Operating cash flow to net income swung from 0.34x to 3.77x across quarters, with free cash flow margin ranging from -4.0% to 9.8%, and roughly $1.3B in cumulative buybacks suggests timing and capital deployment dominate cash outcomes.
Henry Schein, Inc. (HSIC) cash flow statement — 30-year operating, investing & financing cash flows
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 687M | 712M | 848M | 500M | 602M | 709.58M | 599M | 654.09M | 684.71M | 545.51M | 615.46M | 586.84M | 592.5M | 664.17M | 408.1M | 554.63M | 388.87M | 396.89M | 384.65M | 270.21M | 235.32M | 265.14M | 191M | 128.84M | 134.67M | 190.91M | 152.99M | 48M | 2.7M | -37.2M | -34.5M |
| Operating CF Margin % | - | 5.4% | 6.69% | 4.05% | 4.76% | 5.72% | 5.92% | 6.55% | 5.19% | 4.38% | 5.32% | 5.52% | 5.71% | 6.95% | 4.56% | 6.5% | 5.17% | 6.07% | 6.02% | 4.56% | 4.57% | 5.72% | 4.7% | 3.84% | 4.77% | 7.46% | 6.42% | 2.1% | 0.14% | -2.45% | -4.16% |
| Operating CF Growth % | -181.2% | -16.04% | 69.6% | -16.94% | -15.16% | 18.46% | -8.42% | -4.47% | 25.52% | -11.36% | 4.88% | -0.96% | -10.79% | 62.75% | -26.42% | 42.62% | -2.02% | 3.18% | 42.35% | 14.83% | -11.25% | 38.82% | 48.24% | -4.33% | -29.46% | 24.78% | 218.74% | 1677.78% | 107.26% | -7.83% | -219.44% |
| Net Income | 421M | 398M | 398M | 416M | 566M | 660.53M | 404M | 719.14M | 562.13M | 459.29M | 556.39M | 523.43M | 505.44M | 471.46M | 423.39M | 404.66M | 352.13M | 333.16M | 243.14M | 215.17M | 163.76M | 151.33M | 128.18M | 139.52M | 117.99M | 87.37M | 56.75M | 50.3M | 16.3M | -1M | 19.3M |
| Depreciation & Amortization | 333M | 311M | 268M | 222M | 212M | 209.53M | 185.54M | 184.94M | 143.63M | 193.07M | 169.78M | 159.13M | 152.24M | 128.03M | 125.32M | 115.9M | 101.21M | 81.49M | 78.13M | 73.94M | 64.93M | 60.34M | 51.33M | 36.84M | 28.27M | 35.64M | 33.76M | 28.3M | 20M | 14.4M | 7.9M |
| Stock-Based Compensation | 16M | 0 | 39M | 39M | 54M | 78M | 9M | 44.92M | 36.24M | 42.29M | 58.25M | 44.61M | 45.88M | 35.53M | 37.31M | 42.73M | 35.63M | 31.23M | 25.43M | 0 | 19.46M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | -1M | 5M | -56M | 0 | -61M | -12.93M | 0 | -2.12M | -51.86M | 138.17M | -30.07M | 5.61M | 27.3M | -11.51M | 10.07M | -19.32M | -6.16M | -26.21M | 16.88M | -7.4M | 1.3M | 2.79M | 13.29M | 5.52M | 226K | 292K | -1.33M | 0 | 200K | -3.9M | 2.4M |
| Other Non-Cash Items | 22M | 46M | 59M | 57M | 112M | -28.34M | 227.46M | -338.37M | 77.27M | 44.5M | 16.09M | 14.7M | 11.91M | 51.05M | 26.04M | 11.83M | 3.21M | 5.49M | 15.47M | 48.48M | 30.99M | 26.61M | 7.93M | 12.73M | 7.69M | 18.33M | 13.69M | 6.2M | -100K | -100K | 100K |
| Working Capital Changes | -117M | -48M | 140M | -234M | -281M | -197.2M | -227M | 45.57M | -82.7M | -331.81M | -154.98M | -160.63M | -150.26M | -10.39M | -214.04M | -1.17M | -97.16M | -28.26M | 5.6M | -82.53M | -45.12M | 24.07M | -9.73M | -65.78M | -19.5M | 49.28M | 50.12M | -36.8M | -52.4M | -65.5M | -64M |
