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Freedom Award 2013

Cardinal Health:
Essential to Care
Select awards in Fiscal 2013
Gartner Research
#1 Healthcare Supply
Chain Organization

Three years in a row
2013, 2012, 2011

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cardinal Health:
Investor and Analyst Meeting

Sally J. Curley
Senior Vice President, Investor Relations
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cautions concerning forward-looking statements
The presentations at the Cardinal Health 2013 Investor Day contain forward-looking statements addressing
expectations, prospects, estimates and other matters that are dependent upon future events or developments.
These statements may be identified by words such as "expect," "anticipate," "intend," "plan," "believe," "will,"
"should," "could," "would," "project," "continue," "likely," and similar expressions, and include statements
reflecting future results or guidance, statements of outlook and expense accruals. These matters are subject
to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated
or implied. These risks and uncertainties include competitive pressures in Cardinal Health's various lines of
business; the ability to achieve the expected benefits from the AssuraMed acquisition; the timing of generic
and branded pharmaceutical introductions and the frequency or rate of pharmaceutical price appreciation or
deflation; the non-renewal, early termination or a default under one or more key customer or supplier
arrangements or changes to the terms of or level of purchases under those arrangements; uncertainties due
to government health care reform including federal health care reform legislation; changes in the distribution
patterns or reimbursement rates for health care products and services; and the effects of any investigation or
action by any regulatory authority; and changes in the cost of commodities such as oil-based resins, cotton,
latex and diesel fuel. Cardinal Health is subject to additional risks and uncertainties described in Cardinal
Health's Form 10-K, Form 10-Q and Form 8-K reports and exhibits to those reports. These presentations
reflect management's views as of December 10, 2013. Except to the extent required by applicable law,
Cardinal Health undertakes no obligation to update or revise any forward-looking statement. In addition, these
presentations contain Non-GAAP financial measure. Cardinal Health provides GAAP numbers, definitions
and reconciling information in the Financial Appendix at the end of these presentations and on its Investors
page at www.cardinalhealth.com. An audio replay of the Cardinal Health 2013 Investor Day will be available
on the Investors page at www.cardinalhealth.com.

3

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cardinal Health:
Well-balanced. Well-prepared. Well-focused.

George Barrett
Chairman and CEO
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Proven track record of success
Positioned for future growth in an evolving
healthcare landscape
Outstanding financial growth based on strong
execution and focus on the right strategic
priorities
Thoughtful deployment of capital and
substantial returns for shareholders
The talent to make it all happen

5

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Non-GAAP EPS1: Historical
Strong financial performance trend
Non-GAAP EPS, Operating Earnings,
and Operating Earnings Margin Rates1

$3.21

$3.73

$2.80
Non-GAAP
Diluted EPS

$2.24

$2.0B
$1.9B
$1.6B

Non-GAAP
Op Earnings

2.02%

$1.4B

1.73%
1.60%

Non-GAAP
Op Margin

1.42%
FY10

FY11

FY12

1

FY13

Please see the definitions and reconciling information at the end of this presentation.
The CAGR for GAAP diluted EPS from continuing operations from fiscal 2010 to fiscal 2013 was -15.7%.
3 The CAGR for GAAP operating earnings from fiscal 2010 to fiscal 2013 was -8.7%.
2

6

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Non-GAAP
EPS CAGR2
18.5%
Non-GAAP
OE CAGR3
13.6%
Taking the poll using texting on your cell
What you will text…

What will appear…

Type “22333” into
“To” field
Type “Cardinal” into
text message field

7

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

You’ve joined Employee
Comm (CARDINAL)
Question:

Which of the following drivers will be most important to
Cardinal Health sustaining growth over the next five years?
a. Demographic trends
b. Generics
c. Specialty
d. Preferred medical products
e. Alternate site and home
f. China
TEXT YOUR SELECTION TO 22333

8

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Question:

Which of the following drivers are you most concerned
about related to Cardinal Health sustaining growth over
the next five years?
a. Industry dynamics
b. Sustaining generics
c. Specialty positioning
d. Medical segment overall position
e. Execution on preferred products
TEXT YOUR SELECTION TO 22333

9

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Healthcare trends

Our priorities are driven by key trends
in the healthcare marketplace . . .
Demographics
and public
health issues
driving
demand

Care delivery
in more costeffective
settings

Increased
consumerism
in healthcare

Transition from
fee-for-service
to payment for
outcomes

Increased
participation of
government,
both as payor
and regulator

Continued innovation in healthcare

10

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Serving the full continuum of care
Surgery
centers

Clinics

Hospitals

Physician
offices

Continuum of care

11

Imaging
centers

Laboratories

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Retail
pharmacies

Home
Our strategic priorities:
Solutions for a system in transition
Generics
• Continue to build scale and capabilities
to deliver value in generics
• Tailored programs to a segmented
customer base

Specialty and biopharma

Health system and
hospital solutions
• Reduce IDN pain points with scaled,
cost-saving solutions
– Physician preference products,
medical consumables
– Pharmacy solutions

• Develop new models to address
changing market needs

• Explore additional services

• Enhance and build programs to create
value for providers and biopharma
manufacturers

Alternate sites of
care

International
• Expand in China, Canada and Puerto
Rico
• Continue to evaluate new markets

12

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

• Expand ability to serve physician
offices, ambulatory surgery
centers and the home
• Expand product lines and
services
Positioned to support evolving
health system needs
Don Casey
CEO, Medical Segment
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Why we are excited

Extraordinary changes in the healthcare system are
creating unprecedented opportunities for Cardinal Health
We are uniquely positioned to help health systems
due to the breadth of our product and service solutions
These solutions provide growth and margin expansion
opportunities for Cardinal Health
– Expanding portfolio of cost-effective product solutions
– Growing set of services across the care continuum

14

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Acute care environment is changing

Reimbursement changes
Demographics

15

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Hospitals are responding by consolidating

Number of hospital M&A transactions
105
93
76
50

2009

2010

2011

2012

Source: Irving Levin Associates

16

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Hospitals also are
acquiring physician
practices (~50% hospital
employed or owned)
Hospitals are responding by expanding
across the care continuum
Physician
office

Clinic

Community
hospital

Academic
medical
center

Acute

Post Acute

Home Health

17

Urgent
care

Surgery
center

Pharmacy

Rehab

Long-term
acute care
hospital

Specialty
hospital

Skilled
nursing
facility

Home
health

Hospice

Home
health
agency

Retail DME
provider

Mail order
DME
provider

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Integrated Delivery Networks

Ambulatory
Hospitals are responding by
bringing a new mindset
Typical U.S. hospital spend

Services
(19%)
Employed
labor (60%)

Medical
supplies &
devices
(15%)
Rx
(6%)

Source: Cardinal Health estimates

18

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
We are well positioned
Aligning our business in supporting
hospital and health system needs:
1
2

Launching solutions focused on reducing the cost of
physician preference items

3

Expanding our service offerings through new launches
and acquisitions

4

AssuraMed: providing a new platform for serving
patients in the home

5

19

Increasing the breadth of our consumable product
portfolio, more launches in Q1 than all of last year

Improving our own cost structure to be more efficient in
how we serve our customers

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Preferred products
Preferred
products*

Consumables

* Manufactured and sourced products

20

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Physician
preference items
Increasing the breadth of our consumables
product portfolio

Product portfolio offering cost-effective alternatives
Expanding the Cardinal Health brand across channels

21

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Launching solutions focused on reducing
the cost of physician preference items
Fracture fixation

Product platforms in categories
of higher physician preference
and low clinical differentiation
Focused on driving business
model innovation

Cardinal Health
Orthopedic Solutions

22

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Expanding our service offerings

Core
capabilities

Bulk distribution

ValueLink®

OptiFreight®
logistics

RFID solutions

(Products moving
via distribution)

Opportunities
(Products going
directly to the
providers)

23

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Serving patients in the Home

Michael Petras
President, AssuraMed
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Why we like the HOME

Most cost-effective care setting
Rapidly growing area
We have a leading platform in a fragmented category
Increasingly critical to our hospital customers
care delivery plans
Direct-to-patient capability

25

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Growing presence in alternate sites of care

Ambulatory
Physician
office

Clinics &
urgent care

Surgery
centers

Home health
Long-term
care

Home
health
agency

Mail order
DME

Retail
DME

Growth

Cardinal Health
presence

Core
capabilities

Low unit of measure national distribution platform
Comprehensive consumables product offering
Billing / payor relationships

Source: Freedonia, HIDA

26

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

26
AssuraMed supports care in the home

Business
model

Paying
customers

• Direct patient orders received and fulfilled by
Edgepark (direct to home)
• Broad diversified referral network

• Patient orders placed with third-party
providers and fulfilled by Independence
Medical to the home

• Managed care (“MCO”)
• Medicare
• Individual patients

•
•
•
•

Durable medical equipment (“DME”) providers
Retail pharmacies
Wholesale distributors
Home health agencies

Over 40,000 SKUs
Disposable
medical
supplies
National
distribution
footprint

27

•
•
•
•

Ostomy
Diabetes testing
Enteral nutrition
Wound care

•
•
•
•

Insulin infusion
Urological
Incontinence
Respiratory

• Devices
• Skin care
• Health and
personal wellness

Distribution centers in 10 states with ability to reach 72% of the U.S. next day
and 99% in two days

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Opportunities extend across
the care continuum

Cardinal Health

Edgepark® referral sources

DME

28

Pharmacies

Hospital
systems

Hospitals

Home
healthcare
agency

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Surgery
centers

Physician
offices

Payors
Core competencies create
many growth options

Cardinal Health core competencies:
Alternate site
Low unit of measure distribution

