AMRX vs CAH vs GRDN Stock Comparison

Amneal Pharmaceuticals, Cardinal Health and Guardian Pharmacy Services Prices as of Oct 27, 2026 Peers: Industry group
1 more company in this comparison (AMPH) Create a free account to keep reading and compare up to 10 companies.
CAH Cardinal Health Inc
$246.50 +11.9% 1M +50.5% 1Y
Market cap
$58.03B
P/E
33.9x
Revenue (TTM)
$254.25B
Div. yield
0.01%
Drug Distribution Healthcare
7 wins

Head to Head

11 decided of 12

Cardinal Health leads on 7 of the 12 questions below (Cardinal Health 7, Guardian Pharmacy Services 2, Amneal Pharmaceuticals 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAMRXCAHGRDNLeader
Larger companyMarket capitalisation $6.85B $58.03B $5.07M CAH
Cheaper on earningsLower P/E, profitable companies only 43.5x 33.9x 0.1x GRDN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.1x 20.5x 31.1x CAH
Faster revenue growthRevenue growth, trailing twelve months +9.3% +14.2% +10.3% CAH
More profitableNet margin, trailing twelve months 5.0% 0.7% 4.5% AMRX
Better return on capitalReturn on invested capital 17.4% 33.9% — CAH
Less leveragedLower net debt / EBITDA 3.8x 1.1x — CAH
Higher dividend yieldTrailing dividend yield 0.00% 0.01% 0.00% –
Better 1-year returnPrice return, last 12 months +109.2% +50.5% +36.2% AMRX
Better 5-year returnAnnualised price return, 5 years +31.5%/yr +38.9%/yr — CAH
Less volatileAnnualised volatility, 1 year 35.0% 29.4% 40.5% CAH
Higher overall scoreMean of the five percentile scores vs peers 70/100 65/100 94/100 GRDN

Percentile Scorecard

AMRXCAHGRDN

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisAMRXCAHGRDN
Valuation 91 #55 of 625 75 #7 of 25 100 #1 of 25
Growth 74 #157 of 602 78 #6 of 24 87 #4 of 24
Profitability 84 #88 of 551 57 #11 of 24 100 #1 of 24
Financial Health 12 #580 of 656 36 #17 of 26 88 #4 of 26
Shareholder Returns 88 #46 of 365 79 #4 of 15 –
Overall 70 65 94
  • AMRX ranked among 672 companies in Pharmaceuticals and Biotechnology
  • CAH ranked among 27 companies in Healthcare Payers and Distributors
  • GRDN ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodAMRXCAHGRDNSPY
1 month +8.4%+11.9%-4.0% -0.2%
3 months +14.3%+6.1%-5.5% +3.9%
6 months +68.4%+19.9%+5.2% +8.2%
Year to date +70.2%+20.0%+31.5% +12.9%
1 year +109.2%+50.5%+36.2% +12.3%
3 years +468.7%+169.7%— +87.4%
3 years, per year +78.6%+39.2%— +23.3%
5 years +293.4%+416.6%— +67.9%
5 years, per year +31.5%+38.9%— +10.9%
10 years —+229.5%— +261.1%
10 years, per year —+12.7%— +13.7%

Risk

MeasureAMRXCAHGRDNSPY
Volatility, 1Y 35.0%29.4%40.5% 12.7%
Downside volatility, 1Y 31.0%24.6%38.6% 12.7%
Beta vs S&P 500, 1Y 0.70-0.100.57 1.00
Return / volatility, 1Y 3.121.720.89 0.97
Max drawdown, 5Y -78.2%-21.0%-27.2% -25.4%
From 52-week high 0.0%-4.3%-14.9% -1.2%
52-week high $21.44$257.54$46.49 $779.14
52-week low $10.00$162.79$27.03 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleAMRXCAHGRDN
P/E now vs peer median 43.5xmedian 17.2x 33.9xmedian 23.9x 0.1xmedian 23.9x
P/S now vs peer median 2.2xmedian 9.0x 0.2xmedian 0.3x 0.0xmedian 0.3x
EV/EBITDA now vs peer median 14.1xmedian 16.3x 17.2xmedian 13.4x -0.8xmedian 13.4x
P/FCF now vs peer median 82.4xmedian 18.7x 12.7xmedian 15.5x 0.1xmedian 15.5x
P/B now vs peer median 207.3xmedian 2.2x -19.9xmedian 2.5x 0.0xmedian 2.5x
PEG now vs peer median 0.18median 0.33 0.49median 1.34 —median 1.34