| Change in Receivables | -164M | -124M | 315M | -327M | -7M | 4.16M | -189M | -72.69M | -147.5M | -159.88M | -1.9M | -120M | -81.44M | -45.11M | -73.92M | 36.2M | -76.13M | 20.45M | -26.83M | 1.38M | 2.87M | 6.52M | 0 | 6.55M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -111M | -95M | -59M | 231M | -126M | -295.13M | -32M | 14.7M | -84.78M | -175.06M | -104.79M | -194.87M | -71.9M | -48.09M | -193.59M | -44.16M | -21.31M | -19.24M | -68.36M | -15.95M | -41.96M | 6.48M | -28.61M | -28.78M | -23.07M | -17.85M | 4.63M | 12.1M | -34.5M | -24.1M | -23M |
| Change in Payables | 300M | 216M | -163M | 0 | -96M | 84.71M | 0 | 160.85M | 241.65M | 89.28M | 1.48M | 212.61M | 43.49M | 67.06M | 0 | 0 | 0 | -29.83M | 0 | 13.57M | -11.88M | 1.44M | 0 | 49.51M | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -318M | -477M | -430M | -1.14B | -276M | -677.22M | -115M | -424.37M | -192.95M | -342.28M | -316.42M | -260.03M | -516.64M | -266.61M | -269.6M | -196.07M | -428.4M | -97.45M | -167.88M | -242.05M | -180.36M | -162.87M | -172.55M | -118.12M | -142.76M | -55.07M | -46.23M | -164.1M | -48.7M | -55.1M | -49.1M |
| Capital Expenditures | -157M | -191M | -148M | -147M | -96M | -79.02M | -49M | -76.22M | -90.64M | -81.5M | -70.18M | -71.68M | -82.12M | -60.22M | -51.24M | -45.18M | -39M | -51.63M | -50.87M | -56.82M | -67M | -50.83M | -37.84M | -38.98M | -47.54M | -46.13M | -29.74M | -167.1M | -47.4M | -49.6M | -11.2M |
| CapEx % of Revenue | 1.14% | 1.45% | 1.17% | 1.19% | 0.76% | 0.64% | 0.48% | 0.76% | 0.69% | 0.65% | 0.61% | 0.67% | 0.79% | 0.63% | 0.57% | 0.53% | 0.52% | 0.79% | 0.8% | 0.96% | 1.3% | 1.1% | 0.93% | 1.16% | 1.68% | 1.8% | 1.25% | 7.31% | 2.47% | 3.27% | 1.35% |
| Acquisitions | -115M | -276M | -230M | -955M | -158M | -560.8M | -52M | -348.63M | -60.57M | -254.63M | -228.57M | -171.86M | -424.28M | -195.73M | -220.24M | -149.4M | -399.57M | -43.93M | -128.47M | -190.35M | -163.35M | -68.21M | -149.81M | -118.18M | -36.22M | -8.59M | -6.84M | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -46M | -10M | -56M | -55M | -22M | -37.4M | -14M | 349.1M | 18.82M | 248.47M | -17.67M | 155.35M | 410.79M | 172.53M | -7.35M | -4.09M | 4.17M | -11.84M | 41.67M | -42.87M | -26.02M | 36.37M | 627K | -946K | -3.78M | -355K | -9.64M | 3M | -1.3M | -5.5M | -37.9M |
| Cash from Financing | -346M | -111M | -510M | 701M | -315M | -332.96M | -187M | -215.98M | -603.78M | -112.55M | -300.23M | -319.37M | -154.65M | -335.97M | -170.6M | -354.37M | -283.26M | -197.68M | -87.97M | -31.12M | -21.27M | -38.87M | 26.37M | -48.38M | 18.68M | 371K | -77.85M | 121.9M | 62.4M | 54.3M | 117.6M |
| Debt Issued (Net) | 423M | 551M | 189M | 900M | 259M | 165M | -110M | -1.19B | 90.27M | 141.15M | 245.42M | -66.2M | 86.38M | -51.2M | 82.22M | -17.3M | -115.55M | -158.81M | -40.92M | -46.21M | -33.15M | -12.01M | 93.58M | -8.85M | -14.55M | -13.63M | -84.48M | 256.2M | 53.3M | 76.6M | -21.4M |