Channel expansion

Referral demand generation

Product class expansion
Payor access and billing expertise
High-touch patient service model
Regulatory and patient compliance

29

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Service extension
AssuraMed integration and value realization

Increasing shareholder value
Sales

Product

Cost

Platform

30

Retail independent pharmacies
Health systems
Pharmacy benefit managers
Cardinal Health brand penetration
Enterprise sourcing
Freight and logistics savings
Distribution network
Back-office
Low unit of measure distribution
New customer segments
Business development

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Our aspiration

By the end of FY17:
Deliver 45% of segment gross profit
from preferred product sales
Increase our income from the
home platform by >50%
Deliver >70% of segment gross profit from
our preferred products, services, and
alternate site solutions

31

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Why we are excited

Extraordinary changes in the healthcare system are
creating unprecedented opportunities for Cardinal Health
We are uniquely positioned to help health systems due
to the breadth of our product and service solutions
These solutions provide growth and margin expansion
opportunities for Cardinal Health
– Expanding portfolio of cost-effective product solutions
– Growing set of services across the care continuum

32

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Q&A panel
Moderator: Jeff Henderson, CFO
Lisa Ashby, President, Medical Devices and Diagnostics
Don Casey, CEO, Medical Segment
Mike Duffy, President, Medical Consumables
Michael Petras, President, AssuraMed

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
International and China

Jeff Henderson
Chief Financial Officer
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cardinal Health’s international strategy

1 Near term, primary focus will be investing for growth
in China, building off our existing strong base
2 Continue to leverage platforms in Puerto Rico
and Canada
3 Evaluate opportunities in select new markets,
considering risk / financial returns, growth
potential and Cardinal Health value-add

35

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cardinal Health: A select global presence

Canada
U.S.

Malta

China

Mexico
Puerto Rico
Dominican Republic

Thailand
Malaysia

Singapore

Commercial operations
Manufacturing / sourcing operations

36

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Segment profit from international:
Historical trend

$175

$136

$139

$ millions

$116

FY10

FY11

FY12

Note: Acquired Cardinal Health China (Yong Yu) in FY11.

37

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY13

FY14E
What we said in December 2010

China: Future opportunities
• Initial focus will be on expanding pharmaceutical distribution
presence, particularly Local Direct Distribution (LDD) business
• Over time, we will explore:
- Med/Surg expansion
- Nuclear pharmacy
- Hospital pharmacy management
- Retail pharmacy as it evolves
- Specialty opportunities
And much more
Participation in consolidation will play a key role in long-term growth

38

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
China: The future is now

Eric Zwisler
President, China
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Current market dynamics

Demographics
– Aging population
– Rapidly developing diseases

Healthcare policy reform
– National insurance penetration
– Hospital reform
– Separation of prescribing and dispensing

Government policies
– Anti-corruption
– Price reductions
– Distribution policy driving consolidation

40

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Tenets of our China strategy

Broaden our geographic reach by acquiring local direct
distribution companies thus establishing a national platform
Layer additional Cardinal Health businesses
and services onto the pharmaceutical distribution
network/platform
- Tailor Cardinal Health existing services for the China market

Establish the Cardinal Health brand and market-leading
capabilities to create growth and opportunities
Cardinal Health China is your trusted, go-to-market partner. We enable healthcare
in China by providing essential world-class healthcare services and products.

41

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Rapid progress since acquisition

At acquisition
(FY11)
Revenue

~$2.5B (FY14E)

~700

~2,000

Local wholesaling
companies

5

10

Number of
distribution centers

7

13

Specialty retail
pharmacies (DTP1)

42

~$1B

Employees

1

Now

--

28

Direct-to-patient pharmacies as of December 3, 2013.

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Rapid progress since acquisition
Now
At acquisition (FY11)
Capabilities
• Third-party logistics
• Distribution (national)
• Local wholesaling (5 cities)

Product lines
• Prescription pharmaceuticals
• OTC
• Clinical trial material

43

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

•
•
•
•
•
•
•
•
•

Third-party logistics
Distribution (national)
Local wholesaling (10 cities)
Specialty retailing
Product promotion
E-commerce (B2B, B2C)
Data analytics
Hospital pharmacy services
Software solutions

•
•
•
•
•
•
•
•
•
•
•

Prescription pharmaceuticals
OTC
Clinical trial material
Consumer health
Medical device
Medical consumables
Diagnostics
Nutritional
Vaccines
Biologics
Blood products
Geographic expansion

Shenyang

Beijing

Dalian

Wuxi

Shanghai
Chengdu

Wuhan
Ningbo

Chongqing

Sales network
Local wholesaling company
Specialty pharmacy ( planned)
As of December 3, 2013

44

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Shenzhen
Specialty pharmacy (DTP) services

Unique, integrated,
scalable business
– Non-reimbursed, high value
prescription pharmaceuticals
– Website and call center driving
dispensing to retail platform
– Accelerated by acquisition of
profitable local industry leader

Patient-centric services
– Disease-state focused
– Total care center
– Adherence programs

45

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Growing into the future
Broaden geographic reach
– Expand from 10 to ~25 local wholesaling companies through
tuck-in acquisitions
– Expand from 28 to over 50 DTP specialty pharmacies

Expand direct-to-patient for chronic care
– Focus on disease-centric, patient support model

Invest in innovative healthcare solutions
– Hospital and retail pharmacy focused
– High technology and complexity
– Brand based

Accelerate brand recognition

46

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Coffee break

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Pharmaceutical: A proven track
record of success
Mike Kaufmann
CEO, Pharmaceutical Segment
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
We have delivered on our commitments
Segment profit dollars ($ millions)
$ 1,734
$1,558
$1,329
$1,011

FY10

49

FY11

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY12

FY13
We have delivered on our commitments
Segment profit as a percent of revenue
1.90%
1.59%
1.42%
1.13%

FY10

50

FY11

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY12

FY13
Through a focus on four key drivers

1
1. Execute with relentless discipline and excellence
2
2. Diversify customer base
3
3. Grow generic volumes and margins
4
4. Invest and grow Specialty

51

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Specialty and biopharma:
Strategic positioning in an evolving landscape

Meghan FitzGerald
President, Specialty Solutions
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Sales $

Strong annual sales growth

FY11

FY12

FY13

FY14E

2

53

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
The specialty landscape is evolving and
demands greater value
This image cannot currently be display ed.

Financial forces

Access

Connectivity

• Demographics
• Medicine cost
• Risk sharing

54

Science evolving
• Targeted therapy
• Niche populations
• Genomic
pathways

• Reimbursement
• Clinical patient
support
• Specialty pharmacy

• Collaborative payors
and providers
• Patient-level data
• Consumerism

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Innovative medicine changes lives

Financing

Treatment

Patient
Support

Insurance
Maintenance

55

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
We add value by connecting stakeholders to
better serve specialty patients
Payors
Integrating clinical
pathways with Specialty
Pharmacy will enable
payors and providers to
improve patient care while
reducing the cost of care

Providers
Proven 20+ year track
record in specialty
distribution, increasing
scale with community
specialists through
innovative offerings

56

Biopharma

Patient

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Investing in assets and
capabilities essential to
biopharma’s success in
the changing specialty
therapeutics market
The right medicine, for the right patient,
at the right time
Offerings today…
Scientific &
regulatory
consulting

Specialty
distribution, 3PL,
GPO, specialty
pharmacy

Healthcare
analytics &
marketing
communications

…Growing offerings
Clinical
pathways

Commercialization
services

Patient
support
services

Enhanced
data
analytics

Estimated
growth

Specialty Solutions
presence

Core
capabilities

Distribution and related services
Commercial technical expertise
Enhanced data analytics
Enhanced clinical solutions

57

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

57
Specialty and biopharma

Commitment
to win
Positioning

Talent

58

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Q&A panel
Moderator: Jeff Henderson, CFO
Meghan FitzGerald, President, Specialty Solutions
Scott Howell, M.D., Senior Vice President, Clinical Solutions
Eric Zwisler, President, Cardinal Health China

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Pharmaceutical: A proven track
record of success
Mike Kaufmann
CEO, Pharmaceutical Segment
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Through a focus on four key drivers

1
1. Execute with relentless discipline and excellence
2
2. Diversify customer base
3
3. Grow generic volumes and margins
4
4. Invest and grow Specialty

61

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Key highlights on execution since FY10

Diversified customer base: nearly doubled the number
of retail independents we serve
Adjusted service levels exceed 99%
Warehouse efficiencies have improved by over 13%
SG&A as a percent of GM has decreased by 8 pp
Return on tangible capital has more than doubled*

* Excludes Cardinal Health China

62

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Our retail offering is best-in-class
Leading generic program in breadth of line and
overall customer value
Best-in-class inventory management software
Comprehensive and innovative offerings in DME,
consumer health products and store marketing
programs
Experienced and highly qualified pharmacy
transition services team

63

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Product and service offering:

Retail pharmacy
Durable
Medical
Equipment

Home
health

Local store
marketing

Reimbursement
consulting

Generic
pharmaceuticals

Operational
excellence

Brand
pharmaceuticals

Inventory
manager

Order Express

Managed care

OTC & Leader®

Specialized
care
centers

64

Front-ofstore
consulting

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Pharmacy
transition
services
Source generic sales dollars

FY10

FY11

FY12

FY13

FY14 E
(e)

2

65

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Source generic margin dollar goal

FY14 E
(e)

66

FY15 E
(e)

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY16E
(e)

