This earnings growth was achieved despite operating margin remaining slim at 0.55% and net margin at 0.38%, reflecting the inherently low-margin nature of healthcare distribution compounded by competitive pricing pressures and tariff impacts, particularly in the GMPD segment. The company reported an EBITDA of $1.98 billion, up from $1.44 billion, signaling improved cash generation capacity.

Fiscal Year	Revenue (Billion USD)	Gross Profit (Billion USD)	Operating Income (Billion USD)	Net Income (Million USD)	Gross Margin	Operating Margin	Net Margin
2024	226.83	7.41	1.24	852	3.27%	0.55%	0.38%
2023	205.01	6.89	0.73	261	3.36%	0.35%	0.13%

The company’s earnings per share (EPS) for the trailing twelve months is 6.49, with a price-to-earnings (P/E) ratio of approximately 24.7x, indicating moderate valuation relative to earnings. The forward P/E is expected to decline over the next five years, with estimates falling to 18.7x in 2025 and down to 11.31x by 2029, reflecting anticipated earnings growth.

Balance Sheet and Cash Flow Strengthen Strategic Flexibility#

Cardinal Health's balance sheet as of June 30, 2024, shows total assets of $45.12 billion against total liabilities of $48.33 billion, resulting in negative shareholders' equity of approximately -$3.21 billion. This negative equity position highlights ongoing financial stress, largely due to accumulated retained earnings deficits and long-term liabilities.

Despite this, the company’s liquidity position remains solid with cash and cash equivalents totaling $5.13 billion and a current ratio of 0.94x, slightly below the ideal threshold of 1.0, indicating near parity between current assets and liabilities.

Net debt stands slightly negative at -$41 million, reflecting a cash-rich position relative to debt obligations totaling $5.09 billion. This net debt position is an improvement from prior years and supports the company’s ability to fund acquisitions and capital expenditures.

Cash flow from operations was robust at $3.76 billion for FY24, a +32.51% increase year-over-year, driving free cash flow to $3.25 billion, up +37.87%. Capital expenditures remained moderate at $511 million, emphasizing disciplined investment in property, plant, and equipment. Notably, the company deployed $750 million in share repurchases and paid $499 million in dividends, underscoring a balanced capital allocation strategy focused on shareholder returns.

Fiscal Year	Cash & Equivalents (Billion USD)	Total Assets (Billion USD)	Total Liabilities (Billion USD)	Shareholders’ Equity (Billion USD)	Net Debt (Million USD)	Operating Cash Flow (Billion USD)	Free Cash Flow (Billion USD)
2024	5.13	45.12	48.33	-3.21	-41	3.76	3.25
2023	4.04	43.42	46.27	-2.85	658	2.84	2.36

Competitive Landscape: Navigating Healthcare Distribution Pressures#

Cardinal Health operates in a highly competitive healthcare logistics and distribution sector, contending with rivals such as McKesson, AmerisourceBergen, and OptumRx. The market environment is characterized by pricing pressures, regulatory shifts, and evolving supply chain demands.

The company’s Pharmaceutical Segment Solutions (PSS) is expected to grow at a normalized rate of 5% to 7%, supported by recent strategic acquisitions including GI Alliance and Advanced Diabetes Supply, which enhance niche capabilities and product offerings. Meanwhile, the Generic Medical Products Division (GMPD) faces margin pressures from tariffs and competitive pricing.

McKesson’s divestiture of its Medical-Surgical Solutions unit presents an opportunity for Cardinal Health to capture incremental market share, but this will require strategic agility and operational efficiency to capitalize effectively.

Capital Allocation: Balancing Growth Investments and Shareholder Returns#

Cardinal Health maintains a strong commitment to shareholder returns, evidenced by its uninterrupted 43-year dividend history and a current dividend yield of approximately 1.28%. The payout ratio stands at a conservative 31.84%, reflecting sustainable dividend coverage supported by robust free cash flow.

The company has increased its share repurchase program to a minimum of $750 million annually, up from $500 million, signaling confidence in cash flow generation and a strategic focus on enhancing shareholder value through buybacks.

This capital allocation strategy balances the need to invest in growth initiatives and acquisitions while rewarding shareholders, a critical factor in maintaining investor confidence amid financial restructuring challenges.

What Does Cardinal Health’s Financial Health Mean for Investors?#

Cardinal Health’s current financial metrics reflect a company in transition, balancing operational growth with financial restructuring. Key indicators such as negative equity and tight current ratio signal caution, but strong cash flow generation and disciplined capital allocation provide strategic flexibility.

Investors should consider the company’s free cash flow growth of +37.87% and operating income increase of +70.7% as positive signals of improving operational efficiency. However, the low operating margin (0.55%) and net margin (0.38%) illustrate persistent margin pressures inherent to the distribution business.

The improving net debt position and increased share repurchase activity suggest management’s commitment to strengthening the balance sheet and returning capital to shareholders, which may support stock price stability in a volatile market.

Analyst Estimates and Forward-Looking Projections#

Analyst consensus projects continued revenue growth with a compound annual growth rate (CAGR) of approximately 9.81% through 2029, reaching estimated revenues of $324.68 billion. EPS is forecasted to more than double by 2029, reaching $13.49, indicating expected operational leverage and margin improvement.

Year	Estimated Revenue (Billion USD)	Estimated EPS	Forward P/E
2025	223.26	8.20	18.7x
2026	249.41	9.26	16.55x
2027	268.75	10.46	15.01x
2028	289.08	11.80	13.29x
2029	324.68	13.49	11.31x

These projections underscore investor expectations for sustained growth and margin expansion, contingent on successful execution of strategic initiatives and market conditions.

Key Takeaways#

Raised FY25 and preliminary FY26 guidance reflect confidence in earnings growth with a 13%+ EPS increase anticipated for FY26.
Strong revenue growth (+10.64% YoY) and improving net income (+226.44% YoY) highlight operational improvements despite low margins.
Negative shareholders' equity signals ongoing balance sheet challenges, but healthy cash reserves and net debt position provide strategic flexibility.
Capital allocation balances dividend payments (1.28% yield) and increased share repurchases ($750 million annually), supporting shareholder returns.
Competitive pressures in healthcare distribution necessitate continued strategic acquisitions and operational efficiency to sustain growth.
Analyst forecasts anticipate continued revenue and EPS growth, with forward P/E ratios declining as earnings expand.

What This Means For Investors#

For investors, Cardinal Health presents a nuanced profile: a company exhibiting strong top-line growth and cash flow generation, yet facing margin pressures and financial restructuring challenges. The raised guidance and robust free cash flow support optimism about operational execution, but negative equity and tight liquidity ratios warrant caution.

Investors should monitor upcoming earnings releases, especially the FY25 report due August 12, 2025, for confirmation of growth trajectory and margin trends. Additionally, tracking competitive responses and acquisition integration will be key to assessing long-term strategic success.

Maintaining a watchful stance on technical stock indicators alongside fundamental developments will aid in navigating potential volatility. Overall, Cardinal Health's financial foundation and strategic initiatives position it for growth, but with risks that merit careful consideration.

Sources#

FirstWord Pharma: Cardinal Health Investor Day Highlights
Monexa AI Financial Data