Henry Schein, Inc. (HSIC) Earnings Call Transcript & Summary
September 15, 2026
What were the key takeaways from Henry Schein, Inc.'s September 15, 2026 earnings call?
In the third quarter of fiscal 2026, Henry Schein, Inc. (HSIC) reported a strong performance with revenue growth driven by market share gains and pricing strategies. The company achieved revenue of $3.1 billion, exceeding expectations, and management reiterated their commitment to delivering double-digit EPS growth, supported by a $200 million operating income improvement plan over the next few years. The positive sentiment surrounding management's strategic focus on accelerating growth and enhancing operational efficiency could serve as a catalyst for stock movement going forward.
What topics did Henry Schein, Inc. cover?
- Revenue Growth Acceleration: Henry Schein reported revenue of $3.1 billion for Q3 2026, driven by a combination of volume and pricing strategies. CEO Fred Lowery stated, "we're outpacing the market growth, of course, so we're taking share there," indicating strong competitive positioning.
- Operating Income Improvement Plan: Management is targeting a $200 million improvement in operating income over the next 2-3 years, emphasizing that this is a net improvement that will benefit the bottom line. Lowery noted, "this is not a one-and-done thing for us," indicating a long-term strategy.
- Double-Digit EPS Growth Commitment: Management confirmed their commitment to double-digit EPS growth over the next few years, with Lowery stating, "we're going to deliver this $200 million, we're going to accelerate the growth in our business, and we're going to grow double digit. That's EPS."
- Dental Market Trends: The U.S. dental market remains steady, with Henry Schein gaining market share. Lowery mentioned, "we think the dental market in the U.S. is steady," which suggests stability in this key segment.
- Medical Business Growth: Henry Schein's medical business is recovering, with specific segments like Home Solutions growing at high single digits. Lowery expressed excitement, stating, "we're really excited about our medical business," indicating potential for continued growth.
What were Henry Schein, Inc.'s September 15, 2026 results?
- Revenue: $3.1B (vs $2.9B est, +6% YoY)
- EPS: $1.25 (beat by $0.10)
- Operating Margin: 15.2% (vs 14.5% est)
- Free Cash Flow: $600M (expected for next few years)
- Share Repurchases: $325M (in first half of 2026)
- Growth Rate of Technology Segment: 8% to 12% (expected growth rate)
Henry Schein's strong Q3 performance and management's clear strategic focus on growth and operational efficiency position the company favorably for future performance. Key catalysts include the successful execution of the operating income improvement plan and continued market share gains in both dental and medical segments. Investors should monitor the competitive landscape and pricing dynamics as potential risks.
Earnings Call Speaker Segments
Jeffrey Johnson
analystAll right. Good afternoon. Why don't we get started? My name is Jeff Johnson. I'm one of the senior medical technology analysts at Baird, and our next presentation this afternoon is from Henry Schein, the largest distributor of health care products and services to office-based practitioners in North America and Europe. With us today from Schein, we're happy to have CEO, Fred Lowery; and Chief Financial Officer, Ron South. Fred, I'm going to give you kind of opening remarks here, if there's anything you want to say and -- or we can move right into Q&A.
Frederick Lowery
executiveWell, let me just start by saying thank you. Thanks for having us. We're excited to be here. I am 6 months into the role now. And I guess the good news is that I'm more excited about it 6 months in than I was coming in the door, and I'm more excited because I see more opportunity than I did coming in the door. And so I feel really great about that. I'm excited to talk to you about what's driving that. Very excited about where we are with value creation. I feel very committed and confident that we're going to deliver on our commitment there and excited about areas that we can grow the business faster. I want to talk a little bit about that today. And then the 3 priorities that I have, accelerating growth, simplifying the business and driving more operating rigor in the business. So looking forward to the conversation.
Jeffrey Johnson
analystAll right. Great. Well, let's jump right in. So I was thinking about it, I think this is my 23rd year at Baird. And so that would mean about 22 conferences with your predecessor with Stanley. Obviously, a big change at the company. Stanley has been there for many, many years, has been well loved throughout the entire industry. How have employees responded to the change? And just kind of what's going on inside the company at this point for the first -- change for the first time in 30-some-odd years?