FY17E
(e)
Driving success in generics

Lower
costs

Increase
scale
Customer
focused

Optimize
with
analytics
67

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
CVS Caremark and Cardinal Health create largest generic sourcing entity
in the U.S. – the world’s largest generic drug market

▪

Largest U.S. pharmacy health care provider
with over $120 billion in revenue

▪

Focused on enhancing access to care, lowering
overall health care costs, and improving health
outcomes

▪

▪

Filled >1 billion prescriptions last year through
its retail and mail order pharmacies

▪

▪

Leading health care services company with
$101 billion in revenue
Focused on improving the cost-effectiveness
and efficiency of health care so providers can
focus on their patients
Serve more than 100,000 locations daily

Sourcing Joint Venture
50/50 U.S.-based joint venture; largest generics sourcing entity in the U.S.
Combines deep sourcing expertise of two leading companies
Joint venture sources and negotiates generic supply contracts for both companies
Joint venture will not take ownership of products or hold inventory on behalf of either company
Will maintain CVS Caremark and Cardinal Health’s leadership positions as they drive value
for customers, clients and shareholders in a capital-efficient manner

Generic Manufacturers negotiate with Sourcing Joint Venture
New entity will collaborate with generic manufacturers to develop innovative supply chain and
purchasing strategies
Both CVS Caremark and Cardinal Health will continue to manage their product orders and
logistics processes in the same way as they do today
Generic sourcing joint venture:
Key information
Forming 50/50 JV with personnel from both companies
– Initial 10-year term
– Responsible for sourcing vast majority of generics for Cardinal Health and
CVS Caremark
– Cost center; expenses to be billed back to Cardinal Health and CVS Caremark

Parties will continue to manage their product orders and logistics
processes as done today
‒

CAH contracts, product flow and financial flows to be executed directly with
manufacturers

Agreement includes fixed quarterly payment (from Cardinal Health to
CVS Caremark) of $25M over life of the agreement
– Total after-tax present value of payments approximately $435M

JV expected to commence operations as soon as July 1, 2014
– Benefits expected to ramp over time

69

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
New generics sourcing JV:
Key CAH reporting considerations
Financial item

Line Item/Area

Where it will appear

Cardinal Health sourcing
benefit

Cost of Goods Sold

Income Statement

Amortization of quarterly
payments to CVS Caremark*

Cost of Goods Sold

Income Statement

Present value of future
quarterly payments to CVS
Caremark - initially ~$700M
(pretax), ~$435M (after tax)*

Other Assets
Other Liabilities

Balance Sheet

50% share of JV net
earnings/loss, if any

Other Income, Net

Income Statement

Investment in JV (minimal)

Cash Flows from Investing
Activities

Statement of Cash Flows

*Note: Full non-discounted amount of future fixed quarterly payments of $25M (10-year term) will
appear in MD&A Contractual Obligations Table.

70

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Financial overview

Jeff Henderson
Chief Financial Officer
December 10, 2013
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Meeting our performance goals
What we told you in Dec. 2010
Long-term non-GAAP EPS1
growth at least double digit
Modified TSR ≥ 11%
(Non-GAAP EPS1 growth + dividend yield)

What we delivered
18.5% CAGR2
21.1%3

Gross margin expansion (TTM)
Non-GAAP operating
margin expansion (TTM)

+64bps

Dividend payout increase4

72

+113bps

+5.1pp

Unless otherwise noted, the actuals presented above reflect the period of Q1FY11 – Q1FY14
1 Non-GAAP diluted earnings per share from continuing operations; Please see appendix for definitions and reconciling information.
2 FY10 – FY13
3 Modified TSR calculated using FY10 – FY13 non-GAAP EPS CAGR plus 2.6% dividend yield on 6/30/2013.
4 Dividend payout increase from FY11 – FY14, using current dividend rate and midpoint of FY14 non-GAAP EPS
© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
guidance range are trademarks or registered trademarks of Cardinal Health.
ESSENTIAL TO CAREof $3.62 to $3.72.
Strong gross margin expansion
5.15%

Gross margin as a percent of revenue (TTM)

4.95%

4.75%

4.55%

4.35%

4.15%

3.95%

3.75%
Q1

Q2

Q3
2011

73

Q4

Q1

Q2

Q3
2012

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Q4

Q1

Q2

Q3
2013

Q4

Q1
2014
With a relentless focus on efficiency
SG&A as % of gross margin (TTM)
63.0%

SG&A as % of
gross margin (TTM)

62.0%

61.0%

60.0%

59.0%

58.0%

57.0%

56.0%
Q1

Q2

Q3
FY11

74

Q4

Q1

Q2

Q3
FY12

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Q4

Q1

Q2

Q3
FY13

Q4

Q1
FY14
Aided by our operational
excellence capabilities

Total type 1 and type 2 accumulated benefit*
Accumulated value

$1,200,000,000
$1,000,000,000
$800,000,000
$600,000,000
$400,000,000
$200,000,000
$0

FY06
2006

FY07
2007

FY08
2008

FY09
2009

Total Benefit
Launch Site
Assessments

Lean
Phase 1

FY10
2010
Type 1 (P&L)

Operating Model/
Gold Standard

*Type 1 and 2 are indicators of the contribution operational excellence makes to productivity, enterprise
efficiency maximization, cost leadership and revenue growth.

75

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY11
2011

Lean Phase 2

FY12
2012
Driving consistent operating
margin expansion
Non-GAAP operating earnings as a
percent of revenue (TTM)

2.2%

2.0%

Non-GAAP operating earnings
as a percent of revenue (TTM)

1.8%

1.6%

1.4%
Q1

Q2

Q3
FY11

Q4

Q1

Q2

Q3
FY12

Please see appendix for GAAP/non-GAAP definitions and reconciling information.

76

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Q4

Q1

Q2

Q3
FY13

Q4

Q1
FY14
Non-GAAP operating earnings:
Historical trend
Non-GAAP operating earnings: Historical trend
$2,046
$1,866
$1,644

$ Millions

$1,394

FY10

FY11

Please see appendix for GAAP/non-GAAP definitions and reconciling information.

77

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY12

FY13
Non-GAAP EPS1: Historical trend
$3.73
$3.21
Includes
$0.18 favorable
tax settlement

$2.80
$2.24

FY10
1

78

FY11

Non-GAAP diluted earnings per share from continuing operations.
Please see appendix for definitions and reconciling information.

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY12

FY13
Thoughtful capital deployment approach

Capital deployment post CareFusion spin1

Dividends
Capital expenditures
Share repurchases
Acquisitions, net of
divestures

1

79

Capital deployment from Q2 FY10 to Q1 FY14.

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Acquisitions across all strategic priorities

Medical
Concepts
Dev.

Health system
solutions

HLS
Freight
Services

Specialty and
biopharma

Healthcare Solutions
Holding, LLC ("P4
Healthcare")

International

Zuellig Pharma
China (“Yong Yu”)

Customer
mix and
generics

Kinray

Alternate
sites of care

Wavemark

Emerge
Medical
(investment)

Novis
Pharma

Futuremed

AssuraMed

Note: Not necessarily to scale.

80

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

China
tuckins

Puerto
Rico
tuck-ins

Dik Drug

Futuremed

Home
health
tuck-ins
Returning cash to shareholders through
dividends and share repurchases
$900

+66%

$800
$700
$600
$500
$400

$ Millions

$300
$200
$100
$0

FY10

FY11
Dividends paid

81

FY12
Share repurchases

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY13
Differentiated dividend policy
Dividend per share
Dividend per share
$1.21
$1.03
$0.86
$0.78
$0.70

FY10

FY11

FY12

FY13

FY14E

Continue to grow dividend at least in-line with
longer-term earnings growth
82

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Future aspirations

Metric
Consolidated non-GAAP
operating margin

>3.0%

Pharmaceutical segment profit margin

>2.5%

Medical segment profit margin

>5.75%

Non-GAAP EPS CAGR
(from FY14)

10% - 15%

Dividend payout
(as percent of non-GAAP EPS)

83

FY17

30% - 35%

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Strong portfolio driving growth
and positioning for the future

Specialty
Alternate sites of care
Health system services
Preferred products: physician preference
Preferred products: medical consumables
Targeted international
Generics excellence
Customer mix shift
FY10

84

FY11

FY12

FY13

FY14

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

FY15

FY16

FY17
Financial flexibility

Solid balance sheet
•
•
•
•
•

Q1 FY14 total debt: $3.9B
Q1 FY14 cash position: $2.8B
Accounts receivable facility: $700M
CP program / revolving credit facility: $1.5B
Commitment to investment grade ratings

Strong OCF generation
• Continued growth in EBITDA
• Disciplined and proven working capital
management

85

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.

Continued
capacity to
fund strategic
growth and
return cash to
shareholders
Proven track record of success

Outstanding financial growth based on strong
execution and focus on the right strategic priorities
Thoughtful deployment of capital and substantial
return of cash to shareholders
Positioned for strong future growth and
shareholder returns and building on a proven track
record of success
Well-balanced. Well-prepared. Well-focused.

