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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington,
 
D.C.
 
20549
 
FORM
10-K
(Mark One)
 
ANNUAL REPORT PURSUANT TO
 
SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended
December 30, 2023
 
TRANSITION REPORT PURSUANT TO
 
SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
 
1934
For the transition period from ____________ to ____________
Commission file number
0-27078
HENRY SCHEIN, INC.
(Exact name of registrant as specified in its charter)
Delaware
11-3136595
(State or other jurisdiction of
(I.R.S. Employer Identification No.)
incorporation or organization)
135 Duryea Road
Melville
,
New York
(Address of principal executive offices)
11747
(Zip Code)
 
(
631
)
843-5500
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b)
 
of the Act:
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, par value $.01 per share
HSIC
The Nasdaq Global Select Market
Securities registered pursuant to Section
 
12(g) of the Act: None
 
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
 
YES
:
 
 
NO:
 
 
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.
YES:
 
 
NO
:
 
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.
YES
:
 
 
NO:
 
 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of
Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
YES
:
 
 
NO:
 
 
 
 
Indicate by check mark whether the registrant is a
 
large accelerated filer, an
 
accelerated filer, a non-accelerated filer,
 
a smaller reporting company,
 
or an
emerging
 
growth
 
company.
 
See
 
the
 
definitions
 
of
 
“large
 
accelerated
 
filer,”
 
“accelerated
 
filer,”
 
“smaller
 
reporting
 
company,”
 
and
 
“emerging
 
growth
company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer
:
 
 
Accelerated filer:
 
 
Non-accelerated filer:
 
 
Smaller reporting company:
 
 
Emerging growth company:
 
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any
new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
 
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal
control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared
or issued its audit report.
 
If securities are registered pursuant to
 
Section 12(b) of the Act, indicate by
 
check mark whether the financial statements of
 
the registrant included in the
filing reflect the correction of an error to previously issued financial statements.
 
Indicate
 
by
 
check
 
mark
 
whether
 
any
 
of
 
those
 
error
 
corrections
 
are
 
restatements
 
that
 
required
 
a
 
recovery
 
analysis
 
of
 
incentive-based
 
compensation
received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b).
 
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).
YES:
 
 
NO:
 
 
The aggregate market value of the registrant’s voting stock held by non-affiliates of the registrant, computed by reference to the closing sales price as
quoted on the Nasdaq Global Select Market on July 1, 2023, was approximately $
10,506,752,000
.
 
As of February 20, 2024, there were
128,505,719
 
shares of registrant’s Common Stock, par value $.01 per share, outstanding.
Documents Incorporated by Reference:
Portions of the Registrant’s definitive proxy statement to be filed pursuant to Regulation 14A not later than 120 days after the end of the fiscal year
(December 30, 2023) are incorporated by reference in Part III hereof.
3
PART
 
I
ITEM 1.
 
Business
General
Henry Schein, Inc. is a solutions company for health care professionals powered
 
by a network of people and
technology.
 
We believe we are the world’s largest
 
provider of health care products and services primarily to
 
office-
based dental and medical practitioners, as well as alternate sites of care.
 
Our philosophy is grounded in our
commitment to help customers operate a more efficient and successful business so
 
the practitioner can provide
better clinical care.
With more than 91 years of experience distributing health care products, we have built a vast set of small,
 
mid-sized
and large customers in the dental and medical markets, serving more than one million
 
customers worldwide across
dental practices, laboratories,
 
physician practices, and ambulatory surgery centers, as well as government,
institutional health care clinics and other alternate care clinics.
 
We are headquartered in Melville, New York
 
and employ more than 25,000 people.
 
Approximately 55% of our
workforce is based in the United States and approximately 45% is based outside
 
of the United States.
 
We have
operations or affiliates in 33 countries and territories.
 
Our broad global footprint has evolved over time through our
organic success as well as through contribution from strategic acquisitions.
We stock a comprehensive selection of more than 300,000 branded products and Henry Schein corporate brand
products through our main distribution centers.
 
Our infrastructure, including over 5.3 million square feet of space
in 36 strategically located distribution and 22 manufacturing facilities around
 
the world, enables us to historically
provide rapid and accurate order fulfillment, better serve our customers and
 
increase our operating efficiency.
 
This
infrastructure, together with broad product and service offerings at competitive
 
prices, and a strong commitment to
customer service, enables us to be a single source of supply for our customers’
 
needs.
We conduct our business through two reportable segments: (i) health care distribution and (ii) technology and
value-added services.
 
These segments offer different products and services to the same customer base.
 
Our dental
businesses serve office-based dental practitioners, dental laboratories, schools, government
 
and other
institutions.
 
Our medical businesses serve physician offices, urgent care centers, ambulatory care sites,
 
emergency
medical technicians, dialysis centers, home health, federal and state governments
 
and large enterprises, such as
group practices and integrated delivery networks, among other providers
 
across a wide range of specialties.
 
The health care distribution reportable segment, combining our global dental
 
and medical operating segments,
distributes consumable products, small equipment, laboratory products, large equipment, equipment
 
repair services,
branded and generic pharmaceuticals, vaccines, surgical products, dental specialty
 
products (including implant,
orthodontic and endodontic products), diagnostic tests, infection-control products,
 
personal protective equipment
products (“PPE”) and vitamins.
 
While our primary go-to-market strategy is in our capacity as a
 
distributor, we also
market and sell under our own corporate brand portfolio of cost-effective, high-quality consumable
 
merchandise
products, and manufacture certain dental specialty products in the areas of oral
 
surgery, implants, orthodontics and
endodontics.
 
 
The technology and value-added services reportable segment provides
 
software, technology and other value-added
services to health care practitioners.
 
Henry Schein One, the largest contributor of sales to this category, offers
dental practice management solutions for dental and medical practitioners.
 
In addition, we offer dentists and
physicians a broad suite of electronic health records, patient communication
 
services including electronic marketing
and website design, analytics and patient demand generation.
 
Our value-added practice solutions include practice
consultancy, education, integrated revenue cycle management and the facilitation of financial service offerings (on
a non-recourse basis) to help dentists and physicians operate and expand
 
their business operations,
 
e-services,
practice technology, network and hardware services, as well as consulting, and continuing education services for
practitioners.
 
We believe our hands-on consultative approach to provide solutions to support practice decision-
making is a key differentiator for our business.
 
4
Recent Developments
See “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Recent
Developments” herein for a discussion related to recent Company developments.
Industry
The global health care distribution industry, as it relates to office-based health care practitioners, is fragmented and
diverse.
 
The industry ranges from sole practitioners working out of
 
relatively small offices to mid-sized and large
group practices ranging in size from a few practitioners to several
 
hundred practices owned or operated by dental
support organizations (“DSOs”), medical group purchasing organizations (“GPOs”), hospital
 
systems or integrated
delivery networks.
Due in part to the limited capacity of office-based health care practitioners
 
to store and manage large quantities of
supplies in their offices, the distribution of health care supplies and small equipment
 
to office-based health care
practitioners has been characterized by frequent, small quantity orders,
 
and a need for rapid, reliable and
substantially complete order fulfillment.
 
The purchasing decisions within an office-based health care practice
 
are
typically made by the practitioner, hygienist or office manager.
 
Supplies and small equipment are generally
purchased from more than one distributor, with one generally serving as the primary supplier.
The health care distribution industry continues to experience growth due
 
to demand driven by the aging population,
increased health care awareness and the importance of preventative care,
 
an increasing understanding of the
connection between good oral health and overall health, improved access
 
to care globally, the proliferation of
medical technology and testing, new pharmacology treatments and
 
expanded third-party insurance coverage,
partially offset by the effects of unemployment on insurance coverage and technological
 
improvements, including
the advancement of software and services, prosthetic solutions and telemedicine.
 
In addition, the non-acute market
continues to benefit from the shift of procedures and diagnostic
 
testing from acute care settings to alternate-care
sites, particularly physicians’ offices and ambulatory surgery centers.
We believe that consolidation within the industry will continue to result in a number of distributors, particularly
those with limited financial, operating and marketing resources, seeking
 
to combine with larger companies that can
provide growth opportunities.
 
This consolidation also may continue to result in distributors seeking
 
to acquire
companies that can enhance their current product and service offerings or provide
 
opportunities to serve a broader
customer base.
 
In addition, customer consolidation will likely lead to multiple locations
 
under common management and the
movement of more procedures from the hospital setting to the physician
 
or alternate care setting as the health care
industry is increasingly focused on efficiency and cost containment.
 
This trend has benefited distributors capable
of providing a broad array of products and services at low prices.
 
It also has accelerated the growth of health
maintenance organizations (“HMOs”), group practices, other managed care accounts
 
and collective buying groups,
which, in addition to their emphasis on obtaining products at competitive
 
prices, tend to favor distributors capable
of providing specialized management information support.
 
We believe that the trend towards cost containment has
the potential to favorably affect demand for technology solutions, including software,
 
which can enhance the
efficiency and facilitation of practice management.
Competition
 
The distribution and manufacture of health care supplies and equipment is
 
highly competitive.
 
Many of the health
care products we sell are available to our customers from a number of suppliers.
 
In addition, our competitors could
obtain exclusive rights from manufacturers to market particular products.
 
Manufacturers also could seek to sell
directly to end-users, and thereby eliminate or reduce our role and
 
that of other distributors.
 
In certain parts of the
dental end market, such as those related to dental specialty products, and
 
medical end market manufacturers already
sell directly to end customers.
In North America, we compete with other distributors, as well as several
 
manufacturers, of dental and medical
products, primarily on the basis of price, breadth of product line, e-commerce
 
capabilities, customer service and
5
value-added products and services.
 
In the dental market, our primary competitors in the U.S. are the Patterson
Dental division of Patterson Companies, Inc. and Benco Dental Supply
 
Company.
 
In addition, we compete against
a number of other distributors that operate on a national, regional and
 
local level.
 
Our primary competitors in the
U.S. medical market, which accounts for the large majority of our global medical
 
sales, are McKesson Corporation
and Medline Industries, Inc., which are national distributors.
 
We also compete with a number of regional and local
medical distributors, as well as a number of manufacturers that
 
sell directly to physicians and patients in their
homes.
 
With regard to our dental software, we compete against numerous companies, including the Patterson
Dental division of Patterson Companies, Inc., Carestream Health, Inc.,
 
Carestream Dental LLC, Centaur Software
Development Co Pty Ltd. (d.b.a. dental4windows, dental4web), Open Dental
 
Software, Inc., PlanetDDS LLC,
Good Methods Global Inc. (d.b.a. CareStack) and Curve Dental, LLC.
 
In other software end markets, including
revenue cycle management, patient relationship management and patient
 
demand generation, we compete with
companies such as Vyne Therapeutics Inc., EDI-Health Group, Inc. (d.b.a. Dental X Change, Inc.), Weave
Communications, Inc., and Solutionreach, Inc.
 
The medical practice management and electronic medical
 
records
market is fragmented and we compete with numerous companies such
 
as the NextGen division of Quality Systems,
Inc., eClinicalWorks, Allscripts Healthcare Solutions, Inc. and Epic Systems Corporation.
Outside of the U.S., we believe we are the only global distributor of supplies
 
and equipment to dental practices and
our competitors are primarily local and regional companies.
 
We also face significant competition internationally,
where we compete on the basis of price and customer service against
 
several large competitors, including the
GACD Group, Proclinic SA, Lifco AB, Planmeca Oy and Billericay Dental
 
Supply Co. Ltd., as well as a large
number of other dental and medical product distributors and manufacturers
 
in international countries and territories
we serve.
Competitive Strengths
We have more than 91 years of experience in distributing products to health care practitioners resulting in strong
awareness of the Henry Schein
®
 
brand.
 
Our competitive strengths include:
A focus on meeting our customers’ unique needs
.
 
We are committed to providing customized solutions to our
customers that are driven by our understanding of the end markets we
 
serve and reflect the technology-driven
products and services best suited for their practice needs.
 
We are committed to continuing to enhance these
offerings through organic investment in our products and our teams, as well as through the acquisition
 
of new
products and services that may help us better serve our customers.
Direct sales and marketing expertise.
 
Our sales and marketing efforts are designed to establish and solidify
customer relationships through personal or virtual visits by field sales representatives,
 
frequent direct marketing and
telesales contact, emphasizing our broad product lines, including exclusive
 
distribution agreements, competitive
prices and ease of order placement,
 
particularly through our e-commerce platforms.
 
The key elements of our direct
sales and marketing efforts are:
 
Field sales consultants.
 
Our field sales consultants, including equipment sales specialists, covering
 
major
North American, European and other international markets.
 
These consultants complement our direct
marketing and telesales efforts and enable us to better market, service and support
 
the sale of more
sophisticated products and equipment.
 
Marketing.
 
We market to existing and prospective office-based health care providers through a
combination of owned, earned and paid digital channels, tradeshows, as well
 
as through catalogs, flyers,
direct mail and other promotional materials.
 
Our strategies include an emphasis on educational content
through webinars and content marketing initiatives.
 
We continue to enhance our marketing technology to
improve our targeting capability and the relevance of messaging and offers.
 
Telesales.
 
We support our direct marketing effort with inbound and outbound telesales representatives,
who facilitate order processing, generate new sales through direct and frequent
 
contact with customers and
stay abreast of market developments and the hundreds of new products,
 
services and technologies
introduced each year to educate practice personnel.
 
 
 
6
 
Electronic commerce solutions.
 
We provide our customers and sales teams with innovative and
competitive e-commerce solutions.
 
We continue to invest in our e-commerce platform to offer enhanced
content management so customers can more easily find the products
 
they need and to enable an engaging
purchase experience, supported by excellent customer service.
 
 
Social media.
 
Our operating entities and employees engage our customers and
 
supplier partners through
various social media platforms, which are an important element of our
 
communications and marketing
efforts.
 
We continue to expand our social media presence to raise awareness about issues, engage
customers beyond a sale and deliver services and solutions to specialized
 
audiences.
Broad product and service offerings at competitive prices.
 
We offer
 
a broad range of products and services to our
customers, at competitive prices, in the following categories:
 
 
Consumable supplies and equipment
.
 
We distribute consumable products, small equipment, laboratory
products, large equipment, equipment repair services, branded and generic pharmaceuticals,
 
vaccines, dental
specialty products, diagnostic tests, infection-control products and vitamins.
 
We stock a comprehensive
selection of more than 300,000 branded products and Henry Schein
 
corporate brand products through our
main distribution centers.
 
We also market and sell our own corporate brand portfolio of cost-effective, high-
quality consumable merchandise products and manufacture certain
 
dental specialty products in the areas of
implants, orthodontics and endodontics.
 
 
Technology and other value-added products and services.
 
We sell practice management, business
analytics, patient engagement and patient demand creation software solutions
 
to our dental customers.
 
Our
practice management solutions provide practitioners with electronic
 
medical records, patient treatment
history, analytics, billing, accounts receivable analyses and management, appointment calendars, electronic
claims processing and word processing programs, network and hardware
 
services, e-commerce and
electronic marketing services, sourcing third party patient payment plans,
 
transition services and training
and education programs for practitioners.
 
We also sell medical software for practice management, certified
electronic health records (“EHR”) and e-Prescribe medications and prescription
 
solutions.
 
We have
technical representatives supporting customers using our practice management
 
solutions and services.
 
As
of December 30, 2023, we had an active user base of approximately 110,000 practices and 350,000
consumers, including users of AxiUm, Dentally®, Dentrix Ascend®, Dental
 
Vision®, Dentrix® Dental
Systems, Dentrix® Enterprise, Easy Dental®, EndoVision®, Evolution® and EXACT®, Gesden®, Jarvis
Analytics™, Julie® Software, Oasis, OMSVision®, Orisline®, PBS Endo®,
 
PerioVision®, Power
Practice® Px, PowerDent,
 
and Viive® and subscriptions for Demandforce®, Sesame, and Lighthouse360®
for dental practices and DentalPlans.com® for dental patients.
 
Repair services.
 
We have 119
 
equipment sales and service centers worldwide that provide
 
a variety of
repair, installation and technical services for our health care customers.
 
Our technicians provide
installation and repair services for dental handpieces,
 
dental and medical small equipment,
 
table-top
sterilizers and large dental equipment.
 
Financial services.
 
We offer our customers solutions in operating their practices more efficiently by
providing access to a number of financial services and products
 
provided by third party suppliers (including
non-recourse financing for equipment, technology and software
 
products, non-recourse practice financing
for leasehold improvements, business debt consolidation and commercial
 
real estate, non-recourse patient
financing and credit card processing) at rates that we believe are generally
 
lower than what our customers
would be able to secure independently.
 
We also provide staffing services, dental practice valuation and
brokerage services.
Commitment to superior customer service
.
 
We maintain a strong commitment to providing superior customer
service.
 
We frequently monitor our customer service through customer surveys, focus groups and statistical
reports.
 
Our customer service policy primarily focuses on:
 
Exceptional order fulfillment
.
 
We ship an average of approximately 141,000 cartons daily.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7
 
Comprehensive ordering process
.
 
Customers may place orders 24 hours a day, 7 days a week via e-
commerce solutions, telephone, fax, e-mail and mail.
Integrated management information systems
.
 
Certain of our information systems generally allow for centralized
management of key functions, including accounts receivable, inventory, accounts payable, payroll, purchasing,
sales, order fulfillment and financial and operational reporting.
 
These systems allow us to manage our growth,
deliver superior customer service, properly target customers, manage financial
 
performance and monitor daily
operational statistics.
Cost-effective purchasing
.
 
We believe that cost-effective purchasing is a key element to maintaining and enhancing
our position as a competitively priced provider of health care products.
 
We continuously evaluate our purchase
requirements and suppliers’ offerings and prices in order to obtain products at the
 
lowest possible cost.
 
In 2023,
our top 10 health care distribution suppliers and our single largest supplier accounted for approximately
 
24% and
4%, respectively, of our aggregate purchases.
Efficient distribution
.
 
We distribute our products from our 36 strategically located distribution centers.
 
We strive
to maintain optimal inventory levels in order to satisfy customer demand
 
for prompt delivery and complete order
fulfillment.
 
These inventory levels are managed on a daily basis with
 
the aid of our management information
systems.
 
Once an order is entered, it is electronically transmitted to the distribution
 
center nearest the customer’s
location for order fulfillment.
Products and Services
The following table sets forth the percentage of consolidated net sales
 
by principal categories of products and
services offered through our health care distribution and technology and value-added services
 
reportable segments:
December 30,
December 31,
December 25,
2023
2022
2021
Health care distribution:
Dental products
(1)
61.1
%
59.1
%
60.8
%
Medical products
(2)
32.4
35.2
34.0
Total
 
health care distribution
 
93.5
94.3
94.8
Technology
 
and value-added services:
Software and related products and
 
other value-added products
(3)
6.5
5.7
5.2
Total
100.0
100.0
100.0
(1)
Includes infection-control products, handpieces, preventatives, impression materials, composites, anesthetics, teeth, dental implants,
gypsum, acrylics, articulators, abrasives, dental chairs, delivery units and lights, X-ray supplies and equipment, PPE products,
equipment repair and high-tech and digital restoration equipment.
(2)
Includes branded and generic pharmaceuticals, vaccines, surgical products, diagnostic tests, infection-control products, X-ray
products, equipment, PPE products and vitamins.
(3)
Consists of practice management software and other value-added products, which are distributed primarily to health care providers,
and financial services on a non-recourse basis, e-services, continuing education services for practitioners, consulting and other
services.
Business Strategy
Our mission is to provide innovative, integrated health care products and
 
services; and to be trusted advisors and
consultants to our customers - enabling them to deliver the best quality patient
 
care and enhance their practice
management efficiency and profitability.
 
Our BOLD+1 Strategic Plan consists of the following:
 
Build (“B”)
Complementary software, specialty, and services businesses for high growth
 
Operationalize (“O”)
 
One Distribution to deliver exceptional customer experience, increased
 
efficiency,
and growth
 
Leverage (“L”)
 
One Schein to broaden and deepen relationships with our customers
 
Drive (“D”)
 
Drive digital transformation for our customers and for Henry Schein
 
+1
Create Value
 
for our stakeholders
8
To accomplish this, we apply our competitive strengths in executing the following strategies:
 
Increase penetration of our existing customer base.
 
We have over one million customers worldwide and
we intend to increase sales to our existing customer base and enhance
 
our position as their primary
supplier.
 
We believe our offering of a broad range of products, services and support, including software
solutions that can help drive improved workflow efficiency and patient communications
 
for practices,
coupled with our full-service value proposition, helps us to retain and grow
 
our customer base.
 
Increase the number of customers we serve.
 
This strategy includes increasing the productivity of our field
sales consultants and telesales team, as well as using our customer
 
database to focus our marketing efforts
in all of our operating segments.
 
In the dental business, we provide products and services to
 
independent
practices, mid-market groups, and large DSOs as well as community health centers
 
and government sites of
care.
 
Leveraging our broad array of assets and capabilities, we offer solutions to address these
 
new
markets.
 
In the medical business, we have expanded to serve customers
 
located in settings outside of the
traditional office, such as urgent care clinics, retail, occupational health and home health settings.
 
As
settings of health care shift, we remain committed to serving these practitioners
 
and providing them with
the products and services they need.
 
Leverage our value-added products and services.
 
We continue to increase cross-selling efforts for key
product lines utilizing a consultative selling process.
 
In the dental business, we have significant cross-
selling opportunities between our dental software users and our dental customers.
 
In the medical business,
we have opportunities to expand our vaccine, injectables and other pharmaceuticals
 
sales to health care
practitioners, as well as cross-selling EHR systems and software
 
when we sell our core products.
 
Our
strategy extends to providing health systems, integrated delivery networks
 
and other large group and multi-
site health care organizations, including physician clinics, these same value added
 
products and services.
 
As physicians and health systems closely align, we have increased
 
access to opportunities for cross-
marketing and selling our product and service portfolios.
 
Pursue strategic acquisitions and joint ventures.
 
Our acquisition strategy is focused on investments in
companies that add new customers and sales teams, increase our geographic
 
footprint (whether entering a
new country, such as emerging markets, or building scale where we have already invested in businesses),
and finally, those that enable us to access new products and technologies.
Markets Served
 
Demographic trends indicate that our markets are growing, as an
 
aging U.S. population is increasingly using health
care services.
 
According to the U.S. Census Bureau’s International Database, between 2023 and 2033, the 45 and
older population is expected to grow by approximately 11%.
 
Between 2023 and 2043, this age group is expected to
grow by approximately 21%.
 
This compares with expected total U.S. population growth
 
rates of approximately 6%
between 2023 and 2033 and approximately 11% between 2023 and 2043.
 
In the dental industry, there is predicted to be a rise in oral health care expenditures as the 45-and-older segment of
the population increases.
 
There is increasing demand for new technologies that allow
 
dentists to increase
productivity, and this is being driven in the U.S. by lower insurance reimbursement rates.
 
At the same time, there is
an expected increase in dental insurance coverage.
In the medical market, there continues to be a migration of procedures from
 
acute-care settings to physicians’
offices and home health settings, a trend that we believe provides additional opportunities
 
for us.
 
There also is the
continuing use of vaccines, injectables and other pharmaceuticals in alternate-care
 
settings.
 
We believe we have
established a leading position as a vaccine supplier to the office-based physician
 
practitioner.
We support our dental and medical professionals through the many SKUs that we offer, as well as through
important value-added services, including practice management software,
 
electronic claims processing, financial
services and continuing education, all designed to help maximize a practitioner’s
 
efficiency.
 
9
Additionally, we seek to expand our dental full-service model and medical offerings in countries where
opportunities exist.
 
We do this through both direct sales and by partnering with local distribution and
manufacturing companies.
For information on revenues and long-lived assets by geographic area, see
of “Notes to Consolidated Financial Statements.”
 
Seasonality and Other Factors Affecting Our Business and Quarterly Results
We experience fluctuations in quarterly earnings.
 
As a result, we may fail to meet or exceed the expectations of
securities analysts and investors, which could cause our stock price
 
to decline.
Our business is subject to seasonal and other quarterly fluctuations.
 
Sales and profitability generally have been
higher in the third and fourth quarters due to the timing of sales of seasonal
 
products (including influenza vaccine),
purchasing patterns of office-based health care practitioners for certain products (including
 
equipment and
software) and year-end promotions.
 
Sales and profitability may also be impacted by the timing of
 
certain annual
and biennial dental tradeshows where equipment promotions are offered.
 
In addition, some dental practices delay
equipment purchases in the U.S. until year-end due to tax incentives.
 
We expect our historical seasonality of sales
to continue in the foreseeable future.
Governmental Regulations
We
strive to be compliant in all material respects with the applicable
 
laws, regulations and guidance described
below, and believe we have effective compliance programs and other controls in place to ensure substantial
compliance.
 
However, compliance is not guaranteed either now or in the future, as certain laws, regulations and
guidance may be subject to varying and evolving interpretations that could
 
affect our ability to comply, as well as
future changes, additions and enforcement approaches, including political changes.
 
When we discover situations of
non-compliance we seek to remedy them and bring the affected area back into compliance.
 
President Biden’s
administration (the “Biden Administration”) has indicated that it will be
 
more aggressive in its pursuit of alleged
violations of law, and has revoked certain guidance that would have limited governmental use of informal agency
guidance to pursue potential violations, and has stated that it is more prepared
 
to pursue individuals for corporate
law violations, including an aggressive approach to anti-corruption activities.
 
Federal, state and certain foreign
governments have also increased enforcement activity in the health care
 
sector, particularly in areas of fraud and
abuse, anti-bribery and corruption, controlled substances handling,
 
medical device regulations and data privacy and
security standards.
Changes to applicable laws, regulations and guidance described below, as well as related administrative or judicial
interpretations, may require us to update or revise our operations, services,
 
marketing practices and compliance
programs and controls, and may impose additional and unforeseen costs
 
on us, pose new or previously immaterial
risks to us, or may otherwise have a material adverse effect on our business.
Government
Certain of our businesses involve the distribution, manufacturing, importation,
 
exportation, marketing, sale and
promotion of pharmaceuticals and/or medical devices, and in this regard, we
 
are subject to extensive local, state,
federal and foreign governmental laws and regulations, including as applicable
 
to our wholesale distribution of
pharmaceuticals and medical devices, manufacturing activities, and as part of
 
our specialty home medical supply
businesses that distribute and sell medical equipment and supplies directly
 
to patients.
 
Federal, state and certain
foreign governments have also increased enforcement activity in the health care
 
sector, particularly in areas of fraud
and abuse, anti-bribery and anti-corruption, controlled substances handling,
 
medical device regulations and data
privacy and security standards.
Certain of our businesses involve pharmaceuticals and/or medical devices,
 
including in vitro diagnostic devices,
that are paid for by third parties and must operate in compliance with a variety of
 
burdensome and complex coding,
billing and record-keeping requirements in order to substantiate claims for
 
payment under federal, state and
commercial healthcare reimbursement programs.
 
10
Government and private insurance programs fund a large portion of the total cost of medical care,
 
and there have
been efforts to limit such private and government insurance programs, including efforts, thus far
 
unsuccessful, to
seek repeal of the entire United States Patient Protection and Affordable Care Act,
 
as amended by the Health Care
and Education Reconciliation Act, each enacted in March 2010 (as amended,
 
the “ACA”).
Certain of our businesses are subject to various additional federal, state,
 
local and foreign laws and regulations,
including with respect to the sale, transportation, importation, storage, handling
 
and disposal of hazardous or
potentially hazardous substances; “forever chemicals” such as per-and
 
polyfluoroalkyl substances; and safe
working conditions.
 
In addition, activities to control medical costs, including laws and regulations
 
lowering
reimbursement rates for pharmaceuticals, medical devices, medical supplies
 
and/or medical treatments or services,
are ongoing.
 
The Centers for Medicare & Medicaid Services (“CMS”) recently
 
released the 2024 durable medical
equipment, prosthetics, orthotics and supplies (“DMEPOS”) reimbursement
 
schedule, which, effective January 1,
2024, reduced the DMEPOS reimbursement rates for non-rural suppliers,
 
such as us, by removing the Coronavirus
Aid, Relief, and Economic Security (aka CARES) Act relief rates in effect during
 
the COVID-19 pandemic.
 
This
and other laws and regulations are subject to change and their evolving implementation
 
may impact our operations
and our financial performance.
Our businesses are generally subject to numerous laws and regulations that could
 
impact our financial performance,
and failure to comply with such laws or regulations could have a material adverse
 
effect on our business.
Operating, Security and Licensure Standards
Certain of our businesses are subject to local, state and federal governmental
 
laws and regulations relating to the
distribution of pharmaceuticals and medical devices and supplies.
 