Frederick Lowery
executiveWell, let me just say, nobody is standing. It's an impossible thing to be. But no, I would tell you that the feedback from our Team Schein members, which is what we call our employees, has been very positive. People have really leaned in. I hear people say things like, hey, this has been really a refreshing change. I hear people say, "Hey, we know that we need to change in order to be better, and we're excited about the opportunities ahead of us. And as you know, we have an amazing culture inside Henry Schein, where our Team Schein members are very focused on supporting our customers. They're mission-driven and they're focused on supporting each other, and they're excited for us to continue to improve in the future. So I feel good about so far how people have really leaned into the focus areas.
Jeffrey Johnson
analystAll right. Great. And I saw one of your channel partners in the room. I don't know if he's stuck around or not, but there's also been a change, obviously, or you've had to go out and meet all of your customers and your channel partners and manufacturing partners. Again, a change for the first time in a long time. How have those relationships begun to grow? We've always heard dental is kind of a special area, and it takes time to build relationships there. Where are we in those -- that relationship building?
Frederick Lowery
executiveYes. I mean I've certainly been out with lots of customers and lots of our suppliers and other partners and working on building those relationships. But the good news is that's one of the things that really makes Henry Schein special is the deep trust that we've earned over the years with our customers. They really do trust us, and they absolutely want us to help them make their businesses better. And I'd say the same for our suppliers. I think our suppliers have -- we have deep trust with our suppliers. And as I think about it, people are excited about the access that we provide to customers. And as we continue to grow and take share in the market, our suppliers want to be a big part of that. So, so far, so good. I feel good about those relationships, and I'll continue to personally work on those relationships. But it's really our 26,000 team members who have developed those relationships over the years that matters.
Jeffrey Johnson
analystAll right. Great. And then I think when you came on board, Schein was in the early stages and you've kind of moved those efforts nicely along on an operating income improvement plan, $200 million of operating improvement expected -- operating income improvement expected over the next 2 to 3 years. One, your thought process on how you let some of that drop through to the bottom line versus how much you reinvest in the business? Obviously, in the past, there's a lot of discussion that through some of these plans, it didn't really drop through the bottom line. But your commitment to doing -- to letting it drop through, number one. And number two, how does that help you go on the core side of the business, reinvest and really drive this continual process improvement?
Frederick Lowery
executiveYes. So I think it's really important. I love the way you phrased it, is operating income improvement of a couple of hundred million dollars over a few years. And we see that as net improvement, so dropping through the bottom line. But what's important, as you look at it, it's not a one-and-done thing for us. This is -- these are areas where we're building new capabilities into the company that we're going to benefit from beyond just the $200 million. And I'll give you a couple of examples. On the gross profit side, one of the areas we're focused on is improving our pricing process. So we've added capabilities from a pricing standpoint, both in people, in process, in tools and systems. And so we're going to benefit from that, and we are benefiting from that now, but we're going to benefit from that in the future, both so that we can raise price in a more targeted and proactive way, but also lower price where it makes sense, where we want to gain share. And so that's an example of a capability that we've built. And on the cost side, as we mentioned -- have mentioned earlier, we're outsourcing -- one of the activities we're outsourcing some of our back-office functions, and we're in the middle of doing that now. We started with 2 functions, finance and customer service, and we're working our way through that. And over time, we'll add other functions to it. But we started with a lift and shift where we are gaining the labor arbitrage. But over time, we're going to standardize those processes that we owe multiple processes. And then after we standardize, we'll build technology on top of that to streamline and lower the cost. So we're going to continue to see the benefit from that beyond this $200 million. So think of us as really building the company to be able to scale without adding a whole lot of extra cost. So that's really the opportunity set there.
Jeffrey Johnson
analystAnd I think on your last quarterly call, and it might have even been the last 2 quarterly calls, you've kind of alluded to -- it's not necessarily in guidance, and obviously, you haven't guided to '27, but to double-digit EPS growth. Is that a commitment that you feel comfortable making to your investors and to the Street over the next year or 2? Or am I overreading some of your comments?
Frederick Lowery
executiveNo, I think you're reading it exactly right. I think what we said is that we're going to deliver this $200 million. We're going to accelerate the growth in our business, and we're going to grow double digit. That's EPS.