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsAMRXCAHGRDN
Revenue $3.12B $254.25B $1.46B
Gross profit $1.23B $9.77B $316.58M
Operating income $453.92M $2.61B $85.44M
Net income $215.32M $1.72B $65.91M
Free cash flow $83.11M $4.53B $75.29M
R&D $175.57M – –
EPS (diluted) $0.48 $7.23 $1,032.46
Cash & equivalents $127.64M $4.86B $89.81M
Total debt $2.67B $8.89B –
Shares (diluted) 328.10M 237.00M 63.84K
Enterprise value $6.04B $41.87B -$251.74M

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricAMRXCAHGRDN
P/E 43.5x 33.9x 0.1x
P/FCF 82.4x 12.7x 0.1x
P/Operating cash flow 34.1x 11.1x 0.1x
P/S 2.2x 0.2x 0.0x
P/B 207.3x -19.9x 0.0x
P/Tangible book -12.3x -19.9x 0.0x
EV/EBITDA 14.1x 17.2x -0.8x
EV/EBIT 20.7x 23.5x -1.0x
EV/Revenue 3.0x 0.2x -0.1x
EV/FCF 113.0x 13.6x -1.1x
EV/Operating cash flow 46.8x 11.9x -0.9x
PEG (3Y EPS CAGR) 0.18 0.49 –

Growth

14 metrics
MetricAMRXCAHGRDN
Revenue growth (1Y) 9.3% 14.2% 10.3%
Revenue CAGR (3Y) 10.5% 7.4% –
Gross profit growth (1Y) 14.1% 19.7% 21.5%
Gross profit CAGR (3Y) 14.9% 12.3% –
Operating income growth (1Y) 20.6% 14.9% 237.2%
Operating income CAGR (3Y) 32.5% 50.2% –
Net income growth (1Y) 426.4% 9.8% 172.0%
Net income CAGR (3Y) 139.1% 63.8% –
EPS growth (1Y) 4,481% 12.1% 142,625%
EPS CAGR (3Y) 237.0% 69.2% –
Operating cash flow growth (1Y) -42.8% 115.9% 71.4%
Operating cash flow CAGR (3Y) 0.4% 22.1% –
Free cash flow growth (1Y) -69.3% 144.6% 206.9%
Free cash flow CAGR (3Y) -17.3% 24.2% –

Profitability

14 metrics
MetricAMRXCAHGRDN
Gross margin 39.3% 3.8% 21.6%
EBITDA margin 21.3% 1.4% 7.4%
Operating margin 14.6% 1.0% 5.8%
Pretax margin 6.5% 0.9% 6.5%
Net margin 5.0% 0.7% 4.5%
FCF margin 2.7% 1.8% 5.1%
Operating cash flow margin 6.4% 2.0% 6.8%
Return on equity – – 27.1%
Return on assets 5.9% 3.0% 15.3%
Return on invested capital 17.4% 33.9% –
Return on capital employed 16.4% 20.0% 30.4%
Asset turnover 0.9x 4.5x 3.4x
Cash conversion (OCF / net income) 0.9x 3.0x 1.5x
Stock comp / revenue 1.1% 0.1% 0.7%

Financial Health

11 metrics
MetricAMRXCAHGRDN
Debt / assets 70.7% 15.5% –
Debt / equity 80.9x -3.1x –
Net debt / EBITDA 3.8x 1.1x –
Debt / FCF 32.1x 2.0x –
Liabilities / assets 99.1% 105.0% 41.9%
Equity / assets 0.9% -5.0% 58.1%
Interest coverage – 7.5x 135.4x
Current ratio 2.2x 0.9x 1.7x
Quick ratio 1.3x 0.4x 1.3x
Cash ratio 0.1x 0.1x 0.6x
Altman Z-score 2.50 5.10 4.54

