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Henry Schein (HSIC) Q4 FY25 earnings call: guidance and Q&A

Earnings call· Dec 2025 (Q4 FY25)· Health Care· Feb 24, 2026

Source: earnings call transcript

Executive summary

Henry Schein Q4 FY25 — Strong Sales Growth and Strategic Execution

Henry Schein delivered robust Q4 FY25 results, marked by strong sales across all businesses, particularly global equipment and specialty products, exceeding prior guidance. The company is executing effectively on its BOLD+1 strategic plan, with high-growth, high-margin businesses approaching 50% of operating income. Management anticipates continued momentum, with earnings growth weighted towards the second half of FY26 due to value creation initiatives.

Highlights

5
  • Global sales grew 7.7% in Q4 FY25, reflecting the highest sales growth in 15 quarters.

  • Non-GAAP diluted EPS increased to $1.34 in Q4 FY25, up from $1.19 in Q4 FY24.

  • Global Dental Equipment sales hit a record, with U.S. Dental Equipment sales delivering double-digit growth.

  • Global Specialty Products Group sales grew 14.6% (11.1% in constant currency), driven by strong implant and biomaterial performance.

  • Cloud-based customers increased by more than 20% year-over-year, reaching over 11,000 Dentrix Ascend and Dentally subscribers.

Concerns

5
  • GAAP operating margin decreased by 10 basis points to 4.76% in Q4 FY25 compared to the prior year.

  • Non-GAAP effective tax rate increased to 22.7% in Q4 FY25 from 22% in Q4 FY24.

  • Lower comparative demand for respiratory products partially offset U.S. Medical business growth, continuing into Q1 FY26.

  • Intraoral scanners average selling prices continued to modestly decrease due to new market entrants.

  • Sales mix of premium and value implants resulted in a slightly lower gross margin compared to the prior year.

Guidance & targets

CategoryTargetConfidence
Full-year 2026 Sales Growth
3% to 5%
high materiality
High
Full-year 2026 Non-GAAP Diluted EPS
$5.23 to $5.37
high materiality
High
Full-year 2026 Non-GAAP Effective Tax Rate
approximately 24%
medium materiality
High
Full-year 2026 Adjusted EBITDA Growth
mid-single digits
high materiality
High
Operating Income Improvement from Value Creation Initiatives
over $125 million annual run rate
high materiality
High
Non-GAAP Operating Income from High-Growth, High-Margin Businesses
over 50% of total operating income
high materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
Global Distribution & Value-Added Services
Solid growth driven by continued momentum. U.S. Dental Merchandise growth included good volume. U.S. Dental Equipment led by double-digit traditional equipment growth. U.S. Medical Distribution saw strong growth in Home Solutions. International Dental Merchandise growth was strong across Southern and Eastern Europe, Germany, Brazil, and Canada. International Dental Equipment growth was broad-based across countries and categories. Value-Added Services growth was driven by International Business Solutions.
U.S. Dental Merchandise sales growth: 3.6%U.S. Dental Equipment sales growth: 10.6%U.S. Medical Distribution sales growth: 4.9%International Dental Merchandise sales growth: 9.2%International Dental Merchandise sales growth (constant currency): 3.8%International Dental Equipment sales growth: 13.9%International Dental Equipment sales growth (constant currency): 7.5%Global Value-Added Services sales growth: 9.6%Global Value-Added Services sales growth (constant currency): 8.5%
—7.0%——
Global Specialty Products Group
Benefited from strong performance in implants and biomaterials, gaining share across most markets. Growth primarily from BioHorizonsCamlog (Germany), S.I.N. (Brazil), and Biotech Dental (France), each with double-digit growth. Sales mix of premium and value implants resulted in a lower gross margin compared to prior year. S.I.N. value implant system introduced in U.S. market in Q4 FY25. Endodontics and Orthodontics also performed well.
Constant currency sales growth: 11.1%Value implants growth: double-digitPremium implants growth: mid-single-digit
—14.6%——
Global Technology Group
Performance driven by core practice management solutions. U.S. sales growth led by practice management software, particularly Dentrix Ascend. International sales growth driven by Dentally cloud-based software. Expanding customer base and product integration are driving growth in annual recurring SaaS subscription revenue and Transactional Services business.
Constant currency sales growth: 7.6%Dentrix Ascend growth (U.S.): double-digitCloud-based customers increase: >20% YoYDentrix Ascend and Dentally subscribers: >11,000
—8.4%——

HSIC operating KPIs by quarter

HSIC operating KPIs stated on its earnings calls, by fiscal quarter
KPIThis call Dec 2025 Q4 FY25 Mar 2026 Q1 FY26 Jun 2026 Q2 FY26Change vs prior quarter
Dentrix Ascend and Dentally subscribers
11K+ And now we have more than 11,000 Dentrix Ascend and Dentally subscribers, of course, the largest installed base in the world. Source: earnings call transcript
13K+ The number of cloud-based customers increased by roughly 25% year-over-year, primarily from new accounts, and we now have more than 13,000 Dentrix Ascend and Dentale subscribers. Source: earnings call transcript
<13K Almost 13,000 customers now subscribe to our Dentrix Ascend and Dentale cloud-based platforms, and we're seeing more customers move toward our higher-featured packages, which is increasing our monthly revenue per customer. Source: earnings call transcript
—

Operating figures the company stated on at least two of the calls shown, checked against each call's transcript. Click a figure to read the sentence. A dash means it was not stated that quarter.