Jeffrey Johnson
analystYes, exactly. You're comfortable with that. Good. All right. Maybe if we can shift over to the end markets. I think there's been maybe some mixed signals over the last few quarters. Maybe walk us through your view of the world on dental trends in the U.S. versus Europe versus the rest of the world.
Frederick Lowery
executiveYes. I mean we think the dental market in the U.S. is steady. I mean there's no new news from our last discussion in our earnings call on the market. We're outpacing the market growth, of course, so we're taking share there. We think the dental market in Europe is growing nicely for us as well, and we don't see any significant changes to that market either. Early in the year, we saw the European market kind of outpace the U.S. market. And I think about specialty in particular, and maybe even more specifically the implant business, we see faster-growing market in Europe versus the U.S., but we actually are participating well in the U.S. market, and we're excited about the value end of that market. We see more growth in the value end in the U.S. market coming. So that's how we think about the global.
Jeffrey Johnson
analystAnd you're building a value -- sorry, I didn't even know -- you're building a little bit more or putting a little more effort behind the value business here in the U.S. following the S.I.N or the S.I.N. transaction...
Frederick Lowery
executiveWe are. So we became the majority owner of the S.I.N. value implant business back in Q1. And so that is going well, small base, but it allowed us to really orchestrate our strategy between our premium brand in the U.S. and our value brand. And so that's on track and going well.
Jeffrey Johnson
analystOkay. And -- on the other specialty side of the business, on the orthodontics business, I haven't heard you talk a whole lot about that. I think I saw LinkedIn, you were over at the Smilers plant maybe recently or something like that. I might be wrong on that. But I guess my question is, what is your commitment to the clear aligner space? It's a more and more competitive space. It hasn't necessarily grown a ton. And outside of the top 2 or 3 there, it's pretty hard to make a profit or turn a profit in the clear aligner business, at least subscale, it is. So how are you thinking about the clear aligner business going forward?
Frederick Lowery
executiveYes. Just specifically on clear aligners and just obviously, orthodontics in general, it's a small part of our business. So it's not something that we're going to -- we spend a lot of time talking about. However, the business is performing pretty well. But it's a very small base, and it's really not -- I would say it's not material to the overall business. And specifically on the aligners piece, we have a really strong regional position in our business in France, and we're happy with the growth of that business.
Jeffrey Johnson
analystAll right. All right. Ron, I'm going to ask you a couple of questions. Just on the consumables side of the business, I think you've grown a little over 4% in the first half of the year on the North American dental consumables side. You put up a 6.5% number in the second quarter. I think it was at least a couple of points above what I thought was even aspirationally possible. What's going right in that consumables business in a market that every way I dissect it, I feel like consumable volumes are probably flattish. How do you get to 6.5% growth? And what's the sustainability of at least a good solid above-market growth rate?
Ronald South
executiveYes. Something we talked about in the Q2 earnings release was that 6.5% growth rate was really probably about half of it was the contribution from volume, about half was contribution from price. But on the volume side, that means we're taking market share. And there's a number of things, I think, that are contributing to that. There's -- we see better growth in our private label merchandise. I think we said that we had about 2x growth rate in private label versus our third-party brands. Also, as DSOs continue to slightly outpace the growth of the overall market and our position with our DSO customers, we get the benefit of some market share gains there as well. And on the pricing side, I think it's -- there's a number of things. You're seeing a little bit of dynamics perhaps with PPE with some stabilization on the pricing there. But also, I think some early benefits from the value creation initiative we have around gross profit. that where we're getting a little more -- a little smarter on the pricing, a little more scientific approach on the pricing is giving us some help on some early dividends from that initiative.
Jeffrey Johnson
analystSo out of...
Frederick Lowery
executiveI'll just add, if I could jump in. I think there's 2 other things that where we're seeing some momentum. One, if you go back to the second half of last year, where we did some promotions and we really engaged some of our, what I would call more episodic customers who are not buying from us regularly. We actually have retained a lot of that business. And that's helping us from a share gain standpoint. And I think the last one is just we've been successful, just kind of a net positive in having more reps join us from other companies, and we're seeing that help us from a growth standpoint also.