Among the United States federal laws applicable
to us are the Controlled Substances Act, the Federal Food, Drug,
 
and Cosmetic Act, as amended (“FDC Act”),
Section 361 of the Public Health Service Act and Section 401 of the Consolidated
 
Appropriations Act of the Social
Security Act, as well as laws regulating the billing of and reimbursement
 
from government programs, such as
Medicare and Medicaid, and from commercial payers.
 
We
are also subject to comparable foreign regulations.
The FDC Act, the Controlled Substances Act, their implementing regulations,
 
and similar foreign laws generally
regulate the introduction, manufacture, advertising, marketing and promotion,
 
sampling, pricing and
reimbursement, labeling, packaging, storage, handling, returning or recalling,
 
reporting, and distribution of, and
record keeping for, pharmaceuticals and medical devices shipped in interstate commerce, and states
 
may similarly
regulate such activities within the state.
 
Furthermore, Section 361 of the Public Health Service Act, which provides
authority to prevent the introduction, transmission or spread of communicable
 
diseases, serves as the legal basis for
the United States Food and Drug Administration’s (“FDA”) regulation of human cells, tissues and cellular and
tissue-based products, also known as “HCT/P products.”
The Federal Drug Quality and Security Act of 2013 brought about significant
 
changes with respect to
pharmaceutical supply chain requirements.
 
Title II of this measure, known as the Drug Supply Chain Security Act
(“DSCSA”), was enacted in November 2013, and had a planned
 
“phase in” schedule over a period of ten years,
resulting in a national electronic, interoperable system to identify and trace
 
certain prescription drugs as they are
distributed in the United States that went into effect on November 27, 2023.
 
Those DSCSA requirements that were
scheduled to change on November 27, 2023, and include requiring trading partners
 
to provide, receive and maintain
documentation about products and ownership only “electronically”(and
 
not via paper) are now subject to a one-year
“stabilization period” announced by FDA through two guidance documents
 
in late August 2023.
 
FDA is permitting
the stabilization period to accommodate an additional year, until November 27, 2024, to allow trading partners
 
to
implement, troubleshoot and mature their electronic (versus paper), interoperable
 
systems, during which time the
FDA does not intend to take action to enforce the requirements for the interoperable,
 
electronic, package level
product tracing.
 
Additionally, the FDA announced that it does not intend to take action to enforce the portion of the
FDC Act with respect to drug product that is introduced in a transaction into
 
commerce by the product’s
manufacturer or repackager before November 27, 2024, and for subsequent transactions
 
of such product through the
product’s expiry.
 
FDA states this stabilization period is intended to avoid disruption
 
to the supply chain, and
ensure continued patient access to drug products as trading partners
 
move towards full implementation of the
DSCSA’s
 
enhanced drug security requirements.
 
The law’s track and trace requirements applicable to
manufacturers, wholesalers, third-party logistics providers (e.g., trading partners),
 
repackagers and dispensers (e.g.,
 
 
11
pharmacies) of prescription drugs took effect in January 2015, and, as stated, continues
 
to be implemented.
 
The
DSCSA product tracing requirements replace the former FDA drug pedigree
 
requirements and pre-empt certain
state requirements that are inconsistent with, more stringent than, or
 
in addition to, the DSCSA requirements.
The DSCSA also establishes certain requirements for the licensing and operation
 
of prescription drug wholesalers
and third-party logistics providers (“3PLs”), and includes the eventual
 
creation of national wholesaler and 3PL
licenses in cases where states do not license such entities.
 
The DSCSA requires that wholesalers and 3PLs
distribute drugs in accordance with certain standards regarding the recordkeeping,
 
storage and handling of
prescription drugs.
 
The DSCSA requires wholesalers and 3PLs to submit annual reports
 
to the FDA, which include
information regarding each state where the wholesaler or 3PL is licensed, the name
 
and address of each facility, and
contact information.
 
According to FDA guidance, states are pre-empted from imposing
 
any licensing requirements
that are inconsistent with, less stringent than, directly related to, or covered
 
by the standards established by federal
law in this area.
 
Current state licensing requirements concerning wholesalers will
 
remain in effect until the FDA
issues new regulations as directed by the DSCSA.
 
FDA issued a proposed rule establishing wholesaler and 3PL
national standards for licensing and other requirements in February 2022,
 
but that rule has not yet been finalized.
 
In addition, with respect to our specialty home medical supply business, we
 
are subject to certain state licensure
laws (including state pharmacy laws), and also certain accreditation standards,
 
including to qualify for
reimbursement from Medicare and other third-party payers.
The Food and Drug Administration Amendments Act of 2007 and
 
the Food and Drug Administration Safety and
Innovation Act of 2012 amended the FDC Act to require the FDA to promulgate
 
regulations to implement a unique
device identification (“UDI”) system for medical devices.
 
The UDI rule phased in the implementation of the UDI
regulations, generally beginning with the highest-risk devices (i.e., Class
 
III medical devices) and ending with the
lowest-risk devices.
 
Most compliance dates were reached as of September 24, 2018, with
 
a final set of
requirements for low risk devices being reached on September 24, 2022, which
 
completed the phase in.
 
However,
in May 2021, the FDA issued an enforcement policy stating that
 
it does not intend to object to the use of legacy
identification numbers on device labels and packages for finished devices
 
manufactured and labeled prior to
September 24, 2023.
 
The UDI regulations require “labelers” to include unique device
 
identifiers (“UDIs”), with a
content and format prescribed by the FDA and issued under a system operated
 
by an FDA-accredited issuing
agency, on the labels and packages of medical devices (including, but not limited to, certain software that qualifies
as a medical device under FDA rules), and to directly mark certain devices
 
with UDIs.
 
The UDI regulations also
require labelers to submit certain information concerning UDI-labeled devices
 
to the FDA, much of which
information is publicly available on an FDA database, the Global Unique Device
 
Identification Database.
 
On July
22, 2022, the FDA posted the final guidance regarding the Global Unique Device
 
Identification Database called
Unique Device Identification Policy Regarding Compliance Dates for Class
 
I and Unclassified Devices, Direct
Marketing, and Global Unique Device Identification Database Requirements
 
for Certain Devices.
 
The UDI
regulations and subsequent FDA guidance regarding the UDI requirements provide
 
for certain exceptions,
alternatives and time extensions.
 
For example, the UDI regulations include a general exception
 
for Class I devices
exempt from the Quality System Regulation (other than record-keeping
 
requirements and complaint files).
 
Regulated labelers include entities such as device manufacturers, repackagers,
 
reprocessors and relabelers that
cause a device’s label to be applied or modified, with the intent that the device will be commercially distributed
without any subsequent replacement or modification of the label and include certain
 
of our businesses.
As a distributor of controlled substances, we are required,
 
under the Controlled Substances Act, to obtain and renew
annually registrations for our facilities from the United States Drug Enforcement
 
Administration (“DEA”)
permitting us to handle controlled substances.
 
We
are also subject to other statutory and regulatory requirements
relating to the storage, sale, marketing, handling, reporting, record-keeping
 
and distribution of such drugs, in
accordance with the Controlled Substances Act and its implementing regulations,
 
and these requirements have been
subject to heightened enforcement activity in recent times.
 
We
are subject to inspection by the DEA.
 
Certain of
our businesses are also required to register for permits and/or licenses
 
with, and comply with operating and security
standards of, the DEA, the FDA, the United States Department of Health
 
and Human Services (“HHS”), and
various state boards of pharmacy, state health departments and/or comparable state agencies as well as comparable
foreign agencies, and certain accrediting bodies, depending on the type of
 
operations and location of product
distribution, manufacturing or sale.
 
These businesses include those that distribute, manufacture, relabel, and/or
repackage prescription pharmaceuticals and/or medical devices and/or HCT/P
 
products, or own pharmacy
operations, or install, maintain or repair equipment.
 
 
 
 
 
12
In addition, Section 301 of the National Organ Transplant Act, and a number of comparable state laws, impose civil
and/or criminal penalties for the transfer of human organs, as defined in the regulations, for valuable
 
consideration,
while generally permitting payments for the reasonable costs incurred
 
in their procurement, processing, storage and
distribution.
 
We
are also subject to foreign government regulation of such products.
 
The DEA, the FDA and state
regulatory authorities have broad inspection and enforcement powers, including
 
the ability to suspend or limit the
distribution of products by our distribution centers, seize or order the
 
recall of products and impose significant
criminal, civil and administrative sanctions for violations of these laws and regulations.
 
Foreign regulations subject
us to similar foreign enforcement powers.
EU Regulation of Medicinal and Dental Products
 
European Union (“EU”) member states regulate their own healthcare systems,
 
as does EU law.
 
The latter regulates
certain matters, most notably medicinal products and medical devices.
 
Medicinal products are defined, broadly, as
substances or combinations of substances having certain functionalities and
 
may not include medical devices.
 
EU
“regulations” apply in all member states, whereas “directives” are implemented
 
by the individual laws of member
states.
 
On medicines for humans, we are regulated under Directive No. 2001/83/EC
 
of 6 November 2001, as amended by
Directive 2003/63/EC of 25 June 2003, and EU Regulation (EC) No. 726/2004
 
of 31 March 2004.
 
These rules
provide for the authorization of products, and regulate their manufacture,
 
importation, marketing and distribution.
 
It implements requirements which may be implemented without warning, as
 
well as a national pharmacovigilance
system under which marketing authorizations may be withdrawn, and includes
 
potential sanctions for breaches of
the rules, and on other bases such as harmfulness or lack of efficacy.
 
EU Regulation No. 1223/2009 of 30 November 2009
on cosmetic products
 
requires that cosmetic products (which
includes dental products) be safe for human health when used under normal
 
or reasonably foreseeable conditions of
use and comply with certain obligations which apply to manufacturer, importer and distributor.
 
It includes market
surveillance, and non-compliance may result in the recall or withdrawal of
 
products, along with other sanctions.
 
In the EU, the EU Medical Device Regulation No. 2017/745 of 5 April 2017
 
(“EU MDR”) covers a wide scope of
our activities, from dental material to X-ray machines, and certain software.
 
It was meant to become applicable
three years after publication (i.e., May 26, 2020).
 
However, on April 23, 2020, to allow European Economic Area
(“EEA”) national authorities, notified bodies, manufacturers and other actors
 
to focus fully on urgent priorities
related to the COVID-19 pandemic, the European Council and Parliament
 
adopted Regulation 2020/561,
postponing the date of application of the EU MDR by one year (to
 
May 26, 2021).
The EU MDR significantly modifies and intensifies the regulatory compliance
 
requirements for the medical device
industry as a whole.
 
Among other things, the EU MDR:
 
strengthens the rules on placing devices on the market and reinforces surveillance
 
once they are available;
 
establishes explicit provisions on manufacturers’ responsibilities
 
for the follow-up of the quality,
performance and safety of devices placed on the market;
 
improves the traceability of medical devices throughout the supply chain to the
 
end-user or patient through
a unique identification number;
 
sets up a central database to provide patients, healthcare professionals and
 
the public with comprehensive
information on products available in the EU;
 
 
strengthens rules for the assessment of certain high-risk devices, such
 
as implants, which may have to
undergo an additional check by experts before they are placed on the market; and
 
identifies importers and distributors and medical device products through
 
registration in a database
(EUDAMED, which is not fully functional for the time being and might
 
not be so before the end of 2027 at
the earliest; therefore, the use of this database is only possible through
 
a voluntary basis and, by a way of
consequence, is currently not mandatory).
In particular, the EU MDR imposes strict requirements for the confirmation that a product meets
 
the regulatory
requirements, including regarding a product’s clinical evaluation and a company’s quality systems, and for the
distribution, marketing and sale of medical devices, including post-market
 
surveillance.
 
 
 
 
 
13
Regulation 2023/607 of the European Parliament and of the Council of
amending Regulations (EU) 2017/745 and
(EU) 2017/746 as regards the transitional provisions for certain medical devices and in vitro diagnostic medical
devices
 
has, notably, extended the EU MDR transitional periods applicable to certain medical devices that have
been assessed and/or certified under the Directive No. 93/42/EEC of
 
1993
concerning medical devices
(“EU
Medical Device Directive”).
 
Subject to certain conditions, medical devices that (i) obtained a certificate
 
under the
EU Medical Device Directive from May 25, 2017, (ii) which was still valid
 
on May 26, 2021, and (iii) has not been
subsequently withdrawn may, for the moment, continue to be placed on the market or put into service until
December 31, 2027 for higher risk devices or December 31, 2028 for
 
medium and lower risk devices. Nevertheless,
EU MDR requirements regarding the distribution, marketing and sale
 
including quality systems and post-market
surveillance have to be observed by manufacturers, importers and distributors
 
as of the application date (i.e., since
May 26, 2021).
Other EU regulations that may apply under appropriate circumstances
 
include EU Regulation No. 1907/2006 of 18
December 2006
concerning the Registration, Evaluation, Authorisation and
 
Restriction of Chemicals
, which
requires importers to register substances or mixtures that they import
 
in the EU beyond certain quantities, and the
EU Regulation No. 1272/2008 of 16 December 2008
on classification, labelling and packaging of substances and
mixtures
(currently under revision), which sets various obligations with respect
 
to the labelling and packaging of
concerned substances and mixtures.
Furthermore, compliance with legal requirements has required and may in the future
 
require us to delay product
release, sale or distribution, or institute voluntary recalls of, or other corrective
 
action with respect to products we
sell, each of which could result in regulatory and enforcement actions, financial
 
losses and potential reputational
harm.
 
Our customers are also subject to significant federal, state, local
 
and foreign governmental regulation, which
may affect our interactions with customers, including the design and functionality
 
of our products.
Certain of our businesses are subject to various additional federal, state,
 
local and foreign laws and regulations,
including with respect to the sale, transportation, storage, handling and
 
disposal of hazardous or potentially
hazardous substances, and safe working conditions.
 
In addition, certain of our businesses must operate in
compliance with a variety of burdensome and complex billing and record-keeping
 
requirements in order to
substantiate claims for payment under federal, state and commercial healthcare
 
reimbursement programs.
Certain of our businesses also maintain contracts with governmental agencies
 
and are subject to certain regulatory
requirements specific to government contractors.
Antitrust and Consumer Protection
The federal government of the United States, most U.S. states and many
 
foreign countries have antitrust laws that
prohibit certain types of conduct deemed to be anti-competitive, as well as consumer
 
protection laws that seek to
protect consumers from improper business practices.
 
At the U.S. federal level, the Federal Trade Commission
oversees enforcement of these types of laws, and states have similar government
 
agencies.
 
Violations of antitrust
or consumer protection laws may result in various sanctions, including criminal
 
and civil penalties.
 
Private
plaintiffs may also bring civil lawsuits against us in the United States for alleged antitrust
 
law violations, including
claims for treble damages.
 
EU law also regulates competition and provides for detailed rules protecting
 
consumers.
 
The Biden Administration has indicated increased antitrust enforcement and
 
has been more aggressive in
enforcement activities, including investigation and challenging non-compete
 
restrictions and other restrictive
contractual terms that it believes harm workers and competition.
Health Care Fraud
Certain of our businesses are subject to federal and state (and similar
 
foreign) health care fraud and abuse, referral
and reimbursement laws and regulations with respect to their operations.
 
Some of these laws, referred to as “false
claims laws,” prohibit the submission or causing the submission of false or fraudulent
 
claims for reimbursement to
federal, state and other health care payers and programs.
 
Other laws, referred to as “anti-kickback laws,” prohibit
soliciting, offering, receiving or paying remuneration in order to induce the referral
 
of a patient or ordering,
purchasing, leasing or arranging for, or recommending, ordering, purchasing or leasing of, items or services
 
that are
paid for by federal, state and other health care payers and programs.
 
Certain additional state and federal laws, such
 
 
 
 
14
as the federal Physician Self-Referral Law, commonly known as the “Stark Law,” prohibit physicians and other
health care professionals from referring a patient to an entity with which
 
the physician (or family member) has a
financial relationship, for the furnishing of certain designated health services
 
(for example, durable medical
equipment and medical supplies), unless an exception applies.
 
Violations of Anti-Kickback Statutes or the Stark
Law may be enforced as violations of the federal False Claims Act.
The fraud and abuse laws and regulations have been subject to heightened
 
enforcement activity over the past few
years, and significant enforcement activity has been the result of “relators” who
 
serve as whistleblowers by filing
complaints in the name of the United States (and if applicable, particular states)
 
under applicable false claims laws,
and who may receive up to 30% of total government recoveries.
 
Penalties under fraud and abuse laws may be
severe, including treble damages and substantial civil penalties under
 
the federal False Claims Act, as well as
potential loss of licenses and the ability to participate in federal and state
 
health care programs, criminal penalties,
or imposition of a corporate integrity agreement or corporate compliance
 
monitor which could have a material
adverse effect on our business.
 
Also, these measures may be interpreted or applied by a prosecutorial,
 
regulatory or
judicial authority in a manner that could require us to make changes
 
in our operations or incur substantial defense
and settlement expenses.
 
Even unsuccessful challenges by regulatory authorities or private
 
relators could result in
reputational harm and the incurring of substantial costs.
 
Most states have adopted similar state false claims laws,
and these state laws have their own penalties, which may be in addition
 
to federal False Claims Act penalties, as
well as other fraud and abuse laws.
 
With respect to measures of this type, the United States government (among others) has expressed concerns
 
about
financial relationships between suppliers on the one hand and physicians,
 
dentists and other healthcare
professionals on the other.
 
As a result, we regularly review and revise our marketing practices as necessary
 
to
facilitate compliance.
We
also are subject to certain United States and foreign laws and regulations
 
concerning the conduct of our foreign
operations, including the U.S. Foreign Corrupt Practices Act, the U.K. Bribery
 
Act, German anti-corruption laws
and other anti-bribery laws and laws pertaining to the accuracy of our internal
 
books and records, which have been
the focus of increasing enforcement activity globally in recent years.
While we believe that we are substantially compliant with applicable fraud and
 
abuse laws and regulations, and
have adequate compliance programs and controls in place to ensure substantial
 
compliance, we cannot predict
whether changes in applicable law, or interpretation of laws, or changes in our services or marketing practices in
response to changes in applicable law or interpretation of laws, or failure
 
to comply with applicable law, could have
a material adverse effect on our business.
Affordable Care Act and Other Insurance Reform
The ACA increased federal oversight of private health insurance plans and
 
included a number of provisions
designed to reduce Medicare expenditures and the cost of health care generally, to reduce fraud and abuse, and to
provide access to increased health coverage.
 
The ACA also materially expanded the number of individuals
 
in the
United States with health insurance.
 
The ACA has faced frequent legal challenges, including litigation seeking
 
to invalidate and Congressional action
seeking to repeal some of or all of the law or the manner in which it has been
 
implemented.
 
In 2012, the United
States Supreme Court, in upholding the constitutionality of the
 
ACA and its individual mandate provision requiring
that people buy health insurance or else face a penalty, simultaneously limited ACA provisions requiring Medicaid
expansion, making such expansion a state-by-state decision.
 
In addition, one of the major political parties in the
United States remains committed to seeking the ACA’s legislative repeal, but legislative efforts to do so have
previously failed to pass both chambers of Congress.
 
Under President Trump’s administration, a number of
administrative actions were taken to materially weaken the ACA, including,
 
without limitation, by permitting the
use of less robust plans with lower coverage and eliminating “premium support”
 
for insurers providing policies
under the ACA.
 
The Tax Cuts and Jobs Act enacted in 2017, which contains a broad range of tax reform provisions
that impact the individual and corporate tax rates, international tax provisions,
 
income tax add-back provisions and
deductions, also effectively repealed the ACA’s
 
individual mandate by zeroing out the penalty for non-compliance.
 
An ACA lawsuit decided by the federal Fifth Circuit Court of Appeals found
 
the individual mandate to be
 
 
15
unconstitutional, and returned the case to the District Court for the Northern
 
District of Texas for consideration of
whether the remainder of the ACA could survive the excision of the individual
 
mandate.
 
The Fifth Circuit’s
decision was appealed to the United States Supreme Court.
 
The Supreme Court issued a decision on June 17, 2021.
 
Without reaching the merits of the case, the Supreme Court held that the plaintiffs in the case did not have standing
to challenge the ACA.
 
Any outcomes of future cases that change the ACA, in addition
 
to future legislation,
regulation, guidance and/or Executive Orders that do the same, could have a
 
significant impact on the U.S.
healthcare industry.
 
For instance, the American Rescue Plan Act of 2021 enhanced
 
premium tax credits, which has
resulted in an expansion of the number of people covered under the ACA.
 
These changes were time-limited, with
some enhancements in place for 2021 only and others available through
 
the end of 2022.
An ACA provision, generally referred to as the Physician Payments Sunshine
 
Act or Open Payments Program (the
“Sunshine Act”), imposes annual reporting and disclosure requirements
 
for drug and device manufacturers and
distributors with regard to payments or other transfers of value made to certain
 
covered recipients (including
physicians, dentists, teaching hospitals, physician assistants, nurse practitioners,
 
clinical nurse specialists, certified
registered nurse anesthetists, and certified nurse midwives), and for such
 
manufacturers and distributors and for
group purchasing organizations, with regard to certain ownership interests held by covered
 
recipients in the
reporting entity.
 
CMS publishes information from these reports on a publicly available website,
 
including amounts
transferred and physician, dentist, teaching hospital, and non-physician practitioner
 
identities.
 
The Sunshine Act
pre-empts similar state reporting laws, although we or our subsidiaries may
 
be required to report under certain state
transparency laws that address circumstances not covered by the Sunshine
 
Act, and some of these state laws, as
well as the federal law, can be unclear.
 
We
are also subject to foreign regulations requiring transparency of
 
certain
interactions between suppliers and their customers.
 
In the United States, government actions to seek to increase health-related
 
price transparency may also affect our
business.
 
For example, hospitals are currently required to publish online a list of
 
their standard charges for all items
and services, including discounted cash prices and payer-specific and de-identified negotiated
 
charges, in a publicly
accessible online file.
 
Hospitals are also required to publish a consumer-friendly
 
list of standard charges for certain
“shoppable” services (i.e., services that can be scheduled by a patient in
 
advance) and associated ancillary services
or, alternatively, maintain an online price estimator tool.
 
CMS may impose civil monetary penalties for
noncompliance with these price transparency requirements.
 
Additionally, the No Surprises Act (“NSA”), generally
effective January 1, 2022, imposes additional price transparency requirements.
 
The NSA is intended to reduce the
number of “out-of-network” patients.
 
This will result in fewer out-of-network payments to physicians and
 
other
providers, which may cause financial stress to those providers who
 
are dependent on higher out-of-network fees.
Another notable Medicare health care reform initiative, the Medicare Access
 
and CHIP Reauthorization Act of
2015 (“MACRA”), enacted on April 16, 2015, established a new payment framework,
 
which modified certain
Medicare payments to “eligible clinicians,” including physicians, dentists and
 
other practitioners.
 
Under MACRA,
certain eligible clinicians are required to participate in Medicare through the Merit-Based
 
Incentive Payment
System (“MIPS”) or Advanced Alternative Payment Models, through which
 
Medicare reimbursement to eligible
clinicians includes both positive and negative payment adjustments that take
 
into account quality, promoting
interoperability, cost and improvement activities.
 
Data collected in the first MIPS performance year (2017)
determined payment adjustments that began January 1, 2019.
 
MACRA standards and payment levels continue to
evolve, and reflect a fundamental change in physician reimbursement
 
that is expected to provide substantial
financial incentives for physicians to participate in risk contracts, and to increase
 
physician information technology
and reporting obligations.
 
The implications of the implementation of MACRA are uncertain and will
 
depend on
future regulatory activity and physician activity in the marketplace.
 
New state-level payment and delivery system
reform programs, including those modeled after such federal programs, are
 
also increasingly being rolled out
through Medicaid administrators, as well as through the private sector, which may further
 
alter the marketplace and
impact our business.
 
Recently, in addition to other government efforts to control health care costs, there has been increased scrutiny on
drug pricing and concurrent efforts to control or reduce drug costs by Congress, the
 
President, executive branch
agencies and various states.
 
At the state level, several states have adopted laws that require drug manufacturers
(including relabelers and repackagers) to provide advance notice of certain
 
price increases and to report information
relating to those price increases, while others have taken legislative or administrative
 
action to establish
prescription drug affordability boards or multi-payer purchasing pools to reduce the cost of
 
prescription drugs.
 
At
 
 
 
16
the federal level, section 1927 of the Social Security Act sets forth Average Sales Price (ASP) reporting
requirements for manufacturers (including repackagers and relabelers) and
 
requires that manufacturers provide
CMS with pricing information for their Part B-covered drugs no later
 
than 30 days after the close of the previous
quarter.
 
Also at the federal level, several related bills have been introduced and
 
regulations proposed which, if
enacted or finalized, respectively, would impact drug pricing and related costs.
As a result of political, economic and regulatory influences, the health care distribution
 
industry in the United
States is under intense scrutiny and subject to fundamental changes.
 
We
cannot predict what further reform
proposals, if any, will be adopted, when they may be adopted, or what impact they may have on us.
EU Directive on the pricing and reimbursement of medicinal products
 
EU law provides for the regulation of the pricing of medicinal products which are
 
implemented by EU member
states (Directive No. 89/105/EC of 21 December 1988
relating to the transparency of measures regulating the
pricing of medicinal products for human use and their inclusion in the scope of national health insurance
 
systems
).
 
Member states may, subject notably to transparency conditions and to the statement of reasons based upon
objective and verifiable criteria, regulate the price charged (or its increases) for authorized
 
medicines and their level
of reimbursement, or they may freeze prices, place controls on the profitability
 
of persons responsible for placing
medicinal products on the market, and include or exclude the medicine on
 
the list of products covered by national
health insurance systems.
 
EU law does not expressly include provisions like those of the Sunshine Act in
 
the United States, but a growing
number of EU member states (such as France in 2011 and Italy in 2022) have enacted laws to increase
 
the
transparency of relationships in the healthcare sector.
 
The scope of these laws varies from one member state to
another and may, for example, include the relations between healthcare industry players and physicians or their
associations, students preparing for medical professions or their associations,
 
teachers, health establishments or
publishers of prescription and dispensing assistance software.
Regulated Software; Electronic Health Records
The FDA has become increasingly active in addressing the regulation of
 
computer software and digital health
products intended for use in health care settings.
 
The 21st Century Cures Act (the “Cures Act”), signed into law on
December 13, 2016, among other things, amended the medical device definition
 
to exclude certain software from
FDA regulation, including clinical decision support software that meets certain
 
criteria.
 
On September 27, 2019,
the FDA issued a guidance document describing the impact the Cures Act
 
on existing software policies.
 
Concurrently, FDA issued a draft guidance describing FDA’s
 
approach to clinical decision support software.
 
On
September 28, 2022, FDA issued final guidance that made several changes
 
to the draft guidance and that provided a
more restrictive interpretation of exempt clinical decision support software.
 
Certain of our businesses involve the
development and sale of software and related products to support physician
 
and dental practice management, and it
is possible that the FDA or foreign government authorities could determine
 
that one or more of our products is a
medical device, which could subject us or one or more of our businesses to
 
substantial additional requirements with
respect to these products.
In addition, our businesses that involve physician and dental practice management
 
products, and our specialty home
medical supply business, include electronic information technology systems
 
that store and process personal health,
clinical, financial and other sensitive information of individuals.
 
These information technology systems may be
vulnerable to breakdown, wrongful intrusions, data breaches and malicious
 
attack, which could require us to
expend significant resources to eliminate these problems and address related
 
security concerns and could involve
claims against us by private parties and/or governmental agencies.
 
For example, we are directly or indirectly
subject to numerous and evolving federal, state, local and foreign laws and
 
regulations that protect the privacy and
security of personal information, such as the federal Health Insurance Portability
 
and Accountability Act of 1996,
as amended, and implementing regulations (“HIPAA”), the Controlling the Assault of Non-Solicited Pornography
and Marketing Act (“CAN-SPAM”), the Telephone
 
Consumer Protection Act of 1991 (“TCPA”), Section 5 of the
Federal Trade Commission Act (“FTC Act”), the California Privacy Act (“CCPA”), and the California Privacy
Rights Act (“CPRA”) that became effective on January 1, 2023.
 
Several other states have also passed
comprehensive privacy legislation, and several privacy bills have been proposed
 
both at the federal and state level
 
 
17
that may result in additional legal requirements that impact our business.
 
Laws and regulations relating to privacy
and data protection are continually evolving and subject to potentially differing interpretations.
 
These requirements
may not be harmonized, may be interpreted and applied in a manner that
 
is inconsistent from one jurisdiction to
another or may conflict with other rules or our practices.
 
Our businesses’ failure to comply with these laws and
regulations could expose us to breach of contract claims, substantial fines,
 
penalties and other liabilities and
expenses, costs for remediation and harm to our reputation.
 