Product announcements

ProductTypeDetails
Vvardis' Curodont productlaunch
CitoCBC system (CytoChip Inc.)launch
Voice Notes (AI-powered documentation assistant)launch
Image Verify (AI-powered quality assessment tool)launch
New forms Webflowlaunch

Deals & partnerships

Amazon Web Services Integration of generative and agentic AI technology into Henry Schein One products.

Partnership for generative and agentic AI integration with Henry Schein One, including tools like Voice Notes and Image Verify.

CytoChip Inc. Exclusive distribution agreement for the CitoCBC system.

Exclusive agreement for the distribution of CytoCBC, a cartridge-based complete blood count analyzer, in the U.S. Medical business.

Vvardis Exclusive distribution agreement for Curodont product.

Exclusive distribution agreement in the U.S. and U.K. for Vvardis' Curodont product, a solution for early-stage caries.

Risks & headwinds

Lower demand for respiratory products Q4 FY25, continuing into Q1 FY26

partially offset U.S. Medical business growth

Decreasing average selling prices for intraoral scanners Q4 FY25

modestly decrease

Mitigation:New market entrants are attracting new customers, advancing interest in digital impressions.

Product mix impact on gross margin Q4 FY25

slightly lower gross margins

Mitigation:Value implants growing faster than premium implants, creating gross profit dollar growth.

Tariff impact FY26

not quantified

Mitigation:Anticipate passing on any tariff increases to customers; good job in alternative sourcing from different countries.

What to watch in Q1 FY26

Value Creation Initiatives Operating Income Improvement

H1 FY26 / H2 FY26
Current Investments in H1 FY26
Target Net benefit for full year, more heavily weighted to H2 FY26

Why it matters

These initiatives are expected to deliver over $125 million in annual run rate operating income improvement by end of 2026, crucial for margin expansion.

I do think that as we make investments in the first half of the year and continue to make some investments over the course of the year, that will be reflected in our results. But we've taken that into consideration with the guidance.

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Q&A highlights

How should the $125 million run rate operating income improvement be phased throughout 2026, and how much will flow through to the bottom line in 2027?

The benefits from value creation initiatives will not be linear, with earnings growth more heavily weighted to the second half of 2026 due to investments in the first half. The exact flow-through to 2027 is yet to be determined, depending on ongoing investments and business conditions.

“I do think that as we make investments in the first half of the year and continue to make some investments over the course of the year, that will be reflected in our results. But we've taken that into consideration with the guidance.”

asked by Jeff Johnson · answered by Ronald South

2 min read 6 chapters

Detailed narrative

Leadership Transition and Strategic Vision

Henry Schein announced Fred Lowery as the new CEO, effective next week, with Stanley Bergman continuing as Chairman. Lowery brings 20 years of experience from Thermo Fisher Scientific, focusing on scaling businesses through organic growth and acquisitions. The transition is expected to be smooth, with Lowery committed to building on Henry Schein's achievements and accelerating strategic implementation.

BOLD+1 Strategic Plan Progress

The company is making substantial progress on its 2025-2027 BOLD+1 strategic plan. Non-GAAP operating income from high-growth, high-margin businesses is approaching 50% of total operating income, on track to exceed 50% by 2027. Implementation of value creation projects is underway, with a global e-commerce platform (henryschein.com) rolling out to U.S. Dental and Canadian customers in Q1 FY26, and U.S. Medical customers shortly thereafter.

U.S. Dental Market Dynamics and Equipment Sales

U.S. Dental Merchandise sales growth reflected continued market share gains, with January sales showing good momentum into Q1 FY26. Patient traffic remains stable and leaning positively, supported by data from Henry Schein One e-claims activity indicating modest procedure growth. Global Dental Equipment sales hit a record, with U.S.

Dental Equipment sales growing double-digits, driven by traditional equipment and supplier promotions. Digital equipment sales increased low single-digits, with good unit growth across imaging, mills, 3D printers, and intraoral scanners, despite modest ASP decreases.

Global Specialty Products Performance

The Global Specialty Products Group saw strong performance, with sales growing 14.6% (11.1% constant currency). This was primarily driven by BioHorizonsCamlog in Germany, S.I.N. in Brazil, and Biotech Dental in France, all achieving double-digit growth. The S.I.N. value implant system was introduced into the U.S. market in Q4 FY25, expected to contribute to U.S. growth in FY26.

Endodontics and Orthodontics businesses also showed stabilization and growth through expanded distribution.

Global Technology Group and AI Integration

The Global Technology Group's performance was strong, with 8.4% sales growth (7.6% constant currency), driven by core practice management solutions. Cloud-based customers increased over 20% year-over-year, with over 11,000 Dentrix Ascend and Dentally subscribers. The company is integrating generative AI technology through a partnership with Amazon Web Services, launching tools like voice notes and Image Verify to enhance practice efficiency and reduce claims denials.

Value Creation Initiatives and Financial Outlook

Henry Schein expects to deliver over $200 million in operating income improvement over the next few years from value creation initiatives, with an annual run rate of over $125 million by the end of 2026. These initiatives include gross profit optimization (pricing, corporate brand sales) and cost reduction through centralized support, process automation, AI tools, and leveraging scale for indirect procurement.

Earnings growth in 2026 is expected to be more heavily weighted towards the second half of the year due to the implementation schedule.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.