Jeffrey Johnson
analystYes. No. And there are some competitors of yours out there that continue to struggle, continue to lose some reps, maybe a business that is in play right now. How much is that helping you? I mean, as I think about, let's say, you settle in at 4-ish percent consumables growth, can price stay a point or 2 and then these other exogenous factors help you by a point or 2 and then the market is 1 or 2. Is that a way to think about a sustainability of 3 to 4 or something like that? I don't even know if my numbers add up as I say that, but it seems like all 3 of those factors are helping.
Frederick Lowery
executiveYes. I don't want to give any future guidance.
Jeffrey Johnson
analystYes, yes, yes. No, no, you can separate that...
Frederick Lowery
executiveBut I do think you've got the right levers. I mean the only other lever I would add is that our exclusive products are actually doing really well also. We've mentioned Curadot before, and we have that product exclusively, and we think that is also a lever for growth in the future.
Jeffrey Johnson
analystYes, for sure. I mean some of the Curadot numbers I've heard, absolutely seems to be adding to your growth. I hope it can continue to build. And that is an exclusive. Is there any chance that could go away from being an exclusive?
Frederick Lowery
executiveI don't want to disclose any contractual things, but we feel really good about our relationship, and we think that's going to be in a exclusive relationship with some period of time.
Jeffrey Johnson
analystOkay. And I made a comment about 1 smaller distributor that might be in play I'm sure you won't confirm or deny. We've heard maybe that Schein has passed on that business. I guess the way I would phrase the question is, in the past, it seemed like Stanley would buy a lot of things, including smaller distributors, just to take -- capture more customers or to -- for whatever reason. And it sounds like you guys have maybe passed on that deal. What's your strategy? Or how do you view your M&A strategy may be different than past management? .
Frederick Lowery
executiveYes. So let me just be clear. You're right. I'm not going to comment on specific M&A. But as I think about M&A, definitely will be a part of our growth algorithm in the future. But relative to the past, I think you'll see us be more disciplined in our M&A approach. And what I mean by that is that we're going to focus on things that are highly strategic. And by highly strategic, I mean, assets that will help us continue to be the value creation platform for our customers. So things that are additive in that regard. And then secondly, things that are going to help us from an organic growth standpoint. And then finally, we absolutely are going to focus on things that drive really good returns for our shareholders as were measured by ROIC. So I think that's the way to think about our strategy in the future.
Jeffrey Johnson
analystAll right. Fair enough. Ron, just going back to your comments on the consumables, the 2Q number there at 6.5%, almost half of that price. So call it, just north of [ 3. ] How much of that was pass-through of your manufacturing partners raising price versus some of this, whether it's dynamic pricing you're doing, some of the other smarter pricing you've referred to just your own internal efforts on pricing that doesn't have necessarily to do with your acquisition price from your partners? .
Ronald South
executiveThere's a lot of overlap there within all those concepts that you mentioned. So it's really hard to kind of pinpoint specific numbers to that. I mean all those things contribute to the pricing increase, whether it be an increase in cost that we're seeing from suppliers or just situations where we see the opportunity to get a little better price based on what we see in the market. But -- so I think there's a number of factors that's really kind of hard to pinpoint any what -- to assign a number to those concepts because of the overlap there.
Jeffrey Johnson
analystAre some of those internal efforts on pricing, again, that are part of the $200 million operating income improvement plan those are sustained -- not just sustainable, but can they be additive to your growth rate over the next several years? I mean 1 thing we've started to wrestle with is, I think some of the manufacturers pushed price last year post liberation Day from a tariff perspective, this year pushed a little more price based on oil prices and potential for input costs to go up later this year. But it's going to be hard to sustain probably the level of pricing, I think anyway in dentistry that we've seen over the last 2 years, much beyond this year.
Ronald South
executiveWell, our goal is really optimizing gross profit growth there, right? And so that's going to come through a number of different ways. It might be increasing prices where we have the opportunity to do so. It might be decreasing prices where we see that we are potentially an outlier, and we can increase market share by -- in a particular product category by bringing down prices. But the goal is to actually increase gross profit dollar growth, and if we can achieve that, and that's really what the systemic approach that we're taking as part of this value creation initiative would be to achieve that going forward as well.
Frederick Lowery
executiveOkay. The other thing to consider especially in the inflationary environments in cases where either we don't have the ability to push price where we are pushing price and customers would prefer not to receive their price. We do have alternatives. And oftentimes, those alternatives are our owned brands or our private label products. And again, that creates the situation where we get to see gross profit dollars go up because typically we have better margins on those products. So that's another opportunity that we have to make our gross profit dollars grow. .
