Henry Schein, Inc. (HSIC) Cash Flow Statement

NASDAQ: HSICOperating cash, capex, free cash flow and buybacks.

Where HSIC’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$712.0M
−16.0% vs 2024
Capital expenditures
$139.0M
1.1% of revenue
Free cash flow
$573.0M
4.3% margin
Returned to shareholders
$850.0M
148% of free cash flow
Change in cash
$34.0M
cash at year-end $156.0M
Cash from operations: $712.0MCash from operations$712.0MBorrowing: $553.0MBorrowing$553.0MShares issued: $250.0MShares issued$250.0MShare buybacks: $850.0MShare buybacks$850.0M · 56%Acquisitions & other: $338.0MAcquisitions & other$338.0M · 22%Capital expenditures: $139.0MCapital expenditures$139.0M · 9%Other financing: $64.0MOther financing$64.0M · 4%Currency & other: $90.0MCurrency & other$90.0M · 6%Added to cash: $34.0MAdded to cash$34.0M · 2%$1.51B
Cash from operations
$712.0M
Capital expenditures
−$139.0M
Acquisitions & other
−$338.0M
Share buybacks (net)
−$850.0M
Net borrowing (repayment)
+$553.0M
Shares issued
+$250.0M
Other financing
−$64.0M
Currency & other
−$90.0M
Change in cash
$34.0M

Drawn to scale: where the cash came from and how it was used. Hover for values.

HSIC operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

HSIC cash flow trends, 2016–2025

Henry Schein, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow$615.5M2016$712.0M2025+1.6%/yr
Capital expenditures$70.2M2016$139.0M2025+7.9%/yr
Free cash flow$545.3M2016$573.0M2025+0.6%/yr
Free cash flow margin4.7%20164.3%2025−0.4 pts
Operating cash flow / net income1.1120161.792025+0.68
Stock-based compensation$58.2M2016$39.0M2025−4.4%/yr
Dividends paid$32.4M2016$2.10B2023+81.5%/yr
Share buybacks (net)$550.0M2016$850.0M2025+5.0%/yr
Capex / revenue0.6%20161.1%2025+0.4 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

HSIC cash flow by activity

OperatingInvestingFinancingChange in cash

HSIC net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

HSIC cash flow statement

Henry Schein, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income$398.0M$398.0M$416.0M$566.0M$660.5M$404.0M$719.1M$562.1M$459.3M$556.4M
Depreciation & amortization$311.0M$268.0M$222.0M$212.0M$209.5M$185.5M$184.9M$143.6M$193.1M$169.8M
Stock-based compensation$39.0M$39.0M$39.0M$54.0M$78.0M$9.0M$44.9M$36.2M$42.3M$58.2M
Change in working capital−$48.0M$140.0M−$234.0M−$281.0M−$197.2M−$227.0M$45.6M−$82.7M−$331.8M−$155.0M
Other non-cash items$12.0M$3.0M$57.0M$51.0M−$41.3M$227.5M−$340.5M$25.4M$182.7M−$14.0M
Cash from operating activities$712.0M$848.0M$500.0M$602.0M$709.6M$599.0M$654.1M$684.7M$545.5M$615.5M
Investing activities
Capital expenditures−$139.0M−$187.0M−$187.0M−$96.0M−$79.0M−$49.0M−$76.2M−$90.6M−$81.5M−$70.2M
Investments (net)$0−$430.0M−$873.0M$11.0M$5.7M$12.8M$324.0M−$24.7M$34.0M−$316.4M
Acquisitions & other investing−$338.0M$187.0M−$75.0M−$191.0M−$603.9M−$78.8M−$672.1M−$77.6M−$294.8M$70.2M
Cash from investing activities−$477.0M−$430.0M−$1.14B−$276.0M−$677.2M−$115.0M−$424.4M−$193.0M−$342.3M−$316.4M
Financing activities
Dividends paid——−$2.10B−$30.0M−$7.5M−$14.3M−$148.1M−$17.5M−$29.1M−$32.4M
Share repurchases & issuance (net)−$850.0M−$385.0M−$284.0M−$485.0M−$401.0M−$88.0M−$525.0M−$200.0M−$450.0M−$550.0M
Net borrowing (repayment)$553.0M$189.0M$1.05B$259.0M$161.4M−$69.0M−$1.19B$297.2M$441.3M$343.9M
Shares issued$250.0M$0$0$0$0$0$361.1M$0$0$0
Other financing−$64.0M−$314.0M$2.03B−$59.0M−$85.9M−$15.7M$1.28B−$683.5M−$74.8M−$61.8M
Cash from financing activities−$111.0M−$510.0M$701.0M−$315.0M−$333.0M−$187.0M−$216.0M−$603.8M−$112.6M−$300.2M
Summary
Net change in cash$34.0M−$49.0M$54.0M−$1.0M−$303.2M$314.9M$49.2M−$94.4M$112.3M−$9.7M
Cash at end of period$156.0M$122.0M$171.0M$117.0M$118.0M$421.0M$106.1M$80.2M$174.7M$62.4M
Free cash flow$573.0M$661.0M$313.0M$506.0M$630.6M$550.0M$577.9M$594.1M$464.0M$545.3M
Free cash flow margin4.3%5.2%2.5%4.0%5.1%5.4%5.8%4.5%3.7%4.7%
Capex / revenue1.1%1.5%1.5%0.8%0.6%0.5%0.8%0.7%0.7%0.6%
Operating cash flow / net income1.792.131.201.061.071.480.911.221.191.11

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

HSIC cash generation

In fiscal 2025 (ended December 31, 2025), Henry Schein generated $712.0 million of cash from operations (down 16.0%) and spent $139.0 million on capital expenditures, leaving free cash flow of $573.0 million, 4.3% of revenue. It returned $850.0 million to shareholders through dividends ($0) and net share buybacks ($850.0 million). Cash and equivalents rose by $34.0 million over the year.

Related: HSIC income statement, HSIC balance sheet. See the HSIC stock overview for the latest quote and news.

HSIC cash flow FAQ

What is Henry Schein's free cash flow?

Henry Schein's free cash flow was $573.0 million in fiscal 2025: $712.0 million of operating cash flow minus $139.0 million of capital expenditures It was $661.0 million a year earlier..

How much cash does Henry Schein generate from operations?

Henry Schein generated $712.0 million of cash from operating activities in fiscal 2025, 1.79 times its net income of $398.0 million.

How much does Henry Schein spend on capital expenditures?

Henry Schein spent $139.0 million on capital expenditures in fiscal 2025, 1.1% of revenue, compared with $187.0 million the year before.

How much stock does Henry Schein buy back?

Henry Schein spent $850.0 million on net share repurchases in fiscal 2025.

Medical Distribution: cash flow