Shareholder Returns

7 metrics
MetricAMRXCAHGRDN
Dividend yield – 0.8% –
Net buyback yield 0.0% 2.4% –
Shareholder yield 0.0% 3.2% –
Payout ratio (earnings) – 28.5% –
Payout ratio (FCF) – 10.9% –
Dividend growth (1Y) – -0.6% –
Dividend CAGR (3Y) – -2.2% –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusAMRXCAHGRDN
Forward P/E 22.1xFY2026 20.5xFY2027 31.1xFY2026
EPS, next fiscal year $0.97FY2026 $12.03FY2027 $1.27FY2026
EPS growth, next FY +16.9%FY2026 +6.8%FY2027 +18.7%FY2026
EPS growth, the year after +26.8% +13.5% +17.3%
Revenue, next fiscal year $3.24BFY2026 $272.90BFY2027 $1.41BFY2026
Revenue growth, next FY +7.4%FY2026 +7.3%FY2027 -2.8%FY2026
Revenue growth, the year after +12.4% -3.5% +2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAMRXCAHGRDN
Held by institutions 51.0% 87.4% 46.1%
Institutions holding 310 1,491 189
Change in shares held, QoQ +1.3% +2.8% +3.8%
Institutions buying 182 711 109
Institutions selling 86 556 54
Buyers to sellers 2.12 1.28 2.02

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

AMRXCAHGRDN
AMRX 1.00 0.12 0.13
CAH 0.12 1.00 0.11
GRDN 0.13 0.11 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AMRX, CAH and GRDN?

Cardinal Health (CAH) is the largest by market capitalisation: Amneal Pharmaceuticals (AMRX) $6.85B, Cardinal Health (CAH) $58.03B, Guardian Pharmacy Services (GRDN) $5.07M.

Which stock is cheaper, AMRX, CAH and GRDN?

Guardian Pharmacy Services (GRDN) trades on the lowest price-to-earnings ratio (Amneal Pharmaceuticals (AMRX) 43.5x, Cardinal Health (CAH) 33.9x, Guardian Pharmacy Services (GRDN) 0.1x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Amneal Pharmaceuticals (AMRX) 22.1x, Cardinal Health (CAH) 20.5x, Guardian Pharmacy Services (GRDN) 31.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Cardinal Health (CAH) grew revenue fastest over the trailing twelve months: Amneal Pharmaceuticals (AMRX) +9.3%, Cardinal Health (CAH) +14.2%, Guardian Pharmacy Services (GRDN) +10.3%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Amneal Pharmaceuticals (AMRX) 5.0%, Cardinal Health (CAH) 0.7%, Guardian Pharmacy Services (GRDN) 4.5%). On return on invested capital, Cardinal Health (CAH) leads (Amneal Pharmaceuticals (AMRX) 17.4%, Cardinal Health (CAH) 33.9%).

Which stock has performed better?

Over the past year Amneal Pharmaceuticals (AMRX) returned the most: Amneal Pharmaceuticals (AMRX) +109.2%, Cardinal Health (CAH) +50.5%, Guardian Pharmacy Services (GRDN) +36.2%. Over five years, Cardinal Health (CAH) compounded fastest (Amneal Pharmaceuticals (AMRX) +31.5%/yr, Cardinal Health (CAH) +38.9%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Amneal Pharmaceuticals (AMRX) 0.00%, Cardinal Health (CAH) 0.01%, Guardian Pharmacy Services (GRDN) 0.00%. Amneal Pharmaceuticals (AMRX) and Guardian Pharmacy Services (GRDN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Amneal Pharmaceuticals (AMRX) 35.0%, Cardinal Health (CAH) 29.4%, Guardian Pharmacy Services (GRDN) 40.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AMRX, CAH and GRDN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Cardinal Health (CAH) leads on 7. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.