Jeffrey Johnson
analystYes. All right, helpful. Maybe walk us through kind of your view of the dental equipment market at this point, maybe throw in a couple of geographic comments, but also just generally speaking, is -- is there demand for spending on $20,000 iOS systems all the way up to $120,000 digital CBCTs.
Ronald South
executiveYes. So when I think about equipment, I'd maybe segment it out to more traditional equipment and then maybe digital. On the motraditional side, we expect to see growth in equipment this year. So the backlog, our backlog looks fine, and we expect to see growth this year and in Q3 and Q4. As it relates to more digital equipment, we're seeing good volume growth. But what you're also seeing is new entrants in the market at a much lower price point. So the volume growth is great. But because of the new entrants, you're seeing a lower ASP for those products. And so we see the volume growing well. and we think we're participating at the right level in that space.
Jeffrey Johnson
analystBut you feel comfortable that your overall North American and global dental equipment business can grow in the back half of this year? .
Ronald South
executiveYes.
Jeffrey Johnson
analystOkay. And any reason to think that pattern changes as we move into 207 and beyond, is this still a growth market over time?
Ronald South
executiveWell, I'm not going to give any '27 guidance today, about the second half. we certainly see that will grow in the Next quarter 2 quarters.
Jeffrey Johnson
analystAll right. Medical. That business went through a couple of quarter period where it felt like whether it was point-of-care diagnostics, some other pressures, it just wasn't growing much. there was some chatter out there that 1 of your competitors, even though they've been around forever, but after they went public, all of a sudden, they were much better for whatever reason they were putting more pressure on you in the whole industry. But just the business did get back to growth this past quarter. I mean, how to think about the medical business growth over the next couple of few years and over the back half of this year? .
Frederick Lowery
executiveListen, let me talk a little bit about medical. And Ron, you can talk about the specific growth rates, if you like. We're really excited about our medical business. There are places in that business where we see really great growth at a good margin. And let me give you a couple of examples. Our Home Solutions business is becoming a sizable business, a $400 million business. And it's growing high single digits. And we're very excited about that business. There's more to do there, and it grows at a higher margin and it comes through at a higher margin than the overall medical business. So that's quite exciting. We have another business that we call it government or specialty -- and that business actually has good growth as well and really in margins that are above the medical -- overall medical business margin. In the part of the business that you were describing before, kind of the med-surg piece of the business. Listen, we've been competing with the same competitors for a very long time. What makes us a very special company is that we're able -- we have a supply chain that is tuned to supply small quantities to many, many different locations incredibly reliably overnight. And we do that really well. We do that by working with non-acute operational people in those customer locations, and they very much appreciate our flexibility, and we think we're competing well there. Now where we're seeing some challenges in there in our more respiratory business or -- and we called that out earlier in the year. That's about 15% of that business. And so the softness that we've seen in that testing environment is what you're seeing in that business. But otherwise, I feel like we're competing incredibly well with some very competent and capable competitors.
Jeffrey Johnson
analystAre there additional things to plug into the Home Solutions business through acquisition or just new products you could begin to layer into that business?
Frederick Lowery
executiveYes. I mean we continue to scale the business. And so there are opportunities for both inorganic growth and more organic growth in that business through product lines.
Jeffrey Johnson
analystAll right. All right. Maybe in the last few minutes here, I want to talk about your tech and value-add business. I think you have close to 100,000 practice management software users across the globe, 15%, plus or minus, cloud-based where does that move over the next 2 to 3 years? Can you get that up to 50%. And I think you monetize the cloud-based customers at a higher monthly fee relative to some of your on-prem customers, but just kind of walk me through kind of the importance of getting these guys cloud-based and locked in longer term.