Also, evolving laws and regulations in this area could
restrict the ability of our customers to obtain, use or disseminate patient
 
information, or could require us to incur
significant additional costs to re-design our products to reflect these legal requirements,
 
which could have a
material adverse effect on our operations.
 
Also, the European Parliament and the Council of the EU adopted the pan-European
 
General Data Protection
Regulation (“GDPR”), effective from May 25, 2018, which increased privacy
 
rights for individuals (“Data
Subjects”), including individuals who are our customers, suppliers and
 
employees.
 
The GDPR extended the scope
of responsibilities for data controllers and data processors, and generally
 
imposes increased requirements and
potential penalties on companies, such as us, that are either established
 
in the EU and process personal data of Data
Subjects (regardless the Data Subject location), or that are not established
 
in the EU but that offer goods or services
to Data Subjects in the EU or monitor their behavior in the EU. Noncompliance
 
can result in penalties of up to the
greater of EUR 20 million, or 4% of global company revenues (sanction
 
that may be public), and Data Subjects
may seek damages.
 
Member states may individually impose additional requirements
 
and penalties regarding
certain limited matters (for which the GDPR let some room of flexibility),
 
such as employee personal data.
 
With
respect to the personal data it protects, the GDPR requires, among other things,
 
controller accountability, consents
from Data Subjects or another acceptable legal basis to process the
 
personal data, notification within 72 hours of a
personal data breach where required, data integrity and security, and fairness and transparency regarding the
storage, use or other processing of the personal data.
 
The GDPR also provides rights to Data Subjects relating
notably to information, access, rectification, erasure of the personal
 
data and the right to object to the processing.
 
On August 20, 2021, China promulgated the PRC Personal Information
 
Protection Law (“PIPL”), which took effect
on November 1, 2021.
 
The PIPL imposes specific rules for processing personal information
 
and it also specifies
that the law shall also apply to personal information activities carried
 
out outside China but for the purpose of
providing products or services to PRC citizens.
 
Any non-compliance with these laws and regulations may
 
subject
us to fines, orders to rectify or terminate any actions that are deemed
 
illegal by regulatory authorities, other
penalties, as well as reputational damage or legal proceedings against us,
 
which may affect our business, financial
condition or results of operations.
 
The PIPL carries maximum penalties of CNY50 million or 5%
 
of the annual
revenue of entities that process personal data.
 
In the United States, the CCPA, which increases the privacy
protections afforded California residents, became effective January 1, 2020.
 
The CCPA generally requires
companies, such as us, to institute additional protections regarding
 
the collection, use and disclosure of certain
personal information of California residents.
 
Compliance with the obligations imposed by the CCPA depends in
part on how particular regulators interpret and apply them.
 
Regulations were released in August of 2020, but there
remains some uncertainty about how the CCPA will be interpreted by the courts and enforced by the regulators.
 
If
we fail to comply with the CCPA or if regulators assert that we have failed to comply with the CCPA, we may be
subject to certain fines or other penalties and litigation, any of which may
 
negatively impact our reputation, require
us to expend significant resources, and harm our business.
 
Furthermore, California voters approved the CPRA on
November 3, 2020, which amends and expands the CCPA, including by providing consumers with additional rights
with respect to their personal information, and creating a new state agency, the California Privacy Protection
Agency, to enforce the CCPA
 
and the CPRA.
 
The CPRA came into effect on January 1, 2023, applying to
information collected by businesses on or after January 1, 2022.
 
As noted above, other states, as well as the federal government, have increasingly
 
considered the adoption of
similarly expansive personal privacy laws, backed by significant
 
civil penalties for non-compliance.
 
While we
believe we have substantially compliant programs and controls in place to comply
 
with the GDPR, CCPA, PIPL,
CPRA and other state law requirements, our compliance with data privacy and
 
cybersecurity laws is likely to
impose additional costs on us, and we cannot predict whether the
 
interpretations of the requirements, or changes in
our practices in response to new requirements or interpretations of the
 
requirements, could have a material adverse
effect on our business.
 
 
 
18
We
also sell products and services that health care providers, such as physicians
 
and dentists, use to store and
manage patient medical or dental records.
 
These customers, and we, are subject to laws, regulations and industry
standards, such as HIPAA and the Payment Card Industry Data Security Standards, which require the protection of
the privacy and security of those records, and our products may also be
 
used as part of these customers’
comprehensive data security programs, including in connection with their efforts to comply with
 
applicable privacy
and security laws.
 
Perceived or actual security vulnerabilities in our products or services,
 
or the perceived or actual
failure by us or our customers who use our products or services to comply
 
with applicable legal or contractual data
privacy and security requirements, may not only cause us significant reputational
 
harm, but may also lead to claims
against us by our customers and/or governmental agencies and involve substantial
 
fines, penalties and other
liabilities and expenses and costs for remediation.
Various
 
federal initiatives involve the adoption and use by health care
 
providers of certain EHR systems and
processes.
 
The initiatives include, among others, programs that incentivize
 
physicians and dentists, through MIPS,
to use EHR technology in accordance with certain evolving requirements,
 
including regarding quality, promoting
interoperability, cost and improvement activities.
 
Qualification for the MIPS incentive payments requires the use
of EHRs that are certified as having certain capabilities designated
 
in evolving standards adopted by CMS and the
Office of the National Coordinator for Health Information Technology of HHS (“ONC”).
 
Certain of our businesses
involve the manufacture and sale of such certified EHR systems and other products
 
linked to government supported
incentive programs.
 
In order to maintain certification of our EHR products, we
 
must satisfy these changing
governmental standards.
 
If any of our EHR systems do not meet these standards,
 
yet have been relied upon by
health care providers to receive federal incentive payments, we may be exposed
 
to risk, such as under federal health
care fraud and abuse laws, including the False Claims Act.
 
Additionally, effective September 1, 2023, the Office of
the Inspector General (“OIG”) for HHS issued a final rule implementing
 
civil money penalties for information
blocking as established by the Cures Act.
 
OIG incorporated regulations published by ONC as the basis for
enforcing information blocking penalties.
 
Each information blocking violation carries up to a $1 million penalty.
Moreover, in order to satisfy our customers, and comply with evolving legal requirements, our products
 
may need
to incorporate increasingly complex functionality, such as with respect to reporting and information blocking.
 
Although we believe we are positioned to accomplish this, the effort may involve
 
increased costs, and our failure to
implement product modifications, or otherwise satisfy applicable standards,
 
could have a material adverse effect on
our business.
Other health information standards, such as regulations under HIPAA, establish standards regarding electronic
health data transmissions and transaction code set rules for specific electronic
 
transactions, such as transactions
involving claims submissions to third party payers.
 
Failure to abide by these and other electronic health data
transmission standards could expose us to breach of contract claims,
 
substantial fines, penalties, and other liabilities
and expenses, costs for remediation and harm to our reputation.
Additionally, as electronic medical devices are increasingly connected to each other and to other technology, the
ability of these connected systems to safely and effectively exchange and use exchanged
 
information becomes
increasingly important.
 
As a medical device manufacturer, we must manage risks including those associated with
an electronic interface that is incorporated into a medical device.
There may be additional legislative or regulatory initiatives in the future impacting
 
health care.
E-Commerce
Electronic commerce solutions have become an integral part of traditional health
 
care supply and distribution
relationships.
 
Our distribution business is characterized by rapid technological
 
developments and intense
competition.
 
The continuing advancement of online commerce requires
 
us to cost-effectively adapt to changing
technologies, to enhance existing services and to develop and introduce a
 
variety of new services to address the
changing demands of consumers and our customers on a timely basis, particularly
 
in response to competitive
offerings.
 
Through our proprietary, technologically-based suite of products, we offer customers a variety of competitive
alternatives.
 
We
believe that our tradition of reliable service, our name recognition
 
and large customer base built
on solid customer relationships, position us well to participate in
 
this significant aspect of the distribution business.
 
 
 
 
 
19
We
continue to explore ways and means to improve and expand our online
 
presence and capabilities, including our
online commerce offerings and our use of various social media outlets.
International Transactions
United States and foreign import and export laws and regulations require us to
 
abide by certain standards relating to
the importation and exportation of products.
 
We
also are subject to certain laws and regulations concerning the
conduct of our foreign operations, including the U.S. Foreign Corrupt Practices
 
Act, the U.K. Bribery Act, German
anti-corruption laws and other anti-bribery laws and laws pertaining
 
to the accuracy of our internal books and
records, as well as other types of foreign requirements similar to those
 
imposed in the United States.
While we believe that we are substantially compliant with the foregoing laws
 
and regulations promulgated
thereunder and possess all material permits and licenses required for the conduct
 
of our business, there can be no
assurance that laws and regulations that impact our business or laws and
 
regulations as they apply to our customers’
practices will not have a material adverse effect on our business.
 
See “
” for a discussion of additional burdens, risks and regulatory developments
 
that may
affect our results of operations and financial condition.
Proprietary Rights
We hold trademarks relating to the “Henry Schein
®
” name and logo, as well as certain other trademarks.
 
We intend
to protect our trademarks to the fullest extent practicable.
 
Employees and Human Capital
Henry Schein has a long, rich history of a purpose-driven model that engages
 
our five key stakeholders – our
supplier partners, customers, our employees, who are referred to as Team Schein Members (“TSMs”), stockholders
and society at large – of our Mosaic of Success to drive sustained, long-term economic
 
success while also creating
shared value for society.
 
Through our strong values-based culture, our sustainability
 
approach and environmental,
social, and governance (“ESG”) efforts integrates our sense of purpose into the way we operate our
 
business so that
we can “do well by doing good” for a healthier planet and healthier people.
 
Overseen by the Nominating and
Governance Committee of our Board of Directors (“Board”) with the Compensation
 
Committee also playing a role
in ESG matters related to human capital engagement and executive
 
compensation, some key 2023 highlights related
to human capital matters include:
continuing to evaluate our pay equity analysis for the majority of
 
the U.S. workforce, which reviews
compensation across gender and ethnic groups for equity and fairness;
 
expanding our Diversity and Inclusion (“D&I”) learning journey by educating TSMs
 
on key D&I
topics; and
continuing to drive a culture of wellness and engagement for our TSMs by
 
fostering an environment
where they can feel engaged, included and psychologically safe.
At Henry Schein, our employees are our greatest asset.
 
We employ more than 25,000 people, approximately 55%
of our workforce is based in the United States and approximately 45%
 
is based outside of the United States.
 
Approximately 14% of our employees are subject to collective bargaining agreements.
 
We believe that our
relations with our employees are excellent.
Our TSMs are the cornerstone of the Company.
 
We provide a connected and caring community that invests in the
career journey of our TSMs and encourages their contribution to
 
our mission of making the world healthier.
 
Our
TSM experience strategy is centered around our Team Schein Values,
 
or the guiding principles and shared
responsibilities of Henry Schein and its TSMs.
 
We know our business success is built on the engagement and
commitment of our team, which is dedicated to meeting the needs of their
 
fellow TSMs, our customers, supplier
partners, stockholders and society.
 
 
 
20
We recognize the changes in how and where we work, and the expectations of our team members to still feel
connected to our values-based culture.
 
Throughout 2023, we rolled out a continuous listening program
 
that used
various vehicles, including The Pulse Global Culture Survey and TSM
 
roundtables, to garner feedback from our
TSMs on their employee experience.
 
The Pulse Global Culture Survey was redesigned in 2023 to measure
 
scores
aligned to our Team Schein Values
 
- and we received good or excellent scores in all values.
 
The feedback showed
us that TSMs overall enjoy working for the Company and intend
 
to stay, mainly driven by our values-based culture
and providing TSMs with a sense of purpose, a meaningful experience
 
and an overall positive work environment.
 
However, there are also areas of opportunity, which include a focus on reducing burnout and stress, and providing
more opportunities for career mobility.
 
This feedback is shared with our Executive Management Committee
 
and
Board, both of whom are committed to addressing the identified opportunities.
 
As part of this commitment, some
highlights in 2023 included:
Community
: Provide opportunities for TSMs to have fun while contributing to an inclusive team
 
that respects
and supports one another.
Continued focus on creating a diverse and inclusive environment where TSMs
 
feel a sense of
belonging.
 
In 2023, Diversity and Inclusion, for the second time, was our
 
top strength identified in The
Pulse Global Culture Survey.
 
To guide our efforts and education related to D&I, our Diversity and
Inclusion Council, with engagement from our Board and Executive
 
Management Committee, drives the
Company’s overall D&I strategy.
 
To deepen our commitment to D&I across the Company, Global
Directors and Vice Presidents each have a goal tied to their compensation to champion D&I and attend
educational training, and in 2023 we cascaded this goal down
 
to our U.S. Managers.
 
We continue to
expand our D&I learning journey, educating TSMs on key D&I topics.
 
We understand the importance
of ensuring our internal team reflects the diversity of our customers and society
 
and continue to focus
on this through our talent planning, compensation and recruitment processes
 
in alignment with our
corporate strategic planning objectives to achieve concrete results.
 
We continue to publish our United
States Equal Employment Opportunity Commission (“EEOC”) EEO-1
 
data for the U.S.
Launched Henry Schein Games, a virtual platform with a field-day type event
 
at various locations that
brought TSMs together through friendly competition by earning
 
points for their team by engaging in
cultural-related activities and posting photos.
Launched Community Circles, which brought TSMs across the Company
 
together to connect about
topics, hobbies and activities that they are passionate about.
Hosted Connection Days throughout the globe at Henry Schein facilities, which
 
were designed to boost
team morale by bringing TSMs together to participate in fun non-work-related
 
activities at least once
per quarter.
Continued to expand our Employee Resource Groups (“ERGs”), an
 
inclusive and diverse vehicle for all
TSMs to share, connect, learn and develop both personally and professionally.
 
Each of our ERGs has a
sponsor from our Executive Management Committee and our Board.
 
Our CEO engages directly in
many of our ERG programs.
 
Launched an enhanced Onboarding Program that provides TSMs with
 
strategic programming to help
ensure a successful start to their careers at Henry Schein.
 
To help ensure TSMs who are joining the
Company in a remote or hybrid working environment feel connected to
 
our values-based culture, we
launched a Culture Ambassador Program, which provides new hires with
 
a mentor for 90 days to walk
through how we live our values and how they can engage.
 
Caring:
Build a world we want to live in by supporting each other and
 
the communities in which we live and
work.
Continued to offer a variety of opportunities to volunteer for team-building and engaging
 
in local
communities in which TSMs live and work, such as through Carry the Load,
 
the We Care Global
Challenge, Back to School and Holiday Cheer.
 
Launched a new quarterly campaign to provide opportunities for TSMs
 
to engage in meaningful
ways that connect back to their own personal purpose, such as helping
 
the community through
corporate social responsibility activities virtually or in-person.
 
Enhanced our strategic partnerships with industry associations, customers
 
and suppliers that
support access to quality health care through various key programs and
 
initiatives (e.g., Gives Kids
A Smile, Alpha Omega-Henry Schein Cares Holocaust Survivors Oral
 
Health Program and Release
 
21
the Pressure).
Expanded our Steps for Suicide Prevention campaign, which brings TSMs
 
together to walk for a
cause and provide education.
We also understand the importance of driving a culture of wellness for our own team members
through our Mental Wellness Committee, which is supported by our CEO, Executive Management
Committee and Board.
 
In 2023, we rolled out a ‘Year of Wellness’
 
campaign that provided
monthly tips, videos and educational programming to TSMs that focused
 
on how they may be
feeling that month.
 
We also launched an education program for managers of TSMs that provided
tactical examples of how to help reduce burnout amongst teams and support
 
the new way of
working.
Career:
Provide opportunities for TSMs to develop personally and professionally with an emphasis on
embodying our values to achieve our collective goals with excellence
 
and integrity.
Continued investment in our employees by providing both formal and
 
informal learning
opportunities focused on growing and enhancing knowledge, skills and abilities
 
through a
broad suite of professional development training programs for current and
 
future roles.
 
In
2023, we saw an increase in participation in our workshops, with TSMs
 
reporting a high
utilization of skills learned.
Continued expansion of our formal mentorship and coaching programs.
 
Continued roll-out of talent planning efforts designed to ensure a strong, diverse leadership
pipeline across the organization by strategically identifying and developing talent
 
through
targeted development opportunities and intentional succession plans.
 
Information derived from
talent planning efforts informs curriculum design and content to help focus on the
 
right
capabilities and help ensure alignment of career development efforts with the future
 
needs of
the organization.
 
Our Board is provided with periodic updates regarding our talent
 
and
succession planning efforts and participates in professional development activities
 
with our
TSMs.
 
Enhanced company-wide recognitions, including our Teddy Philson Team Schein Award,
which was redesigned in 2023 to provide more visibility and
 
meaningful recognition to TSMs
who exemplify our Team Schein Values,
 
as well as other programs including service awards
which highlight TSMs who exemplify our Team Schein Values.
Available Information
We make available free of charge through our Internet website, www.henryschein.com, our annual report on Form
10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, statements
 
of beneficial ownership of
securities on Forms 3, 4 and 5 and amendments to these reports and statements
 
filed or furnished pursuant to
Section 13(a) and Section 16 of the Securities Exchange Act of 1934
 
as soon as reasonably practicable after such
materials are electronically filed with, or furnished to, the United States
 
Securities and Exchange Commission, or
SEC.
 
Our principal executive offices are located at 135 Duryea Road, Melville, New
 
York
 
11747, and our
telephone number is (631) 843-5500.
 
Unless the context specifically requires otherwise, the terms
 
the “Company,”
“Henry Schein,” “we,” “us” and “our” mean Henry Schein, Inc., a Delaware
 
corporation, and its consolidated
subsidiaries.
 
 
 
 
 
 
 
22
Information about our Executive Officers
The following table sets forth certain information regarding our executive
 
officers:
 
Name
Age
Position
Stanley M. Bergman
74
Chairman, Chief Executive Officer, Director
James P.
 
Breslawski
70
Vice Chairman, President, Director
Brad Connett
65
Chief Executive Officer, North America Distribution Group
Michael S. Ettinger
62
Executive Vice President and Chief Operating Officer
Lorelei McGlynn
60
Senior Vice President, Chief Human Resources Officer
Mark E. Mlotek
68
Executive Vice President, Chief Strategic Officer, Director
Walter Siegel
64
Senior Vice President and Chief Legal Officer
Ronald N. South
62
Senior Vice President, Chief Financial Officer
Stanley M. Bergman
 
has been our Chairman and Chief Executive Officer since 1989 and a director
 
since 1982.
 
Mr. Bergman held the position of President from 1989 to 2005.
 
Mr. Bergman held the position of Executive Vice
President from 1985 to 1989 and Vice President of Finance and Administration from 1980 to 1985.
 
James P. Breslawski
 
has been our Vice Chairman since 2018, President since 2005 and a director since 1992.
 
Mr.
Breslawski was the Chief Executive Officer of our Henry Schein Global Dental
 
Group from 2005 to 2018.
 
Mr.
Breslawski held the position of Executive Vice President and President of U.S. Dental from 1990 to 2005, with
primary responsibility for the North American Dental Group.
 
Between 1980 and 1990, Mr. Breslawski held
various positions with us, including Chief Financial Officer, Vice President of Finance and Administration and
Corporate Controller.
Brad Connett
 
has been our Chief Executive Officer, North American Distribution Group since 2021.
 
Previously
Mr. Connett was the President of our U.S. Medical Group from 2018 to 2021.
 
Mr. Connett joined us in 1997 and
has held a number of roles of increasing responsibility at the Company.
 
Throughout his career, he has received
numerous industry honors, including the John F. Sasen Leadership Award from the Health Industry Distributors
Association (HIDA), in recognition of his service to the industry, and induction into the Medical Distribution Hall
of Fame by Repertoire Magazine.
Michael S. Ettinger
 
has been our Executive Vice President and Chief Operating Officer since 2022.
 
Prior to his
current position, Mr. Ettinger served as Senior Vice President, Corporate & Legal Affairs, Chief of Staff and
Secretary from 2015 to 2022, Senior Vice President, Corporate & Legal Affairs and Secretary from 2013 to 2015,
Corporate Senior Vice President, General Counsel & Secretary from 2006 to 2013, Vice President, General
Counsel and Secretary from 2000 to 2006, Vice President and Associate General Counsel from 1998 to 2000
 
and
Associate General Counsel from 1994 to 1998.
 
Before joining us, Mr. Ettinger served as a senior associate with
Bower & Gardner and as a member of the Tax Department at Arthur Andersen.
Lorelei McGlynn
 
has been our Senior Vice President, Chief Human Resources Officer since 2013.
 
Since joining
us in 1999, Ms. McGlynn has served as Vice President, Global Human Resources and Financial Operations from
2008 to 2013, Chief Financial Officer, International Group and Vice President of Global Financial Operations from
2002 to 2008 and Vice President, Finance, North America from 1999 to 2002.
 
Prior to joining us, Ms. McGlynn
served as Assistant Vice President of Finance at Adecco Corporation.
Mark E. Mlotek
 
has been our Executive Vice President and Chief Strategic Officer since 2012.
 
Mr. Mlotek was
Senior Vice President and subsequently Executive Vice President of the Corporate Business Development Group
between 2000 and 2012.
 
Prior to that, Mr. Mlotek was Vice President, General Counsel and Secretary from 1994 to
1999 and became a director in 1995.
 
Prior to joining us, Mr. Mlotek was a partner in the law firm of Proskauer
Rose LLP,
 
counsel to us, specializing in mergers and acquisitions, corporate reorganizations and tax law from
 
1989
to 1994.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
23
Walter Siegel
 
has been our Senior Vice President and Chief Legal Officer since 2021.
 
Previously, Mr.
 
Siegel was
our Senior Vice President and General Counsel from 2013 until 2021.
 
Prior to joining us, Mr. Siegel was employed
with Standard Microsystems Corporation, a publicly traded global
 
semiconductor company from 2005 to 2012,
holding positions of increasing responsibility, most recently as Senior Vice President, General Counsel and
Secretary.
Ronald N. South
 
has been our Senior Vice President
 
and Chief Financial Officer (and principal financial officer
and principal accounting officer) since 2022.
 
Prior to holding his current position, Mr. South was our Vice
President Corporate Finance, and Chief Accounting Officer from 2013 until 2022.
 
Prior to joining us in 2008 as
our Vice President, Corporate Finance, Mr. South held leadership roles at Bristol-Myers Squibb, where he served as
Vice President, Finance, for the Cardiovascular and Metabolic business lines, as well as Vice President, Controller,
for its U.S. Pharmaceutical Division, and Vice President, Corporate General Auditor.
 
Prior to Bristol-Myers
Squibb, he served as North American Director of Corporate Audit at
 
PepsiCo, and held several roles of increasing
responsibility with PricewaterhouseCoopers LLP, where he advised clients located in the United States, Europe,
and Latin America.
 
Mr. South is a certified public accountant.
Other Executive Management
The following table sets forth certain information regarding other Executive
 
Management:
 
Name
Age
Position
Andrea Albertini
53
Chief Executive Officer, International Distribution Group
Leigh Benowitz
56
Senior Vice President and Chief Global Digital Transformation Officer
Trinh Clark
50
Senior Vice President and Chief Global Customer Experience Officer
James Mullins
59
Senior Vice President, Global Supply Chain
Kelly Murphy
43
Senior Vice President and General Counsel
Christopher Pendergast
61
Senior Vice President and Chief Technology Officer
René Willi, Ph.D.
56
Chief Executive Officer, Global Oral Reconstruction Group
Andrea Albertini
 
has been Chief Executive Officer, International Distribution Group since 2023.
 
Mr. Albertini
joined us in 2013 and has held several positions within the organization including
 
President, International
Distribution Group, President of our EMEA Dental Distribution Group,
 
and Vice-President of International Dental
Equipment.
 
Prior to joining Henry Schein, Mr. Albertini held leadership positions at Cefla Dental Group and
Castellini.
Leigh Benowitz
 
has been our Senior Vice President and Chief Global Digital Transformation Officer since August
2022.
 
Ms. Benowitz joined us in 2017 and has held several key positions
 
including Vice President Digital &
Customer Experience and Global eCommerce Platform Digital Transformation Officer.
 
Prior to joining Henry
Schein, Ms. Benowitz held various positions of increasing responsibility
 
at Citi.
Trinh Clark
has been our Senior Vice President and Chief Global Customer Experience Officer since August
2022.
 
Ms. Clark joined us in 2007 and has served as Vice President, Technology Enablement, North American
Distribution Group.
 
Prior to joining Henry Schein, Ms. Clark held various positions of
 
increasing responsibility at
eSurg.
James Mullins
 
has been our Senior Vice President of Global Supply Chain since 2018.
 
Mr. Mullins joined us in
1988 and has held a number of key positions with increasing responsibility, including Global Chief Customer
Service Officer.
Kelly Murphy
 
has been our Senior Vice President and General Counsel since 2021.
 
Since joining us in 2011, Ms.
Murphy has held several key positions of increasing responsibility within
 
the legal function, most recently serving
as Deputy General Counsel.
 
 
24
Christopher Pendergast
 
has been our Senior Vice President and Chief Technology Officer since 2018.
 
Prior to
joining us, Mr. Pendergast was employed by VSP Global from 2008 to 2018, most recently as the Chief
Technology Officer and Chief Information Officer.
 
Prior to VSP Global, Mr. Pendergast served in roles of
increasing responsibility at Natural Organics, Inc., from 2006 to 2008, IdeaSphere Inc./Twinlab Corporation from
2000 to 2006, IBM Corporation from 1987 to 1994 and 1998 to 2000
 
and Rohm and Haas from 1994 to 1998.
René Willi, Ph.D.
 
has been our Chief Executive Officer, Global Oral Reconstruction Group since 2021.
 
Previously, Dr.
 
Willi was the President of our Global Dental Surgical Group.
 
Prior to joining Henry Schein, Dr.
Willi held senior level roles with Institut Straumann AG as Executive Vice President, Surgical Business Unit from
2005 to 2013.
 
Prior to Straumann, he held roles of increasing responsibility
 
in Medtronic Plc’s cardiovascular
division from 2003 to 2005 and with McKinsey & Company as
 
a management consultant from 2000 to 2003.
 
 
 
25
ITEM 1A. Risk Factors
Our business operations could be affected by factors that are not presently known
 
to us or that we currently
consider not to be material to our operations, so you should not consider
 
the risks disclosed in this section to
necessarily represent a complete statement of all risks and uncertainties.
 
The Company believes that the following
risks could have a material adverse impact on our business, reputation, financial
 
results, financial condition and/or
the trading price of our common stock.
 
The order in which these factors appear does not necessarily reflect
 
their
relative importance or priority.
 
COMPANY RISKS
We are dependent upon third parties for the manufacture and supply of a significant volume of our products.
We obtain a significant volume of the products we distribute from third parties, with whom we generally do not
have long-term contracts.
 
While there is typically more than one source of supply, some key suppliers, in the
aggregate, supply a significant portion of the products we sell.
 
In 2023, our top 10 health care distribution suppliers
and our single largest supplier accounted for approximately 25% and 4%, respectively, of our aggregate purchases.
 
Because of our dependence upon such suppliers, our operations are
 
subject to the suppliers’ ability and willingness
to supply products in the quantities that we require, and the risks include delays
 
caused by interruption in
production based on conditions outside of our control, including
 
a supplier’s failure to comply with applicable
government requirements (which may result in product recalls and/or
 
cessation of sales) or an interruption in the
suppliers’ manufacturing capabilities.
 
In the event of any such interruption in supply, we would need to identify
and obtain acceptable replacement sources on a timely basis.
 
There is no guarantee that we would be able to obtain
such alternative sources of supply on a timely basis, if at all, and an extended
 
interruption in supply, particularly of
a high-sales volume product, could result in a significant disruption in our
 
sales and operations, as well as damage
to our relationships with customers and our reputation.
 
In addition, certain of our suppliers have had their ability to
service certain markets restricted or negatively impacted because
 
of allegations of forced labor in their supply
chain.
 
Forced labor legislation affecting the supply chain has increased around
 
the world, and the United States
recently passed the Uyghur Forced Labor Prevention Act.
 
Our supply chain could be materially disrupted if our
suppliers fail to comply with, or are unable to satisfy our demand
 
for products, as a result of applicable forced labor
legislation and regulations.
Our
 
future
 
growth
 
(especially
 
for
 
our
 
technology
 
and
 
value-added
 
services
 
segment)
 
is
 
dependent
 
upon
 
our
ability
 
to
 
develop
 
or
 
acquire
 
and
 
maintain
 
and
 
protect
 
new
 
products
 
and
 
technologies
 
that
 
achieve
 
market
acceptance with acceptable margins.
Our future success depends on our ability to timely develop (or obtain the right
 
to sell) competitive and innovative
(particularly for our technology and value-added services segment)
 
products and services and to market them
quickly and cost-effectively.
 
