Cardinal Health scored a 100 on the 2023 Corporate Equality Index (CEI) from the Human Rights Campaign (HRC), a political stakeholder group. By complying with the HRC’s controversial demands, Cardinal Health increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children and provides specific sexual orientation and gender identity-based benefits. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. Cardinal Health forces employees to undergo multiple ideological trainings and uses its reputation, corporate funds, and political influence to support controversial sex and gender ideologies, organizations, and legislation. The company provides a benefits package for employees which covers travel/lodging costs for an abortion and transgender medical procedures for covered employees and dependents, including children. Cardinal Health opposed various state and local legislation intended to protect parental rights, girls’ sports, bathroom facilities, and gendered spaces. The company has also implemented ESG practices, including unconscious bias training and climate commitments. Cardinal Health supports the Equality Act and is a brass sponsor of Out & Equal. The company signed the Health Sector Climate Pledge, committing itself to achieve net zero emissions by 2050. For these reasons, Cardinal Health receives a High Risk rating.