Cardinal Health, Inc. is an American
multinational health care
Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
services company, and the 14th highest revenue generating company in the United States. Headquartered in
Dublin, Ohio
Dublin is a city in the U.S. state of Ohio. A suburb of Columbus, Ohio, Columbus, it falls within the jurisdictions of Franklin County, Ohio, Franklin, Delaware County, Ohio, Delaware, Union County, Ohio, Union, and Madison County, Ohio, Madison ...
, the company specializes in the distribution of pharmaceuticals and medical products, serving more than 100,000 locations. The company also manufactures medical and surgical product, including gloves, surgical apparel, and fluid management products. In addition, it operates one of the largest networks of
radiopharmacies in the U.S. Cardinal Health provides medical products to over 75 percent of hospitals in the United States.
History
Founded in 1971 as Cardinal Foods by
Robert D. Walter, the company was initially a food
wholesaler
Wholesaling or distributing is the sale of goods or merchandise to retailers; to industrial, commercial, institutional or other professional business users; or to other wholesalers (wholesale businesses) and related subordinated services. In ...
. After acquiring the Bailey Drug Company in 1979, it began whole selling drugs.
The company went public on the
NASDAQ
The Nasdaq Stock Market (; National Association of Securities Dealers Automated Quotations) is an American stock exchange based in New York City. It is the most active stock trading venue in the U.S. by volume, and ranked second on the list ...
stock exchange in 1983.
In 1988, Walter sold Cardinal Health's food operations to
Roundy's.
From 1991 to 1996, the company's sales grew from $1.2 billion to $8.9 billion. The company changed its name to Cardinal Health in 1994, and became the third-largest pharmaceutical wholesaler in the United States.
2000–2019
R. Kerry Clark, a former executive and vice chairman at
Procter & Gamble
The Procter & Gamble Company (P&G) is an American multinational consumer goods corporation headquartered in Cincinnati, Ohio. It was founded in 1837 by William Procter and James Gamble. It specializes in a wide range of personal health/con ...
, was appointed president and
CEO
A chief executive officer (CEO), also known as a chief executive or managing director, is the top-ranking corporate officer charged with the management of an organization, usually a company or a nonprofit organization.
CEOs find roles in variou ...
in April 2006, with Robert D. Walter retaining Chairmanship of the board. In September 2008, the company announced Clark and Walter would retire and
George S. Barrett would become the chairman and CEO.
In 2009, Cardinal Health completed the spin-off of its clinical and medical products businesses into an independent medical technology company called
CareFusion with David Schlotterbeck as CEO.
Cardinal Health is now traded on the
NYSE
The New York Stock Exchange (NYSE, nicknamed "The Big Board") is an American stock exchange in the Financial District, Manhattan, Financial District of Lower Manhattan in New York City. It is the List of stock exchanges, largest stock excha ...
under symbol CAH.
In December 2013, it was announced that Cardinal Health would partner with
CVS Caremark to form a generic drug sourcing operation in the United States.
The venture was named Red Oak Sourcing and began operations in July 2014.
Between 2014 and 2016, Cardinal, alongside
McKesson Corporation
McKesson Corporation is a publicly traded American company that distributes Medication, pharmaceuticals and provides health information technology, Medical device, medical supplies, and Health administration, health management tools. The company ...
, and
AmerisourceBergen
Cencora, Inc., formerly known as AmerisourceBergen, is an American drug wholesale company and a contract research organization, that was formed by the merger of Bergen Brunswig and AmeriSource in 2001. It is one of the largest pharmaceutica ...
, spent $13 million lobbying Congress to pass Congressman
Tom Marino's "Ensuring Patient Access and Effective Drug Enforcement Act".
The bill, which increases the burden of proof enforcers need to show against drug distributors, was signed into law by President
Barack Obama
Barack Hussein Obama II (born August 4, 1961) is an American politician who was the 44th president of the United States from 2009 to 2017. A member of the Democratic Party, he was the first African American president in American history. O ...
in April 2016.
In January 2018, Michael Kaufmann assumed the role of CEO after serving as CFO of the company.
Opioid lawsuits
In 2019, Cardinal was one of several drug distributors named in lawsuits related to the
opioid crisis in the US. In July 2021, Cardinal Health and other pharmaceutical companies agreed to participate in a $26 billion settlement.