| Equity Issued (Net) | -645M | -598M | -385M | -284M | -517M | -409M | -88M | -163.91M | -218.02M | -494.83M | -577.14M | -328.51M | -299.99M | -300.25M | -299.88M | -165.48M | -57.73M | 0 | -57.14M | 4.77M | -4.64M | -22.78M | -66.57M | -39.41M | 34.12M | 14.15M | 6.28M | 12.5M | 11M | 4.7M | 130.1M |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -146.9M | -2M | -2.4M | 0 |
| Share Repurchases | -650M | -850M | -385M | -284M | -485M | -401M | -88M | -525M | -200M | -450M | -550.02M | -299.85M | -299.99M | -300.25M | -299.88M | -200M | -57.73M | 0 | -82.79M | -30.69M | -40.26M | -52.28M | -82.21M | -61.75M | 0 | 0 | 0 | 0 | 0 | -600K | -600K |
| Other Financing | -124M | -64M | -314M | 85M | -57M | -88.96M | 11M | 1.14B | -476.02M | 241.13M | 31.49M | 75.34M | 58.96M | 15.47M | 47.06M | -171.58M | -109.97M | -38.87M | 10.09M | 10.32M | 16.52M | -4.08M | -645K | -122K | -892K | -156K | 346K | 100K | 100K | -700K | -5.2M |
| Net Change in Cash | 48M | 34M | -49M | 54M | -1M | -303.22M | 314.9M | 49.21M | -94.45M | 112.28M | -9.71M | -17.39M | -99.14M | 66.54M | -25.2M | -3.06M | -320.81M | 101.58M | 121.98M | -1.06M | 37.96M | 67.88M | 29.27M | -43.3M | 7.28M | 135M | 32.34M | -2.2M | 16.4M | -38M | 34M |
| Free Cash Flow | 529M | 573M | 661M | 313M | 506M | 630.57M | 550M | 577.87M | 594.07M | 464.01M | 545.28M | 515.16M | 510.39M | 603.96M | 356.86M | 509.45M | 349.87M | 345.26M | 333.78M | 213.39M | 168.32M | 214.31M | 153.16M | 89.86M | 87.13M | 144.78M | 123.25M | -119.1M | -44.7M | -86.8M | -45.7M |
| FCF Margin % | 3.85% | 4.35% | 5.22% | 2.54% | 4% | 5.08% | 5.44% | 5.79% | 4.5% | 3.72% | 4.71% | 4.85% | 4.92% | 6.32% | 3.99% | 5.97% | 4.65% | 5.28% | 5.22% | 3.6% | 3.27% | 4.62% | 3.77% | 2.68% | 3.08% | 5.66% | 5.17% | -5.21% | -2.33% | -5.72% | -5.51% |
| FCF Growth % | 38.48% | -13.31% | 111.18% | -38.14% | -19.75% | 14.65% | -4.82% | -2.73% | 28.03% | -14.9% | 5.85% | 0.93% | -15.49% | 69.24% | -29.95% | 45.61% | 1.34% | 3.44% | 56.42% | 26.78% | -21.46% | 39.92% | 70.44% | 3.14% | -39.82% | 17.47% | 203.49% | -166.44% | 48.5% | -89.93% | -128.5% |
| FCF per Share | 4.70 | 4.71 | 5.17 | 2.38 | 3.67 | 4.45 | 3.84 | 3.87 | 3.86 | 2.93 | 3.36 | 3.06 | 2.98 | 3.45 | 1.99 | 2.75 | 1.88 | 1.91 | 1.83 | 1.17 | 0.94 | 1.21 | 0.86 | 0.50 | 0.49 | 0.42 | 0.36 | -0.09 | -0.04 | -0.07 | -0.04 |
| FCF Conversion (FCF/Net Income) | 1.26x | 1.79x | 2.17x | 1.20x | 1.12x | 1.14x | 1.49x | 1.29x | 1.28x | 1.34x | 1.21x | 1.22x | 1.27x | 1.50x | 1.05x | 1.51x | 1.19x | 1.29x | 1.56x | 1.15x | 1.29x | 1.90x | 1.49x | 0.94x | 1.14x | 2.19x | 2.70x | 0.95x | 0.17x | 37.20x | -1.79x |
| Interest Paid | 124M | 151M | 132M | 84M | 47M | 29M | 43M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 61M | 0 | 144M | 0 | 265M | 242M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Quick answers to the most common questions about buying HSIC stock.