Our ability to anticipate customer needs and emerging trends and develop or acquire
new products, services and technologies at competitive prices requires significant
 
resources, including employees
with the requisite skills, experience and expertise, particularly in our
 
technology segment, including dental practice
management, patient engagement and demand creation software solutions.
 
The failure to successfully address these
challenges could materially disrupt our sales and operations.
 
Additionally, our software and e-services products,
like software products generally, may contain undetected errors or bugs when introduced or as new versions are
released.
 
Any such defective software may result in increased expenses
 
related to the software and could adversely
affect our relationships with customers as well as our reputation.
 
With respect to certain software and e-services
that we develop, we rely primarily upon copyright, trademark and
 
trade secret laws, as well as contractual and
common law protections and confidentiality obligations.
 
We cannot provide assurance that such legal protections
will be available, adequate or enforceable in a timely manner to protect
 
our software or e-services products.
Risks inherent in acquisitions, dispositions and joint ventures could
 
offset the anticipated benefits.
One of our business strategies has been to expand our domestic and
 
international markets in part through
acquisitions and joint ventures and we expect to continue to make acquisitions
 
and enter into joint ventures in the
future.
 
Such transactions require significant management attention,
 
may place significant demands on our
operations, information systems, legal, regulatory, compliance, financial, and human resources functions, and
 
there
 
 
 
26
is risk that one or more may not succeed.
 
We cannot be sure, for example, that we will achieve the benefits of
revenue growth that we expect from these acquisitions or joint ventures
 
or that we will avoid unforeseen additional
costs, taxes, or expenses.
 
Our ability to successfully implement our acquisition and joint venture
 
strategy depends
upon, among other things, the following:
the availability of suitable acquisition or joint venture candidates at
 
acceptable prices;
our ability to consummate such transactions, which could potentially
 
be prohibited due to U.S. or
foreign antitrust regulations;
the liquidity of our investments and the availability of financing on
 
acceptable terms;
our ability to retain customers or product lines of the acquired businesses or
 
joint ventures;
our ability to retain, recruit and incentivize the management of the
 
companies we acquire; and
our ability to successfully integrate these companies’ operations, services,
 
products and personnel with
our culture, management policies, legal, regulatory, and compliance policies, cybersecurity systems and
policies, internal procedures, working capital management, financial,
 
and operational controls and
strategies.
Furthermore, some of our acquisitions and future acquisitions may give
 
rise to an obligation to make contingent
payments or to satisfy certain repurchase obligations, which payments
 
could have material adverse impacts on our
financial results individually or in the aggregate.
Additionally, when we decide to sell assets or a business, we may encounter difficulty in finding buyers or
executing alternative exit strategies on acceptable terms in a timely manner, which could delay
 
the accomplishment
of our strategic objectives.
 
Alternatively, we may dispose of assets or a business at a price or on terms that are less
than we had anticipated.
 
Dispositions may also involve continued financial involvement
 
in a divested business,
such as through transition service agreements, indemnities or other current
 
or contingent financial obligations.
 
Under these arrangements, performance by the acquired or divested
 
business, or other conditions outside our
control, could affect our future financial results.
Certain provisions in our governing documents and other documents to
 
which we are a party may discourage
third parties from seeking to acquire us that might otherwise result in
 
our stockholders receiving a premium
over the market price of their shares.
The provisions of our certificate of incorporation and by-laws may
 
make it more difficult for a third-party to
acquire us, may discourage acquisition bids and may impact the price
 
that certain investors might be willing to pay
in the future for shares of our common stock.
 
These provisions, among other things require (i) the affirmative vote
of the holders of at least 60% of the shares of common stock entitled to vote
 
to approve a merger, consolidation, or
a sale, lease, transfer or exchange of all or substantially all of our assets;
 
and (ii) the affirmative vote of the holders
of at least 66 2/3% of our common stock entitled to vote to (a)
 
remove a director; and (b) to amend or repeal our
by-laws, with certain limited exceptions.
 
In addition, certain of our employee incentive plans provide
 
for
accelerated vesting of stock options and other awards upon termination without
 
cause within two years following a
change in control, or grant the plan committee discretion to accelerate
 
awards upon a change of control.
 
Further,
certain agreements between us and our executive officers provide for increased severance
 
payments and certain
benefits if those executive officers are terminated without cause by us or if they terminate
 
for good reason, in each
case within two years following a change in control or within ninety days prior
 
to the effective date of the change in
control or after the first public announcement of the pendency of the change
 
in control.
Adverse changes in supplier rebates or other purchasing incentives
 
could negatively affect our business.
The terms
 
on which
 
we purchase
 
or sell
 
products from
 
many suppliers
 
may entitle
 
us to
 
receive a
 
rebate or
 
other
purchasing incentive based on the attainment of certain growth
 
goals.
 
Suppliers may reduce or eliminate rebates or
incentives
 
offered
 
under
 
their
 
programs,
 
or
 
increase
 
the
 
growth
 
goals
 
or
 
other
 
conditions
 
we
 
must
 
meet
 
to
 
earn
rebates
 
or
 
incentives
 
to
 
levels
 
that
 
we
 
cannot
 
achieve.
 
Increased
 
competition
 
either
 
from
 
generic
 
or
 
equivalent
branded products
 
could result
 
in us
 
failing to
 
earn rebates
 
or incentives
 
that are
 
conditioned upon
 
achievement of
growth goals.
 
Additionally, factors outside
 
of our control, such as customer
 
preferences, consolidation of suppliers
or supply issues, can have a material impact on
 
our ability to achieve the growth goals established by
 
our suppliers,
 
 
 
27
which
 
may
 
reduce the
 
amount of
 
rebates
 
or
 
incentives we
 
receive.
 
The
 
occurrence
 
of
 
any
 
of
 
these events
 
could
have an adverse impact on our business, financial condition or operating
 
results.
Sales of corporate brand products entail additional risks, including the risk that such sales could
 
adversely affect
our relationships with suppliers.
We offer
 
certain corporate brand products that are available exclusively from us.
 
The sale of such products subjects
us to the risks generally encountered by entities that source, market and sell corporate brand products, including but
not
 
limited to
 
potential product
 
liability risks,
 
mandatory or
 
voluntary product
 
recalls, potential
 
supply chain
 
and
distribution
 
chain
 
disruptions,
 
and
 
potential
 
intellectual
 
property
 
infringement
 
risks.
 
Any
 
failure
 
to
 
adequately
address
 
some
 
or
 
all
 
of
 
these
 
risks
 
could
 
have
 
an
 
adverse
 
effect
 
on
 
our
 
business, financial
 
condition
 
or
 
operating
results.
 
In
 
addition,
 
an
 
increase
 
in
 
the
 
sales
 
of
 
our
 
corporate
 
brand
 
products
 
may
 
negatively
 
affect
 
our
 
sales
 
of
products owned by our
 
suppliers which, consequently,
 
could adversely impact certain
 
of our supplier relationships.
 
Our ability to locate qualified, economically stable suppliers who satisfy our requirements, and to
 
acquire sufficient
products in
 
a timely
 
and effective
 
manner,
 
is critical
 
to ensuring,
 
among other
 
things, that
 
customer confidence
 
is
not diminished.
 
In addition, we
 
are exposed to
 
the risk
 
that our competitors
 
or our large
 
customers may introduce
their own
 
private label,
 
generic, or
 
low-cost products
 
that compete
 
with our
 
products at
 
lower price
 
points.
 
Such
products could
 
capture significant
 
market share
 
or decrease
 
market prices
 
overall, eroding
 
our sales
 
and margins.
 
Any failure
 
to develop sourcing
 
relationships with a
 
broad and deep
 
supplier base could
 
have an adverse
 
effect on
our business, financial condition or operating results.
 
INDUSTRY RISKS
Security risks generally associated with our information systems and our
 
technology products and services have
in the recent past adversely affected our business and results of operations, and could
 
in the future materially
adversely affect our business and our results of operations if such products, services,
 
or systems (or third-party
systems we rely on) are interrupted, damaged by unforeseen events, are subject
 
to cyberattacks or fail for any
extended period of time.
We rely on information systems (“IS”) in our business to obtain, rapidly process, analyze, manage and store
customer, product, supplier and employee data to, among other things:
maintain and manage worldwide systems to facilitate the purchase and
 
distribution of thousands of
inventory items from numerous distribution centers;
receive, process and ship orders on a timely basis;
manage the accurate billing and collections for our customers;
process payments to suppliers;
 
provide products and services that maintain certain of our customers’ electronic
 
medical or dental
records (including protected health information of their patients); and
maintain and manage global human resources, compensation and payroll
 
systems.
In addition to health information in our customers’ electronic
 
medical and dental records, certain of our IS stores
other sensitive personal and financial information, such as healthcare
 
and other information related to our
employees, as well as other sensitive information such as credit card
 
information from our third-party business
partners, that is confidential,
 
and in many cases subject to privacy laws.
 
Our IS are vulnerable to, among other things, natural disasters,
 
power losses, computer viruses, telecommunication
failures, cybersecurity threats and other criminal activity. Information security risks have significantly increased
 
in
recent years in part because of an overall increase in cyber incidents,
 
their increased sophistication, and the
involvement of organized crime, hackers, terrorists and foreign state agents. The healthcare
 
industry in particular
has been targeted by threat actors seeking to undermine companies’ cybersecurity
 
defensive measures.
 
We have processes in place intended to ensure that our security measures keep pace with new and emerging risks.
 
We regularly review,
 
monitor and implement multiple layers of security through technology, processes and our
people.
 
We utilize security technologies designed to protect and maintain the integrity of our IS and data, and our
28
defenses are monitored and routinely tested internally and by external
 
parties.
 
Despite these efforts, our facilities
and systems and those of our third-party service providers have been,
 
and may in the future be, vulnerable to
privacy and security incidents, cybersecurity attacks and data breaches,
 
acts of vandalism or theft, computer viruses
and other malicious code, misplaced or lost data, programming and/or human
 
errors,
 
attacks or other acts
undermining IS of third party business partners including our customers,
 
or other similar events that could impact
the security, reliability and availability of our systems.
 
In addition, hardware, software or applications developed
internally or procured from third parties may contain defects
 
in design or manufacture or other problems that could
unexpectedly compromise information security.
 
As a practical matter, so long as we depend on IS to operate our
business, and our business partners do the same, there can be no guaranty
 
that such measures will successfully stop
any one particular cybersecurity incident given the constantly evolving
 
nature of the threat.
 
We may also incur
substantial costs as we update our cybersecurity defense systems and our general
 
computer controls to meet
evolving challenges, and legislative or regulatory action related to cybersecurity
 
may increase our costs to develop
or implement new technology products and services.
A cyberattack that bypasses or compromises our IS cybersecurity / or general
 
information technology (“IT”)
controls (including third-party systems we rely on) causing an IS security breach
 
may lead, and has in the past led,
to a disruption of our IS business systems (including third-party systems we
 
rely on), interruption of operations
(including, without limitation, receiving, verifying, and processing customer orders,
 
customer service, accounts
payable, warehouse management and shipping, and systems tied to internal
 
controls over financial reporting), the
loss or alteration of business, financial, and other protected information,
 
a negative impact on our financial
performance, and to an adverse impact on our financial accounting
 
and reporting controls.
 
A cyberattack that bypasses or compromises our IS cybersecurity / or general
 
computer controls or those of third
parties with whom we engage may also lead to claims against us by
 
affected parties and/or governmental agencies,
and involve fines and penalties, as well as substantial defense and settlement
 
expenses.
 
Any of these impacts may
alone, or collectively, have a material impact on our business.
 
A successful cyberattack has, and may again in the
future, disrupt our business operations, adversely impact our financial
 
accounting and reporting of results of
operations, divert the attention of management, and adversely impact
 
our results of operations.
 
In addition, we develop products and provide services to our customers
 
that are technology-based, and a
cyberattack that bypasses the IS supporting our products or services causing
 
a security breach and/or perceived
security vulnerabilities in our products or services could also cause significant
 
loss of business and reputational
harm, and actual or perceived vulnerabilities may lead to claims against
 
us by our customers and/or governmental
agencies.
 
In addition, certain of our practice management products and services
 
purchased by health care
providers, such as physicians and dentists, are used to store and manage patient
 
medical or dental records.
 
These
customers are subject to laws and regulations which require that they
 
protect the privacy and security of those
records, and our products may be used as part of these customers’ comprehensive
 
data security programs, including
in connection with their efforts to comply with applicable privacy and security laws.
 
In addition to immaterial and unrelated prior incidents at certain of
 
our subsidiaries, in October 2023, Henry Schein
experienced a cybersecurity incident that primarily affected the operations of our
 
North American and European
dental and medical distribution businesses.
 
Henry Schein One, our practice management software, revenue
 
cycle
management and patient relationship management solutions business was
 
not affected, and our manufacturing
businesses were mostly unaffected.
 
Once we became aware of the issue, we took steps to assess, contain
 
and
remediate this incident.
 
We restored affected systems and applications, our distribution operations resumed and we
reactivated our ecommerce platform.
 
We also notified law enforcement and our employees, customers, suppliers
and investors, informing them of both the incident and management’s efforts to mitigate its impact on our daily
operations and data maintained on the Company’s systems.
 
Subsequently, on or about November 8, 2023, we
determined that the threat actor obtained personal and sensitive information
 
maintained on our systems belonging to
certain third parties and since that date we have notified affected parties and potentially
 
affected parties as
appropriate.
 
The scope of personal and sensitive data impacted is still under investigation.
 
On November 22, 2023,
we experienced a related disruption to our ecommerce platform and
 
related applications, which has since been
remediated.
 
The October 2023 cybersecurity incident disrupted key
 
business operations, adversely impacted our
financial results for the fourth quarter and full year 2023, diverted
 
attention of management, and caused the
Company to incur significant remediation costs.
 
We continue to review the effects of the incident on the
Company’s business as we do expect some short-term residual impact on our financial results in 2024.
 
In January
29
2024, two putative class actions were filed against us based on the incident
 
and one of these actions is still pending.
 
We are spending, and plan to expend in the future, additional resources to continue to protect against, or to address
problems caused by, business interruptions, and data security breaches.
In addition, customers and suppliers may impose additional cybersecurity
 
requirements on us as a result of the
incident we experienced in October 2023, and some customers and suppliers
 
have made such requests to date.
 
We
cannot guarantee that we will be able to satisfy such additional requirements,
 
and failure to satisfy such
requirements could result in a loss of revenue or diminished product
 
availability that could materially affect our
business adversely.
 
We also may be perceived as a more vulnerable target of the cyber hackers as a result of the
October 2023 incident.
 
If the Company is subject to more attacks in the future as a result of
 
the recent incident, this
could materially affect our business adversely.
We maintain cyber insurance, subject to certain retentions and policy limitations.
 
With respect to the October 2023
cybersecurity incident, we have a $60 million insurance policy, following a $5 million retention.
 
The health care products distribution industry is highly competitive
 
(including, without limitation, competition
from third-party online commerce sites) and consolidating, and we may not
 
be able to compete successfully.
We compete with numerous companies, including several major manufacturers and distributors.
 
Some of our
competitors have greater financial and other resources than we do, which
 
could allow them to compete more
successfully.
 
Most of our products are available from several sources and our customers
 
tend to have relationships
with several distributors.
 
Competitors could obtain exclusive rights to market particular
 
products, which we would
then be unable to market.
 
Manufacturers also could increase their efforts to sell directly to end-users and
 
thereby
eliminate or reduce our role in distribution.
 
Industry consolidation among health care product distributors and
manufacturers, price competition, product unavailability, whether due to our inability to gain access to products or
to interruptions in manufacturing supply, or the emergence of new competitors, also could increase competition.
 
Consolidation has also increased among manufacturers of health care
 
products, which could have a material
adverse effect on our margins and product availability.
 
We could be subject to charges and financial losses in the
event we fail to satisfy minimum purchase commitments contained
 
in some of our contracts.
 
Additionally,
traditional health care supply and distribution relationships are being challenged
 
by electronic online commerce
solutions.
 
The continued advancement of online commerce by third
 
parties will require us to cost-effectively adapt
to changing technologies, to enhance existing services and to differentiate our business
 
(including with additional
value-added services) to address changing demands of consumers and
 
our customers on a timely basis.
 
The
emergence of such potential competition and our inability to anticipate and
 
effectively respond to changes on a
timely basis could have a material adverse effect on our business.
 
The health care industry is experiencing changes due to political, economic
 
and regulatory influences that could
materially adversely affect our business.
The health care industry is highly regulated and subject to changing
 
political, economic, and regulatory influences.
 
In recent years, the health care industry has undergone, and is in the process of undergoing,
 
significant changes
driven by various efforts to reduce costs, including, among other factors: trends
 
toward managed care; collective
purchasing arrangements and consolidation among office-based health care practitioners;
 
and changes in
reimbursements to customers, including increased attention to value-based payment
 
arrangements, as well as
growing enforcement activities (and related monetary recoveries) by governmental
 
officials.
 
Both our profitability
and the profitability of our customers may be materially adversely affected by laws
 
and regulations reducing
reimbursement rates for pharmaceuticals, medical supplies and devices,
 
and/or medical treatments or services, or
changes to the methodology by which reimbursement levels are determined.
 
If we are unable to react effectively to
these and other changes in the health care industry, our business could be materially adversely affected.
 
The ACA
greatly expanded health insurance coverage in the United States and has been
 
the target of litigation and
Congressional reform efforts since its adoption.
 
Any outcome of future court cases that change the ACA, in
addition to future legislation, regulation, guidance and/or Executive Orders
 
that do the same, could have a
significant impact on the U.S. healthcare industry and the ability or willingness
 
of individuals to engage with it.
 
 
 
30
Expansion of GPOs, DSOs or provider networks and the multi-tiered
 
costing structure may place us at a
competitive disadvantage.
The health care products industry is subject to a multi-tiered costing structure, which
 
can vary by manufacturer
and/or product.
 
Under this structure, certain institutions can obtain more favorable
 
prices for health care products
than we are able to obtain.
 
The multi-tiered costing structure continues to expand as many large integrated health
care providers and others with significant purchasing power, such as GPOs and DSOs, demand more favorable
pricing terms.
 
Additionally, the formation of provider networks, GPOs and DSOs may shift purchasing decisions
to entities or persons with whom we do not have a historical relationship
 
and may threaten our ability to compete
effectively, which could in turn negatively impact our financial results.
 
In addition, such organizations may
establish direct relationships with manufacturers, thereby either eliminating
 
or reducing the services historically
provided by distributors.
 
Although we are seeking to obtain similar terms from manufacturers
 
to access lower
prices demanded by GPO and DSO contracts or other contracts,
 
and to develop relationships with existing and
emerging provider networks, GPOs and DSOs, we cannot guarantee that such terms will
 
be obtained or contracts
executed.
 
Increases in shipping costs or service issues with our third-party shippers
 
could harm our business.
Our ability to meet our customers’ expedited delivery expectations is an
 
integral component of our business
strategy for which our customers rely.
 
Shipping is a significant expense in the operation of our business.
 
We ship
almost all of our orders through third-party delivery services, and typically bear
 
the cost of shipment.
 
Accordingly,
any significant increase in shipping rates could have a material adverse
 
effect on our business, financial condition
or operating results.
 
While we have recently experienced increases in the cost of shipping,
 
we do not expect these
additional expenses to be material to our results.
 
However, it is possible that such costs could be material in the
future.
 
Similarly, strikes or other service interruptions by those shippers, including at transportation centers or
shipping ports, could cause our operating expenses to rise and materially
 
adversely affect our ability to deliver
products on a timely basis.
MACRO-ECONOMIC AND POLITICAL RISKS
Uncertain global and domestic macro-economic and political conditions
 
could materially adversely affect our
results of operations and financial condition.
Uncertain global and domestic macro-economic and political conditions
 
that affect the economy and the economic
outlook of the United States, Europe, Asia, and other parts of the
 
world could materially adversely affect our results
of operations and financial condition.
 
These uncertainties, include, among other things:
election results;
changes to laws and policies governing foreign trade, tariffs and sanctions, or greater
 
restrictions on
imports and exports;
supply chain disruptions;
changes in laws and policies governing health care or data privacy;
changes to the relationship between the United States and China;
sovereign debt levels;
the inability of political institutions to effectively resolve actual or perceived
 
economic, currency or
budgetary crises or issues;
consumer confidence;
unemployment levels (and a corresponding increase in the uninsured
 
and underinsured population);
changes in regulatory and tax regulations;
interest rate fluctuations, and strengthening of the dollar, which have and will continue to
 
impact our
results of operations;
availability of capital;
increases in fuel and energy costs;
the effect of inflation on our ability to procure products and our ability to increase
 
prices over time and
pass through to our customers price increases we may receive;
 
31
changes in tax rates and the availability of certain tax deductions;
increases in labor costs or health care costs;
the threat or outbreak of war, terrorism or public unrest (including, without limitation, the war in
Ukraine, the Israel-Gaza war and other unrest and threats in the Middle East,
 
and the possibility of a
wider European or global conflict); and
 
changes in laws and policies governing manufacturing, development, and
 
investment in territories and
countries where we do business.
Additionally, changes in government, government debt and/or budget crises may lead to reductions in government
spending in certain countries, which could reduce overall health care spending,
 
and/or higher income or corporate
taxes, which could depress spending overall.
 
Recessionary or inflationary conditions and depressed levels of
consumer and commercial spending may also cause customers to
 
reduce, modify, delay,
 
or cancel plans to purchase
our products and may cause suppliers to reduce their output or change
 
their terms of sale.
 
We have experienced
inflationary pressures, including higher freight costs and interest expense.
 
Although inflation impacts both our
revenues and costs, the depth and breadth of our product portfolio often
 
allows us to offer lower-cost national brand
solutions or corporate brand alternatives to our more price-sensitive
 
customers who are unable to absorb price
increases, thus positioning us to protect our gross profit.
 
The strengthening of the dollar, likewise, has impacted
our revenues and costs, but neither inflation nor exchange rates have
 
materially impacted our results of operations
in fiscal year 2023.
 
We generally sell products to customers with payment terms.
 
If customers’ cash flow or
operating and financial performance deteriorate, or if they are unable to
 
make scheduled payments or obtain credit,
they may not be able to, or may delay, payment to us.
 
Likewise, for similar reasons suppliers may restrict credit or
impose different payment terms.
REGULATORY
 
AND LITIGATION RISKS
Failure to comply with existing and future regulatory requirements
 
could materially adversely affect our
business.
We strive to be compliant with the applicable laws, regulations and guidance described below in all material
respects, and believe we have effective compliance programs and other controls
 
in place to ensure substantial
compliance.
 
However, compliance is not guaranteed either now or in the future as certain laws, regulations
 
and
guidance may be subject to varying and evolving interpretations that could
 
affect our ability to comply, as well as,
future changes, additions and enforcement approaches, including in light
 
of political changes.
 
When we discover
situations of non-compliance we seek to remedy them and bring
 
the affected area back into compliance.
 
Changes
with respect to the applicable laws, regulations and guidance described below
 
may require us to update or revise
our operations, services, marketing practices, and compliance programs
 
and controls, and may impose additional
and unforeseen costs on us, pose new or previously immaterial risks to us, or
 
may otherwise have a material
adverse effect on our business.
 
There can be no assurance that current and future government
 
regulations will not
adversely affect our business, and we cannot predict new regulatory priorities, the
 
form, content or timing of
regulatory actions, and their impact on the health care industry and on our
 
business and operations.
Global efforts toward healthcare cost containment continue to exert pressure on
 
product pricing.
 
In the United
States, in addition to other government efforts to control health care costs, there has been
 
increased scrutiny on drug
pricing and concurrent efforts to control or reduce drug costs by Congress, the President,
 
executive branch agencies
and various states.
 
We and our subsidiaries may be required to report drug pricing data under federal laws and
regulations.
 
At the state level, several states have adopted laws, that may
 
apply to some of our operations, that
require drug manufacturers, including re-packagers or re-labelers, to provide
 
advance notice of certain price
increases and to report information relating to those price increases, while
 
others have taken legislative or
administrative action to establish prescription drug affordability boards or
 
multi-payer purchasing pools to reduce
the cost of prescription drugs.
 
At the federal level, several related bills have been introduced
 
and regulations
proposed which, if enacted or finalized, respectively, would impact drug pricing and related costs.
Under the Sunshine Act, we are required to collect and report detailed
 
information regarding certain financial
relationships we have with covered recipients, including physicians, dentists,
 
teaching hospitals, and certain other
non-physician practitioners.
 
We and our subsidiaries may be required to report information under certain state
 
32
transparency laws that address circumstances not covered by the Sunshine
 
Act, and some of these state laws, as
well as the federal law, can be unclear.
 
We are also subject to foreign regulations requiring transparency of certain
interactions between suppliers and their customers.
 
While we believe we have substantially compliant programs
and controls in place satisfying the above laws and requirements,
 
such compliance imposes additional costs on us
and the requirements are sometimes unclear.
 
In the United States, government actions to seek to increase health-
related price transparency may also affect our business.
Our business is subject to additional requirements under various local, state,
 
federal and international laws and
regulations applicable to the sale and distribution of, and third-party payment
 
for, pharmaceuticals and medical
devices and HCT/P products.
 
Among the federal laws with which we must comply are the Controlled Substances
Act, the FDC Act, the Federal Drug Quality and Security Act, including DSCSA,
 
Section 361 of the Public Health
Services Act and Section 401 of the Consolidated Appropriations Act
 
of the Social Security Act.
 
Among other
things, such laws, and the regulations promulgated thereunder:
 
regulate the introduction, manufacture, advertising, marketing and promotion,
 
sampling, pricing and
reimbursement, labeling, packaging, storage, handling, returning or
 
recalling, reporting, and
distribution of, and record keeping for drugs, HCT/P products and
 
medical devices,
 
including
requirements with respect to unique medical device identifiers;
subject us to inspection by the FDA and DEA and similar state authorities;
regulate the storage, transportation and disposal of certain of our products
 
that are considered
hazardous materials;
require us to advertise and promote our drugs and devices in accordance
 
with applicable FDA
requirements;
require us to report average sales price (ASP) for drugs or biologicals payable
 
under Medicare Part B to
CMS with or without a Medicaid drug rebate agreement;
require registration with the FDA and the DEA and various state agencies;
require record keeping and documentation of transactions involving drug
 
products;
require us to design and operate a system to identify and report suspicious
 
orders of controlled
substances to the DEA and certain states;
require us to manage returns of products that have been recalled and subject
 
us to inspection of our
recall procedures and activities;
 
impose on us reporting requirements if a pharmaceutical, HCT/P product or
 
medical device causes
serious illness, injury or death;
require manufacturers, wholesalers, re-packagers and dispensers of prescription
 
drugs to identify and
trace certain prescription drugs as they are distributed;
 
require the licensing of prescription drug wholesalers and third-party
 
logistics providers; and
 
mandate compliance with standards for the recordkeeping, storage
 
and handling of prescription drugs,
and associated reporting requirements.
The FDA has become increasingly active in addressing the regulation of
 
computer software and digital health
products intended for use in health care settings.
 
The Cures Act, signed into law on December 13, 2016, among
other things, amended the medical device definition to exclude certain software
 
from FDA regulation, including
certain clinical decision support software.
 
On September 27, 2019, the FDA issued a suite of guidance documents
on digital health products, which incorporated applicable Cures Act standards,
 
and on September 28, 2022, the
FDA subsequently finalized certain of these guidance documents, including
 
regarding the types of clinical decision
support tools and other software that are exempt from regulation by the FDA as
 
medical devices, and the FDA
continues to issue new guidance in this area.
 
Certain of our businesses involve the development and
 
sale of
software and related products to support physician and dental practice management,
 
and it is possible that the FDA
or foreign government authorities could determine that one or more of our products
 
is subject to regulation as a
medical device, which could subject us or one or more of our businesses to
 
substantial additional requirements,
costs and potential enforcement actions or liabilities for noncompliance with
 
respect to these products. Some of our
imaging software is regulated as a medical device which subjects our businesses
 
to substantial additional
requirements, costs and potential enforcement actions or liabilities for noncompliance
 
with respect to these
products.
 
 
 
33
Applicable federal, state, local, and foreign laws and regulations also may require
 
us to meet various standards
relating to, among other things, licensure or registration, program eligibility, procurement, third-party
reimbursement, sales and marketing practices, product integrity, and supply tracking to product manufacturers,
product labeling, personnel, privacy and security of health or other personal
 
information, installation, maintenance
and repair of equipment and the importation and exportation of products.
 
