UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 11-K (Mark One) [X] ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Fiscal Year Ended December 31, 2003 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Transition Period from ________ to ________ Commission File Number 1-11373 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico ---------------------------------------------------------------------------- (Full Title of the Plan) Cardinal Health, Inc. 7000 Cardinal Place Dublin, Ohio 43017 (Name of Issuer of the Securities Held Pursuant to the Plan and Address of its Principal Executive Office) 1 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Financial Statements and Supplemental Schedule December 31, 2003 and 2002 and for the Year Ended December 31, 2003 TABLE OF CONTENTS Report of Independent Registered Public Accounting Firm .................... 3 Audited Financial Statements Statements of Net Assets Available for Benefits........................ 4 Statement of Changes in Net Assets Available for Benefits.............. 5 Notes to Financial Statements.......................................... 6 Supplemental Schedule Schedule of Assets (Held At End of Year)............................... 12 Signature................................................................... 13 Exhibits: Exhibit 23.01 - Consent of Independent Registered Public Accounting Firm 2 Report of Independent Registered Public Accounting Firm To the Plan Committee of Cardinal Health Profit Sharing, Retirement and Savings Plan For Employees of Puerto Rico: We have audited the accompanying statements of net assets available for benefits of Cardinal Health Profit Sharing, Retirement & Savings Plan for Employees of Puerto Rico as of December 31, 2003 and 2002, and the related statement of changes in net assets available for benefits for the year ended December 31, 2003. These financial statements are the responsibility of the Plan's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for benefits of the Plan at December 31, 2003 and 2002, and the changes in its net assets available for benefits for the year ended December 31, 2003, in conformity with U.S. generally accepted accounting principles. Our audits were performed for the purpose of forming an opinion on the financial statements taken as a whole. The supplemental schedule of assets (held at end of year) is presented for purposes of additional analysis and is not a required part of the financial statements but is supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. The supplemental schedule is the responsibility of the Plan's management and has been subjected to the auditing procedures applied in our audits of the financial statements and, in our opinion, is fairly stated in all material respects in relation to the financial statements taken as a whole. Columbus, Ohio /s/ Ernst & Young LLP June 22, 2004 3 Cardinal Health Profit Sharing, Retirement and Savings Plan For Employees of Puerto Rico Statements of Net Assets Available for Benefits DECEMBER 31 2003 2002 ----------- ----------- ASSETS: Cash $ 18,792 $ - Investments, at fair value 12,912,372 9,613,403 Receivables: Contributions from employer 10,183 21,406 Contributions from participant 24,923 51,076 ------------ ----------- Total receivables 35,106 72,482 Net assets available for benefits $ 12,966,270 $ 9,685,885 ============ =========== See accompanying notes. 4 Cardinal Health Profit Sharing, Retirement and Savings Plan For Employees of Puerto Rico Statement of Changes in Net Assets Available for Benefits FOR THE YEAR ENDED DECEMBER 31, 2003 ------------------ ADDITIONS: Contributions: Employer $ 1,612,452 Participant 892,466 Net appreciation in fair value of investments 873,417 Plan's interest in Master Trust net investment gain 669,281 Interest and dividend income 170,706 ------------ Total additions 4,218,322 DEDUCTIONS: Benefits paid directly to participants 892,953 Administrative expenses 44,984 ------------ Total deductions 937,937 Net increase 3,280,385 Net assets available for benefits, beginning of period 9,685,885 ------------ Net assets available for benefits, end of period $ 12,966,270 ============ See accompanying notes. 