86

© Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Q&A

Moderator: Sally Curley, Sr. VP, Investor Relations
George Barrett, Chairman and CEO
Don Casey, CEO, Medical Segment
Jeff Henderson, CFO
Mike Kaufmann, CEO, Pharmaceutical Segment

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Freedom Award 2013

Cardinal Health:
Essential to Care
Select awards in Fiscal 2013
Gartner Research
#1 Healthcare Supply
Chain Organization

Three years in a row
2013, 2012, 2011

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Financial appendix

© Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and
ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
Cardinal Health, Inc. and Subs idiaries
GAAP / Non-GAAP Reconciliation

(in millions, except per common share amounts)
GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Of f costs
Gain on sale of CareFusion stock
Non-GAAP

Ope rating
Earnings
$
996
71
158
859
(38)
$
2,046

GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Of f costs
Gain on sale of CareFusion stock
Non-GAAP

$

GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Of f costs
Gain on sale of CareFusion stock
Non-GAAP

$

GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Of f Costs
Gain on sale of CareFusion stock
Non-GAAP

$

$

$

$

Fiscal Ye ar 2013
Ope rating
Earnings Before
Provision
Earnings
Earnings from Dilute d EPS
Dilute d EPS
Earnings
Incom e Taxes
for
from
Continuing
from
from Continuing
Grow th
and Discontinue d
Incom e
Continuing
Operations
Continuing
Operations
Rate
Operations
Taxes
Operations Grow th Rate 1 Ope rations
Grow th Rate 2
(44)% $
888 $
553 $
335
(69)% $
0.97
(68)%
71
27
44
0.13
158
52
106
0.31
859
37
822
2.39
(38)
(15)
(23)
(0.07)
10 % $
1,938 $
654 $
1,284
15 % $
3.73
16 %

1,792
21
33
21
(3)
2
1,866

18 % $

1,514
16
90
9
6
10
1,644

16 % $

1,307
91
18
29
(62)
11
1,394

13 % $

18 % $

1% $

(3)% $

1,698 $
21
33
21
(3)
2
1,772 $

Fiscal Year 2012
628 $
1,070
8
13
9
24
8
13
(1)
(2)
1
1
653 $
1,119

1,518 $
16
90
9
6
10
(75)
1,573 $

Fiscal Year 2011
552 $
966
5
10
22
68
3
6
(1)
7
4
6
(75)
585 $
988

1,212 $
91
18
29
(62)
53
(45)
1,296 $

Fiscal Year 2010
625 $
587
32
59
6
12
(5)
34
(23)
(39)
(149)
202
(45)
486 $
810

11 % $

13 % $

65 % $

22 % $

(23)% $

(2)% $

3.06
0.04
0.07
0.04
(0.01)
3.21

12 %

2.74
0.03
0.19
0.02
0.02
0.02
(0.21)
2.80

69 %

1.62
0.16
0.03
0.09
(0.11)
0.56
(0.12)
2.24

(23)%

15 %

25 %

(2)%

1

The 3-year compound annual grow th rate f or GAAP and non-GAAP earnings f rom continuing operations w as -9% and 14%, respectively.

2

The 3-year compound annual grow th rate f or GAAP and non-GAAP diluted EPS f rom continuing operations w as -16% and 19%, respectively. Excluding the $0.18 related to a favorable tax
settlement in Q3 FY13, the 3-year compound annual grow th rate for GAAP and non-GAAP diluted EPS from continuing operations w as -21% and 17%, respectively.
The sum of the components may not equal the total due to rounding.

90

We apply varying tax rates depending on the item’s nature and tax jurisdiction w here it is incurred.
Cardinal Health, Inc. and Subsidiaries
GAAP / Non-GAAP Reconciliation

(in millions, except per common share amounts)
GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Non-GAAP

GAAP
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Non-GAAP

Operating
Earnings
$
471
11
49
1
$
532

$

$

457
5
28
1
(22)
469

First Quarter 2014
Operating Earnings Before
Provision
Earnings Earnings from
Earnings
Incom e Taxes
for
from
Continuing
Grow th
and Discontinued
Incom e
Continuing
Operations
Rate
Operations
Taxes
Operations Grow th Rate
3% $
442 $
102 $
340
25 %
11
4
7
49
18
31
1
1
13 % $
503 $
124 $
378
35 %

11 % $

6% $

The sum of the components may not equal the total due to rounding.
We apply varying tax rates depending on the item’s nature and tax jurisdiction w here it is incurred.

91

439 $
5
28
1
(22)
451 $

First Quarter 2013
167 $
272
2
3
10
18
1
(9)
(13)
170 $
281

Diluted EPS
Diluted EPS
from
from Continuing
Continuing
Operations
Operations
Grow th Rate
$
0.99
25 %
0.02
0.09
$
1.10
36 %

15 % $

9% $

0.79
0.01
0.05
(0.04)
0.81

16 %

11 %
Cardinal Health, Inc. and Subsidiaries
GAAP / Non-GAAP Reconciliation

2013

Rolling Quarter
2012
Q3

2014
Q1

Q4

Q3

Q2

Q1

Q4

Revenue

$ 99,727

$ 101,093

$ 102,437

$ 104,803

$ 106,648

$ 107,552

GAAP operating earnings
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Off Costs
Non-GAAP operating earnings

$

$

$

$

$

$

(in millions)

GAAP operating earnings margin rate
Non-GAAP operating earnings m argin rate
3-year m argin expansion

$

1,011
76
179
859
(15)
2,109

$

1.01 %
2.11 %
64bp

996
71
158
859
(38)
2,046
0.99 %
2.02 %

$

1,842
48
117
29
(37)
1,999
1.80 %
1.95 %

$

1,893
22
37
25
(34)
1
1,943
1.81 %
1.85 %

$

1,836
23
34
21
(22)
1
1,893
1.72 %
1.77 %

$

1,792
21
33
21
(3)
2
1,866
1.67 %
1.73 %

2011
Q2

Q1

Q4

Q3

Q2

Q1

$ 107,551

$ 106,705

$ 104,999

$ 102,644

$ 100,340

$ 98,612

$ 98,160

$

$

$

$

$

$

$

$

1,747
17
37
20
(9)
4
1,816
1.62 %
1.69 %

$

1,668
16
94
7
(4)
4
1,786
1.56 %
1.67 %

$

1,562
17
106
8
2
8
1,703
1.49 %
1.62 %

$

1,514
16
90
9
6
10
1,644
1.48 %
1.60 %

$

1,489
17
86
9
(22)
9
1,588
1.48 %
1.58 %

$

1,408
25
58
9
(29)
12
1,483
1.43 %
1.50 %

$

1,431
33
28
7
(60)
12
1,451
1.46 %
1.48 %

The sum of the components may not equal the total due to rounding.
Forw ard-Looking Non-GAAP Financial Measures
We present non-GAAP earnings from continuing operations (and presentations derived from these financial measures, including per share calculations) on a forw ard-looking basis. The most directly comparable forw ard-looking GAAP
measures are earnings from continuing operations. We are unable to provide a quantitative reconciliation of these forw ard-looking non-GAAP measures to the most directly comparable forw ard-looking GAAP measures because w e
cannot reliably forecast restructuring and employee severance, amortiztion and other acquisition-related costs, impairments and loss on disposal of assets and litigation (recoveries)/charges, net, w hich are difficult to predict and
estimate and are primarily dependent on future events. Please note that the unavailable reconciling items could significantly impact our future financial results.

92
Cardinal Health, Inc. and Subsidiaries
GAAP / Non-GAAP Reconciliation

(in millions)
Revenue

$

GAAP operating earnings
Restructuring and employee severance
Amortization and other acquisition-related costs
Impairments and loss on disposal of assets
Litigation (recoveries)/charges, net
Other Spin-Off Costs
Non-GAAP operating earnings

$

GAAP operating earnings m argin rate
Non-GAAP operating earnings m argin rate

The sum of the components may not equal the total due to rounding.

93

Fiscal Year
2012
2011

2013

$

101,093
996
71
158
859
(38)
2,046
0.99 %
2.02 %
29bp

$
$

$

107,552
1,792
21
33
21
(3)
2
1,866
1.67 %
1.73 %
13bp

2010

$

102,644

$

$

1,514
15
90
9
6
10
1,644

$

$

1.48 %
1.60 %
18bp

$

98,503
1,307
91
18
29
(62)
11
1,394
1.33 %
1.42 %
Cardinal Health, Inc. and Subsidiaries
Definitions
Non-GAAP Diluted EPS from Continuing Operations and grow th rate calculation1: non-GAAP earnings from continuing operations divided by diluted w eighted-average shares
outstanding.
Non-GAAP Earnings from Continuing Operations: earnings from continuing operations excluding (1) restructuring and employee severance2, (2) amortization and other acquisitionrelated costs 3, (3) impairments and loss on disposal of assets 4, (4) litigation (recoveries)/charges, net5, (5) Other Spin-Off Costs and (6) gain on sale of CareFusion stock, each net of tax.
Non-GAAP Operating Earnings: operating earnings excluding (1) restructuring and employee severance, (2) amortization and other acquisition-related costs, (3) impairments and loss
on disposal of assets, (4) litigation (recoveries)/charges, net and (5) Other Spin-Off Costs.
Non-GAAP Operating Earnings Margin Rate: non-GAAP operating earnings divided by revenue.
Other Spin-Off Costs: costs incurred in connection w ith our Spin-Off of CareFusion w hich are included in distribution, selling, general and administrative expenses.
Segm ent Profit: segment revenue minus (segment cost of products sold and segment distribution, selling, general and administrative expenses).
Segm ent Profit from International6: international revenue minus (international cost of products sold and international distribution, selling, general and administrative expenses).
Segm ent Profit Margin: segment profit divided by segment revenue.
1

Except for compound annual grow th rates (CAGR), grow th rates in this presentation are determined by dividing the difference betw een current period results and prior period results by
prior period results. CAGR is determined by subtracting one from ((the ending value divided by the beginning value) raised to the pow er of (one divided by the number of years)).