Henry Schein, Inc. (HSIC) generated $712.0M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Henry Schein, Inc. (HSIC) generated $573.0M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Henry Schein, Inc. (HSIC) spent $191.0M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Henry Schein, Inc. (HSIC) spent $850.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.
Key Metrics
Top Statement Risk
Working capital volatility and margin compression
Metrics are mathematically derived from official filings.
Operating Cash Flow Tracks Net Income Unevenly
Based on reported quarterly figures, HSIC's operating cash flow to net income ratio swung from 0.34x in Q1 2025 to 3.77x in Q4 2025, with a negative reading of -0.91x in Q1 2026, indicating that cash conversion is highly uneven across quarters.
The wide dispersion in OCF/NI suggests that reported earnings are not being reliably converted into cash on a quarterly basis. The pattern appears driven primarily by working capital swings rather than by a structural change in earnings quality. Investors should monitor whether the trailing-year average conversion can be sustained without relying on year-end working capital releases.
Free Cash Flow Margins Remain Thin and Volatile
As reported in the quarterly cash flow statements, HSIC's free cash flow margin ranged from -4.0% in Q1 2026 to 9.8% in Q4 2025, a band that is far wider than the stable 3% net margin would imply.
The magnitude of the swings suggests that free cash flow is governed more by timing of receivables, inventory, and payables than by underlying profitability. A business with a roughly 3% net margin has little buffer to absorb a negative FCF quarter, so the average FCF margin is the more meaningful figure for valuation. The trend warrants monitoring to see whether the positive quarters reflect durable conversion or temporary working capital unwinds.
Working Capital Drives Most Quarterly Cash Variance
Based on the reported working capital changes, HSIC absorbed a $278.0M outflow in Q1 2026 and released $173.0M in Q4 2025, suggesting working capital is the dominant source of quarterly cash variability.
Such large swings relative to quarterly operating cash flow point to meaningful sensitivity in receivables collection and inventory management. The reversal pattern between Q1 2026 and Q4 2025 may indicate timing effects at fiscal period ends rather than a permanent deterioration. Investors should monitor days sales outstanding and inventory turns to determine whether these movements reflect efficiency or deferral.
Acquisitions and Buybacks Absorb Free Cash Flow
According to recent SEC filings, HSIC deployed roughly $1.2B across buybacks and acquisitions over the ten reported quarters, with cumulative buybacks alone near $1.3B, indicating that discretionary capital deployment consumes most generated cash.
Repurchases have been consistent and sizable, while acquisition outflows were lumpy, including $278.0M in Q2 2024. The company paid no dividends over this period, directing all excess cash toward share count reduction and the string-of-pearls acquisition strategy. Whether these returns exceed the cost of capital depends on acquired margin performance, which the available data does not isolate.
Cash Flow Quality Obscured by Timing Effects
Based on the reported figures, the strongest quarter of cash generation followed a weak quarter, which may indicate that quarterly cash flow is being shaped by timing rather than reflecting a stable underlying run-rate.
Stock-based compensation contributions are small and do not materially explain the variance. The offsetting pattern between adjacent quarters suggests that trailing-twelve-month figures present a cleaner picture than any single period. Analysts should be cautious about extrapolating either the peak or trough quarters into forward estimates without normalizing for working capital timing.