5 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements December 31, 2003 1. DESCRIPTION OF PLAN GENERAL The Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico (the Plan) is a defined contribution plan covering substantially all employees of Cardinal Health, Inc. (the Company) residing in Puerto Rico and not covered by a collective bargaining agreement who have completed one month of service, as defined. This description of the Plan provides only general information. Participants should refer to the Plan Document for a more complete description of the Plan's provisions. The Plan is administered by the Plan Committee. The Plan record keeper and asset custodian is Putnam Fiduciary Trust Company (Putnam). The Plan Trustee is Banco Santander. Administrative expenses may be paid by the Company or the Plan, excluding loan fees, which are paid by the borrowing participant. As record keeper and asset custodian of the Plan, Putnam maintains certain accounting and other records of the Plan transactions and assets. Therefore, the Plan and the Plan Committee rely on Putnam to provide the appropriate information for purposes of preparation of the financial statements for the Plan. Although certain procedures are designed to obtain reasonable assurance about whether the information provided by Putnam is complete and free of material misstatement, the Plan and Plan Committee's ability to verify the information is somewhat limited. For purposes of disclosures made in these financial statements, the Plan and Plan Committee have no reason to believe that the information provided by Putnam does not fairly present, in all material respects, the financial condition and results of operations of the Plan. Effective January 1, 2001, the Company established the Master Trust for Retirement Plans of Cardinal Health (the Master Trust) for the Plan and certain other Company plans. Certain of the Plan's investments are not included in the Master Trust. Putnam is the Trustee for the Master Trust. 6 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements (continued) 1. DESCRIPTION OF PLAN (CONTINUED) CONTRIBUTIONS Participants may contribute 1% to 10% of their compensation, as defined, to the Plan. Participants direct the investment of their contributions into various investment options offered by the Plan. The Company may contribute discretionary matching and profit sharing contributions to the Plan. The Company's discretionary matching and profit sharing contributions are invested as directed by participants. Contributions are subject to certain limitations. FORFEITURES Non-vested account balances are generally forfeited either upon full distribution or completion of five consecutive one-year breaks in service, as defined. Such forfeited amounts are used to reduce future Company contributions to the Plan. PARTICIPANT ACCOUNTS Each participant's account is credited with the participant's elective contributions, allocations of the Company's contributions, Plan earnings and any rollover contributions made by the participant. A participant is entitled to the benefit provided from the participant's vested account. All amounts in participant accounts are participant-directed. VESTING Participants are vested immediately in their elective contributions, plus actual earnings thereon. Vesting in the Company's discretionary contribution portion of their accounts is based on years of continuous service. A participant is 100 percent vested after three years of vesting service. PARTICIPANT LOANS Participants may borrow from their fund accounts a minimum of $1,000 up to a maximum equal to the lesser of $50,000 or 50 percent of their vested account balance. Loan terms range from 1-5 years or up to 15 years for the purchase of a primary residence. The loans are secured by the remaining vested balance in the participant's account and bear interest at a rate commensurate with local prevailing rates as determined monthly by the Plan Administrator. Principal and interest are repaid ratably through regular payroll deductions. 7 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements (continued) 1. DESCRIPTION OF PLAN (CONTINUED) PAYMENT OF BENEFITS Upon termination of employment, death, retirement or disability, all distributions will be made in the form of a lump-sum payment. In addition, the Plan includes a provision for participants to make withdrawals from their account under certain "hardship" circumstances. 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES BASIS OF PRESENTATION The financial statements of the Plan are prepared on the accrual basis of accounting in conformity with U.S. generally accepted accounting principles. USE OF ESTIMATES The preparation of financial statements requires management to make estimates and assumptions that affect the financial statements and accompanying notes. Actual results could differ from those estimates. INVESTMENT VALUATION AND INCOME RECOGNITION The investments of the Plan are stated at fair market value as determined by the asset custodian using quoted market prices of underlying investments. Investment securities, in general, are exposed to various risks, such as interest rate, credit, and overall market volatility risk. Participant loans are valued at cost, which approximates fair market value. Purchases and sales of securities are recorded on a trade-date basis. Dividends are recorded on the ex-dividend date. 8 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements (continued) 3. INVESTMENTS The fair market values of individual assets that represent 5% or more of the Plan's assets as of December 31, 2003 and 2002 are as follows: DECEMBER 