Cardinal will pay $6.4 billion over 18 years.
In May 2020, Oklahoma Attorney General Mike Hunter sued Cardinal Health in Bryan County District Court, Oklahoma. The lawsuit alleged that he company's actions helped fuel Oklahoma's opioid crisis. The suit was filed along with lawsuits against
AmerisourceBergen
Cencora, Inc., formerly known as AmerisourceBergen, is an American drug wholesale company and a contract research organization, that was formed by the merger of Bergen Brunswig and AmeriSource in 2001. It is one of the largest pharmaceutica ...
and
McKesson, and the three lawsuits allege that the three companies provided "enough opioids to Bryan County that every adult resident there could have had 144 hydrocodone tablets."
2020–present
As of August 2021, it is ranked 14 on the
Fortune 500
The ''Fortune'' 500 is an annual list compiled and published by ''Fortune (magazine), Fortune'' magazine that ranks 500 of the largest United States Joint-stock company#Closely held corporations and publicly traded corporations, corporations by ...
list with FY2020 annual revenue of $152.9 billion.
The firm employs 48,000 people worldwide.
Acquisitions
In 1995, Medicine Shoppe International, the country's largest franchiser of retail pharmacies, was acquired.
The merger represented the first non-distribution acquisition by Cardinal Health.
In 1996, Cardinal Health acquired
Pyxis Corporation, a company that developed
automated pill dispensers for hospitals, for $867 million.
In 1997, Cardinal Health planned to purchase Bergen Brunswig Corp., to which
McKesson Corporation
McKesson Corporation is a publicly traded American company that distributes Medication, pharmaceuticals and provides health information technology, Medical device, medical supplies, and Health administration, health management tools. The company ...
responded with a bid to purchase Amerisource.
Instead, Amerisource and Bergen merged into
AmerisourceBergen
Cencora, Inc., formerly known as AmerisourceBergen, is an American drug wholesale company and a contract research organization, that was formed by the merger of Bergen Brunswig and AmeriSource in 2001. It is one of the largest pharmaceutica ...
.
Later that year, Cardinal Health completed the acquisition of Owen Healthcare, the second-largest provider of pharmacy management services in the U.S. at the time.
In 1999, the firm acquired the Chicago-based medical products manufacturer and distributor, Allegiance Healthcare (formerly a division of
Baxter Healthcare
Baxter International Inc. is an American multinational healthcare company with headquarters in Deerfield, Illinois.
The company primarily focuses on products to treat chronic and acute medical conditions. The company had 2023 global net sa ...
).
In 2001, the company acquired Bindley Western Industries, a wholesale distributor of pharmaceuticals based in
Indianapolis
Indianapolis ( ), colloquially known as Indy, is the List of capitals in the United States, capital and List of municipalities in Indiana, most populous city of the U.S. state of Indiana and the county seat of Marion County, Indiana, Marion ...
.
In April 2006, Cardinal Health purchased Niagara Falls-based ParMed Pharmaceuticals for $40.1 million. In June 2007, the firm announced the completion of a
tender offer
In corporate finance, a tender offer is a type of public takeover bid. The tender offer is a public, open offer or invitation (usually announced in a newspaper advertisement) by a prospective acquirer to all stockholders of a publicly traded corp ...
for VIASYS Healthcare.
In June 2010, Cardinal Health announced plans to purchase Healthcare Solutions Holding, a specialty pharmaceutical services company, for $517 million. In December 2010, the company acquired Kinray, an independent pharmaceutical wholesaler, increasing Cardinal Health's presence in the independent pharmacy market by 40 percent.
[Dinah Wisenberg Brin]
"Cardinal Health to Purchase Kinray"
''The Wall Street Journal'', November 19, 2010 From 2010 to 2014, Cardinal Health acquired 18 companies including Yong Yu, a Chinese drug distributor. Cardinal sold Yong Yu in 2017 to Shanghai Pharmaceuticals Holding Co. Ltd. for $1.2 billion.
In July 2014, Cardinal Health and CVS formed Red Oak Sourcing, the largest generic drug sourcing operation in the United States.
The companies started buying generic drugs around the world to sell in U.S. markets.