The FDA and DEA, as well as CMS
(including with respect to complex Medicare reimbursement requirements
 
applicable to our specialty home medical
supplies business) and state Medicaid agencies, have recently increased
 
their regulatory and enforcement activities
and, in particular, the DEA has heightened enforcement activities due to the opioid crisis in the United States.
 
Our
business is also subject to requirements of similar and other foreign governmental
 
laws and regulations affecting
our operations abroad.
The failure to comply with any of these laws or regulations, or new interpretations
 
of existing laws and regulations,
or the imposition of any additional laws and regulations, could
 
materially adversely affect our business.
 
The costs
to us associated with complying with the various applicable statutes
 
and regulations, as they now exist and as they
may be modified, could be material.
 
Allegations by a governmental body that we have not complied
 
with these
laws could have a material adverse effect on our businesses.
 
While we believe that we are substantially compliant
with applicable laws and regulations, and believe we have adequate
 
compliance programs and controls in place to
ensure substantial compliance, if it is determined that we have not complied
 
with these laws, we are potentially
subject to warning letters, substantial civil and criminal penalties,
 
mandatory recall of product, seizure of product
and injunction, consent decrees and suspension or limitation of payments
 
to us, product sale and distribution.
 
If we
enter into settlement agreements to resolve allegations of non-compliance, we
 
could be required to make settlement
payments or be subject to civil and criminal penalties, including
 
fines and the loss of licenses.
 
Non-compliance
with government requirements could also adversely affect our ability to participate
 
in important federal and state
government health care programs, such as Medicare and Medicaid,
 
and damage our reputation.
The EU Medical Device Regulation (“MDR”) may adversely affect our business.
 
The EU MDR, applicable since May 26, 2021, significantly modifies and intensifies
 
the regulatory compliance
requirements for the medical device industry as a whole.
 
Among other things, the EU MDR:
strengthens the rules on placing devices on the market and reinforces surveillance
 
once they are
available;
establishes explicit provisions on manufacturers’ responsibilities
 
for the follow-up of the quality,
performance and safety of devices placed on the market;
improves the traceability of medical devices throughout the supply chain to the end-user
 
or patient
through a unique identification number;
sets up a central database to provide patients, healthcare professionals and
 
the public with
comprehensive information on products available in the EU;
 
strengthens rules for the assessment of certain high-risk devices, such
 
as implants, which may have to
undergo an additional check by experts before they are placed on the market; and
identifies importers and distributors and medical device products through
 
registration in a database
(EUDAMED not due, for the time being, until the end of 2027 at
 
the earliest, as mentioned above).
 
In particular, the EU MDR imposes strict requirements for the confirmation that a product
 
meets the regulatory
requirements, including regarding a product’s clinical evaluation and a company’s quality systems, and for the
distribution, marketing and sale of medical devices, including post-market surveillance.
 
As mentioned above,
pursuant to Regulation 2023/607 and subject to certain conditions, medical devices
 
that (i) obtained a certificate
under the EU Medical Device Directive from May 25, 2017, (ii) which was
 
still valid on May 26, 2021, and (iii)
 
has not been subsequently withdrawn may, for the moment, continue to be placed on the market or put into service
until December 31, 2027 for higher risk devices or December 31, 2028 for medium
 
and lower risk devices.
Nevertheless, EU MDR requirements regarding the distribution,
 
marketing and sale including quality systems and
post-market surveillance have to be observed by manufacturers, importers
 
and distributors as of the application date
(i.e., May 26, 2021).
 
The modifications created by the EU MDR may have an impact
 
on the way we design and
manufacture products and the way we conduct our business in
 
the EEA.
 
 
34
If we fail to comply with laws and regulations relating to health care
 
fraud or other laws and regulations, we
could suffer penalties or be required to make significant changes to our operations,
 
which could materially
adversely affect our business.
 
Certain of our businesses are subject to federal and state (and similar
 
foreign) health care fraud and abuse, referral
and reimbursement laws and regulations with respect to their operations.
 
Some of these laws, referred to as “false
claims laws,” prohibit the submission or causing the submission of false or fraudulent
 
claims for reimbursement to
federal, state, and other health care payers and programs.
 
Other laws, referred to as “anti-kickback laws,” prohibit
soliciting, offering, receiving or paying remuneration in order to induce or reward
 
the referral of a patient or
ordering, purchasing, leasing or arranging for, or recommending ordering, purchasing or leasing of,
 
items or
services that are paid for by federal, state and other health care payers and programs.
 
Certain additional state and
federal laws, such as the federal Physician Self-Referral Law, commonly known as the “Stark Law,” prohibit
physicians and other health care professionals from referring a patient
 
to an entity with which the physician (or
family member) has a financial relationship, for the furnishing of certain designated
 
health services (for example,
durable medical equipment and medical supplies), unless an exception applies.
 
Violations of Anti-Kickback
statutes or the Stark Law may be enforced as violations of the federal False Claims
 
Act.
The fraud and abuse laws and regulations have been subject to heightened
 
enforcement activity over the past few
years, and significant enforcement activity has been the result of “relators” who
 
serve as whistleblowers by filing
complaints in the name of the United States (and if applicable, particular states)
 
under applicable false claims laws,
and who may receive up to 30% of total government recoveries.
 
Penalties under fraud and abuse laws may be
severe, including treble damages and substantial civil penalties under
 
the federal False Claims Act, as well as
potential loss of licenses and the ability to participate in federal and state
 
health care programs, criminal penalties,
or imposition of a corporate compliance monitor, which could have a material adverse effect on our business.
 
Also,
these measures may be interpreted or applied by a prosecutorial, regulatory or
 
judicial authority in a manner that
could require us to make changes in our operations or incur substantial defense
 
and settlement expenses.
 
Even
unsuccessful challenges by regulatory authorities or private relators could result
 
in reputational harm and the
incurring of substantial costs.
 
Most states have adopted similar state false claims laws, and these state
 
laws have
their own penalties which may be in addition to federal False Claims
 
Act penalties, as well as other fraud and abuse
laws.
 
With respect to measures of this type, the United States government (among others) has expressed concerns
 
about
financial relationships between suppliers on the one hand and physicians,
 
dentists, and other health care providers,
on the other.
 
As a result, we regularly review and revise our marketing practices
 
as necessary to facilitate
compliance.
 
Our aspirations, goals and disclosures related to environmental, social
 
and governance matters and the focus on
regulators and private litigants among other things on related claims made
 
by companies and funds expose us to
numerous risks, including reputational, financial, legal and other risks,
 
that could have an adverse impact on us,
including on our stock price.
 
California has adopted stringent new climate disclosure requirements,
 
as has the EU,
and the SEC appears about to adopt expansive new disclosure requirements
 
on climate change.
 
In the EU, the Directive No. 2019/1937 of October 23, 2019,
on the protection of persons who report breaches of
Union law,
 
organizes the legal protection of whistleblowers.
 
This Directive covers whistleblowers reporting
breaches of certain EU laws, in particular as regards public health, the above-mentioned
 
Directive No. 2001/83,
Regulation No. 726/2004 or, as regards data protection, the GDPR.
 
The Directive protects a wide range of people
and includes former employees.
 
All private companies with 50 or more employees are required
 
to create effective
internal reporting channels.
 
All EU Member States other than Poland and Estonia have now implemented
 
the
Directive.
 
We also are subject to the requirements of the new Directive No. 2022/2464 on corporate sustainability reporting
(“CSR Directive”) adopted on December 14, 2022 and which has to be
 
implemented by EU members states by July
6, 2024, at the latest.
 
By amending Directives No. 2004/109, No. 2006/43, No. 2013/34
 
and Regulation No.
537/2014, the CSR Directive strengthens the existing rules on non-financial
 
reporting by setting new requirements
for large companies to publish sustainability-related information and, in particular, disclose details about
 
their risks
and impacts on environmental matters.
 
 
 
35
We
also are subject to certain United States and foreign laws and regulations
 
concerning the conduct of our foreign
operations, including the U.S. Foreign Corrupt Practices Act, the U.K. Bribery
 
Act, German anti-corruption laws
and other anti-bribery laws and laws pertaining to the accuracy of our internal
 
books and records, which have been
the focus of increasing enforcement activity globally in recent years.
 
Our businesses are generally subject to
numerous other laws and regulations that could impact our financial
 
results, including, without limitation,
securities, antitrust, consumer protection, and marketing laws and regulations.
In the EU, both active and passive bribery are criminalized.
 
The EU Council Framework Decision 2003/568/JHA
of 22 July 2003
 
on combating corruption in the private sector
establishes more detailed rules on the liability of
legal persons and deterrent sanctions.
 
However, the liability of legal persons is regulated at a national level.
Failure to comply with fraud and abuse laws and regulations, and other
 
laws and regulations, could result in
significant civil and criminal penalties and costs, including the loss of
 
licenses and the ability to participate in
federal and state health care programs, and could have a material adverse
 
effect on our business.
 
We may
determine to enter into settlements, make payments, agree to consent decrees
 
or enter into other arrangements to
resolve such matters.
 
Intentional or unintentional failure to comply with settlement agreements
 
or consent decrees
could materially adversely affect our business.
While we believe that we are substantially compliant with applicable fraud and
 
abuse and other laws and
regulations, and believe we have adequate compliance programs and controls
 
in place to ensure substantial
compliance, we cannot predict whether changes in applicable law, or interpretation of laws, or changes in our
services or marketing practices in response to changes in applicable law or
 
interpretation of laws, could have a
material adverse effect on our business.
If we fail to comply with laws and regulations relating to the collection,
 
storage and processing of sensitive
personal information or standards in electronic health records or transmissions,
 
we could be required to make
significant changes to our products, or incur substantial fines, penalties, or
 
other liabilities.
 
Our businesses that involve physician and dental practice management
 
products, and our specialty home medical
supply businesses, include electronic information technology systems
 
that store and process personal health,
clinical, financial, and other sensitive information of individuals.
 
These information technology systems may be
vulnerable to breakdown, wrongful intrusions, data breaches and
 
malicious attack, which could require us to
expend significant resources to eliminate these problems and address
 
related security concerns, and could involve
claims against us by private parties and/or governmental agencies.
We are directly or indirectly subject to numerous and evolving federal, state, local and foreign laws and regulations
that protect the privacy and security of personal information, such as HIPAA, CAN-SPAM, TCPA,
 
Section 5 of the
FTC Act, the CCPA, and the CPRA that became effective on January 1, 2023.
 
Laws and regulations relating to
privacy and data protection are continually evolving and subject to
 
potentially differing interpretations.
 
These
requirements may not be harmonized, may be interpreted and applied in
 
a manner that is inconsistent from one
jurisdiction to another or may conflict with other rules or our practices.
 
Our businesses’ failure to comply with
these laws and regulations could expose us to breach of contract claims, substantial
 
fines, penalties and other
liabilities and expenses, costs for remediation and harm to our reputation.
 
Also, evolving laws and regulations in
this area could restrict the ability of our customers to obtain, use or disseminate patient
 
information, or could
require us to incur significant additional costs to re-design our products
 
to reflect these legal requirements, which
could have a material adverse effect on our operations.
In addition, the European Parliament and the Council of the EU adopted
 
the GDPR effective from May 25, 2018,
which increased privacy rights for Data Subjects, including individuals
 
who are our customers, suppliers and
employees.
 
The GDPR extended the scope of responsibilities for data controllers
 
and data processors, and
generally imposes increased requirements and potential penalties on companies,
 
such as us, that are either
established in the EU and process personal data of Data Subjects (regardless
 
the Data Subject location), or that are
not established in the EU but that offer goods or services to Data Subjects in the EU
 
or monitor their behavior in the
EU. Noncompliance can result in penalties of up to the greater of EUR 20
 
million, or 4% of global company
revenues (sanction that may be public), and Data Subjects may seek damages.
 
Member states may individually
impose additional requirements and penalties regarding certain limited
 
matters (for which the GDPR left some
 
36
room of flexibility), such as employee personal data.
 
With respect to the personal data it protects, the GDPR
requires, among other things, controller accountability, consents from Data Subjects or another acceptable legal
basis to process the personal data, notification within 72 hours
 
of a personal data breach where required, data
integrity and security, and fairness and transparency regarding the storage, use or other processing of the personal
data.
 
The GDPR also provides rights to Data Subjects relating notably
 
to information, access, rectification, erasure
of the personal data and the right to object to the processing.
 
On August 20, 2021, China promulgated the PIPL, which took effect on November
 
1, 2021.
 
The PIPL imposes
specific rules for processing personal information and it also specifies
 
that the law shall also apply to personal
information activities carried out outside China but for the purpose
 
of providing products or services to PRC
citizens.
 
Any non-compliance with these laws and regulations may subject
 
us to fines, orders to rectify or terminate
any actions that are deemed illegal by regulatory authorities, other penalties,
 
as well as reputational damage or legal
proceedings against us, which may affect our business, financial condition or results
 
of operations.
 
The PIPL
carries maximum penalties of CNY50 million or 5% of the annual revenue
 
of entities that process personal data.
In the United States, the CCPA, which increases the privacy protections afforded California residents, became
effective January 1, 2020.
 
The CCPA generally requires companies, such as us, to institute additional protections
regarding the collection, use and disclosure of certain personal information
 
of California residents.
 
Compliance
with the obligations imposed by the CCPA depends in part on how particular regulators interpret and apply them.
 
Regulations were released in August of 2020, but there remains some
 
uncertainty about how the CCPA will be
interpreted by the courts and enforced by the regulators.
 
If we fail to comply with the CCPA or if regulators assert
that we have failed to comply with the CCPA, we may be subject to certain fines or other penalties and litigation,
any of which may negatively impact our reputation, require us to expend
 
significant resources, and harm our
business.
 
Furthermore, California voters approved the CPRA on November 3,
 
2020, which will amend and expand
the CCPA, including by providing consumers with additional rights with respect to their personal information, and
creating a new state agency to enforce CCPA and CPRA.
 
The CPRA came into effect on January 1, 2023, applying
to information collected by businesses on or after January 1, 2022.
Other states, as well as the federal government, have increasingly
 
considered the adoption of similarly expansive
personal privacy laws, backed by significant civil penalties for non-compliance.
 
While we believe we have
substantially compliant programs and controls in place to comply with
 
the GDPR, CCPA, PIPL and CPRA
requirements, our compliance with data privacy and cybersecurity laws
 
is likely to impose additional costs on us,
and we cannot predict whether the interpretations of the requirements, or
 
changes in our practices in response to
new requirements or interpretations of the requirements, could have a
 
material adverse effect on our business.
We also sell products and services that health care providers, such as physicians and dentists, use to store and
manage patient medical or dental records.
 
These customers and we are subject to laws, regulations and
 
industry
standards, such as HIPAA and the Payment Card Industry Data Security Standards, which require the protection of
the privacy and security of those records.
 
Our products or services may be used as part of these customers’
comprehensive data security programs, including in connection with their
 
efforts to comply with applicable data
privacy and security laws and contractual requirements.
 
Perceived or actual security vulnerabilities in our products
or services, or the perceived or actual failure by us or our customers who
 
use our products or services to comply
with applicable legal or contractual data privacy and security requirements,
 
may not only cause us significant
reputational harm, but may also lead to claims against us by our customers
 
and/or governmental agencies and
involve substantial fines, penalties and other liabilities and expenses
 
and costs for remediation.
 
Additionally, under
the GDPR, health data belong to the category of “sensitive data” and benefit
 
from specific protection.
 
Processing
of such data is generally prohibited, except for specific exceptions.
Certain of our businesses involve the manufacture and sale of electronic
 
health record (EHR) systems and other
products linked to government supported incentive programs, where
 
the EHR systems must be certified as having
certain capabilities designated in evolving standards, such as those adopted
 
by CMS and ONC.
 
In order to maintain
certification of our EHR products, we must satisfy the changing governmental
 
standards.
 
If any other EHR systems
do not meet these standards, yet have been relied upon by health care providers
 
to receive federal incentive
payments, we may be exposed to risk, such as under federal health care
 
fraud and abuse laws, including the False
Claims Act.
 
Additionally, effective September 1, 2023, the OIG for HHS issued a final rule implementing civil
money penalties for information blocking as established by the Cures Act.
 
OIG incorporated regulations published
 
 
37
by ONC as the basis for enforcing information blocking penalties.
 
Each information blocking violation carries a $1
million penalty.
 
While we believe we are substantially in compliance with such certifications
 
and with applicable
fraud and abuse laws and regulations and that we have adequate compliance
 
programs and controls in place to
ensure substantial compliance, we cannot predict whether changes in
 
applicable law, or interpretation of laws, or
resulting changes in our compliance programs and controls, could have a
 
material adverse effect on our business.
 
Moreover, in order to satisfy our customers and comply with evolving legal requirements, our products
 
may need to
incorporate increasingly complex functionality, such as with respect to reporting and information blocking.
 
Although we believe we are positioned to accomplish this, the effort may involve
 
increased costs, and our failure to
implement product modifications, or otherwise satisfy applicable standards,
 
could have a material adverse effect on
our business.
Additionally, as electronic medical devices are increasingly connected to each other and to other technology, the
ability of these connected systems to safely and effectively exchange and use exchanged
 
information becomes
increasingly important.
 
As a medical device manufacturer, we must manage risks including those associated with
an electronic interface that is incorporated into a medical device.
Tax legislation could materially adversely affect our financial results and tax liabilities.
 
We are subject to the tax laws and regulations of the United States federal, state, and local governments, as well as
foreign jurisdictions.
 
From time to time, various legislative initiatives may be proposed
 
that could materially
adversely affect our tax positions.
 
There can be no assurance that our effective tax rate will not be
 
materially
adversely affected by legislation resulting from these initiatives.
 
In addition, tax laws and regulations are extremely
complex and subject to varying interpretations.
 
Although we believe that our historical tax positions are sound and
consistent with applicable laws, regulations and existing precedent,
 
there can be no assurance that our tax positions
will not be challenged by relevant tax authorities or that we would be
 
successful in any such challenge.
We face inherent risk of exposure to product liability, intellectual property infringement and other claims in the
event that the use of the products we sell results in injury.
Our business involves a risk of product liability, intellectual property infringement and other claims in the ordinary
course of business, and from time to time we are named as a defendant
 
in cases as a result of our distribution of
products.
 
Additionally, we own interests in companies that manufacture certain dental and medical products.
 
As a
result, we could be subject to the potential risk of product liability, intellectual property infringement or other
claims relating to the manufacture and distribution of products by
 
those entities.
 
In addition, as our corporate brand
business continues to grow, purchasers of such products may increasingly seek recourse directly from us, rather
than the ultimate product manufacturer, for product-related claims.
 
Another potential risk we face in the
distribution of our products is liability resulting from counterfeit or tainted products
 
infiltrating the supply chain.
 
In
addition, some of the products that we transport and sell are considered hazardous
 
materials.
 
The improper
handling of such materials or accidents involving the transportation
 
of such materials could subject us to liability or
at least legal action that could harm our reputation.
 
Customs policies or legislative import restrictions could hinder the Company’s ability to import goods necessary
to our operations on a timely basis and result in government enforcement
 
actions and/or sanctions.
Government-imposed import policies and legislation regulating the
 
import of goods and prohibiting the use of
forced labor or human trafficking could result in delays or the inability to import
 
goods in a timely manner that are
necessary to our operations, and such policies or legislation could also
 
result in financial penalties, other sanctions,
government enforcement actions and reputational harm.
 
While the Company has policies against and seeks to
avoid the import of goods that are manufactured in whole or in part by forced
 
labor or through human trafficking,
as a result of legislative and governmental policy initiatives, we may be
 
subject to increasing potential delays,
added costs, supply chain disruption and other restrictions.
GENERAL RISKS
 
Our business operations, results of operations, cash flows, financial condition
 
and liquidity may be negatively
 
 
38
impacted by the effects of disease outbreaks, epidemics, pandemics, or similar wide-spread
 
public health
concerns and other natural or man-made disasters, such as terrorism, civil
 
unrest, fire, and extreme weather
.
 
Our business operations, results of operations, cash flows, financial condition
 
and liquidity may be negatively
impacted by the effects of disease outbreaks, epidemics, pandemics, similar wide-spread
 
public health concerns and
other natural or man-made disasters, such as terrorism, civil unrest, fire,
 
and extreme weather (“disasters”).
 
For
example, as a global healthcare solutions company, the COVID-19 pandemic and the governmental responses
 
to it
had, and may again have, a material adverse effect on our business, results of operations
 
and cash flows and may
result in a material adverse effect on our financial condition and liquidity.
 
The impacts and potential impacts from
the COVID-19 pandemic included, and could include as a result of other disasters,
 
the following, among other
impacts:
significant volatility in supply, demand and selling prices for personal protective equipment (PPE), test
kits and related products;
 
reduction in peoples’ ability and willingness to be in public;
 
reduction in peoples’ ability and willingness to seek elective care;
interrupted operations of industries that use or manufacture the products
 
we distribute;
impact of adapted business practices;
 
significant changes in political conditions;
 
volatility in the financial market; and
 
unavailability or impairment of our manufacturing, distribution, or other
 
facilities, or firmwide systems
such as our information systems.
 
The impact from disasters may also exacerbate other risks discussed herein,
 
any of which could have a material
adverse effect on us.
Our global operations are subject to inherent risks that could materially
 
adversely affect our business.
Our global operations are subject to risks that could materially adversely affect our business.
 
The risks that our
global operations are subject to include, among other things:
 
difficulties and costs relating to staffing and managing foreign operations;
difficulties and delays inherent in sourcing products, establishing channels of distribution
 
and contract
manufacturing in foreign markets;
fluctuations in the value of foreign currencies;
uncertainties relating to trade agreements and international trade relationships;
 
longer payment cycles of foreign customers and difficulty of collecting receivables
 
in foreign
jurisdictions;
repatriation of cash from our foreign operations to the United States;
regulatory requirements, including, without limitation, anti-bribery, anti-corruption and laws pertaining
to the accuracy of our internal books and records;
litigation risks, new or unanticipated litigation developments and
 
the status of litigation matters;
unexpected difficulties in importing or exporting our products and import/export
 
tariffs, quotas,
sanctions or penalties;
limitations on our ability under local laws to protect our intellectual
 
property;
unexpected regulatory, legal, economic and political changes in foreign markets;
changes in tax regulations that influence purchases of capital equipment;
civil disturbances, geopolitical turmoil, including terrorism, war or political
 
or military coups; and
risks associated with climate change, including physical risks such as
 
impacts from extreme weather
events and other potential physical consequences, regulatory and technological
 
requirements, market
developments, stakeholder expectations and reputational risk.
 
39
Our future success is substantially dependent upon our senior
 
management, and our revenues and profitability
depend on our relationships with capable sales representatives,
 
service technicians, and other personnel who
interact directly with our customers, as well as customers, suppliers
 
and manufacturers of the products that we
distribute.
Our future success is substantially dependent upon the efforts and abilities of
 
members of our existing senior
management, particularly Stanley M. Bergman, Chairman and Chief Executive Officer.
 
In November 2022, Mr.
Bergman’s employment agreement was extended through December 31, 2025.
 
Although the Company has an
internal succession plan for its senior leadership team, including Mr. Bergman, the loss of the services of Mr.
Bergman could have a material adverse effect on our business.
 
We do not currently have “key man” life insurance
policies on any of our employees.
 
Competition for senior management is intense, burnout and turn-over rates
 
are
increasing workplace concerns, and we may not be successful in
 
attracting and retaining key personnel.
 
Additionally, our future revenues and profitability depend on our ability to maintain satisfactory relationships with
qualified sales representatives, service technicians, and other personnel
 
who interact directly with our customers, as
well as customers, suppliers, and manufacturers.
 
If we fail to maintain our existing relationships with such persons
or fail to acquire relationships with such key persons in the future,
 
our business may be materially adversely
affected.
Disruptions in the financial markets may materially adversely
 
affect the availability and cost of credit to us.
Our ability to make scheduled payments or refinance our obligations with
 
respect to indebtedness will depend on
our operating and financial performance, which in turn is subject to prevailing
 
economic conditions and financial,
business and other factors beyond our control.
 
Disruptions in the financial markets may materially adversely affect
the availability and cost of credit to us.
Item 1B.
 
Unresolved Staff Comments
We have no unresolved comments from the staff of the SEC that were issued 180 days or more preceding the end of
our 2023 fiscal year.
Item 1C.
 
Cybersecurity
We rely on information systems in our business to obtain, rapidly process, analyze, manage and store customer,
product, supplier and employee data to, among other things: maintain
 
and manage multiple information systems
worldwide to facilitate the purchase and distribution of thousands of
 
inventory items from numerous distribution
centers; receive, process and ship orders on a timely basis; manage the
 
accurate billing and collections for
thousands of customers; process payments to suppliers and vendors; provide
 
products and services that maintain
certain of our customers’ electronic medical or dental records (including
 
protected health information of their
patients) and maintain and manage global human resources, compensation
 
and payroll systems.
 
For these purposes,
we define “information systems” in a manner consistent with the definition
 
contained in the new rules recently
adopted by the SEC to mean “electronic information resources, owned or used
 
by the registrant, including physical
or virtual infrastructure controlled by such information resources, or components
 
thereof, organized for the
collection, processing, maintenance, use, sharing, dissemination, or disposition
 
of the registrant's information to
maintain or support the registrant's operations.”
 
Cybersecurity Risk Management and Strategy
 
We have developed and implemented a cybersecurity risk mitigation strategy intended to protect our information
systems.
 
Our cybersecurity risk mitigation strategy is designed
 
so that the Company’s cybersecurity program is
aligned with generally accepted cybersecurity standards and frameworks,
 
in particular the NIST Cybersecurity
Framework, or “NIST CSF,” and our Company is externally audited, or certified, with ISO27001 partial scope.
 
We maintain an Office of Cybersecurity (“OCS”), led by our Chief Information Security Officer (“CISO”), which
oversees the operations of our cyber risk mitigation strategy.
 
The OCS is a cross-functional, enterprise-wide
management team, which continuously evaluates our global cybersecurity
 
program’s effectiveness and is focused
on maintaining and protecting our information systems.
 
In overseeing the operations of our cyber risk mitigation
 
40
strategy, the OCS partners with our Global Technology Solutions team, which is led by our Chief Technology
Officer (“CTO”) and is comprised of over one hundred professionals that support our information
 
systems and
operations.
 
Our cyber risk mitigation strategy includes monitoring for
 
and addressing risks that materialize within
the Company’s information systems, as well as at our third-party vendors, suppliers and other third-party business
partners.
 
Our CISO reports to our CTO.
 
Our CTO,
 
who also serves as Senior Vice President,
 
has more than 30 years of
experience leading large-scale global IT organizations and received a Bachelor of Business Administration
 
in
Business Computer Information Systems and a Master of Business Administration
 
from Hofstra University.
 
See
also
 
Our Vice President, Global CISO, who also serves as Vice
President and Head of the Office of Cyber Security, is a National Security Agency Certified Information Systems
Securities Engineer, has nearly 30 years of experience leading global cybersecurity programs, and received
 
a BS,
Electrical Engineering and Computer Science from Lafayette College,
 
and a Master of Science, Business,
Information Technology Management from Johns Hopkins University.
 
The cybersecurity risk mitigation strategy
is also overseen by senior managers who are members of our Executive
 
Steering Committee, comprised of the
Company’s most senior technology, legal and internal auditing officers.
 
Our CEO is regularly briefed on issues,
incidents, and developments, and our Board oversees our risk mitigation
 
strategy principally through its Audit
Committee and Regulatory, Compliance and Cybersecurity Committee, as described in more detail below.
 
Our cybersecurity risk management program includes, among other
 
elements:
risk assessments designed to help identify material cybersecurity risks
 
to our information systems;
a security team principally responsible for managing our (i) cybersecurity
 
risk assessment processes, and
(ii) defining cybersecurity control standards;
the use of expert external service providers to assess, test or otherwise assist
 
with aspects of our
cybersecurity controls, and to respond to specific cybersecurity threats;
the review and assessment of past cybersecurity incidents with a view to learning
 
from those events to
further strengthen our cyber risk mitigation strategy;
a written cybersecurity incident response plan that includes procedures
 
for responding to cybersecurity
incidents; and
a Global Information Security Policy, together with more detailed information security policies,
procedures, standards, and guidelines.
In addition, all employees with systems access are required to participate
 
in mandatory annual cybersecurity and
anti-phishing courses, along with compliance programs.
 
Our employees who perform financial gatekeeper roles
also receive additional mandatory annual data security training specific
 
to spoofing, phishing and similar data
security threats.
 
Per written Company policies, employees are also required
 
to safeguard confidential information.
 
Our cybersecurity risk strategy is integrated into our overall enterprise
 
risk management program, and our
cybersecurity team is supported by and connected with the enterprise risk
 
management team.
 