31, DECEMBER 31, 2003 2002 ------------ ------------ Plan's interest in Master Trust $5,875,831 $4,681,127 Dodge & Cox Stock Fund, mutual fund 1,701,405 1,114,668 Cardinal Health, Inc. common shares 1,072,671 651,672 Columbia Acorn USA Fund Z Shares, mutual fund 734,841 -- PIMCO Total Return Fund, mutual fund 663,622 504,217 Net appreciation in fair value of investments is as follows: FOR THE YEAR ENDED DECEMBER 31, 2003 ------------------ Net appreciation in fair value of investments as determined by quoted market prices: Mutual funds $ 831,789 Cardinal Health, Inc. common shares 41,628 ------------------ Total net appreciation $ 873,417 ================== 9 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements (continued) 4. ASSETS HELD IN MASTER TRUST The Master Trust assets are valued by the trustee daily, based on quoted market prices, and allocated to the Plan based on its equitable share of the total Master Trust assets. The Plan's interest in Master Trust net investment gain presented in the statement of changes in assets available for benefits, consists of the unrealized and realized gains (losses) and the dividends on those investments. MASTER TRUST ASSETS AVAILABLE TO PARTICIPATING PLANS AS OF: DECEMBER 31, DECEMBER 31, 2003 2002 ------------ ------------ Investments at fair value: Mutual funds $193,636,628 $144,144,606 Common, Collective Trusts 474,353,972 382,873,704 ------------ ------------ Total investments $667,990,600 $527,018,310 ============ ============ The Plan's share of assets in the Master Trust was less than 1% or $5,875,831 and $4,681,127 at December 31, 2003 and 2002, respectively. MASTER TRUST INVESTMENT INCOME: FOR THE YEAR ENDED DECEMBER 31, 2003 ------------------ Dividend and interest income $ 12,865,382 Net appreciation in fair value of investments as determined by quoted market prices: Mutual funds 22,505,075 Common, Collective Trusts 34,479,241 ------------------ Total investment gain $ 69,849,698 ================== 10 Cardinal Health Profit Sharing, Retirement and Savings Plan for Employees of Puerto Rico Notes to Financial Statements (continued) 5. INCOME TAX STATUS The Plan has received a determination letter from the Puerto Rican Department of Treasury dated June 30, 2000, stating that the Plan is qualified under Section 1165(a) of the Puerto Rico Internal Revenue Code of 1994 (the "Code") and, therefore, the related trust is exempt from taxation. Once qualified, the Plan is required to operate in conformity with the Code to maintain its qualification. The Plan Administrator believes the Plan is being operated in compliance with the applicable requirements of the Code and, therefore, believes that the Plan is qualified and the related trust is tax exempt. 6. RISKS AND UNCERTAINTIES The Plan has a significant participant-directed investment in Cardinal Health, Inc. common shares, which is exposed to various risks, such as interest rate, credit and overall market volatility risk. Due to the level of risk involved with certain investment securities, it is reasonably possible that changes in the values of investment securities will occur in the near term and that such changes could materially affect the amounts reported in the statements of net assets available for benefits and changes in net assets available for benefits. 7. PLAN TERMINATION Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions of ERISA. In the event of Plan termination, participants will become 100 percent vested in their accounts. 8. RELATED PARTY TRANSACTIONS The Plan held $1,072,671 and $651,672 of Cardinal Health, Inc. common shares as of December 31, 2003 and 2002, respectively. 11 Cardinal Health Profit Sharing, Retirement & Savings Plan for Employees of Puerto Rico Schedule of Assets (Held At End of Year) (Schedule H, Part IV, Line 4i on Form 5500) As of December 31, 2003 EIN: 23-1856478 Plan Number: 003 (c) (b) DESCRIPTION OF INVESTMENT (e) INCLUDING MATURITY DATE, IDENTITY OF ISSUE BORROWER, RATE OF INTEREST, LESSOR, OR SIMILAR PARTY MATURITY OR PAR VALUE CURRENT VALUE ------------------------------------------------------------------------------- COMMON STOCK *Cardinal Health, Inc. 17,539 shares $ 1,072,671 MUTUAL FUNDS Dodge & Cox Stock Fund 14,953 shares 1,701,405 Artisan Mid Cap Fund 13,659 shares 352,120 Pimco Total Return Fund 61,963 shares 663,622 Columbia Acorn USA Fund Z 34,976 shares 734,841 LOANS Loans to participants 5.0 to 7.75% 1,866,967 ----------- Total $ 6,391,626 =========== * Denotes party-in-interest. 12 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the members of the Plan Committee have duly caused this annual report to be signed on its behalf by the undersigned thereunto duly authorized. CARDINAL HEALTH PROFIT SHARING, RETIREMENT AND SAVINGS PLAN FOR EMPLOYEES OF PUERTO RICO Date: June 28, 2004 /s/ Richard J. Miller ---------------------------------------- Richard J. Miller, Plan Committee Member 13