In March 2015, Cardinal Health signed an agreement to acquire
Johnson & Johnson
Johnson & Johnson (J&J) is an American multinational pharmaceutical, biotechnology, and medical technologies corporation headquartered in New Brunswick, New Jersey, and publicly traded on the New York Stock Exchange. Its common stock is a c ...
's
Cordis (medical) division, a cardiology and endovascular device manufacturer, for $1.94 billion. The acquisition was completed on October 4, 2015. Cardinal sold the division in August 2021 to Hellman & Friedman, a private equity firm, for $1 billion.
In April 2017, Cardinal Health announced the plan to acquire the patient product portfolio from
Medtronic
Medtronic plc is an American-Irish medical device company. The company's legal and executive headquarters are in Republic of Ireland, Ireland, while its operational headquarters are in Minneapolis, Minneapolis, Minnesota. Medtronic rebased to I ...
for $6.1 billion.
The acquisition was completed on July 30, 2017.
In November 2024, Cardinal Health announced the plan to acquire Advanced Diabetes Supply Group (ADSG), a leading national direct-to-patient provider of diabetes medical supplies, for about $1.1 billion with plans to merge the company into its at-Home Solutions business. The acquisition was complete by April 2024.
Controversy
Role in the Opioid epidemic
Multiple legal settlements have demonstrated Cardinal Health's role in the
US Opioid epidemic, though the company never admitted wrongdoing:
* December 2016: Cardinal Health settled for $44 million for violations of the
Controlled Substances Act
The Controlled Substances Act (CSA) is the statute establishing federal government of the United States, federal drug policy of the United States, U.S. drug policy under which the manufacture, importation, possession, use, and distribution of ...
brought in allegations from United States Attorneys in districts from Maryland, New York, Florida and Washington.
* July 2021: Cardinal Health agreed to pay $6.4 billion to settle thousands of US lawsuits. They were one of four companies to pay $26 billion, including Johnson & Johnson, AmerisourceBergen and McKesson.
* May 2022: Settled a derivative suit on behalf of shareholders for $124 million.
* August 2024: Settlement with various health plans including insurers and third-party payers for $92.7 million.
* August 2024: Settlement with the City of Baltimore for $152.5 million.
Restatements
In September 2004, Cardinal Health announced plans to restate past results for fiscal 2001, 2002, 2003, and the first three quarters of 2004 downward, after an accounting review and an ongoing federal investigation.
In 2005, in connection with the Audit Committee's conclusions reached in September and October 2004, the company made certain reclassification and restatement adjustments to its fiscal 2004 and prior historical consolidated financial statements. According to ''
The Wall Street Journal
''The Wall Street Journal'' (''WSJ''), also referred to simply as the ''Journal,'' is an American newspaper based in New York City. The newspaper provides extensive coverage of news, especially business and finance. It operates on a subscriptio ...
'', "Analysts called the restatement decision troubling, yet limited in scope."
FDA action
In August 2006, Cardinal Health ceased production of its Alaris SE
infusion pump after approximately 1300 units were seized by the
United States Food and Drug Administration
The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respo ...
(FDA).
In February 2007, Cardinal Health signed a
consent decree
A consent decree is an agreement or settlement that resolves a dispute between two parties without admission of guilt (in a criminal case) or liability (in a civil case). Most often it is such a type of settlement in the United States. The ...
with the FDA which promised procedures to guarantee the safety of the Alaris SE.
After FDA inspections, Cardinal Health entered into a further consent agreement with the FDA in 2009.
DEA investigation into Oxycodone diversion
In 2008, Cardinal Health agreed to pay $34 million in civil penalties to settle DEA allegations that it failed to report suspicious orders of hydrocodone. The fine followed a 10-month DEA suspension of a
Lakeland, Florida
Lakeland is a city in Polk County, Florida, United States. Located along Interstate 4, I-4 east of Tampa and southwest of Orlando, Florida, Orlando, it is the List of municipalities in Florida, most populous city in Polk County. As of the 2020 ...
distribution facility and two others in New Jersey and Washington.