Prior Cybersecurity Incidents
 
In addition to immaterial and unrelated prior incidents at certain of
 
our subsidiaries, in October 2023 Henry Schein
experienced a cybersecurity incident that primarily affected the operations of our
 
North American and European
dental and medical distribution businesses.
 
Henry Schein One, our practice management software, revenue
 
cycle
management and patient relationship management solutions business, was
 
not affected, and our manufacturing
businesses were mostly unaffected. Once we became aware of the issue, we took steps
 
to assess, contain and
remediate this incident.
 
We restored affected systems and applications, our distribution operations resumed and we
reactivated our ecommerce platform.
 
We also notified law enforcement and our employees, customers, suppliers
and investors, informing them of both the incident and management’s efforts to mitigate its impact on our daily
operations and data maintained on the Company’s systems.
 
Subsequently, on or about November 8, 2023, we
determined that the threat actor obtained personal and sensitive information
 
maintained on our systems belonging to
certain third parties and since that date we have notified affected and potentially affected parties
 
as appropriate.
 
 
41
The scope of personal and sensitive data impacted is still under investigation.
 
On November 22, 2023, we
experienced a related disruption to our ecommerce platform and related
 
applications, which has since been
remediated.
 
As described in “Management’s Discussion & Analysis – 2023 Compared to 2022, the incident
adversely impacted our financial results for the fourth quarter and full year 2023.
 
We also expect some short-term
residual impact on our financial results in 2024.
 
It is part of the mission of our cybersecurity risk mitigation strategy to constantly
 
evolve our cybersecurity defenses
to adapt to evolving risks, and to learn from prior incidents, and we
 
have evaluated and continue to evaluate the
incident with the assistance of third-party expert consultants.
 
Members of the Audit Committee and Regulatory,
Compliance and Cybersecurity Committee of our Board of Directors are
 
conducting a review of the October 2023
cybersecurity incident, including the measures undertaken in response to the incident.
 
Cybersecurity Governance
 
Our Board has a Regulatory, Compliance and Cybersecurity Committee that focuses on cybersecurity oversight,
together with other board committees, principally the Audit Committee.
 
The purpose of the Regulatory,
Compliance and Cybersecurity Committee is to assist the Board by providing
 
guidance to, and oversight of, the
Company’s senior management responsible for assessing and managing Company-wide regulatory, corporate
compliance and cybersecurity risk management programs.
 
The primary responsibilities of the Regulatory,
Compliance and Cybersecurity Committee are to (i) discuss cybersecurity
 
strategic decisions, issues, challenges and
opportunities relating thereto, (ii) provide expertise to guide assessment
 
and monitoring of Company-wide
regulatory, corporate compliance and cybersecurity risk management budgeting, spending and capital investment,
(iii) monitor progress and status of the Company’s regulatory, corporate compliance and cybersecurity risk
management programs, (iv) review and evaluate major regulatory, corporate compliance and cybersecurity risk
management initiatives to identify emerging and future opportunities for synergy or to
 
leverage regulatory,
corporate compliance and cybersecurity risk management investments
 
more effectively and cost efficiently,
(v) report to the Audit Committee on regulatory, corporate compliance and cybersecurity risk management matters
reviewed by the Regulatory, Compliance and Cybersecurity Committee that may impact the Company’s financial
reporting and (vi) be generally available to, and communicate with,
 
the Company’s senior management, and to
inform the Board in the areas described above.
Our CISO and CTO, along with other key executives who are part of our Executive
 
Steering Committee, review
strategy, policy,
 
program effectiveness, standards, enforcement and cybersecurity issue management
 
with the
Board’s Regulatory,
 
Compliance and Cybersecurity Committee on at least a quarterly basis and
 
with the Audit
Committee on at least a bi-annual basis.
 
Our CTO meets with Board members outside of the formal meetings on a
regular basis as well as in connection with specific cybersecurity issues or
 
threats.
ITEM 2.
 
Properties
Within our health care distribution segment (for properties with more than 100,000 square feet) we lease
 
and/or
own approximately 5.7 million square feet of properties, consisting of distribution,
 
office, showroom,
manufacturing and sales space, in locations including the United States, Australia,
 
Austria, Belgium, Brazil,
Canada, Chile, China, the Czech Republic, France, Germany, Hong Kong SAR, Ireland, Israel, Italy, Japan,
Liechtenstein, Luxembourg, Malaysia, Mexico, Morocco, the Netherlands, New Zealand,
 
Poland, Portugal,
Singapore, South Africa, Spain, Sweden, Switzerland, Thailand, United
 
Arab Emirates and the United Kingdom.
 
Lease expirations range from 2024 to 2041.
We believe that our properties are in good condition, are well maintained and are suitable and adequate to carry on
our business.
 
We have additional operating capacity at certain distribution center facilities.
ITEM 3.
 
Legal Proceedings
 
For a discussion of Legal Proceedings, see
 
of the Notes to the
Consolidated Financial Statements included under Item 8.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
42
ITEM 4.
 
Mine Safety Disclosures
Not applicable.
PART
 
II
ITEM 5.
 
Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of
Equity Securities
Our common stock is traded on the Nasdaq Global Select Market tier of
 
the Nasdaq Stock Market, or Nasdaq,
under the symbol HSIC.
On February 20, 2024, there were approximately 107,000 holders
 
of record of our common stock and the last
reported sales price was $75.64.
 
A substantially greater number of holders of our common stock are “street
 
name”
or beneficial holders, whose shares are held by banks, brokers and other financial
 
institutions.
Purchases of Equity Securities by the Issuer
Our share repurchase program, announced on March 3, 2003, originally
 
allowed us to repurchase up to two million
shares pre-stock splits (eight million shares post-stock splits) of our common
 
stock, which represented
approximately 2.3% of the shares outstanding at the commencement
 
of the program.
 
Subsequent additional
increases totaling $4.9 billion, authorized by our Board, to the repurchase
 
program provide for a total of $5.0 billion
(including $400 million authorized on February 8, 2023) of shares
 
of our common stock to be repurchased under
this program.
As of December 30, 2023,
 
we had repurchased approximately $4.7 billion of common stock (90,394,805
 
shares)
under these initiatives, with $265 million available for future common stock
 
share repurchases.
The following table summarizes repurchases of our common stock
 
under our stock repurchase program during the
fiscal quarter ended December 30, 2023:
Total Number
Maximum Number
Total
of Shares
of Shares
Number
Average
Purchased as Part
that May Yet
of Shares
Price Paid
of Our Publicly
Be Purchased Under
Fiscal Month
Purchased (1)
Per Share
Announced Program
Our Program (2)
10/1/2023 through 11/4/2023
-
-
-
5,048,074
11/5/2023 through 12/2/2023
-
-
-
4,529,764
12/3/2023 through 12/30/2023
692,441
$
72.32
692,441
3,499,205
692,441
692,441
(1)
All repurchases were executed in the open market under our existing publicly announced authorized program.
(2)
The maximum number of shares that may yet be purchased under this program is determined at the end of each month based on the
closing price of our common stock at that time.
 
This table excludes shares withheld from employees to satisfy minimum tax
withholding requirements for equity-based transactions.
Dividend Policy
We have not declared any cash or stock dividends on our common stock during fiscal years 2023 or 2022.
 
We
currently do not anticipate declaring any cash or stock dividends on our common
 
stock in the foreseeable future.
 
We intend to retain earnings to finance the expansion of our business and for general corporate purposes, including
our share repurchase program.
 
Any declaration of dividends will be at the discretion of our Board and
 
will depend
upon the earnings, financial condition, capital requirements, level
 
of indebtedness, contractual restrictions with
respect to payment of dividends and other factors.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
form10k20231230p43i0 form10k20231230p43i1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
form10k20231230p43i2 form10k20231230p43i3
 
 
 
 
 
 
form10k20231230p43i4
 
 
 
 
 
 
 
form10k20231230p43i5
 
 
 
 
43
$50
$100
$150
$200
$250
$300
December
2018
December
2019
December
2020
December
2021
December
2022
December
2023
Henry Schein, Inc.
Dow Jones US Health Care Index
NASDAQ Composite Index
Stock Performance Graph
The graph below compares the cumulative total stockholder return
 
on $100 invested, assuming the reinvestment of
all dividends, on December 29, 2018, the last trading day before the
 
beginning of our 2019 fiscal year, through the
end of our 2023 fiscal year with the cumulative total return on $100
 
invested for the same period in the Dow Jones
U.S. Health Care Index and the Nasdaq Stock Market Composite Index.
COMPARISON OF 5-YEAR CUMULATIVE TOTAL
 
RETURN
ASSUMES $100 INVESTED ON DECEMBER 29, 2018
ASSUMES DIVIDENDS REINVESTED
December 29,
December 28,
December 26,
December 25,
December 31,
December 30,
2018
2019
2020
2021
2022
2023
Henry Schein, Inc.
$
100.00
$
110.31
$
109.05
$
124.11
$
132.28
$
125.37
Dow Jones U.S. Health
 
Care Index
100.00
123.48
140.83
175.06
168.44
171.61
NASDAQ Stock Market
 
Composite Index
100.00
138.27
198.34
244.03
164.56
238.01
ITEM 6.
[Reserved]
44
ITEM 7.
 
Management’s Discussion and Analysis of Financial Condition and Results of
 
Operations
Cautionary Note Regarding Forward-Looking Statements
 
In accordance with the “Safe Harbor” provisions of the Private Securities
 
Litigation Reform Act of 1995, we
provide the following cautionary remarks regarding important factors
 
that, among others, could cause future results
to differ materially from the forward-looking statements, expectations and assumptions
 
expressed or implied
herein.
 
All forward-looking statements made by us are subject to
 
risks and uncertainties and are not guarantees of
future performance.
 
These forward-looking statements involve known and unknown
 
risks, uncertainties and other
factors that may cause our actual results, performance and achievements
 
or industry results to be materially
different from any future results, performance or achievements expressed or implied by such
 
forward-looking
statements.
 
These statements are generally identified by the use of such
 
terms as “may,” “could,” “expect,”
“intend,” “believe,” “plan,” “estimate,” “forecast,” “project,” “anticipate,”
 
“to be,” “to make” or other comparable
terms.
 
Factors that could cause or contribute to such differences include, but are not limited
 
to, those discussed in
this Annual Report on Form 10-K, and in particular the risks discussed under
 
the caption “Risk Factors” in Item 1A
of this report and those that may be discussed in other documents we
 
file with the Securities and Exchange
Commission (“SEC”).
Risk factors and uncertainties that could cause actual results to differ materially from
 
current and historical results
include, but are not limited to: our dependence on third parties for
 
the manufacture and supply of our products; our
ability to develop or acquire and maintain and protect new products (particularly
 
technology products) and
technologies that achieve market acceptance with acceptable margins; transitional
 
challenges associated with
acquisitions, dispositions and joint ventures, including the failure
 
to achieve anticipated synergies/benefits, as well
as significant demands on our operations, information systems,
 
legal, regulatory, compliance, financial and human
resources functions in connection with acquisitions, dispositions and
 
joint ventures; certain provisions in our
governing documents that may discourage third-party acquisitions of us; adverse
 
changes in supplier rebates or
other purchasing incentives; risks related to the sale of corporate brand products;
 
security risks associated with our
information systems and technology products and services, such as
 
cyberattacks or other privacy or data security
breaches (including the October 2023 incident); effects of a highly competitive (including, without
 
limitation,
competition from third-party online commerce sites) and consolidating
 
market;
 
changes in the health care industry;
risks from expansion of customer purchasing power and multi-tiered
 
costing structures; increases in shipping costs
for our products or other service issues with our third-party shippers; general
 
global and domestic macro-economic
and political conditions, including inflation, deflation, recession, ongoing
 
wars, fluctuations in energy pricing and
the value of the U.S. dollar as compared to foreign currencies, and changes
 
to other economic indicators,
international trade agreements, potential trade barriers and terrorism; geopolitical
 
wars; failure to comply with
existing and future regulatory requirements; risks associated with the EU Medical
 
Device Regulation; failure to
comply with laws and regulations relating to health care fraud or other
 
laws and regulations; failure to comply with
laws and regulations relating to the collection, storage and processing of
 
sensitive personal information or standards
in electronic health records or transmissions; changes in tax legislation;
 
risks related to product liability, intellectual
property and other claims; risks associated with customs policies
 
or legislative import restrictions; risks associated
with disease outbreaks, epidemics, pandemics (such as the COVID-19
 
pandemic), or similar wide-spread public
health concerns and other natural or man-made disasters; risks associated with our
 
global operations; litigation
risks; new or unanticipated litigation developments and the status
 
of litigation matters; our dependence on our
senior management, employee hiring and retention, and our relationships
 
with customers, suppliers and
manufacturers; and disruptions in financial markets.
 
The order in which these factors appear should not be
construed to indicate their relative importance or priority.
We caution that these factors may not be exhaustive and that many of these factors are beyond our ability to control
or predict.
 
Accordingly, any forward-looking statements contained herein should not be relied upon as a prediction
of actual results.
 
We undertake no duty and have no obligation to update forward-looking statements except as
required by law.
 
45
Where You
 
Can Find Important Information
We may disclose important information through one or more of the following channels: SEC filings, public
conference calls and webcasts, press releases, the investor relations
 
page of our website (www.henryschein.com)
and the social media channels identified on the Newsroom page of our website.
Recent Developments
During the years ended December 30, 2023 and December 31, 2022 we
 
continued to experience a decrease in the
sales of PPE and COVID-19 test kits as compared to the comparable
 
prior-year periods, primarily due to lower
market pricing of PPE and lower market demand for COVID-19
 
test kits.
While the U.S. economy has recently experienced inflationary
 
pressures and strengthening of the U.S. dollar, their
impacts have not been material to our results of operations.
 
Though inflation impacts both our revenues and costs,
the depth and breadth of our product portfolio often allows us to offer lower-cost
 
national brand solutions or
corporate brand alternatives to our more price-sensitive customers who
 
are unwilling to absorb price increases, thus
positioning us to protect our gross profit.
Our consolidated financial statements reflect estimates and assumptions
 
made by us that affect, among other things,
our goodwill, long-lived asset and definite-lived intangible asset valuation;
 
inventory valuation; equity investment
valuation; assessment of the annual effective tax rate; valuation of deferred income
 
taxes and income tax
contingencies; the allowance for doubtful accounts; hedging activity; supplier
 
rebates; measurement of
compensation cost for certain share-based performance awards and cash bonus
 
plans; and pension plan
assumptions.
Cybersecurity Incident
In addition to immaterial and unrelated prior incidents at certain of
 
our subsidiaries, in October 2023 Henry Schein
experienced a cybersecurity incident that primarily affected the operations of our
 
North American and European
dental and medical distribution businesses.
 
Henry Schein One, our practice management software, revenue
 
cycle
management and patient relationship management solutions business, was
 
not affected, and our manufacturing
businesses were mostly unaffected. Once we became aware of the issue, we took steps
 
to assess, contain and
remediate this incident.
 
We restored affected systems and applications, our distribution operations resumed and we
reactivated our ecommerce platform.
 
We also notified law enforcement and our employees, customers, suppliers
and investors, informing them of both the incident and management’s efforts to mitigate its impact on our daily
operations and data maintained on the Company’s systems.
 
Subsequently, on or about November 8, 2023, we
determined that the threat actor obtained personal and sensitive information
 
maintained on our systems belonging to
certain third parties and since that date we have notified affected and potentially affected parties
 
as appropriate.
 
The scope of personal and sensitive data impacted is still under investigation.
 
On November 22, 2023, we
experienced a related disruption to our ecommerce platform and related
 
applications, which has since been
remediated.
 
As described in “Management’s Discussion & Analysis – 2023 Compared to 2022, the incident
adversely impacted our financial results for the fourth quarter and full year 2023.
 
We also expect some short-term
residual impact on our financial results in 2024.
We maintain cybersecurity insurance, subject to certain retentions and policy limitations.
 
With respect to the
October 2023 cybersecurity incident, we have a $60 million insurance policy, following a $5 million retention.
 
 
46
Executive-Level Overview
 
Henry Schein, Inc. is a solutions company for health care professionals powered
 
by a network of people and
technology.
 
We
believe we are the world’s largest provider of health care products and services primarily to office-
based dental and medical practitioners, as well as alternate sites of care.
 
We
serve more than one million customers
worldwide including dental practitioners, laboratories, physician practices, and
 
ambulatory surgery centers, as well
as government, institutional health care clinics and other alternate care clinics.
 
We
believe that we have a strong
brand identity due to our more than 91 years of experience distributing health
 
care products.
We are headquartered in Melville, New York,
 
employ approximately 25,000 people (of which approximately
11,500 are based outside of the United States) and have operations or affiliates in 33 countries and territories.
 
Our
broad global footprint has evolved over time through our organic success as well as
 
through contribution from
strategic acquisitions.
We
have established strategically located distribution centers around
 
the world to enable us to better serve our
customers and increase our operating efficiency.
 
This infrastructure, together with broad product and service
offerings at competitive prices, and a strong commitment to customer service, enables
 
us to be a single source of
supply for our customers’ needs.
While our primary go-to-market strategy is in our capacity as a distributor, we also market and sell our own
corporate brand portfolio of cost-effective, high-quality consumable merchandise products,
 
including in vitro
diagnostic devices, manufacture certain dental specialty products in
 
the areas of implants, orthodontics and
endodontics, manufacture drug products, and repackage/relabel prescription drugs
 
and/or devices.
 
We
have
achieved scale in these global businesses primarily through acquisitions, as
 
manufacturers of these products
typically do not utilize a distribution channel to serve customers.
We
conduct our business through two reportable segments: (i) health
 
care distribution and (ii) technology and
value-added services.
 
These segments offer different products and services to the same customer base.
 
Our global
dental businesses serve office-based dental practitioners, dental laboratories, schools, government
 
and other
institutions.
 
Our medical businesses serve physician offices, urgent care centers, ambulatory care sites,
 
emergency
medical technicians, dialysis centers, home health, federal and state governments
 
and large enterprises, such as
group practices and integrated delivery networks, among other providers
 
across a wide range of specialties.
 
The health care distribution reportable segment, combining our global dental and
 
medical operating segments,
distributes consumable products, small equipment, laboratory products, large equipment, equipment
 
repair services,
branded and generic pharmaceuticals, vaccines, surgical products, dental specialty
 
products (including implant,
orthodontic and endodontic products), diagnostic tests, infection-control products,
 
PPE products and vitamins.
 
Our global technology and value-added services business provides software, technology
 
and other value-added
services to health care practitioners.
 
Our technology business offerings include practice management software
systems for dental and medical practitioners.
 
Our value-added practice solutions include practice consultancy,
education, revenue cycle management and financial services on a non-recourse
 
basis, e-services, practice
technology, network and hardware services, as well as consulting, and continuing education services for
practitioners.
A key element to grow closer to our customers is our One Schein initiative, which
 
is a unified go-to-market
approach that enables practitioners to work synergistically with our supply chain,
 
equipment sales and service and
other value-added services, allowing our customers to leverage the
 
combined value that we offer through a single
program.
 
Specifically, One Schein provides customers with streamlined access to our comprehensive offering of
national brand products, our corporate brand products and proprietary specialty
 
products and solutions (including
implant, orthodontic and endodontic products).
 
In addition, customers have access to a wide range of services,
including software and other value-added services.
 
 
47
Industry Overview
In recent years, the health care industry has increasingly focused on cost containment.
 
This trend has benefited
distributors capable of providing a broad array of products and services at low
 
prices.
 
It also has accelerated the
growth of HMOs, group practices, other managed care accounts and collective buying
 
groups, which, in addition to
their emphasis on obtaining products at competitive prices, tend to favor distributors
 
capable of providing
specialized management information support.
 
We
believe that the trend towards cost containment has the potential
to favorably affect demand for technology solutions, including software, which can
 
enhance the efficiency and
facilitation of practice management.
Our operating results in recent years have been significantly affected by strategies
 
and transactions that we
undertook to expand our business, domestically and internationally, in part to address significant changes in the
health care industry, including consolidation of health care distribution companies, health care reform, trends
toward managed care, cuts in Medicare and collective purchasing arrangements.
Industry Consolidation
The health care products distribution industry, as it relates to office-based health care practitioners, is fragmented
and diverse.
 
The industry ranges from sole practitioners working out of
 
relatively small offices to group practices
or service organizations ranging in size from a few practitioners to a large number of practitioners who have
combined or otherwise associated their practices.
Due in part to the inability of office-based health care practitioners to store and manage
 
large quantities of supplies
in their offices, the distribution of health care supplies and small equipment to office-based health
 
care practitioners
has been characterized by frequent, small quantity orders, and a need for rapid,
 
reliable and substantially complete
order fulfillment.
 
The purchasing decisions within an office-based health care practice are typically
 
made by the
practitioner or an administrative assistant.
 
Supplies and small equipment are generally purchased from more
 
than
one distributor, with one generally serving as the primary supplier.
The trend of consolidation extends to our customer base.
 
Health care practitioners are increasingly seeking to
partner, affiliate or combine with larger entities such as hospitals, health systems, group practices or physician
hospital organizations.
 
In many cases, purchasing decisions for consolidated groups
 
are made at a centralized or
professional staff level; however, orders are delivered to the practitioners’ offices.
We
believe that consolidation within the industry will continue to
 
result in a number of distributors, particularly
those with limited financial, operating and marketing resources, seeking to
 
combine with larger companies that can
provide growth opportunities.
 
This consolidation also may continue to result in distributors seeking
 
to acquire
companies that can enhance their current product and service offerings or provide
 
opportunities to serve a broader
customer base.
Our approach to acquisitions and joint ventures has been to expand our role as
 
a provider of products and services
to the health care industry.
 
This trend has resulted in our expansion into service areas that complement
 
our existing
operations and provide opportunities for us to develop synergies with, and thus strengthen, the acquired
 
businesses.
As industry consolidation continues, we believe that we are positioned to
 
capitalize on this trend, as we believe we
have the ability to support increased sales through our existing infrastructure, although
 
there can be no assurances
that we will be able to successfully accomplish this.
 
We
also have invested in expanding our sales/marketing
infrastructure to include a focus on building relationships with decision
 
makers who do not reside in the office-
based practitioner setting.
As the health care industry continues to change, we continually evaluate possible
 
candidates for joint venture or
acquisition and intend to continue to seek opportunities to expand our
 
role as a provider of products and services to
the health care industry.
 
There can be no assurance that we will be able to successfully pursue
 
any such
opportunity or consummate any such transaction, if pursued.
 
If additional transactions are entered into or
consummated, we would incur merger and/or acquisition-related costs, and there
 
can be no assurance that the
integration efforts associated with any such transaction would be successful.
48
Aging Population and Other Market Influences
The health care products distribution industry continues to experience growth
 
due to the aging population,
increased health care awareness, the proliferation of medical technology
 
and testing, new pharmacological
treatments, and expanded third-party insurance coverage, partially offset by the effects of unemployment
 
on
insurance coverage.
 
In addition, the physician market continues to benefit from the
 
shift of procedures and
diagnostic testing from acute care settings to alternate-care sites, particularly
 
physicians’ offices.
According to the U.S. Census Bureau’s International Database, between 2023
 
and 2033, the 45 and older
population is expected to grow by approximately 11%.
 
Between 2023 and 2043, this age group is expected to grow
by approximately 21%.
 
This compares with expected total U.S. population growth
 
rates of approximately 6%
between 2023 and 2033
 
and approximately 11% between 2023 and 2043.
According to the U.S. Census Bureau’s International Database, in 2023
 
there are approximately seven million
Americans aged 85 years or older, the segment of the population most in need of long-term care
 
and elder-care
services.
 
By the year 2050, that number is projected to nearly triple to approximately
 
19 million.
 
The population
aged 65 to 84 years is projected to increase by approximately 23% during
 
the same period.
As a result of these market dynamics, annual expenditures for health
 
care services continue to increase in the
United States.
 
We believe that demand for our products and services will grow while continuing to be impacted by
current and future operating, economic, and industry conditions.
 
The Centers for Medicare and Medicaid Services,
or CMS, published “National Health Expenditure Data” indicating
 
that total national health care spending reached
approximately $4.5 trillion in 2022, or 17.3% of the nation’s gross domestic product, the benchmark
 
measure for
annual production of goods and services in the United States.
 
Health care spending is projected to reach
approximately $7.2 trillion by 2031, or 19.6% of the nation’s projected gross domestic product.
Government
 
Our businesses are generally subject to numerous laws and regulations that could
 
impact our financial performance,
and failure to comply with such laws or regulations could have a
 
material adverse effect on our business.
 
See “
” for a discussion of laws, regulations and governmental activity
that may affect our results of operations and financial condition.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
49
Results of Operations
Refer to Item 7: Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
in
our 2022 Annual Report on Form 10-K for management’s discussion and analysis of financial condition and results
of operations for the fiscal year 2022 compared to fiscal year 2021.
The following tables summarize the significant components of our operating
 
results and cash flows:
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Operating results:
Net sales
$
12,339
$
12,647
$
12,401
Cost of sales
8,478
8,816
8,727
Gross profit
3,861
3,831
3,674
Operating expenses:
Selling, general and administrative
2,956
2,771
2,634
Depreciation and amortization
210
182
180
Restructuring and integration costs
80
131
8
Operating income
$
615
$
747
$
852
Other expense, net
$
(73)
$
(26)
$
(21)
Gain on sale of equity investment
-
-
7
Net income
436
566
660
Net income attributable to Henry Schein, Inc.
416
538
631
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Cash flows:
Net cash provided by operating activities
$
500
$
602
$
710
Net cash used in investing activities
(1,135)
(276)
(677)
Net cash provided by (used in) financing activities
701
(315)
(333)
 
50
Plans of Restructuring and Integration Costs
On August 1, 2022, we committed to a restructuring plan focused on
 
funding the priorities of the BOLD+1 strategic
plan, streamlining operations and other initiatives to increase efficiency.
 
We revised our previous expectations of
completion and we have extended this initiative through the end of 2024.
 
We are currently unable in good faith to
make a determination of an estimate of the amount or range of amounts
 
expected to be incurred in connection with
these activities, both with respect to each major type of cost associated
 
therewith and to the total cost, or an
estimate of the amount or range of amounts that will result in future
 
cash expenditures.
During the years ended December 30, 2023, December 31, 2022, and December
 
25, 2021, we recorded
restructuring costs of $80 million, $128 million, and $8 million, respectively.
 
The restructuring costs for these
periods primarily related to severance and employee-related costs,
 
impairment of intangible assets, accelerated
amortization of right-of-use lease assets and fixed assets, other lease exit
 
costs, and certain business exit costs
discussed below.
 
During the year ended December 30, 2023, in connection with our restructuring
 
plan, we recorded an impairment of
an intangible asset of $12 million related to a planned disposal of a non-U.S.
 
business.
 
The disposal is expected to
be completed in 2024.
 
This impairment is included in the $80 million of restructuring
 
charges discussed above.
During the year ended December 31, 2022, in connection with our
 
restructuring plan, we vacated one of the
buildings at our corporate headquarters in Melville, New York, which resulted in an accelerated amortization of a
right-of-use lease asset of $34 million.
 
We also initiated the disposal of a non-profitable U.S. business and
recorded related costs of $49 million, which primarily consisted of
 
impairment of intangible assets and goodwill,
inventory impairment, and severance and employee-related costs.
 
These expenses are included in the $128 million
of restructuring charges discussed above.
 
The disposal was completed during the first quarter of 2023.
 
On August 26, 2022, we acquired Midway Dental Supply.
 
In connection with this acquisition, during the year
ended December 31, 2022, we recorded integration costs of $3 million
 
related to one-time employee and other
costs, as well as restructuring charges of $9 million, which are included in the
 
$128 million of restructuring charges
discussed above.
On November 20, 2019, we committed to a contemplated restructuring
 
initiative intended to mitigate stranded costs
associated with the spin-off of our animal health business and to rationalize operations
 
and provide expense
efficiencies.
 
These activities were originally expected to be completed by
 
the end of 2020 but we extended them to
the end of 2021 in light of the changes to the business environment brought
 
on by the COVID-19 pandemic.
 
