay 2.7B
2023Net income 330.0MFree cash flow 2.4BAfter stock-based pay 2.3B
2024Net income 852.0MFree cash flow 3.3BAfter stock-based pay 3.1B
2025Net income 1.6BFree cash flow 1.9BAfter stock-based pay 1.6B
2026Net income 1.7BFree cash flow 4.5BAfter stock-based pay 4.2B
2017201820192020202120222023202420252026
Where 10 years of operating cash went, 2017–2026
28.4B generated by the business. Each band is its share of that total.
Reinvested in the business 16%4.4B
Acquisitions 52%14.8B
Dividends 19%5.4B
Share buybacks 29%8.2B
More than it generated: funded with cash or new debt -16%-4.5B
Over the same years it paid 1.4B in stock. The share count fell 25.9%. 6.8B of the buybacks went beyond offsetting that dilution.
Per share
Earnings per shareFree cash flow per shareDividend per share
$-20.00$-10.00$0.00$10.00$20.00
2017Earnings per share $4.03Free cash flow per share $2.49Dividend per share $1.80
2018Earnings per share $0.81Free cash flow per share $7.57Dividend per share $1.84
2019Earnings per share $4.53Free cash flow per share $7.95Dividend per share $1.92
2020Earnings per share $-12.61Free cash flow per share $5.41Dividend per share $1.94
2021Earnings per share $2.08Free cash flow per share $6.90Dividend per share $1.95
2022Earnings per share $-3.36Free cash flow per share $9.99Dividend per share $2.00
2023Earnings per share $1.26Free cash flow per share $9.02Dividend per share $2.00
2024Earnings per share $3.45Free cash flow per share $13.16Dividend per share $2.02
2025Earnings per share $6.45Free cash flow per share $7.64Dividend per share $2.04
2026Earnings per share $7.23Free cash flow per share $19.09Dividend per share $2.07
2017201820192020202120222023202420252026
Shares outstanding
Diluted shares
225.0M250.0M275.0M300.0M325.0M
2017Diluted shares 320.0M
2018Diluted shares 315.0M
2019Diluted shares 301.0M
2020Diluted shares 293.0M
2021Diluted shares 294.0M
2022Diluted shares 279.0M
2023Diluted shares 262.0M
2024Diluted shares 247.0M
2025Diluted shares 242.0M
2026Diluted shares 237.0M
2017201820192020202120222023202420252026
How strong is the balance sheet?
Debt is not bad in itself; debt the business cannot service in a bad year is. Net debt is debt minus cash, and below zero the company holds more cash than it owes.
Net debt ÷ EBITDA
—
Interest coverage
8× operating income ÷ interest
Current ratio
0.88 current assets ÷ current liabilities
Cash conversion cycle
-11 days collects in 20d, stock 26d, pays in 57d
Three classic screens of the accounts
Each asks a different question of the same statements — is it improving, does it look like a company heading for distress, do the accounts resemble ones that were manipulated. None is a verdict; each shows what moves it.
Piotroski F-score
Is the business improving? Nine yes-or-no tests, this year against last.
7of 8 tests passed
✓ProfitableReturn on assets above zeropassed
✓Cash from operationsOperating cash flow above zeropassed
✓Profitability improvedReturn on assets higher than a year beforepassed
✓Profit backed by cashOperating cash flow above net income (low accruals)passed
–Less long-term debtLong-term debt as a share of assets fell — not reportedno data
✕More liquidCurrent ratio higher than a year beforefailed
✓No new sharesShare count did not growpassed
✓Better gross marginGross margin higher than a year beforepassed
✓Sells more per assetAsset turnover higher than a year beforepassed
Where it misleads: it measures change, not level. An excellent business that stood still for a year scores low; a poor one recovering from a disaster scores high.
Altman Z''-score
Does the balance sheet look like those of companies that went bankrupt?
-0.22distress zone
1.12.6
Working capital ÷ assets -0.09 × 6.56-0.59
Retained earnings ÷ assets 0.04 × 3.26+0.11
Operating income ÷ assets 0.05 × 6.72+0.31
Equity ÷ liabilities -0.05 × 1.05-0.05
Where it misleads: buybacks. A company that returns so much cash that its equity turns small or negative sinks the last two ratios without being anywhere near bankruptcy. Banks and insurers do not fit the model at all.
Beneish M-score
Do the accounts resemble those of companies that manipulated their earnings?
-2.75below the -1.78 line
-1.78
Receivables vs sales 0.91+0.84
Gross margin slipping 0.95+0.50
Soft assets 1.04+0.42
Sales growth 1.14+1.02
Slower depreciation 0.90+0.10
Overheads vs sales 1.00-0.17
Profit not in cash -0.06-0.28
Leverage rising 1.05-0.34
Where it misleads: fast growth and acquisitions. Sales growth carries a heavy weight, so a company growing 50% a year scores like a suspect without having done anything. It is a screen from a 1999 study, not an accusation.
Where the statements disagree
Cross-checks between the income statement, the balance sheet and the cash flow for the latest year, each with the benign reading and the worrying one.