2

Programs w hereby Cardinal Health fundamentally changes its operations such as closing and consolidating facilities, moving manufacturing of a product to another location, production or
business process sourcing, employee severance (including rationalizing headcount or other significant changes in personnel) and realigning operations (including substantial realignment
of the management structure of a business unit in response to changing market conditions).

3

Costs that consist primarily of amortization of acquisition-related intangible assets, transaction costs, integration costs and changes in the fair value of contingent consideration obligations.

4

Asset impairments and losses from the disposal of assets not eligible to be classified as discontinued operations are classified w ithin impairments and loss on disposal of assets w ithin the
consolidated statements of earnings.

5

Loss contingencies related to litigation and regulatory matters and income from favorable resolution of legal matters.

6

Includes CAH Puerto Rico and our non-U.S. operations.

94

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Cah investorand analystday dec10.2013

  • 1. Freedom Award 2013 Cardinal Health: Essential to Care Select awards in Fiscal 2013 Gartner Research #1 Healthcare Supply Chain Organization Three years in a row 2013, 2012, 2011 © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 2. Cardinal Health: Investor and Analyst Meeting Sally J. Curley Senior Vice President, Investor Relations December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 3. Cautions concerning forward-looking statements The presentations at the Cardinal Health 2013 Investor Day contain forward-looking statements addressing expectations, prospects, estimates and other matters that are dependent upon future events or developments. These statements may be identified by words such as "expect," "anticipate," "intend," "plan," "believe," "will," "should," "could," "would," "project," "continue," "likely," and similar expressions, and include statements reflecting future results or guidance, statements of outlook and expense accruals. These matters are subject to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied. These risks and uncertainties include competitive pressures in Cardinal Health's various lines of business; the ability to achieve the expected benefits from the AssuraMed acquisition; the timing of generic and branded pharmaceutical introductions and the frequency or rate of pharmaceutical price appreciation or deflation; the non-renewal, early termination or a default under one or more key customer or supplier arrangements or changes to the terms of or level of purchases under those arrangements; uncertainties due to government health care reform including federal health care reform legislation; changes in the distribution patterns or reimbursement rates for health care products and services; and the effects of any investigation or action by any regulatory authority; and changes in the cost of commodities such as oil-based resins, cotton, latex and diesel fuel. Cardinal Health is subject to additional risks and uncertainties described in Cardinal Health's Form 10-K, Form 10-Q and Form 8-K reports and exhibits to those reports. These presentations reflect management's views as of December 10, 2013. Except to the extent required by applicable law, Cardinal Health undertakes no obligation to update or revise any forward-looking statement. In addition, these presentations contain Non-GAAP financial measure. Cardinal Health provides GAAP numbers, definitions and reconciling information in the Financial Appendix at the end of these presentations and on its Investors page at www.cardinalhealth.com. An audio replay of the Cardinal Health 2013 Investor Day will be available on the Investors page at www.cardinalhealth.com. 3 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 4. Cardinal Health: Well-balanced. Well-prepared. Well-focused. George Barrett Chairman and CEO December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 5. Proven track record of success Positioned for future growth in an evolving healthcare landscape Outstanding financial growth based on strong execution and focus on the right strategic priorities Thoughtful deployment of capital and substantial returns for shareholders The talent to make it all happen 5 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 6. Non-GAAP EPS1: Historical Strong financial performance trend Non-GAAP EPS, Operating Earnings, and Operating Earnings Margin Rates1 $3.21 $3.73 $2.80 Non-GAAP Diluted EPS $2.24 $2.0B $1.9B $1.6B Non-GAAP Op Earnings 2.02% $1.4B 1.73% 1.60% Non-GAAP Op Margin 1.42% FY10 FY11 FY12 1 FY13 Please see the definitions and reconciling information at the end of this presentation. The CAGR for GAAP diluted EPS from continuing operations from fiscal 2010 to fiscal 2013 was -15.7%. 3 The CAGR for GAAP operating earnings from fiscal 2010 to fiscal 2013 was -8.7%. 2 6 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Non-GAAP EPS CAGR2 18.5% Non-GAAP OE CAGR3 13.6%
  • 7. Taking the poll using texting on your cell What you will text… What will appear… Type “22333” into “To” field Type “Cardinal” into text message field 7 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. You’ve joined Employee Comm (CARDINAL)
  • 8. Question: Which of the following drivers will be most important to Cardinal Health sustaining growth over the next five years? a. Demographic trends b. Generics c. Specialty d. Preferred medical products e. Alternate site and home f. China TEXT YOUR SELECTION TO 22333 8 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 9. Question: Which of the following drivers are you most concerned about related to Cardinal Health sustaining growth over the next five years? a. Industry dynamics b. Sustaining generics c. Specialty positioning d. Medical segment overall position e. Execution on preferred products TEXT YOUR SELECTION TO 22333 9 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 10. Healthcare trends Our priorities are driven by key trends in the healthcare marketplace . . . Demographics and public health issues driving demand Care delivery in more costeffective settings Increased consumerism in healthcare Transition from fee-for-service to payment for outcomes Increased participation of government, both as payor and regulator Continued innovation in healthcare 10 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 11. Serving the full continuum of care Surgery centers Clinics Hospitals Physician offices Continuum of care 11 Imaging centers Laboratories © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Retail pharmacies Home
  • 12. Our strategic priorities: Solutions for a system in transition Generics • Continue to build scale and capabilities to deliver value in generics • Tailored programs to a segmented customer base Specialty and biopharma Health system and hospital solutions • Reduce IDN pain points with scaled, cost-saving solutions – Physician preference products, medical consumables – Pharmacy solutions • Develop new models to address changing market needs • Explore additional services • Enhance and build programs to create value for providers and biopharma manufacturers Alternate sites of care International • Expand in China, Canada and Puerto Rico • Continue to evaluate new markets 12 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. • Expand ability to serve physician offices, ambulatory surgery centers and the home • Expand product lines and services
  • 13. Positioned to support evolving health system needs Don Casey CEO, Medical Segment December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 14. Why we are excited Extraordinary changes in the healthcare system are creating unprecedented opportunities for Cardinal Health We are uniquely positioned to help health systems due to the breadth of our product and service solutions These solutions provide growth and margin expansion opportunities for Cardinal Health – Expanding portfolio of cost-effective product solutions – Growing set of services across the care continuum 14 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 15. Acute care environment is changing Reimbursement changes Demographics 15 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 16. Hospitals are responding by consolidating Number of hospital M&A transactions 105 93 76 50 2009 2010 2011 2012 Source: Irving Levin Associates 16 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Hospitals also are acquiring physician practices (~50% hospital employed or owned)
  • 17. Hospitals are responding by expanding across the care continuum Physician office Clinic Community hospital Academic medical center Acute Post Acute Home Health 17 Urgent care Surgery center Pharmacy Rehab Long-term acute care hospital Specialty hospital Skilled nursing facility Home health Hospice Home health agency Retail DME provider Mail order DME provider © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Integrated Delivery Networks Ambulatory
  • 18. Hospitals are responding by bringing a new mindset Typical U.S. hospital spend Services (19%) Employed labor (60%) Medical supplies & devices (15%) Rx (6%) Source: Cardinal Health estimates 18 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 19. We are well positioned Aligning our business in supporting hospital and health system needs: 1 2 Launching solutions focused on reducing the cost of physician preference items 3 Expanding our service offerings through new launches and acquisitions 4 AssuraMed: providing a new platform for serving patients in the home 5 19 Increasing the breadth of our consumable product portfolio, more launches in Q1 than all of last year Improving our own cost structure to be more efficient in how we serve our customers © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 20. Preferred products Preferred products* Consumables * Manufactured and sourced products 20 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Physician preference items
  • 21. Increasing the breadth of our consumables product portfolio Product portfolio offering cost-effective alternatives Expanding the Cardinal Health brand across channels 21 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 22. Launching solutions focused on reducing the cost of physician preference items Fracture fixation Product platforms in categories of higher physician preference and low clinical differentiation Focused on driving business model innovation Cardinal Health Orthopedic Solutions 22 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 23. Expanding our service offerings Core capabilities Bulk distribution ValueLink® OptiFreight® logistics RFID solutions (Products moving via distribution) Opportunities (Products going directly to the providers) 23 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 24. Serving patients in the Home Michael Petras President, AssuraMed December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 25. Why we like the HOME Most cost-effective care setting Rapidly growing area We have a leading platform in a fragmented category Increasingly critical to our hospital customers care delivery plans Direct-to-patient capability 25 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 26. Growing presence in alternate sites of care Ambulatory Physician office Clinics & urgent care Surgery centers Home health Long-term care Home health agency Mail order DME Retail DME Growth Cardinal Health presence Core capabilities Low unit of measure national distribution platform Comprehensive consumables product offering Billing / payor relationships Source: Freedonia, HIDA 26 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. 26