The
restructuring activities under this prior initiative were completed
 
in 2021.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
51
2023 Compared to 2022
Note: Percentages for Net Sales; Gross Profit; Operating Expenses; Other
 
Expense, Net; and Income Taxes are
based on actual values and may not recalculate due to rounding.
Net Sales
Net sales were as follows:
 
% of
% of
Increase / (Decrease)
2023
Total
2022
Total
$
%
Health care distribution
(1)
Dental
$
7,539
61.1
%
$
7,473
59.1
%
$
66
0.9
%
Medical
3,994
32.4
4,451
35.2
(457)
(10.3)
Total health care distribution
11,533
93.5
11,924
94.3
(391)
(3.3)
Technology and value-added services
(2)
806
6.5
723
5.7
83
11.4
Total
$
12,339
100.0
$
12,647
100.0
$
(308)
(2.4)
The components of our sales growth were as follows:
Local Currency Growth/(Decline)
Total Local
Currency
Growth/(Decline)
Foreign
Exchange
Impact
Total Sales
Growth/(Decline)
Local Internal
Growth
Acquisition
Growth
Extra Week
Impact
Health care distribution
(1)
Dental Merchandise
(1.6)
%
4.2
%
(1.0)
%
1.6
%
0.1
%
1.7
%
Dental Equipment
(0.9)
1.1
(2.1)
(1.9)
-
(1.9)
Total Dental
(1.4)
3.4
(1.3)
0.7
0.2
0.9
Medical
(11.2)
2.2
(1.3)
(10.3)
-
(10.3)
Total Health Care Distribution
(5.1)
2.9
(1.2)
(3.4)
0.1
(3.3)
Technology and value-added services
(2)
7.2
5.0
(0.8)
11.4
-
11.4
Total
(4.4)
3.1
(1.2)
(2.5)
0.1
(2.4)
(1)
Consists of consumable products, dental specialty products (including implant, orthodontic and endodontic products), small
equipment, laboratory products, large equipment, equipment repair services, branded and generic pharmaceuticals, vaccines, surgical
products, diagnostic tests, infection-control products, PPE products and vitamins.
(2)
Consists of practice management software and other value-added products, which are distributed primarily to health care providers,
practice consultancy, education, revenue cycle management and financial services on a non-recourse basis, e-services, continuing
education services for practitioners, consulting and other services.
Global Sales
We report our results of operations on a 52 or 53 weeks per fiscal year basis ending on the last Saturday of
December.
 
The year ended December 30, 2023, consisted of 52 weeks,
 
and the year ended, December 31, 2022
consisted of 53 weeks,
 
resulting in an extra week of sales.
Global net sales for the year ended December 30, 2023 decreased 2.4%.
 
The components of our sales growth are
presented in the table above.
 
The 4.4% decrease in our internally generated local currency sales was primarily
 
attributable to a decrease in sales
of PPE products and COVID-19 test kits.
 
For the nine months ended September 30, 2023, the estimated
 
increase in
internally generated local currency sales, excluding PPE products
 
and COVID-19 test kits, was 3.5%.
 
However, as
a result of the adverse impact of the cybersecurity incident during the quarter
 
ended December 30, 2023, our
internally generated local currency sales, excluding sales of PPE products
 
and COVID-19 test kits, on a full year
basis were flat compared to the prior year.
In addition, we estimate that sales of PPE products and COVID-19
 
test kits were approximately $713 million and
$1,245 million for the years ended December 30, 2023 and December 31,
 
2022, respectively, representing an
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
52
estimated decrease of $532 million or 42.7%
 
versus the prior year, with the $532 million net decrease year-over-
year representing 4.2%
 
of global net sales for the year ended December 30, 2023.
 
Dental
Dental net sales for the year ended December 30, 2023 increased 0.9%.
 
The components of our sales growth are
presented in the table above.
 
Our decrease in internally generated local currency sales for dental
 
merchandise was
primarily attributable to the negative impact of the cybersecurity incident.
 
Our sales decrease in internally
generated local currency for dental equipment was also primarily attributable
 
to the impact of the cybersecurity
incident.
 
We estimate that sales of PPE products were approximately $338 million and $448 million for the years ended
December 30, 2023 and December 31, 2022, respectively, representing an estimated decrease of $110 million or
24.5% versus the prior year, with the $110 million net decrease year-over-year representing 1.5% of dental net sales
for the year ended December 30, 2023.
 
The decrease in sales of PPE products is primarily due to lower
 
market
prices and loss of demand during the cybersecurity incident.
 
Our estimated internally generated local currency
sales, excluding PPE products were flat compared to the prior year.
 
Medical
Medical net sales for the year ended December 30, 2023 decreased 10.3%.
 
The components of our sales growth are
presented in the table above.
 
The internally generated local currency decrease in medical sales
 
is primarily
attributable to the impact of the cybersecurity incident that occurred
 
during the fourth quarter of the year ended
December 30, 2023 and to lower sales of PPE products and COVID-19
 
test kits and other point-of-care diagnostic
products.
We estimate that sales of PPE products and COVID-19 test kits were approximately $375 million and $797 million
for the years ended December 30, 2023 and December 31, 2022, respectively, representing an estimated decrease
 
of
$422 million or 52.9% versus the prior year, with the $422 million net decrease year-over-year representing 10.6%
of medical net sales for the year ended December 30, 2023.
 
The decrease in sales of these products is primarily due
to lower market prices of PPE, lower market demand of COVID-19
 
test kits, and loss of sales of both product
categories during the cybersecurity incident.
 
The estimated decrease in internally generated local currency
 
sales,
excluding PPE products and COVID-19 test kits was 2.2%.
Technology and value-added services
Technology and value-added services net sales for the year ended December 30, 2023 increased 11.4%.
 
The
components of our sales growth are presented in the table above.
 
During the year ended December 30, 2023, the
trend for sales of practice management software growth remains
 
strong as we continued to increase the number of
cloud-based users.
 
We also experienced increased demand for our revenue cycle management solutions and our
analytical products.
 
The increase in sales during the year ended December 30, 2023
 
was partially offset by the
expiration, during the year ended December 31, 2022, of a modestly profitable
 
government contract in one of our
value-added services businesses.
 
This segment of our business was largely unaffected by the cybersecurity incident
in the fourth quarter.
Gross Profit
Gross profit and gross margin percentages by segment and in total were as follows:
Gross
Gross
Increase / (Decrease)
2023
Margin %
2022
Margin %
$
%
Health care distribution
$
3,312
28.7
%
$
3,357
28.2
%
$
(45)
(1.3)
%
Technology and value-added services
549
68.0
474
65.5
75
15.7
Total
$
3,861
31.3
$
3,831
30.3
$
30
0.8
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
53
As a result of different practices of categorizing costs associated with distribution networks
 
throughout our
industry, our gross margins may not necessarily be comparable to other distribution companies.
 
Additionally, we
realize substantially higher gross margin percentages in our technology and value-added services
 
segment than in
our health care distribution segment.
 
These higher gross margins result from being both the developer and seller of
software products and services, as well as certain financial services.
 
The software industry typically realizes higher
gross margins to recover investments in research and development.
Within our health care distribution segment, gross profit margins may vary between the periods as a result of
 
the
changes in the mix of products sold as well as changes in our customer
 
mix.
 
For example, sales of our corporate
brand and certain specialty products achieve gross profit margins that are higher than average
 
total gross profit
margins of all products.
 
With respect to customer mix, sales to our large-group customers are typically completed
at lower gross margins due to the higher volumes sold as opposed to the gross margin on sales to office-based
practitioners, who normally purchase lower volumes.
 
Health care distribution gross profit for the year ended December 30, 2023
 
decreased compared to the prior-year-
period due to the decrease in sales resulting from the cybersecurity
 
incident and a reduction in sales of PPE
products and COVID-19 test kits, partially offset by gross profit from acquisitions
 
and gross margin expansion as a
result of a favorable impact of sales mix of higher-margin products.
Technology and value-added services gross profit increased as a result of a higher gross profit from internally
generated sales and gross profit from acquisitions, as well as an increase
 
in gross margin rates primarily due to
product mix and increases in productivity.
Operating Expenses
Operating expenses (consisting of selling, general and administrative
 
expenses; depreciation and amortization,
restructuring and integration costs) by segment and in total were as follows:
% of
% of
Respective
Respective
Increase
2023
Net Sales
2022
Net Sales
$
%
Health care distribution
$
2,842
24.6
%
$
2,738
23.0
%
$
104
3.8
%
Technology and value-added services
404
50.1
346
47.8
58
16.8
Total
 
$
3,246
26.3
%
$
3,084
24.4
%
$
162
5.3
%
The net increase in operating expenses is attributable to the following:
Operating Costs
Restructuring and
Integration Costs
Acquisitions
Total
Health care distribution
$
92
$
(55)
$
67
$
104
Technology and value-added services
5
4
49
58
Total
$
97
$
(51)
$
116
$
162
The increase in operating costs during the year ended December 30, 2023 includes
 
increases in payroll and payroll
related costs, travel, convention and consulting expenses in both of our reportable
 
segments and increased
acquisition expenses in our healthcare distribution segment.
 
During the year ended December 30, 2023, our
operating expenses were favorably impacted by the recognition of
 
a remeasurement gain of $18 million following
an acquisition of a controlling interest of a previously held equity
 
investment, and were negatively impacted by
restructuring, an impairment of capitalized costs of $27 million and impairment
 
of intangible assets of $7 million
within our health care distribution segment.
 
During the year ended December 30, 2023, we also incurred $11
million of direct costs, primarily professional fees, for the remediation of
 
the cybersecurity incident.
 
The
restructuring and integration costs are primarily related to severance and
 
employee-related costs, accelerated
amortization of right-of-use lease assets and fixed assets, and other lease exit
 
costs.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
54
Other Expense, Net
Other expense, net was as follows:
 
Variance
2023
2022
$
%
Interest income
$
17
$
8
$
9
125.1
%
Interest expense
(87)
(35)
(52)
(148.7)
Other, net
(3)
1
(4)
n/a
Other expense, net
$
(73)
$
(26)
$
(47)
(172.9)
%
Interest income increased primarily due to increased interest rates.
 
Interest expense increased primarily due to
increased borrowings and increased interest rates.
Income Taxes
Our effective tax rate was 22.1% for the year ended December 30, 2023 compared to 23.5%
 
for the prior year.
 
In
each year, the difference between our effective and federal statutory tax rates primarily relates to state and foreign
income taxes and interest expense.
The Organization of Economic Co-Operation and Development (OECD) issued
 
technical and administrative
guidance on Pillar Two Model Rules in December 2021, which provides for a global minimum tax rate on the
earnings of large multinational businesses, on a country-by-country basis.
 
Effective January 1, 2024, the minimum
global tax rate is 15% for various jurisdictions pursuant to the Pillar Two framework.
 
Future tax reform resulting
from these developments may result in changes to long-standing tax principles,
 
which may adversely impact our
effective tax rate going forward or result in higher cash tax liabilities.
 
As we operate in jurisdictions which have
adopted Pillar 2, we are continuing to analyze the implications to effectively manage
 
the impact for 2024 and
beyond.
 
55
Liquidity and Capital Resources
Our principal capital requirements have included funding of acquisitions, purchases
 
of additional noncontrolling
interests, repayments of debt principal, the funding of working capital needs,
 
purchases of fixed assets and
repurchases of common stock.
 
Working capital requirements generally result from increased sales, special
inventory forward buy-in opportunities and payment terms for receivables
 
and payables.
 
Historically, sales have
tended to be stronger during the second half of the year and special inventory
 
forward buy-in opportunities have
been most prevalent just before the end of the year, and have caused our working capital requirements
 
to be higher
from the end of the third quarter to the end of the first quarter of
 
the following year.
We finance our business primarily through cash generated from our operations, revolving credit facilities and debt
placements.
 
Please see
 
for further information.
 
Our ability to generate sufficient cash flows from
operations is dependent on the continued demand of our customers
 
for our products and services, and access to
products and services from our suppliers.
Our business requires a substantial investment in working capital, which
 
is susceptible to fluctuations during the
year as a result of inventory purchase patterns and seasonal demands.
 
Inventory purchase activity is a function of
sales activity, special inventory forward buy-in opportunities and our desired level of inventory.
 
We anticipate
future increases in our working capital requirements.
We finance our business to provide adequate funding for at least 12 months.
 
Funding requirements are based on
forecasted profitability and working capital needs, which, on occasion, may
 
change.
 
Consequently, we may change
our funding structure to reflect any new requirements.
We believe that our cash and cash equivalents, our ability to access private debt markets and public equity markets,
and our available funds under existing credit facilities provide us with
 
sufficient liquidity to meet our currently
foreseeable short-term and long-term capital needs.
Our acquisition strategy is focused on investments in companies that
 
add new customers and sales teams, increase
our geographic footprint (whether entering a new country, such as emerging markets, or building scale where we
have already invested in businesses), and finally, those that enable us to access new products and technologies.
 
As
part of our BOLD+1 Strategic Plan, including pursuing focused mergers and acquisitions,
 
during the year ended
December 30, 2023 we have announced acquisitions of companies specializing
 
in implant systems, clear aligners,
homecare medical products delivered directly to patients, and dental practice
 
transition services.
Net cash provided by operating activities was $500 million for the
 
year ended December 30, 2023, compared to net
cash provided by operating activities of $602 million for the prior year.
 
The net change of $102 million was
primarily attributable to lower cash net income.
 
During the quarter ended December 30, 2023, the cybersecurity
incident had several offsetting impacts to the operating cash flows from our working
 
capital, net of acquisitions,
including a decrease in operating cash flows from accounts receivable
 
due to delayed timing of billings and limited
collection efforts resulting from the impact of the cybersecurity incident, and an increase
 
in operating cash flows
resulting from reduced inventory purchases.
 
Net cash used in investing activities was $1,135 million for the
 
year ended December 30, 2023, compared to net
cash used in investing activities of $276 million for the prior year.
 
The net change of $859 million was primarily
attributable to increased payments for equity investments and business acquisitions,
 
and increased purchases of
fixed assets resulting from our continued investment in our facilities and operations.
Net cash provided by financing activities was $701 million for the year
 
ended December 30, 2023, compared to net
cash used in financing activities of $315 million for the prior year.
 
The net change of $1,016 million was primarily
due to increased net borrowings from debt
 
to finance our investments, partially offset by decreased repurchases of
common stock.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
56
The following table summarizes selected measures of liquidity and capital
 
resources:
December 30,
December 31,
2023
2022
Cash and cash equivalents
 
$
171
$
117
Working
 
capital
(1)
1,805
1,764
Debt:
Bank credit lines
 
$
264
$
103
Current maturities of long-term debt
 
150
6
Long-term debt
 
1,937
1,040
Total debt
 
$
2,351
$
1,149
Leases:
Current operating lease liabilities
$
80
$
73
Non-current operating lease liabilities
310
275
(1)
Includes $284 million and $327 million of certain accounts receivable which serve as security for U.S. trade accounts receivable
securitizations at December 30, 2023 and December 31, 2022, respectively.
Our cash and cash equivalents consist of bank balances and investments
 
in money market funds representing
overnight investments with a high degree of liquidity.
Accounts receivable days sales outstanding and inventory turns
Our accounts receivable days sales outstanding from operations
 
increased to 46.2 days as of December 30, 2023
from 41.9 days as of December 31, 2022 due to delays in billings
 
leading to limited collections in the quarter ended
December 30, 2023 as a result of the cybersecurity incident.
 
During the years ended December 30, 2023 and
December 31, 2022, we wrote off approximately $16 million and $10 million, respectively, of fully reserved
accounts receivable against our trade receivable reserve.
 
Our inventory turns from operations was 4.5 as of
December 30, 2023 and 4.7 as of December 31, 2022.
 
Our working capital accounts may be impacted by current
and future economic conditions.
Contractual obligations
The following table summarizes our contractual obligations related
 
to fixed and variable rate long-term debt and
finance lease obligations, including interest (assuming a weighted
 
average interest rate of 4.8%), as well as
inventory purchase commitments and operating lease obligations
 
as of December 30, 2023:
Payments due by period
< 1 year
2 - 3 years
4 - 5 years
> 5 years
Total
Contractual obligations:
Long-term debt, including interest
$
243
$
1,097
$
346
$
783
$
2,469
Inventory purchase commitments
5
8
4
-
17
Operating lease obligations
92
141
86
119
438
Transition tax obligations
11
24
-
-
35
Finance lease obligations, including interest
4
3
2
-
9
Total
$
355
$
1,273
$
438
$
902
$
2,968
For information relating to our debt please see
.
 
57
Leases
We have operating and finance leases for corporate offices, office space, distribution and other facilities, vehicles
and certain equipment.
 
Our leases have remaining terms of less than one year to
 
approximately 18 years, some of
which may include options to extend the leases for up to 15 years.
 
As of December 30, 2023, our right-of-use
assets related to operating leases were $325 million and our current and non-current
 
operating lease liabilities were
$80 million and $310 million, respectively.
 
Please see
 
for further information.
 
Stock Repurchases
On February 8, 2023, our Board authorized the repurchase of up
 
to an additional $400 million in shares of our
common stock.
From March 3, 2003 through December 30, 2023, we repurchased $4.7
 
billion, or 90,394,805 shares, under our
common stock repurchase programs, with $265 million available
 
as of December 30, 2023 for future common stock
share repurchases.
Redeemable Noncontrolling Interests
Some minority stockholders in certain of our consolidated subsidiaries have
 
the right, at certain times, to require us
to acquire their ownership interest in those entities.
 
Accounting Standards Codification Topic 480-10 is applicable
for noncontrolling interests where we are or may be required to purchase
 
all or a portion of the outstanding interest
in a consolidated subsidiary from the noncontrolling interest holder
 
under the terms of a put option contained in
contractual agreements.
 
As of December 30, 2023 and December 31, 2022,
 
our balance for redeemable
noncontrolling interests was $864 million and $576 million, respectively.
 
Please see
 
for further information.
Unrecognized tax benefits
 
As more fully disclosed in
 
of “Notes to Consolidated Financial Statements,” we cannot
reasonably estimate the timing of future cash flows related to our unrecognized
 
tax benefits, including accrued
interest, of $115 million as of December 30, 2023.
 
Critical Accounting Estimates
Our accounting policies are more fully described in
 
of the consolidated financial statements.
 
The preparation of consolidated financial statements requires us
to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues
 
and expenses and
related disclosures of contingent assets and liabilities.
 
We base our estimates on historical data, when available,
experience, industry and market trends, and on various other assumptions
 
that are believed to be reasonable under
the circumstances, the combined results of which form the basis for
 
making judgments about the carrying values of
assets and liabilities that are not readily apparent from other sources.
 
We believe that the estimates, judgments and
assumptions upon which we rely are reasonable based upon information
 
available to us at the time that these
estimates, judgments and assumptions are made.
 
However, by their nature, estimates are subject to various
assumptions and uncertainties.
 
Therefore, reported results may differ from estimates and any such differences may
be material to our consolidated financial statements.
 
We believe that the following critical accounting estimates, which have been discussed with the Audit Committee
of our Board, affect the significant estimates and judgments used in the preparation
 
of our consolidated financial
statements:
Inventories and Reserves
Inventories consist primarily of finished goods and are valued at
 
the lower of cost or net realizable value.
 
Cost is
determined by the first-in, first-out method for merchandise and actual cost
 
for large equipment and high tech
equipment.
 
In estimating carrying value of inventory, we consider many factors including the condition and
58
salability of the inventory by reviewing on-hand quantities, historical sales,
 
forecasted sales and market and
economic trends.
 
Certain of our products, specifically PPE and COVID-19 test kits, have experienced
 
changes in
net realizable value, due to volatility of pricing and changes in demand
 
for these products.
 
Business Combinations
The estimated fair value of acquired identifiable intangible assets (i.e., customer
 
relationships and lists, trademarks
and trade names, product development and non-compete agreements)
 
is based on critical judgments and
assumptions derived from analysis of market conditions, including discount
 
rates, projected revenue growth rates
(which are based on historical trends and assessment of financial projections),
 
estimated customer attrition and
projected cash flows.
 
These assumptions are forward-looking and could be affected by future economic
 
and market
conditions.
 
Please see
 
for further discussion of our acquisitions.
Goodwill
Goodwill is subject to impairment analysis at least once annually as
 
of the first day of our fourth quarter, or if an
event occurs or circumstances change that would more likely than
 
not reduce a reporting unit’s fair value below
carrying value.
 
We regard our reporting units to be our operating segments: our global dental and medical
businesses, and technology and value-added services.
 
Goodwill is allocated to such reporting units, for the
purposes of preparing our impairment analyses, based on a specific identification
 
basis.
 
Application of the goodwill impairment test requires judgment, including
 
the identification of reporting units,
assignment of assets and liabilities that are considered shared services
 
to the reporting units, and ultimately the
determination of the fair value of each reporting unit.
 
The fair value of each reporting unit is calculated by
applying the discounted cash flow methodology and confirming with
 
a market approach.
 
There are inherent
uncertainties, however, related to fair value models, the inputs and our judgments in applying them
 
to this analysis.
 
The most significant inputs include estimation of detailed future cash flows based
 
on budget expectations, and
determination of comparable companies to develop a weighted average
 
cost of capital for each reporting unit.
 
On an annual basis, we prepare financial projections.
 
These projections are based on input from our leadership and
are presented annually to our Board.
 
Influences on this year's forecasted financial information and
 
the fair value
model include: the impact of planned strategic initiatives, the continued
 
integration of recent acquisitions and
overall market conditions.
 
The estimates used to calculate the fair value of a reporting unit change
 
from year to
year based on operating results, market conditions, and other factors.
Our third-party valuation specialists provide inputs into our determination
 
of the discount rate.
 
The rate is
dependent on a number of underlying assumptions, including the risk-free rate,
 
tax rate, equity risk premium, debt
to equity ratio and pre-tax cost of debt.
Long-term growth rates are applied to our estimation of future cash flows.
 
The long-term growth rates are tied to
growth rates we expect to achieve beyond the years for which we have
 
forecasted operating results.
 
We also
consider external benchmarks, and other data points which we believe are
 
applicable to our industry and the
composition of our global operations.
For the years ended December 30, 2023 and December 25, 2021, we believe
 
the fair value of each of our reporting
units sufficiently exceeds the carrying values and thus we did not record any amount
 
for goodwill impairment.
 
Based on our quantitative assessment for the year ended December 31, 2022,
 
we recorded a $20 million impairment
of goodwill relating to the disposal of an unprofitable business for which
 
estimated fair value was lower than
carrying value.
 
As part of our analysis for the rest of the goodwill balance, we performed
 
a sensitivity analysis on
the discount rate and long-term growth rate assumptions.
 
The sensitivities did not result in any additional
impairment charges.
 
59
Definite-Lived Intangible Assets
Annually or if we identify an impairment indicator,
 
definite-lived intangible assets such as non-compete
agreements, trademarks, trade names, customer relationships and lists, and
 
product development are reviewed for
impairment indicators.
 
If any impairment indicators exist, quantitative testing
 
is performed on the asset.
The quantitative impairment model is a two-step test under which we
 
first calculate the recoverability of the
carrying value by comparing the undiscounted projected cash flows associated
 
with the asset or asset group,
including its estimated residual value, to the carrying amount.
 
If the cash flows associated with the asset or asset
group are less than the carrying value, we perform a fair value assessment
 
of the asset, or asset group.
 
If the
carrying amount is found to be greater than the fair value, we record an
 
impairment loss for the excess of book
value over the fair value.
 
In addition, in all cases of an impairment review, we re-evaluate the remaining useful
lives of the assets and modify them, as appropriate.
 
Although we believe our judgments, estimates and/or
assumptions used in estimating cash flows and determining fair value
 
are reasonable, making material changes to
such judgments, estimates and/or assumptions could materially affect such impairment
 
analyses and our financial
results.
 
 
During the year ended December 30, 2023 we recorded $19 million of
 
impairment charges related to businesses in
our health care distribution segment, the components of which were
 
$7 million primarily related to customer lists
and relationships attributable to lower than anticipated operating
 
margins in certain businesses, and a $12 million
charge related to the planned exit of a business.
 
These impairment charges were calculated as the differences
between the carrying values and the estimated fair values of the impaired
 
intangible assets, using a discounted
estimate of future cash flows.
 
Please see
 
for additional
details.
During the year ended December 31, 2022 we recorded $49 million of
 
impairment charges related to businesses in
our health care distribution segment, the components of which were
 
a $15 million charge related to the disposal of
an unprofitable business and a $34 million charge related to customer lists and relationships
 
attributable to
customer attrition rates being higher than expected in certain other
 
health care distribution businesses.
 
These
impairment charges were calculated as the differences between the carrying values and the
 
estimated fair values of
the impaired intangible assets, using a discounted estimate of future
 
cash flows.
 
Please see
 
for additional details.
During the year ended December 25, 2021, we recorded a $1 million
 
impairment charge related ratably to a
business within our health care distribution segment and a business within
 
our technology and value-added services
segment.
Redeemable Noncontrolling Interests
Some minority stockholders in certain of our consolidated subsidiaries have
 
the right, at certain times, to require us
to acquire their ownership interest in those entities at fair value.
 
The redemption amounts have been estimated
based on recent transactions, expected future earnings and cash flows
 
and, if such earnings and cash flows are not
achieved, the value of the redeemable noncontrolling interests might be impacted.
 
See
 
and
 
for additional
information.
Income Tax
When determining if the realization of a deferred tax asset is likely to assess
 
the need to record a valuation
allowance, estimates and judgement are required.
 
We
consider all available evidence, both positive and negative,
including estimated future taxable earnings, ongoing planning strategies,
 
future reversals of existing temporary
differences and historical operating results.
 
Additionally, changes to tax laws and statutory tax rates can have an
impact on our determination.
 
Our intention is to evaluate the realizability of our deferred tax assets quarterly.
ASC Topic 740 prescribes the accounting for uncertainty in income taxes recognized in the financial statements in
accordance with provisions contained within its guidance.
 
This topic prescribes a recognition threshold and a
measurement attribute for the financial statement recognition and measurement
 
of tax positions taken or expected to
60
be taken in a tax return.
 
For those benefits to be recognized, a tax position must be more
 
likely than not to be
sustained upon examination by the taxing authorities.
 
The amount recognized is measured as the largest amount of
benefit that has a greater than 50% likelihood of being realized upon ultimate
 
audit settlement.
 
In the normal
course of business, our tax returns are subject to examination by various
 
taxing authorities.
 
Such examinations may
result in future tax and interest assessments by these taxing authorities for uncertain
 
tax positions taken in respect of
certain tax matters.
 
Please see
 
for further discussion.
The Financial Accounting Standards Board Staff Q&A, Topic 740 No. 5, Accounting for Global Intangible Low-
Taxed Income (“GILTI”),
 
states that an entity can make an accounting policy election to
 
either recognize deferred
taxes for temporary differences expected to reverse as GILTI in future years or provide for the tax expense related
to GILTI in the year the tax is incurred.
 
We have elected to recognize the tax on GILTI as a period expense in the
period the tax is incurred.
 
Accounting Standards Update
For a discussion of accounting standards updates that have been adopted
 
or will be adopted in the future, please see
 
included under Item 8.
ITEM 7A.
 
Quantitative and Qualitative Disclosures About Market Risk
 
We are exposed to market risks, interest rate risks as well as changes in foreign currency exchange rates as
measured against the U.S. dollar and each other, and changes to the credit markets.
 
We attempt to minimize these
risks primarily by using foreign currency forward contracts and by
 
maintaining counter-party credit limits.
 
These
hedging activities provide only limited protection against currency exchange
 
and credit risks.
 
Factors that could
influence the effectiveness of our hedging programs include currency markets and
 
availability of hedging
instruments and liquidity of the credit markets.
 
All foreign currency forward contracts that we enter into are
components of hedging programs and are entered into for the sole purpose
 
of hedging an existing or anticipated
currency exposure.
 
We do not enter into such contracts for speculative purposes and we manage our credit risks by
diversifying our investments, maintaining a strong balance sheet and having
 
multiple sources of capital.
Foreign Currency
The value of certain foreign currencies compared to the U.S. dollar may
 
affect our financial results.
 
Fluctuations in
exchange rates may positively or negatively affect our revenues, gross margins, operating expenses
 
and retained
earnings, all of which are expressed in U.S. dollars.
 
Where we deem it prudent, we engage in hedging programs
using primarily foreign currency forward contracts aimed at limiting
 
the impact of foreign currency exchange rate
fluctuations on earnings.
 
We purchase short-term (i.e., generally 18 months or less) foreign currency forward
contracts to protect against currency exchange risks associated with intercompany
 
loans due from our international
subsidiaries and the payment of merchandise purchases to foreign
 
suppliers.
 
We do not hedge the translation of
foreign currency profits into U.S. dollars, as we consider foreign
 
currency translation to be an accounting exposure,
not an economic exposure.
 
A hypothetical 5% change in the average value of the U.S. dollar in 2023 compared
 
to
foreign currencies would have changed our 2023 reported Net income
 
attributable to Henry Schein, Inc. by
approximately $5 million.
As of December 30, 2023, our forward foreign currency exchange agreements,
 
which expire through November 3,
2028, had a fair value of $(8) million as determined by quoted market prices.
 
Included in the forward foreign
currency exchange agreements, Henry Schein, Inc. had net investment
 
designated EUR/USD forward contracts
with notional values of approximately €300 million and reported fair values
 
of $(7) million.
 