Capital spending (649M) is well below depreciation (956M).
Benign
Mature assets, or a business that has become less capital-intensive.
Worrying
Under-investing: today's profit is being held up by consuming tomorrow's capacity.
What is it worth, under which assumptions?
A company is worth the cash it will generate, brought back to today. This model projects revenue with growth that fades over the years, applies a free cash flow margin, and discounts the result at the cost of capital. Every assumption says where it came from, and all of them can be changed.
Value per share, with these assumptions$245.74discounted at 10.2% a year · 51% of it from after year 10
Type a share price on the left to ask the reverse questions: what growth, what margin or what discount rate that price implies.
What the value implies, in the usual multiples
At this model's value
Price ÷ earnings
34.0×
Enterprise value ÷ EBITDA
16.3×
Enterprise value ÷ revenue
0.2×
Free cash flow yield
7.1%
From cash flows to a value per share
10 years of cash flow, today28.5B
Everything after, today29.8B
The whole business58.2B
Minus net debt-0
What belongs to shareholders58.2B
Divided among 237.0M shares: <strong>$245.74</strong> each.
The projection next to its history
Reported free cash flow after stock pay, then the model's. A projection that looks nothing like the past needs a reason.
ReportedProjected
02.0B4.0B6.0B
2017Reported 701.0M
2018Reported 2.3B
2019Reported 2.3B
2020Reported 1.5B
2021Reported 1.9B
2022Reported 2.7B
2023Reported 2.3B
2024Reported 3.1B
2025Reported 1.6B
2026Reported 4.2B
2027Projected 3.6B
2028Projected 3.9B
2029Projected 4.2B
2030Projected 4.5B
2031Projected 4.8B
2032Projected 5.1B
2033Projected 5.3B
2034Projected 5.6B
2035Projected 5.7B
2036Projected 5.9B
2017201920212023202520272029203120332035
Year by year
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
Revenue
278.4B
302.7B
326.7B
350.1B
372.5B
393.4B
412.4B
429.2B
443.2B
454.3B
Growth
9.5%
8.7%
7.9%
7.2%
6.4%
5.6%
4.8%
4.1%
3.3%
2.5%
Cash margin
1.3%
1.3%
1.3%
1.3%
1.3%
1.3%
1.3%
1.3%
1.3%
1.3%
Free cash flow
3.6B
3.9B
4.2B
4.5B
4.8B
5.1B
5.3B
5.6B
5.7B
5.9B
Worth today
3.3B
3.2B
3.2B
3.1B
3.0B
2.8B
2.7B
2.6B
2.4B
2.2B
If the least-known inputs move
Value per share as two inputs change at a time. Neighbouring cells that differ a lot are the conclusion: the value depends on numbers nobody knows to a point.
The discount rate and growth forever
discount ↓ · forever →
1.5%
2.0%
2.5%
3.0%
3.5%
9.2%
254
268
284
303
325
9.7%
238
250
264
280
298
10.2%
223
234
246
259
275
10.7%
210
220
230
242
255
11.2%
199
207
216
226
238
Year-one growth and the final margin
margin ↓ · growth →
5.5%
7.5%
9.5%
11.5%
13.5%
1.0%
178
193
209
226
244
1.2%
194
210
228
246
266
1.3%
209
227
246
266
288
1.4%
225
243
264
286
309
1.6%
240
261
283
306
332
All the inputs moving at once
5,000 valuations, each with growth, final margin, discount rate and growth forever drawn at random around the values on the left (spreads of 3.0%, 2.0%, 1.0% and 0.5%). Not a probability — the spreads are assumptions too — but an honest picture of how wide the answer is.
10th percentile$-121.57
Median$247.60
90th percentile$643.99
$0.00$500.00$1,000.00
Half of the simulations land between <b>$56.99</b> and <b>$454.52</b>; one in ten below $-121.57, one in ten above $643.99.
Does the long run make sense?
12.3×The terminal value prices the business in year 10 at 12.3 times that year's EBITDA.
Free growthIn year 10 free cash flow is at or above after-tax operating profit, yet the model grows 2.5% forever. Growth needs reinvestment; this assumes it comes for free, which flatters the terminal value.
51%of the value comes from after year 10. The more of it, the more the answer depends on the part nobody can see.
What lenders charge, after the tax saving on interest: 6.68% × (1 − 21.6%) = <strong>5.24%</strong>.
Weighted by how much of each the company uses (book value (no price given)): <strong>10.18%</strong>, the rate every future cash flow is discounted at.
What it has filed lately
The last twelve months at the SEC, most important first: annual and quarterly reports, events, large holders and insiders.
Accounts from the company's own SEC filings; lines some companies do not report are shown as a dash rather than estimated. The risk-free rate is the 10-year US Treasury yield. A DCF is a way of making assumptions explicit, not a forecast: it states what the company would be worth if the assumptions held. The scores are screens that point where to look, not verdicts. Nothing here is a recommendation to buy or sell.