On February 2, 2012, the
Drug Enforcement Administration
The Drug Enforcement Administration (DEA) is a Federal law enforcement in the United States, United States federal law enforcement agency under the U.S. Department of Justice tasked with combating illicit Illegal drug trade, drug trafficking a ...
again suspended the license of the firm's Lakeland distribution center to distribute controlled substances on charges that it had allowed four Florida pharmacies to purchase excessive amounts of controlled substances, in particular
oxycodone
Oxycodone, sold under the brand name Roxicodone and OxyContin (which is the extended-release form) among others, is a semi-synthetic opioid used medically for the treatment of moderate to severe pain. It is highly addictive and is a commonly ...
.
[Donna Leinwand Leger "DEA aims big in Cardinal Health painkiller case" ''USA Today'' Feb 27, 201]
/ref>
Cardinal Health obtained a restraining order against the suspension, but the suspension was upheld on February 29 by a Federal district court because the court agreed with the DEA that Cardinal Health's activities represented an "imminent danger to the public."[Donna Leinwand Leger "Judge blocks Cardinal Health drug shipments in Fla." ''USA Today'' Deb 29, 201]
/ref> The company stated that it blocked two of the pharmacies, (Brooks Pharmacy in Bonita Springs, Florida
Bonita Springs is a city in Lee County, Florida, United States. The population was 53,644 at the 2020 census, up from 43,914 at the 2010 census. It is part of the Cape Coral-Fort Myers, Florida Metropolitan Statistical Area, on the state's sou ...
, and Gulf Coast Medical in Panama City, Florida
Panama City is a city in and the county seat of Bay County, Florida, United States. Located along U.S. Route 98 in Florida, U.S. Highway 98 (US 98), it is the largest city between Tallahassee, Florida, Tallahassee and Pensacola, Florida, Pe ...
), and notified the corporate owners of the two pharmacies that were part of national chains, two CVS stores in Sanford, Florida
Sanford is a city and the county seat of Seminole County, Florida, United States. It is located in Central Florida and its population was 61,051 as of the 2020 census. It is part of the Orlando–Kissimmee–Sanford Metropolitan Statistical ...
.
In February 2012, Joseph Rannazzisi, chief of the Drug Enforcement Administration
The Drug Enforcement Administration (DEA) is a Federal law enforcement in the United States, United States federal law enforcement agency under the U.S. Department of Justice tasked with combating illicit Illegal drug trade, drug trafficking a ...
’s Office of Diversion Control, issued immediate suspension orders against Cardinal's supply of oxycodone
Oxycodone, sold under the brand name Roxicodone and OxyContin (which is the extended-release form) among others, is a semi-synthetic opioid used medically for the treatment of moderate to severe pain. It is highly addictive and is a commonly ...
to suspected pill mills. These orders were filed after Deputy Attorney General James M. Cole met with Rannazzisi to ask if he had met with Cardinal about the investigation. Cole stated that he believed “it made good sense to listen to what Cardinal had to say” regarding the investigation. That year, Cardinal and the DEA reached a settlement that suspended Cardinal's facility in Lakeland, Florida from selling pain killers or other drugs for two years. In 2016, Cardinal was fined $44 million for after the investigation concluded.
In January 2022, Cardinal Health, Johnson & Johnson, McKesson, and AmerisourceBergen agreed to pay $26 billion to settle with all but five of the states suing them. Had the states gone to court, the companies could have faced up to $95 billion in penalties.
Finances
Annual financial statistics are displayed below:
Cardinal Health Foundation
The Cardinal Health Foundation is the charitable arm of Cardinal Health. The company makes annual product donations of over $9 million through international relief organizations and provides up to $1,000 in matching funds for every Cardinal Health employee that makes a charitable donation. In 2008, the foundation established its E3 Grant Program. Over the past seven years, the Foundation has invested more than $7.15 million in funding to 241 hospitals, health systems or other health-related organizations.
Cardinal Health also supports organizations such as Ronald McDonald House Charities, and was named Benefactor of the Year at the 2011 Corporate Caring Awards.[ In 2015, the foundation contributed $3 million to the Solutions for Patient Safety project, which has raised over $11 million nationally for efforts to improve safety initiatives in children's hospitals.]
References
External links
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Companies listed on the New York Stock Exchange
Companies in the S&P 500 Dividend Aristocrats
American companies established in 1971
Health care companies established in 1971
Health care companies based in Ohio
Companies based in Dublin, Ohio
Companies based in the Columbus, Ohio metropolitan area
1971 establishments in Ohio
1980s initial public offerings