What the FYâ2026 guidance means for earnings growth and valuation
Cardinal Healthâs decision to lift its FYâ2026 outlook after a flatâtoâslightlyâup Q4 (revenues ââŻ$60âŻbn, GAAP operating earnings $428âŻm, diluted EPS $1.00) signals that management expects a stepâup in profitability rather than a simple continuation of the current level. The âraiseâ in guidance is typically anchored to a higher projected EPS or operating margin, which translates into midâsingleâdigit earningsâgrowth rates yearâoverâyear for the next 12â18âŻmonths. Because revenue is essentially unchanged, the growth is coming from improved costâstructure, better pricing power, or the offset of the contractâexpiration hit that was previously subtracted out. In other words, the company is betting that operating efficiency and the âexâcontractâexpirationâ tailwinds will lift earnings faster than the top line.
From a valuation standpoint, the market will now price those higher earnings against a larger forwardâlooking multiple. If analysts already had a FYâ2025 P/E in the 9â10Ă range, the upgraded FYâ2026 earnings forecast will likely push the forwardâ12âmonth P/E into the highâ10s to lowâ12Ă territoryâstill modest for a large, stable distributor but higher than the current âflatâgrowthâ baseline. The key is whether the implied multiple is justified by the durability of the margin improvements. If the market believes the costâsaving narrative is sustainable, the higher multiple can be supported; if not, the stock could face multiple compression once the FYâ2026 results materialize.
Trading takeâaways
- Longâbiased on a pullâback: The stock has been under pressure from a flat Q4, so a modest dip into the $140â$145 range could offer a better entry point before the FYâ2026 earnings window (Q2âQ3 2025) when the upgraded guidance is fully reflected.
- Watch the 200âday moving average (~$150) and the $155 resistance: A break above $155 with volume could indicate the market is already pricing in the higher multiple, limiting upside.
- Monitor margin trends: Any surprise on costâsaving initiatives or pricing pressure will quickly adjust the earnings trajectory and either validate the higher multiple or trigger a sellâoff. A tight stop just below the 200âday line (ââŻ$148) can protect against a sudden compression if the earnings story falls short.