  • 27. AssuraMed supports care in the home Business model Paying customers • Direct patient orders received and fulfilled by Edgepark (direct to home) • Broad diversified referral network • Patient orders placed with third-party providers and fulfilled by Independence Medical to the home • Managed care (“MCO”) • Medicare • Individual patients • • • • Durable medical equipment (“DME”) providers Retail pharmacies Wholesale distributors Home health agencies Over 40,000 SKUs Disposable medical supplies National distribution footprint 27 • • • • Ostomy Diabetes testing Enteral nutrition Wound care • • • • Insulin infusion Urological Incontinence Respiratory • Devices • Skin care • Health and personal wellness Distribution centers in 10 states with ability to reach 72% of the U.S. next day and 99% in two days © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 28. Opportunities extend across the care continuum Cardinal Health Edgepark® referral sources DME 28 Pharmacies Hospital systems Hospitals Home healthcare agency © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Surgery centers Physician offices Payors
  • 29. Core competencies create many growth options Cardinal Health core competencies: Alternate site Low unit of measure distribution Channel expansion Referral demand generation Product class expansion Payor access and billing expertise High-touch patient service model Regulatory and patient compliance 29 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Service extension
  • 30. AssuraMed integration and value realization Increasing shareholder value Sales Product Cost Platform 30 Retail independent pharmacies Health systems Pharmacy benefit managers Cardinal Health brand penetration Enterprise sourcing Freight and logistics savings Distribution network Back-office Low unit of measure distribution New customer segments Business development © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 31. Our aspiration By the end of FY17: Deliver 45% of segment gross profit from preferred product sales Increase our income from the home platform by >50% Deliver >70% of segment gross profit from our preferred products, services, and alternate site solutions 31 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 32. Why we are excited Extraordinary changes in the healthcare system are creating unprecedented opportunities for Cardinal Health We are uniquely positioned to help health systems due to the breadth of our product and service solutions These solutions provide growth and margin expansion opportunities for Cardinal Health – Expanding portfolio of cost-effective product solutions – Growing set of services across the care continuum 32 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 33. Q&A panel Moderator: Jeff Henderson, CFO Lisa Ashby, President, Medical Devices and Diagnostics Don Casey, CEO, Medical Segment Mike Duffy, President, Medical Consumables Michael Petras, President, AssuraMed © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 34. International and China Jeff Henderson Chief Financial Officer December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 35. Cardinal Health’s international strategy 1 Near term, primary focus will be investing for growth in China, building off our existing strong base 2 Continue to leverage platforms in Puerto Rico and Canada 3 Evaluate opportunities in select new markets, considering risk / financial returns, growth potential and Cardinal Health value-add 35 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 36. Cardinal Health: A select global presence Canada U.S. Malta China Mexico Puerto Rico Dominican Republic Thailand Malaysia Singapore Commercial operations Manufacturing / sourcing operations 36 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 37. Segment profit from international: Historical trend $175 $136 $139 $ millions $116 FY10 FY11 FY12 Note: Acquired Cardinal Health China (Yong Yu) in FY11. 37 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY13 FY14E
  • 38. What we said in December 2010 China: Future opportunities • Initial focus will be on expanding pharmaceutical distribution presence, particularly Local Direct Distribution (LDD) business • Over time, we will explore: - Med/Surg expansion - Nuclear pharmacy - Hospital pharmacy management - Retail pharmacy as it evolves - Specialty opportunities And much more Participation in consolidation will play a key role in long-term growth 38 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 39. China: The future is now Eric Zwisler President, China December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 40. Current market dynamics Demographics – Aging population – Rapidly developing diseases Healthcare policy reform – National insurance penetration – Hospital reform – Separation of prescribing and dispensing Government policies – Anti-corruption – Price reductions – Distribution policy driving consolidation 40 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 41. Tenets of our China strategy Broaden our geographic reach by acquiring local direct distribution companies thus establishing a national platform Layer additional Cardinal Health businesses and services onto the pharmaceutical distribution network/platform - Tailor Cardinal Health existing services for the China market Establish the Cardinal Health brand and market-leading capabilities to create growth and opportunities Cardinal Health China is your trusted, go-to-market partner. We enable healthcare in China by providing essential world-class healthcare services and products. 41 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 42. Rapid progress since acquisition At acquisition (FY11) Revenue ~$2.5B (FY14E) ~700 ~2,000 Local wholesaling companies 5 10 Number of distribution centers 7 13 Specialty retail pharmacies (DTP1) 42 ~$1B Employees 1 Now -- 28 Direct-to-patient pharmacies as of December 3, 2013. © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 43. Rapid progress since acquisition Now At acquisition (FY11) Capabilities • Third-party logistics • Distribution (national) • Local wholesaling (5 cities) Product lines • Prescription pharmaceuticals • OTC • Clinical trial material 43 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. • • • • • • • • • Third-party logistics Distribution (national) Local wholesaling (10 cities) Specialty retailing Product promotion E-commerce (B2B, B2C) Data analytics Hospital pharmacy services Software solutions • • • • • • • • • • • Prescription pharmaceuticals OTC Clinical trial material Consumer health Medical device Medical consumables Diagnostics Nutritional Vaccines Biologics Blood products
  • 44. Geographic expansion Shenyang Beijing Dalian Wuxi Shanghai Chengdu Wuhan Ningbo Chongqing Sales network Local wholesaling company Specialty pharmacy ( planned) As of December 3, 2013 44 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Shenzhen
  • 45. Specialty pharmacy (DTP) services Unique, integrated, scalable business – Non-reimbursed, high value prescription pharmaceuticals – Website and call center driving dispensing to retail platform – Accelerated by acquisition of profitable local industry leader Patient-centric services – Disease-state focused – Total care center – Adherence programs 45 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 46. Growing into the future Broaden geographic reach – Expand from 10 to ~25 local wholesaling companies through tuck-in acquisitions – Expand from 28 to over 50 DTP specialty pharmacies Expand direct-to-patient for chronic care – Focus on disease-centric, patient support model Invest in innovative healthcare solutions – Hospital and retail pharmacy focused – High technology and complexity – Brand based Accelerate brand recognition 46 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 47. Coffee break © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 48. Pharmaceutical: A proven track record of success Mike Kaufmann CEO, Pharmaceutical Segment December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 49. We have delivered on our commitments Segment profit dollars ($ millions) $ 1,734 $1,558 $1,329 $1,011 FY10 49 FY11 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY12 FY13
  • 50. We have delivered on our commitments Segment profit as a percent of revenue 1.90% 1.59% 1.42% 1.13% FY10 50 FY11 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY12 FY13
  • 51. Through a focus on four key drivers 1 1. Execute with relentless discipline and excellence 2 2. Diversify customer base 3 3. Grow generic volumes and margins 4 4. Invest and grow Specialty 51 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 52. Specialty and biopharma: Strategic positioning in an evolving landscape Meghan FitzGerald President, Specialty Solutions December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 53. Sales $ Strong annual sales growth FY11 FY12 FY13 FY14E 2 53 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 54. The specialty landscape is evolving and demands greater value This image cannot currently be display ed. Financial forces Access Connectivity • Demographics • Medicine cost • Risk sharing 54 Science evolving • Targeted therapy • Niche populations • Genomic pathways • Reimbursement • Clinical patient support • Specialty pharmacy • Collaborative payors and providers • Patient-level data • Consumerism © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 55. Innovative medicine changes lives Financing Treatment Patient Support Insurance Maintenance 55 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 56. We add value by connecting stakeholders to better serve specialty patients Payors Integrating clinical pathways with Specialty Pharmacy will enable payors and providers to improve patient care while reducing the cost of care Providers Proven 20+ year track record in specialty distribution, increasing scale with community specialists through innovative offerings 56 Biopharma Patient © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Investing in assets and capabilities essential to biopharma’s success in the changing specialty therapeutics market