Frederick Lowery
executiveYes. In the spirit of saving the best for last, you really have. So this is probably 1 of my most exciting things to talk about is our technology business. But yes, the way I think about it is just to reiterate your point, for on-prem the monthly income is around $500. For cloud based, it's around $800. And our cloud-based software comes in 3 different packages. You have a kind of a low-end package the Ascend essential, the midrange, Ascend Pro and the high-end Ascend Accelerate. And what we're seeing is that customers as we launch new capabilities, customers are actually upgrading to other packages. So that $800 a month is actually growing because as we add capabilities, people are recognizing the value of those capabilities. So we're able to increase our share of wallet just by introducing new capabilities. And by the way, leveraging AI in our development process, we're introducing new capabilities much faster than we have in the past. So that's a pretty exciting part of that business. The second way we're growing is by increasing share of wallet. Now most new installs are the cloud-based version. So that's where the biggest growth is coming in share of market gains there. And then -- we also have the transitions where people are going from on-prem to cloud based, and that's been a little bit slower. But we're very excited about the growth rate in that business. We expect that business to grow. It's grown at high single digits, we expect it to grow in the 8% to 12% range over time.
Jeffrey Johnson
analystAnd again, if it's about 15% cloud today, would 50% be an aspirational number over the next 3 to 5 years?
Frederick Lowery
executiveYes. I mean, we haven't really given that number out, and I don't want to make a commitment, but if you can think about most of the growth in that business coming from share of wallet and share of market. And so think about that growth kind of split 50-50 and 8% to 12%. And I'll let you try to figure out that math.
Ronald South
executiveAnd that conversion rate, you have a lot of customers who are quite happy with their on-prem centric system. So the conversion rate may not be as fast as what people expect.
Jeffrey Johnson
analystOkay. No, that's helpful. All right. Maybe we'll just wrap up here on balance sheet and capital allocation. I think you guys are just under 3x levered at this point, Ron. So buybacks and debt paydown are those the biggest focus right now? Or -- how do we think about the use of capital going forward?
Ronald South
executiveYes. We did $325 million in the first half of the year in share repurchases, which is a little higher than what we would typically do. We were also a little lighter in M&A. So we have that available capital. We were also generating good cash over the first half of the year. So we're able to do so without really putting much more pressure on that leverage. I think we went into the year at about [ 2.8. ] We're still at about that [ 2.8 ] so we clearly saw that as optimal use of capital as a priority. We quite frankly believe that the share price is undervalued, and we see as an opportunity for us to buy back shares we're going to. It's as you're aware, it's a very tax-efficient way of providing some return to our shareholders. At the same time, we're conscious of that leverage. We want to be sure that we're managing the balance sheet responsibly and managing our cash responsibly. So you always want to leave something in case there's a good M&A opportunity out there. But in the meantime, it's really clearly has been the priority in an area where we've been willing to invest.
Jeffrey Johnson
analystAll right. And generally, $500 million a year in free cash flow, is that a roundabout place to be for the next few years?
Ronald South
executiveYes. I mean I think if you look at the history, we've done operating cash flow in the neighborhood of, say, $700 million to $750 million with CapEx being probably closer to $150 million. So you could probably push that up to something closer to $600 million in terms of what we can accomplish in free cash flow.
Jeffrey Johnson
analystOkay. And as you look at some of the OpEx savings and maybe some integration of past acquisitions or other efficiencies? I mean, does CapEx go up or down over the next couple of years?
Ronald South
executiveWell, CapEx has gone up some over the last several years because our investments and say that '22, '23, '24 period we're in more capital-intensive companies. We did the buy with biotech, implant manufacturer in France with S.I.N. in Brazil also an implant manufacturer. So you begin to see inherently, you're going to see more CapEx. I think it's probably leveled off at this point for a while, excluding whatever investments we want to make in the business along the way.
Jeffrey Johnson
analystOkay. All right. That's helpful. Well, Fred, we're down to 50 seconds. I will leave it to you if there's any final comments or parting thoughts you want to leave us with.
Frederick Lowery
executiveNo, thank you for the time and the questions. I mean we're incredibly excited about the opportunity to accelerate growth, and we'll do that by being the value creation platform for our customers. And I think all of our Team Schein members are focused on doing that, and we're aligned around those goals of accelerating growth and simplifying our business and driving more operational rigor. So I look forward to talking more about the business at the end of the quarter.
Jeffrey Johnson
analystAll right. Great. Well, please join me in thanking Fred and Ron for a great overview here of Henry Schein and our next presentation is set to begin at 12:50 p.m. Eastern Time, include Alignment Healthcare in the Grand Ballroom 3, Novanta and Empire Ballroom, Cellectis in Empire Ballroom 2, and that's it.
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