Healthcare / Pharmaceuticals

Cardinal Health sustainability score: 37/100

37/100
Below expectations
Joint 17th of 21 in Healthcare / Pharmaceuticals

Better than 10% of Healthcare / Pharmaceuticals

Making progress starts at 46. The highest score on SINK is 71.

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About Cardinal Health

Cardinal Health is a US healthcare distributor and medical-products manufacturer headquartered in Dublin, Ohio. It supplies pharmaceuticals, medical devices, gloves and sterile products, and runs a device-reprocessing business.

More about Cardinal Health

It had about 63,900 employees and $254.2 billion in FY2026 revenue.

Head office Dublin, Ohio, United StatesStaff ~63,900 (FY2026)Revenue $254,248M revenue (FY2026)Website ↗

Read Cardinal Health's own report ↗

Our verdict

Cardinal Health reports Scope 1, 2 and 3 emissions with third-party assurance, but its Scope 1 and 2 are only 17% below FY2019 against a 50% cut targeted for FY2030. Renewable energy is about 4% of its energy use. It has an SBTi-validated near-term target, but its Scope 3 target is supplier engagement only, and it publishes no nature-impact disclosure. Personal-injury suits over ethylene oxide from a subsidiary's sterilisation plant, now closing, are pending with no ruling.

Cardinal Health scores 37/100 (Below expectations) on SINK's independent climate assessment, scored from public data only. Scores are free. Nobody can pay to change a score, speed it up or hide it. Last verified October 2026.

That places Cardinal Health joint 507th of 1,023 companies scored, and joint 17th of 21 in Healthcare / Pharmaceuticals.

The ten questions

What is Cardinal Health doing well, and where does it fall short?

Strongest on Carbon Footprint: Operations and Carbon Footprint: Supply Chain (8/10, 8/10). Weakest on Nature & Biodiversity Impact and Energy Source (2/10, 3/10).

What's missing

Where Cardinal Health lost points

For each question that lost points, the evidence our public rubric looks for that we didn't find.

What would raise this score

  • Its effect on natureAssess its effect on nature and publish a basic environmental policy.
  • How clean its energy isMove to a renewable energy tariff or make a major efficiency investment.
  • Its effect on waterMeasure its water footprint and set reduction targets.

Every question that lost points

  • Emissions from its own operations8/10No verified figures published with their method and a falling trend.
  • Emissions from its supply chain8/10Its Scope 3 emissions aren't fully verified or falling year on year.
  • Whether its emissions are falling5/10No evidence of a year-on-year fall in its total emissions.
  • How clean its energy is3/10No renewable energy tariff or major efficiency investment shown.
  • Its effect on nature2/10No assessment of its effect on nature, and no basic environmental policy.
  • How it uses materials and handles waste6/10No verified figures for reuse and recycling across the business.
  • Its effect on water4/10No measured water footprint with reduction targets.
  • Its climate targets7/10Its targets aren't validated by the Science Based Targets initiative.
  • How openly it reports7/10No annual impact report, or no pay linked to climate targets.
  • Its record on controversies6/10Points deducted for controversies or its business model. The finding is under question 10.

A score changes when the evidence does. We use new published evidence at the next rescore. Anyone can send us new evidence, free. How to send it.

The calculation

How is Cardinal Health's SINK score calculated?

Same ten questions for every company. No private weighting.

SINK = (0.3 × Base + 0.7 × Performance) × Scale
Industry base impact
Healthcare / Pharmaceuticals sector ceiling.
45 / 100
Performance score
Sum of the ten questions, each scored 0 to 10.
56 / 100
Raw score
Weighted average before scale penalty.
(0.3 × 45) + (0.7 × 56) = 52.7
Scale penalty
Multiplier based on total emissions. Bigger polluters lose more.
× 0.7
Final score
Rounded. Below expectations.
37 / 100
Where the evidence comes from

What evidence is Cardinal Health's score based on?

10 sources used in this assessment. All publicly available. Each row shows which of the ten questions it informed.

20% of them were published by Cardinal Health itself; the rest come from independent sources.

[1]Self-reported
Cardinal Health FY2025 Sustainable Business Report

“154,395 mtCOe”

2026
Q1Q2Q3Q4Q5Q6Q7Q9
View →
[2]SEC filing
Cardinal Health FY2026 Form 10-K (SEC EDGAR)

“we have been named as a defendant in several lawsuits alleging personal injury as a result of EtO emissions.”

2026
Q10
View →
[3]SEC filing
Cardinal Health 2025 Proxy Statement (SEC EDGAR)

“The Governance and Sustainability Committee provides oversight of our policies and practices regarding political and lobbying activities”

2025
Q9
View →
[4]Independent source
Cardinal Health's Environmental Plan Wins SBTi Approval — HME Business

“Science Based Targets initiative (SBTi) has approved Cardinal Health’s near-term science-based greenhouse gas emissions reduction targets.”

2024
Q8
View →
[5]Self-reported
Cardinal Health Fiscal 2024 ESG Report Highlights

“science-based targets by fiscal 2028.”

2025
Q8
View →
[6]Independent source
Cardinal Health Subsidiary Faces Federal Lawsuit Over ETO Plant — Medical Design & Outsourcing

“Nearly two dozen people who have lived in the Augusta, Ga. area are suing Cardinal Health subsidiary Kendall Patient Recovery U.S. over ethylene oxide emissions”

Unknown
Q10
View →
[7]Independent source
Facing Multiple Lawsuits, Georgia Medical Sterilization Facility to Shutter — Atlanta Journal-Constitution

“KPR, a subsidiary of Ohio-based Cardinal Health, manufactures and sterilizes medical gauze, foam gauze, alcohol wipes and other products”

2026
Q10
View →
[8]Public record
Business Roundtable Member Profile: Jason Hollar (Cardinal Health CEO)

“Jason Hollar is chief executive officer of Cardinal Health”

Ongoing
Q10
View →
[9]
medicaldesignandoutsourcing.com

“the company created the new position of ESG VP and hired Megan Maltenfort”

Q9
View →
[10]
yahoo.com

“KPR sterilizes its products using ethylene oxide as a replacement for steam.”

Q10
View →

If you believe a source has been misread or a newer version exists, submit a challenge.

For Cardinal Health

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    Cardinal Health: SINK sustainability score 37.

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Cardinal Health in context

How does Cardinal Health compare with other healthcare / pharmaceuticals companies?

Where Cardinal Health sits among healthcare / pharmaceuticals peers.

Among the 21 major healthcare / pharmaceuticals brands we've scored, Cardinal Health is tied =17th of 21, with 2 others.

=17/21
Cardinal Health's rank
43
Industry average
33
Industry low
53
Industry high
See all 21 in Healthcare / Pharmaceuticals →
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