  • 57. The right medicine, for the right patient, at the right time Offerings today… Scientific & regulatory consulting Specialty distribution, 3PL, GPO, specialty pharmacy Healthcare analytics & marketing communications …Growing offerings Clinical pathways Commercialization services Patient support services Enhanced data analytics Estimated growth Specialty Solutions presence Core capabilities Distribution and related services Commercial technical expertise Enhanced data analytics Enhanced clinical solutions 57 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. 57
  • 58. Specialty and biopharma Commitment to win Positioning Talent 58 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 59. Q&A panel Moderator: Jeff Henderson, CFO Meghan FitzGerald, President, Specialty Solutions Scott Howell, M.D., Senior Vice President, Clinical Solutions Eric Zwisler, President, Cardinal Health China © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 60. Pharmaceutical: A proven track record of success Mike Kaufmann CEO, Pharmaceutical Segment December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 61. Through a focus on four key drivers 1 1. Execute with relentless discipline and excellence 2 2. Diversify customer base 3 3. Grow generic volumes and margins 4 4. Invest and grow Specialty 61 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 62. Key highlights on execution since FY10 Diversified customer base: nearly doubled the number of retail independents we serve Adjusted service levels exceed 99% Warehouse efficiencies have improved by over 13% SG&A as a percent of GM has decreased by 8 pp Return on tangible capital has more than doubled* * Excludes Cardinal Health China 62 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 63. Our retail offering is best-in-class Leading generic program in breadth of line and overall customer value Best-in-class inventory management software Comprehensive and innovative offerings in DME, consumer health products and store marketing programs Experienced and highly qualified pharmacy transition services team 63 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 64. Product and service offering: Retail pharmacy Durable Medical Equipment Home health Local store marketing Reimbursement consulting Generic pharmaceuticals Operational excellence Brand pharmaceuticals Inventory manager Order Express Managed care OTC & Leader® Specialized care centers 64 Front-ofstore consulting © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Pharmacy transition services
  • 65. Source generic sales dollars FY10 FY11 FY12 FY13 FY14 E (e) 2 65 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 66. Source generic margin dollar goal FY14 E (e) 66 FY15 E (e) © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY16E (e) FY17E (e)
  • 67. Driving success in generics Lower costs Increase scale Customer focused Optimize with analytics 67 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 68. CVS Caremark and Cardinal Health create largest generic sourcing entity in the U.S. – the world’s largest generic drug market ▪ Largest U.S. pharmacy health care provider with over $120 billion in revenue ▪ Focused on enhancing access to care, lowering overall health care costs, and improving health outcomes ▪ ▪ Filled >1 billion prescriptions last year through its retail and mail order pharmacies ▪ ▪ Leading health care services company with $101 billion in revenue Focused on improving the cost-effectiveness and efficiency of health care so providers can focus on their patients Serve more than 100,000 locations daily Sourcing Joint Venture 50/50 U.S.-based joint venture; largest generics sourcing entity in the U.S. Combines deep sourcing expertise of two leading companies Joint venture sources and negotiates generic supply contracts for both companies Joint venture will not take ownership of products or hold inventory on behalf of either company Will maintain CVS Caremark and Cardinal Health’s leadership positions as they drive value for customers, clients and shareholders in a capital-efficient manner Generic Manufacturers negotiate with Sourcing Joint Venture New entity will collaborate with generic manufacturers to develop innovative supply chain and purchasing strategies Both CVS Caremark and Cardinal Health will continue to manage their product orders and logistics processes in the same way as they do today
  • 69. Generic sourcing joint venture: Key information Forming 50/50 JV with personnel from both companies – Initial 10-year term – Responsible for sourcing vast majority of generics for Cardinal Health and CVS Caremark – Cost center; expenses to be billed back to Cardinal Health and CVS Caremark Parties will continue to manage their product orders and logistics processes as done today ‒ CAH contracts, product flow and financial flows to be executed directly with manufacturers Agreement includes fixed quarterly payment (from Cardinal Health to CVS Caremark) of $25M over life of the agreement – Total after-tax present value of payments approximately $435M JV expected to commence operations as soon as July 1, 2014 – Benefits expected to ramp over time 69 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 70. New generics sourcing JV: Key CAH reporting considerations Financial item Line Item/Area Where it will appear Cardinal Health sourcing benefit Cost of Goods Sold Income Statement Amortization of quarterly payments to CVS Caremark* Cost of Goods Sold Income Statement Present value of future quarterly payments to CVS Caremark - initially ~$700M (pretax), ~$435M (after tax)* Other Assets Other Liabilities Balance Sheet 50% share of JV net earnings/loss, if any Other Income, Net Income Statement Investment in JV (minimal) Cash Flows from Investing Activities Statement of Cash Flows *Note: Full non-discounted amount of future fixed quarterly payments of $25M (10-year term) will appear in MD&A Contractual Obligations Table. 70 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 71. Financial overview Jeff Henderson Chief Financial Officer December 10, 2013 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 72. Meeting our performance goals What we told you in Dec. 2010 Long-term non-GAAP EPS1 growth at least double digit Modified TSR ≥ 11% (Non-GAAP EPS1 growth + dividend yield) What we delivered 18.5% CAGR2 21.1%3 Gross margin expansion (TTM) Non-GAAP operating margin expansion (TTM) +64bps Dividend payout increase4 72 +113bps +5.1pp Unless otherwise noted, the actuals presented above reflect the period of Q1FY11 – Q1FY14 1 Non-GAAP diluted earnings per share from continuing operations; Please see appendix for definitions and reconciling information. 2 FY10 – FY13 3 Modified TSR calculated using FY10 – FY13 non-GAAP EPS CAGR plus 2.6% dividend yield on 6/30/2013. 4 Dividend payout increase from FY11 – FY14, using current dividend rate and midpoint of FY14 non-GAAP EPS © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and guidance range are trademarks or registered trademarks of Cardinal Health. ESSENTIAL TO CAREof $3.62 to $3.72.
  • 73. Strong gross margin expansion 5.15% Gross margin as a percent of revenue (TTM) 4.95% 4.75% 4.55% 4.35% 4.15% 3.95% 3.75% Q1 Q2 Q3 2011 73 Q4 Q1 Q2 Q3 2012 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Q4 Q1 Q2 Q3 2013 Q4 Q1 2014
  • 74. With a relentless focus on efficiency SG&A as % of gross margin (TTM) 63.0% SG&A as % of gross margin (TTM) 62.0% 61.0% 60.0% 59.0% 58.0% 57.0% 56.0% Q1 Q2 Q3 FY11 74 Q4 Q1 Q2 Q3 FY12 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Q4 Q1 Q2 Q3 FY13 Q4 Q1 FY14
  • 75. Aided by our operational excellence capabilities Total type 1 and type 2 accumulated benefit* Accumulated value $1,200,000,000 $1,000,000,000 $800,000,000 $600,000,000 $400,000,000 $200,000,000 $0 FY06 2006 FY07 2007 FY08 2008 FY09 2009 Total Benefit Launch Site Assessments Lean Phase 1 FY10 2010 Type 1 (P&L) Operating Model/ Gold Standard *Type 1 and 2 are indicators of the contribution operational excellence makes to productivity, enterprise efficiency maximization, cost leadership and revenue growth. 75 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY11 2011 Lean Phase 2 FY12 2012
  • 76. Driving consistent operating margin expansion Non-GAAP operating earnings as a percent of revenue (TTM) 2.2% 2.0% Non-GAAP operating earnings as a percent of revenue (TTM) 1.8% 1.6% 1.4% Q1 Q2 Q3 FY11 Q4 Q1 Q2 Q3 FY12 Please see appendix for GAAP/non-GAAP definitions and reconciling information. 76 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Q4 Q1 Q2 Q3 FY13 Q4 Q1 FY14
  • 77. Non-GAAP operating earnings: Historical trend Non-GAAP operating earnings: Historical trend $2,046 $1,866 $1,644 $ Millions $1,394 FY10 FY11 Please see appendix for GAAP/non-GAAP definitions and reconciling information. 77 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY12 FY13
  • 78. Non-GAAP EPS1: Historical trend $3.73 $3.21 Includes $0.18 favorable tax settlement $2.80 $2.24 FY10 1 78 FY11 Non-GAAP diluted earnings per share from continuing operations. Please see appendix for definitions and reconciling information. © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY12 FY13
  • 79. Thoughtful capital deployment approach Capital deployment post CareFusion spin1 Dividends Capital expenditures Share repurchases Acquisitions, net of divestures 1 79 Capital deployment from Q2 FY10 to Q1 FY14. © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 80. Acquisitions across all strategic priorities Medical Concepts Dev. Health system solutions HLS Freight Services Specialty and biopharma Healthcare Solutions Holding, LLC ("P4 Healthcare") International Zuellig Pharma China (“Yong Yu”) Customer mix and generics Kinray Alternate sites of care Wavemark Emerge Medical (investment) Novis Pharma Futuremed AssuraMed Note: Not necessarily to scale. 80 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. China tuckins Puerto Rico tuck-ins Dik Drug Futuremed Home health tuck-ins
  • 81. Returning cash to shareholders through dividends and share repurchases $900 +66% $800 $700 $600 $500 $400 $ Millions $300 $200 $100 $0 FY10 FY11 Dividends paid 81 FY12 Share repurchases © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY13
  • 82. Differentiated dividend policy Dividend per share Dividend per share $1.21 $1.03 $0.86 $0.78 $0.70 FY10 FY11 FY12 FY13 FY14E Continue to grow dividend at least in-line with longer-term earnings growth 82 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 83. Future aspirations Metric Consolidated non-GAAP operating margin >3.0% Pharmaceutical segment profit margin >2.5% Medical segment profit margin >5.75% Non-GAAP EPS CAGR (from FY14) 10% - 15% Dividend payout (as percent of non-GAAP EPS) 83 FY17 30% - 35% © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 84. Strong portfolio driving growth and positioning for the future Specialty Alternate sites of care Health system services Preferred products: physician preference Preferred products: medical consumables Targeted international Generics excellence Customer mix shift FY10 84 FY11 FY12 FY13 FY14 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. FY15 FY16 FY17
  • 85. Financial flexibility Solid balance sheet • • • • • Q1 FY14 total debt: $3.9B Q1 FY14 cash position: $2.8B Accounts receivable facility: $700M CP program / revolving credit facility: $1.5B Commitment to investment grade ratings Strong OCF generation • Continued growth in EBITDA • Disciplined and proven working capital management 85 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Continued capacity to fund strategic growth and return cash to shareholders
  • 86. Proven track record of success Outstanding financial growth based on strong execution and focus on the right strategic priorities Thoughtful deployment of capital and substantial return of cash to shareholders Positioned for strong future growth and shareholder returns and building on a proven track record of success Well-balanced. Well-prepared. Well-focused. 86 © Copyright 2013, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 87. Q&A Moderator: Sally Curley, Sr. VP, Investor Relations George Barrett, Chairman and CEO Don Casey, CEO, Medical Segment Jeff Henderson, CFO Mike Kaufmann, CEO, Pharmaceutical Segment © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 88. Freedom Award 2013 Cardinal Health: Essential to Care Select awards in Fiscal 2013 Gartner Research #1 Healthcare Supply Chain Organization Three years in a row 2013, 2012, 2011 © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 89. Financial appendix © Copyright 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.
  • 90. Cardinal Health, Inc. and Subs idiaries GAAP / Non-GAAP Reconciliation (in millions, except per common share amounts) GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Of f costs Gain on sale of CareFusion stock Non-GAAP Ope rating Earnings $ 996 71 158 859 (38) $ 2,046 GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Of f costs Gain on sale of CareFusion stock Non-GAAP $ GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Of f costs Gain on sale of CareFusion stock Non-GAAP $ GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Of f Costs Gain on sale of CareFusion stock Non-GAAP $ $ $ $ Fiscal Ye ar 2013 Ope rating Earnings Before Provision Earnings Earnings from Dilute d EPS Dilute d EPS Earnings Incom e Taxes for from Continuing from from Continuing Grow th and Discontinue d Incom e Continuing Operations Continuing Operations Rate Operations Taxes Operations Grow th Rate 1 Ope rations Grow th Rate 2 (44)% $ 888 $ 553 $ 335 (69)% $ 0.97 (68)% 71 27 44 0.13 158 52 106 0.31 859 37 822 2.39 (38) (15) (23) (0.07) 10 % $ 1,938 $ 654 $ 1,284 15 % $ 3.73 16 % 1,792 21 33 21 (3) 2 1,866 18 % $ 1,514 16 90 9 6 10 1,644 16 % $ 1,307 91 18 29 (62) 11 1,394 13 % $ 18 % $ 1% $ (3)% $ 1,698 $ 21 33 21 (3) 2 1,772 $ Fiscal Year 2012 628 $ 1,070 8 13 9 24 8 13 (1) (2) 1 1 653 $ 1,119 1,518 $ 16 90 9 6 10 (75) 1,573 $ Fiscal Year 2011 552 $ 966 5 10 22 68 3 6 (1) 7 4 6 (75) 585 $ 988 1,212 $ 91 18 29 (62) 53 (45) 1,296 $ Fiscal Year 2010 625 $ 587 32 59 6 12 (5) 34 (23) (39) (149) 202 (45) 486 $ 810 11 % $ 13 % $ 65 % $ 22 % $ (23)% $ (2)% $ 3.06 0.04 0.07 0.04 (0.01) 3.21 12 % 2.74 0.03 0.19 0.02 0.02 0.02 (0.21) 2.80 69 % 1.62 0.16 0.03 0.09 (0.11) 0.56 (0.12) 2.24 (23)% 15 % 25 % (2)% 1 The 3-year compound annual grow th rate f or GAAP and non-GAAP earnings f rom continuing operations w as -9% and 14%, respectively. 2 The 3-year compound annual grow th rate f or GAAP and non-GAAP diluted EPS f rom continuing operations w as -16% and 19%, respectively. Excluding the $0.18 related to a favorable tax settlement in Q3 FY13, the 3-year compound annual grow th rate for GAAP and non-GAAP diluted EPS from continuing operations w as -21% and 17%, respectively. The sum of the components may not equal the total due to rounding. 90 We apply varying tax rates depending on the item’s nature and tax jurisdiction w here it is incurred.
  • 91. Cardinal Health, Inc. and Subsidiaries GAAP / Non-GAAP Reconciliation (in millions, except per common share amounts) GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Non-GAAP GAAP Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Non-GAAP Operating Earnings $ 471 11 49 1 $ 532 $ $ 457 5 28 1 (22) 469 First Quarter 2014 Operating Earnings Before Provision Earnings Earnings from Earnings Incom e Taxes for from Continuing Grow th and Discontinued Incom e Continuing Operations Rate Operations Taxes Operations Grow th Rate 3% $ 442 $ 102 $ 340 25 % 11 4 7 49 18 31 1 1 13 % $ 503 $ 124 $ 378 35 % 11 % $ 6% $ The sum of the components may not equal the total due to rounding. We apply varying tax rates depending on the item’s nature and tax jurisdiction w here it is incurred. 91 439 $ 5 28 1 (22) 451 $ First Quarter 2013 167 $ 272 2 3 10 18 1 (9) (13) 170 $ 281 Diluted EPS Diluted EPS from from Continuing Continuing Operations Operations Grow th Rate $ 0.99 25 % 0.02 0.09 $ 1.10 36 % 15 % $ 9% $ 0.79 0.01 0.05 (0.04) 0.81 16 % 11 %
  • 92. Cardinal Health, Inc. and Subsidiaries GAAP / Non-GAAP Reconciliation 2013 Rolling Quarter 2012 Q3 2014 Q1 Q4 Q3 Q2 Q1 Q4 Revenue $ 99,727 $ 101,093 $ 102,437 $ 104,803 $ 106,648 $ 107,552 GAAP operating earnings Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Off Costs Non-GAAP operating earnings $ $ $ $ $ $ (in millions) GAAP operating earnings margin rate Non-GAAP operating earnings m argin rate 3-year m argin expansion $ 1,011 76 179 859 (15) 2,109 $ 1.01 % 2.11 % 64bp 996 71 158 859 (38) 2,046 0.99 % 2.02 % $ 1,842 48 117 29 (37) 1,999 1.80 % 1.95 % $ 1,893 22 37 25 (34) 1 1,943 1.81 % 1.85 % $ 1,836 23 34 21 (22) 1 1,893 1.72 % 1.77 % $ 1,792 21 33 21 (3) 2 1,866 1.67 % 1.73 % 2011 Q2 Q1 Q4 Q3 Q2 Q1 $ 107,551 $ 106,705 $ 104,999 $ 102,644 $ 100,340 $ 98,612 $ 98,160 $ $ $ $ $ $ $ $ 1,747 17 37 20 (9) 4 1,816 1.62 % 1.69 % $ 1,668 16 94 7 (4) 4 1,786 1.56 % 1.67 % $ 1,562 17 106 8 2 8 1,703 1.49 % 1.62 % $ 1,514 16 90 9 6 10 1,644 1.48 % 1.60 % $ 1,489 17 86 9 (22) 9 1,588 1.48 % 1.58 % $ 1,408 25 58 9 (29) 12 1,483 1.43 % 1.50 % $ 1,431 33 28 7 (60) 12 1,451 1.46 % 1.48 % The sum of the components may not equal the total due to rounding. Forw ard-Looking Non-GAAP Financial Measures We present non-GAAP earnings from continuing operations (and presentations derived from these financial measures, including per share calculations) on a forw ard-looking basis. The most directly comparable forw ard-looking GAAP measures are earnings from continuing operations. We are unable to provide a quantitative reconciliation of these forw ard-looking non-GAAP measures to the most directly comparable forw ard-looking GAAP measures because w e cannot reliably forecast restructuring and employee severance, amortiztion and other acquisition-related costs, impairments and loss on disposal of assets and litigation (recoveries)/charges, net, w hich are difficult to predict and estimate and are primarily dependent on future events. Please note that the unavailable reconciling items could significantly impact our future financial results. 92
  • 93. Cardinal Health, Inc. and Subsidiaries GAAP / Non-GAAP Reconciliation (in millions) Revenue $ GAAP operating earnings Restructuring and employee severance Amortization and other acquisition-related costs Impairments and loss on disposal of assets Litigation (recoveries)/charges, net Other Spin-Off Costs Non-GAAP operating earnings $ GAAP operating earnings m argin rate Non-GAAP operating earnings m argin rate The sum of the components may not equal the total due to rounding. 93 Fiscal Year 2012 2011 2013 $ 101,093 996 71 158 859 (38) 2,046 0.99 % 2.02 % 29bp $ $ $ 107,552 1,792 21 33 21 (3) 2 1,866 1.67 % 1.73 % 13bp 2010 $ 102,644 $ $ 1,514 15 90 9 6 10 1,644 $ $ 1.48 % 1.60 % 18bp $ 98,503 1,307 91 18 29 (62) 11 1,394 1.33 % 1.42 %
  • 94. Cardinal Health, Inc. and Subsidiaries Definitions Non-GAAP Diluted EPS from Continuing Operations and grow th rate calculation1: non-GAAP earnings from continuing operations divided by diluted w eighted-average shares outstanding. Non-GAAP Earnings from Continuing Operations: earnings from continuing operations excluding (1) restructuring and employee severance2, (2) amortization and other acquisitionrelated costs 3, (3) impairments and loss on disposal of assets 4, (4) litigation (recoveries)/charges, net5, (5) Other Spin-Off Costs and (6) gain on sale of CareFusion stock, each net of tax. Non-GAAP Operating Earnings: operating earnings excluding (1) restructuring and employee severance, (2) amortization and other acquisition-related costs, (3) impairments and loss on disposal of assets, (4) litigation (recoveries)/charges, net and (5) Other Spin-Off Costs. Non-GAAP Operating Earnings Margin Rate: non-GAAP operating earnings divided by revenue. Other Spin-Off Costs: costs incurred in connection w ith our Spin-Off of CareFusion w hich are included in distribution, selling, general and administrative expenses. Segm ent Profit: segment revenue minus (segment cost of products sold and segment distribution, selling, general and administrative expenses). Segm ent Profit from International6: international revenue minus (international cost of products sold and international distribution, selling, general and administrative expenses). Segm ent Profit Margin: segment profit divided by segment revenue. 1 Except for compound annual grow th rates (CAGR), grow th rates in this presentation are determined by dividing the difference betw een current period results and prior period results by prior period results. CAGR is determined by subtracting one from ((the ending value divided by the beginning value) raised to the pow er of (one divided by the number of years)). 2 Programs w hereby Cardinal Health fundamentally changes its operations such as closing and consolidating facilities, moving manufacturing of a product to another location, production or business process sourcing, employee severance (including rationalizing headcount or other significant changes in personnel) and realigning operations (including substantial realignment of the management structure of a business unit in response to changing market conditions). 3 Costs that consist primarily of amortization of acquisition-related intangible assets, transaction costs, integration costs and changes in the fair value of contingent consideration obligations. 4 Asset impairments and losses from the disposal of assets not eligible to be classified as discontinued operations are classified w ithin impairments and loss on disposal of assets w ithin the consolidated statements of earnings. 5 Loss contingencies related to litigation and regulatory matters and income from favorable resolution of legal matters. 6 Includes CAH Puerto Rico and our non-U.S. operations. 94