A 5% increase in the
value of the Euro to the USD from December 30, 2023 would decrease the fair
 
value of these forward contracts by
$18 million.
Total
 
Return Swaps
On March 20, 2020, we entered into a total return swap for the purpose
 
of economically hedging our unfunded non-
qualified supplemental retirement plan and our deferred compensation plan obligation.
 
61
At inception, the notional value of the investments in these plans was $43
 
million.
 
At December 30, 2023, the
notional value of the investments in these plans was $96 million.
 
At December 30, 2023, the financing blended rate
for this swap was based on the Secured Overnight Financing Rate (“SOFR”)
 
of 5.33%
 
plus 0.52%, for a combined
rate of 5.85%.
 
For the years ended December 30, 2023, December 31, 2022, and
 
December 25, 2021 we have
recorded a gain/(loss), within selling, general and administrative expense,
 
of approximately $10 million, $(17)
million and $12 million, respectively, net of transaction costs, related to this undesignated swap.
 
This swap is
expected to be renewed on an annual basis and is expected to result
 
in a neutral impact to our results of operations.
 
Credit Risk Monitoring
We limit our credit risk with respect to our cash equivalents, short-term investments and derivative instruments, by
monitoring the credit worthiness of the financial institutions who are
 
the counterparties to such financial
instruments.
 
As a risk management policy, we limit the amount of credit exposure by diversifying and utilizing
numerous investment grade counterparties.
Interest Rate Risk
As of December 30, 2023, we had variable interest rate exposure for certain
 
of our revolving credit facilities and
our U.S. trade accounts receivable securitization.
Our revolving credit facility which we entered into on July 11,
 
2023 and expires on July 11, 2028,
 
has a variable
interest rate that is based on the SOFR plus a spread based on our leverage
 
ratio at the end of each financial
reporting quarter.
 
As of December 30, 2023, there was $200 million outstanding under
 
this revolving credit
facility.
 
During the year ended December 30, 2023, the average outstanding
 
balance was approximately $61
million.
 
Based upon our average outstanding balances, for each hypothetical
 
increase of 25 basis points, our
interest expense thereunder would have increased by $0.2 million.
Our U.S. trade accounts receivable securitization, which we entered
 
into on April 17, 2013 and expires on
December 15, 2025, has a variable interest rate that is based upon the asset-backed
 
commercial paper rate.
 
As of
December 30, 2023, the commercial paper rate was 5.67% plus 0.75%,
 
for a combined rate of 6.42%,
 
and the
outstanding balance under this securitization facility was $210 million.
 
During the year ended December 30, 2023,
the average outstanding balance was approximately $238 million.
 
Based upon our average outstanding balances,
for each hypothetical increase of 25 basis points, our interest expense thereunder
 
would have increased by $1
million.
On July 11, 2023, we entered into interest rate swap agreements to hedge the cash flow of our variable
 
rate $750
million floating debt term loan facility, with three years maturity, effectively changing the floating rate portion of
our obligation to a fixed rate.
 
Under the terms of the interest rate swap agreements, we receive variable
 
interest
payments based on the one-month Term SOFR rate and pay interest at a fixed rate.
 
As of December 30, 2023, the
notional value of the interest rate swap agreements was $741
 
million.
 
This term loan matures on July 11, 2026.
At December 30, 2023, the interest on this Term Credit Agreement was 5.36% plus 1.35% for a combined rate of
6.71%.
 
However, we have a hedge in place (see
 
for additional
information) that ultimately creates an effective fixed rate of 5.79%.
 
62
ITEM 8. Financial Statements and Supplementary Data
INDEX TO FINANCIAL STATEMENTS
HENRY SCHEIN, INC.
Page
Number
 
(BDO USA, P.C.;
 
New York,
 
NY; PCAOB
ID#
243
)
63
 
65
66
67
 
68
69
70
 
70
 
 
80
 
 
81
 
 
82
 
85
 
 
92
 
 
93
 
 
95
 
 
97
 
 
98
 
 
100
 
 
101
 
 
103
 
 
107
 
 
111
 
 
114
 
 
116
 
 
119
 
 
122
 
 
122
 
 
124
 
124
 
125
 
63
Report of Independent Registered Public Accounting Firm
Shareholders and Board of Directors
 
Henry Schein, Inc.
Melville, NY
Opinion on the Consolidated Financial Statements
 
We
 
have
 
audited
 
the
 
accompanying
 
consolidated
 
balance
 
sheets
 
of
 
Henry
 
Schein,
 
Inc.
 
(the
 
“Company”)
 
as
 
of
December 30, 2023 and December 31, 2022, the related consolidated statements of income, comprehensive income,
changes in stockholders’ equity,
 
and cash flows for each of
 
the three years in the period
 
ended December 30, 2023,
and
 
the
 
related
 
notes
 
(collectively
 
referred
 
to
 
as
 
the
 
“consolidated
 
financial
 
statements”).
 
In
 
our
 
opinion,
 
the
consolidated financial
 
statements present
 
fairly,
 
in
 
all material
 
respects, the
 
financial position
 
of
 
the
 
Company at
December 30, 2023 and December 31, 2022, and the results of its operations and its cash flows for each of the three
years in
 
the period
 
ended December
 
30, 2023,
 
in conformity
 
with accounting
 
principles generally
 
accepted in
 
the
United States of America.
We
 
also
 
have
 
audited,
 
in
 
accordance
 
with
 
the
 
standards
 
of
 
the
 
Public
 
Company
 
Accounting
 
Oversight
 
Board
(United
 
States)
 
(“PCAOB”),
 
the
 
Company's
 
internal
 
control
 
over
 
financial
 
reporting
 
as
 
of
 
December
 
30,
 
2023,
based
 
on
 
criteria
 
established
 
in
 
Internal
 
Control
 
 
Integrated
 
Framework
 
(2013)
 
issued
 
by
 
the
 
Committee
 
of
Sponsoring
 
Organizations
 
of
 
the
 
Treadway
 
Commission
 
(“COSO”)
 
and
 
our
 
report
 
dated
 
February
 
28,
 
2024
expressed an adverse opinion thereon.
 
Basis for Opinion
These consolidated financial statements are
 
the responsibility of the
 
Company’s management. Our
 
responsibility is
to
 
express
 
an
 
opinion
 
on
 
the
 
Company’s
 
consolidated
 
financial
 
statements
 
based
 
on
 
our
 
audits.
 
We
 
are
 
a
 
public
accounting
 
firm
 
registered
 
with
 
the
 
PCAOB
 
and
 
are
 
required
 
to
 
be
 
independent
 
with
 
respect
 
to
 
the
 
Company
 
in
accordance
 
with
 
the
 
U.S.
 
federal
 
securities
 
laws
 
and
 
the
 
applicable
 
rules
 
and
 
regulations
 
of
 
the
 
Securities
 
and
Exchange Commission and the PCAOB.
We
 
conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and
perform
 
the
 
audit
 
to
 
obtain
 
reasonable
 
assurance
 
about
 
whether
 
the
 
consolidated
 
financial
 
statements
 
are
 
free
 
of
material misstatement, whether due to error or fraud.
 
Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial
statements, whether
 
due to
 
error or
 
fraud, and
 
performing procedures
 
that respond
 
to those
 
risks. Such
 
procedures
included examining,
 
on a
 
test basis,
 
evidence regarding
 
the amounts
 
and disclosures
 
in the
 
consolidated financial
statements.
 
Our audits
 
also included
 
evaluating the
 
accounting principles
 
used
 
and significant
 
estimates made
 
by
management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that
our audits provide a reasonable basis for our opinion.
Critical Audit Matter
The critical
 
audit matter
 
communicated below is
 
a matter
 
arising from
 
the current period
 
audit of
 
the consolidated
financial statements
 
that was
 
communicated or
 
required to
 
be communicated to
 
the Audit
 
Committee and that:
 
(1)
relates
 
to
 
accounts
 
or
 
disclosures that
 
are
 
material
 
to
 
the
 
consolidated
 
financial statements;
 
and
 
(2)
 
involved
 
our
especially challenging,
 
subjective or
 
complex judgments.
 
The communication
 
of the
 
critical audit
 
matter does
 
not
alter
 
in
 
any
 
way
 
our
 
opinion
 
on
 
the
 
consolidated
 
financial
 
statements,
 
taken
 
as
 
a
 
whole,
 
and
 
we
 
are
 
not,
 
by
communicating the
 
critical audit
 
matter below,
 
providing a
 
separate opinion
 
on the
 
critical audit
 
matter or
 
on the
accounts or disclosures to which it relates.
Business Acquisition
As
 
described
 
in
 
Note
 
5
 
of
 
the
 
consolidated
 
financial
 
statements,
 
the
 
Company
 
acquired
 
Shield
 
Healthcare,
 
Inc.,
(“Shield”)
 
in
 
2023.
 
As
 
a
 
result
 
of
 
this
 
acquisition,
 
management
 
was
 
required
 
to
 
determine
 
the
 
fair
 
values
 
of
 
the
64
identifiable
 
assets
 
acquired
 
and
 
liabilities
 
assumed.
 
In
 
connection
 
with
 
the
 
acquisition
 
of
 
Shield,
 
the
 
Company
recorded $156 million of identifiable intangible assets related to
 
customer relationships and lists.
We
 
identified management’s
 
judgements used to
 
determine the
 
revenue growth rates
 
and discount
 
rate used
 
in the
determination
 
of
 
the
 
fair
 
value
 
of
 
the
 
acquired
 
customer
 
relationships
 
and
 
lists
 
in
 
the
 
acquisition
 
of
 
Shield
 
as
 
a
critical audit matter.
 
The principal considerations
 
for our determination
 
were the subjective
 
judgement required by
management in formulating the
 
revenue growth rates and
 
assessing the appropriateness of the
 
discount rate used in
developing
 
the
 
fair
 
values
 
of
 
the
 
applicable
 
acquired identifiable
 
intangible
 
assets.
 
Auditing
 
these
 
considerations
involved
 
especially
 
subjective
 
and
 
challenging
 
auditor
 
judgement
 
due
 
to
 
the
 
nature
 
and
 
extent
 
of
 
audit
 
effort
required to address these matters, including the extent of specialized
 
skill or knowledge needed.
The primary procedures we performed to address this critical audit matter
 
included:
Evaluating the reasonableness of the revenue growth rates used in the determination
 
of the fair values of the
acquired
 
customer
 
relationships
 
and
 
lists
 
in
 
the
 
acquisition
 
of
 
Shield
 
by:
 
(i)
 
reviewing
 
the
 
historical
performance of
 
the
 
acquired company
 
using
 
their
 
audited financial
 
statements, and
 
(ii)
 
assessing revenue
projections against industry metrics and peer-group companies.
Utilizing
 
personnel
 
with
 
specialized
 
knowledge
 
and
 
skill
 
in
 
valuation
 
to
 
assist
 
in:
 
(i)
 
testing
 
the
 
source
information underlying
 
the determination
 
of the
 
discount rate,
 
and (ii)
 
developing a
 
range of
 
independent
estimates of discount rates and
 
comparing those to the discount
 
rate selected by management in connection
with the determination of the fair value of the acquired customer relationships and lists in
 
the acquisition of
Shield.
/s/
BDO USA,
 
P.C.
We have served as the Company's auditor since 1984.
New York, NY
February 28, 2024
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes.
65
HENRY SCHEIN, INC.
CONSOLIDATED BALANCE SHEETS
(in millions, except share data)
 
December 30,
December 31,
2023
2022
ASSETS
Current assets:
Cash and cash equivalents
$
171
$
117
Accounts receivable, net of allowance for credit losses of $
83
 
and $
65
 
(1)
1,863
1,442
Inventories, net
1,815
1,963
Prepaid expenses and other
639
466
Total current assets
4,488
3,988
Property and equipment, net
498
383
Operating lease right-of-use assets
325
284
Goodwill
3,875
2,893
Other intangibles, net
916
587
Investments and other
471
472
Total assets
$
10,573
$
8,607
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND
STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable
$
1,020
$
1,004
Bank credit lines
264
103
Current maturities of long-term debt
150
6
Operating lease liabilities
80
73
Accrued expenses:
Payroll and related
332
314
Taxes
137
132
Other
700
592
Total current liabilities
2,683
2,224
Long-term debt (1)
1,937
1,040
Deferred income taxes
54
36
Operating lease liabilities
310
275
Other liabilities
436
361
Total liabilities
5,420
3,936
Redeemable noncontrolling interests
864
576
Commitments and contingencies
(nil)
(nil)
Stockholders' equity:
Preferred stock, $
0.01
 
par value,
1,000,000
 
shares authorized,
none
 
outstanding
-
-
Common stock, $
0.01
 
par value,
480,000,000
 
shares authorized,
129,247,765
 
outstanding on December 30, 2023 and
131,792,817
 
outstanding on December 31, 2022
1
1
Additional paid-in capital
-
-
Retained earnings
3,860
3,678
Accumulated other comprehensive loss
(206)
(233)
Total Henry Schein, Inc. stockholders' equity
3,655
3,446
Noncontrolling interests
634
649
Total stockholders' equity
4,289
4,095
Total liabilities, redeemable noncontrolling
 
interests and stockholders' equity
$
10,573
$
8,607
(1)
Amounts presented include balances held by our consolidated variable interest entity (“VIE”).
 
At December 30, 2023 and
December 31, 2022, includes trade accounts receivable of $
284
 
million and $
327
 
million, respectively, and long-term debt of $
210
million and $
255
 
million, respectively.
 
See
 
for further
information.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes.
66
HENRY SCHEIN, INC.
CONSOLIDATED STATEMENTS
 
OF INCOME
(in millions, except share and per share data)
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Net sales
$
12,339
$
12,647
$
12,401
Cost of sales
8,478
8,816
8,727
Gross profit
3,861
3,831
3,674
Operating expenses:
Selling, general and administrative
2,956
2,771
2,634
Depreciation and amortization
210
182
180
Restructuring and integration costs
80
131
8
Operating income
615
747
852
Other income (expense):
Interest income
17
8
6
Interest expense
(87)
(35)
(27)
Other, net
(3)
1
-
Income before taxes, equity in
earnings of affiliates and noncontrolling interests
542
721
831
Income taxes
(120)
(170)
(198)
Equity in earnings of affiliates, net of tax
14
15
20
Gain on sale of equity investment
-
-
7
Net income
436
566
660
Less: Net income attributable to noncontrolling interests
(20)
(28)
(29)
Net income attributable to Henry Schein, Inc.
$
416
$
538
$
631
Earnings per share attributable to Henry Schein, Inc.:
Basic
$
3.18
$
3.95
$
4.51
Diluted
$
3.16
$
3.91
$
4.45
Weighted-average common
 
shares outstanding:
Basic
130,618,990
136,064,221
140,090,889
Diluted
131,748,171
137,755,670
141,772,781
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes.
67
HENRY SCHEIN, INC.
CONSOLIDATED STATEMENTS
 
OF COMPREHENSIVE INCOME
(in millions)
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Net income
$
436
$
566
$
660
Other comprehensive income, net of tax:
Foreign currency translation gain (loss)
53
(88)
(84)
Unrealized gain (loss) from hedging activities
(18)
7
9
Pension adjustment gain (loss)
(3)
12
6
Other comprehensive income (loss), net of tax
 
32
(69)
(69)
Comprehensive income
468
497
591
Comprehensive income attributable to noncontrolling interests:
Net income
(20)
(28)
(29)
Foreign currency translation loss (gain)
(5)
7
6
Comprehensive income attributable to noncontrolling interests
(25)
(21)
(23)
Comprehensive income attributable to Henry Schein, Inc.
$
443
$
476
$
568
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes.
68
HENRY SCHEIN, INC.
CONSOLIDATED STATEMENTS
 
OF CHANGES IN STOCKHOLDERS' EQUITY
(in millions,
 
except share and per share data)
Accumulated
Common Stock
Additional
 
Other
Total
$.01 Par Value
Paid-in
Retained
Comprehensive
Noncontrolling
Stockholders'
Shares
Amount
 
Capital
Earnings
 
Income (Loss)
Interests
Equity
Balance, December 26, 2020
142,462,571
$
1
$
-
$
3,455
$
(108)
$
636
$
3,984
Net income (excluding $
23
 
attributable to Redeemable
noncontrolling interests)
-
-
-
631
-
6
637
Foreign currency translation loss (excluding loss of $
6
attributable to Redeemable noncontrolling interests)
-
-
-
-
(78)
-
(78)
Unrealized gain from hedging activities,
net of tax of $
3
-
-
-
-
9
-
9
Pension adjustment gain, including tax of $
2
-
-
-
-
6
-
6
Distributions to noncontrolling shareholders
-
-
-
-
-
(11)
(11)
Change in fair value of redeemable securities
-
-
(160)
-
-
-
(160)
Noncontrolling interests and adjustments related to
business acquisitions
-
-
-
-
-
7
7
Repurchase and retirement of common stock
(5,505,704)
-
(53)
(348)
-
-
(401)
Stock-based compensation expense
303,643
-
78
-
-
-
78
Shares withheld for payroll taxes
(114,952)
-
(8)
-
-
-
(8)
Transfer of charges in excess of capital
-
-
143
(143)
-
-
-
Balance, December 25, 2021
137,145,558
1
-
3,595
(171)
638
4,063
Net income (excluding $
21
 
attributable to Redeemable
noncontrolling interests)
-
-
-
538
-
7
545
Foreign currency translation loss (excluding loss of $
6
attributable to Redeemable noncontrolling interests)
-
-
-
-
(81)
(1)
(82)
Unrealized gain from hedging activities,
net of tax of $
3
-
-
-
-
7
-
7
Pension adjustment gain, including tax of $
4
-
-
-
-
12
-
12
Distributions to noncontrolling shareholders
-
-
-
-
-
(1)
(1)
Purchase of noncontrolling interests
-
-
-
-
-
(7)
(7)
Change in fair value of redeemable securities
-
-
4
-
-
-
4
Noncontrolling interests and adjustments related to
business acquisitions
-
-
-
-
-
13
13
Repurchase and retirement of common stock
(6,111,676)
-
(65)
(420)
-
-
(485)
Stock issued upon exercise of stock options
35,792
-
2
-
-
-
2
Stock-based compensation expense
1,102,108
-
54
-
-
-
54
Shares withheld for payroll taxes
(376,034)
-
(32)
-
-
-
(32)
Settlement of stock-based compensation awards
(2,931)
-
2
-
-
-
2
Transfer of charges in excess of capital
-
-
35
(35)
-
-
-
Balance, December 31, 2022
131,792,817
1
-
3,678
(233)
649
4,095
Net income (excluding $
6
 
attributable to Redeemable
noncontrolling interests)
-
-
-
416
-
14
430
Foreign currency translation gain (excluding gain of $
5
attributable to Redeemable noncontrolling interests)
-
-
-
-
48
-
48
Unrealized loss from hedging activities,
including tax benefit of $
7
-
-
-
-
(18)
-
(18)
Pension adjustment loss, including tax benefit of $
0
-
-
-
-
(3)
-
(3)
Distributions to noncontrolling shareholders
-
-
-
-
-
(27)
(27)
Change in fair value of redeemable securities
-
-
11
-
-
-
11
Noncontrolling interests and adjustments related to
business acquisitions
-
-
-
-
-
(2)
(2)
Repurchase and retirement of common stock
(3,214,136)
-
(33)
(219)
-
-
(252)
Stock issued upon exercise of stock options
21,068
-
1
-
-
-
1
Stock-based compensation expense
1,065,319
-
39
-
-
-
39
Shares withheld for payroll taxes
(416,605)
-
(34)
-
-
-
(34)
Settlement of stock-based compensation awards
(698)
-
1
-
-
-
1
Transfer of charges in excess of capital
-
-
15
(15)
-
-
-
Balance, December 30, 2023
129,247,765
$
1
$
-
$
3,860
$
(206)
$
634
$
4,289
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See accompanying notes.
69
HENRY SCHEIN, INC.
CONSOLIDATED STATEMENTS
 
OF CASH FLOWS
(in millions)
Years Ended
December 30,
December 31,
December 25,
2023
2022
2021
Cash flows from operating activities:
Net income
$
436
$
566
$
660
Adjustments to reconcile net income to net cash provided
 
by operating activities:
Depreciation and amortization
248
212
210
Impairment charge on intangible assets
7
34
1
Impairment of capitalized software
27
-
-
Non-cash restructuring charges
27
93
-
Gain on sale of equity investment
-
-
(10)
Stock-based compensation expense
39
54
78
Provision for (benefits from) losses on trade and other
 
accounts receivable
18
5
(8)
Benefit from deferred income taxes
(20)
(73)
(11)
Equity in earnings of affiliates
(14)
(15)
(20)
Distributions from equity affiliates
15
15
18
Changes in unrecognized tax benefits
10
12
(2)
Other
(3)
(20)
(10)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable
(327)
(7)
4
Inventories
231
(126)
(295)
Other current assets
(138)
(52)
9
Accounts payable and accrued expenses
(56)
(96)
86
Net cash provided by operating activities
500
602
710
Cash flows from investing activities:
Purchases of property and equipment
(147)
(96)
(79)
Payments related to equity investments and business acquisitions,
net of cash acquired
(955)
(158)
(571)
Proceeds from sale of equity investment
-
-
10
Proceeds from loan to affiliate
6
11
(4)
Settlements for net investment hedges
22
-
-
Capitalized software costs
(40)
(32)
(33)
Other
(21)
(1)
-
Net cash used in investing activities
(1,135)
(276)
(677)
Cash flows from financing activities:
Net change in bank credit lines
153
48
(18)
Proceeds from issuance of long-term debt
1,368
270
305
Principal payments for long-term debt
(468)
(59)
(122)
Debt issuance costs
(3)
-
(3)
Proceeds from issuance of stock upon exercise of stock options
1
2
-
Payments for repurchases and retirement of common stock
(250)
(485)
(401)
Payments for taxes related to shares withheld for employee
 
taxes
(34)
(32)
(8)
Distributions to noncontrolling shareholders
(47)
(21)
(26)
Acquisitions of noncontrolling interests in subsidiaries
(19)
(38)
(60)
Net cash provided by (used in) financing activities
701
(315)
(333)
Effect of exchange rate changes on cash and cash equivalents
(12)
(12)
(3)
Net change in cash and cash equivalents
54
(1)
(303)
Cash and cash equivalents, beginning of period
117
118
421
Cash and cash equivalents, end of period
$
171
$
117
$
118
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
70
Note 1 – Basis of Presentation and Significant Accounting Policies
 
Nature of Operations
We distribute health care products and services primarily to office-based dental and medical practitioners, across
dental practices, laboratories, physician practices, and ambulatory surgery centers,
 
as well as government,
institutional health care clinics and alternate care clinics.
 
We also provide software, technology and other value-
added services to health care practitioners.
 
Our dental businesses serve office-based dental practitioners, dental
laboratories, schools, government and other institutions.
 
Our medical businesses serve physician offices, urgent
care centers, ambulatory care sites, emergency medical technicians, dialysis centers,
 
home health, federal and state
governments and large enterprises, such as group practices and integrated delivery
 
networks, among other providers
across a wide range of specialties.
We have operations or affiliates in the United States, Australia, Austria, Belgium, Brazil, Canada, Chile, China, the
Czech Republic, France, Germany, Hong Kong SAR, Ireland, Israel, Italy, Japan, Liechtenstein, Luxembourg,
Malaysia, Mexico, Morocco, the Netherlands, New Zealand, Poland, Portugal,
 
Singapore, South Africa, Spain,
Sweden, Switzerland, Thailand, United Arab Emirates and the United Kingdom.
Basis of Presentation
Our consolidated financial statements include the accounts of Henry
 
Schein, Inc. and all of our controlled
subsidiaries.
 
All intercompany accounts and transactions are eliminated in
 
consolidation.
 
Investments in
unconsolidated affiliates for which we have the ability to influence the operating or
 
financial decisions are
accounted for under the equity method.
 
Certain prior period amounts have been reclassified to conform
 
to the
current period presentation.
 
These reclassifications, individually and in the aggregate, did not
 
have a material
impact on our consolidated financial condition, results of operations
 
or cash flows.
We consolidate the results of operations and financial position of a trade accounts receivable securitization which
we consider a Variable Interest Entity (“VIE”) because we are its primary beneficiary as we have the power to
direct activities that most significantly affect its economic performance and have
 
the obligation to absorb the
majority of its losses or benefits.
 
For this VIE, the trade accounts receivable transferred
 
to the VIE are pledged as
collateral to the related debt.
 
The VIE’s creditors have recourse to us for losses on these trade accounts receivable.
 
At December 30, 2023 and December 31, 2022,
 
certain trade accounts receivable that can only be used to settle
obligations of this VIE were $
284
 
million and $
327
 
million, respectively, and the liabilities of this VIE where the
creditors have recourse to us were $
210
 
million and $
255
 
million, respectively.
 
Fair Value
 
Measurements
Fair value is defined as the price that would be received to sell an asset or
 
paid to transfer a liability in an orderly
transaction between market participants at the measurement date.
 
The fair value hierarchy distinguishes between
(1) market participant assumptions developed based on market data obtained
 
from independent sources (observable
inputs) and (2) an entity’s own assumptions about market participant assumptions developed based on the best
information available in the circumstances (unobservable inputs).
The fair value hierarchy consists of three broad levels, which gives the
 
highest priority to unadjusted quoted prices
in active markets for identical assets or liabilities (Level 1) and the lowest priority
 
to unobservable inputs (Level 3).
 
The three levels of the fair value hierarchy are described as follows:
 
Level 1— Unadjusted quoted prices in active markets for identical assets
 
or liabilities that are accessible at the
measurement date.
 
Level 2— Inputs other than quoted prices included within Level 1 that are
 
observable for the asset or liability,
either directly or indirectly.
 
Level 2 inputs include: quoted prices for similar assets or liabilities
 
in active markets;
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
71
quoted prices for identical or similar assets or liabilities in markets
 
that are not active; inputs other than quoted
prices that are observable for the asset or liability; and inputs that are
 
derived principally from or corroborated by
observable market data by correlation or other means.
 
Level 3— Inputs that are unobservable for the asset or liability.
See
 
for additional information.
 
Use of Estimates
The preparation of consolidated financial statements in conformity with
 
accounting principles generally accepted in
the United States requires us to make estimates and assumptions that
 
affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date of
 
the financial statements and the reported
amounts of revenues and expenses during the reporting period.
 
Actual results could differ from those estimates.
Our consolidated financial statements reflect estimates and assumptions
 
made by us that affect, among other things,
our goodwill, long-lived asset and definite-lived intangible asset valuation;
 
inventory valuation; equity investment
valuation; assessment of the annual effective tax rate; valuation of deferred income
 
taxes and income tax
contingencies; the allowance for doubtful accounts; redeemable noncontrolling
 
interests; hedging activity; supplier
rebates; measurement of compensation cost for certain share-based
 
performance awards and cash bonus plans; and
pension plan assumptions.
 
 
 
 
 
Fiscal Year
We report our results of operations and cash flows on a
52
 
or
53
 
weeks per fiscal year basis ending on the last
Saturday of December.
 
The year ended December 30, 2023 consisted of
52
 
weeks, and the years ended December
31, 2022 and December 25, 2021 consisted of
53
 
weeks and
52
 
weeks, respectively.
 
Revenue Recognition
 
Revenue is recognized when a customer obtains control of promised goods
 
or services in an amount that reflects the
consideration that we expect to receive for those goods or services.
 
To recognize revenue, we:
 
identify the contract(s) with a customer;
 
 
identify the performance obligations in the contract;
 
 
determine the transaction price;
 
 
allocate the transaction price to the performance obligations in the contract;
 
and
 
 
recognize revenue when, or as, we satisfy a performance obligation.
We generate revenue from the sale of dental and medical consumable products, equipment (Health care distribution
revenues), software products and services and other sources (Technology and value-added services revenues).
 
Provisions for discounts, rebates to customers, customer returns and other
 
contra revenue adjustments are included
in the transaction price at contract inception by estimating the most likely
 
amount based upon historical data and
estimates and are provided for in the period in which the related sales are
 
recognized.
Revenue derived from the sale of consumable products is recognized at the
 
point in time when control transfers to
the customer.
 
Such sales typically entail high-volume, low-dollar orders
 
shipped using third-party common
carriers.
 
We believe that the shipment date is the most appropriate point in time indicating control has transferred
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
72
to the customer.
 
On the shipment date, we have no post-shipment obligations,
 
legal title and risks and rewards of
ownership transfer to the customer and we have an enforceable right
 
to payment.
Revenue derived from the sale of equipment is recognized when control
 
transfers to the customer.
 
This occurs
when the equipment is delivered.
 
Such sales typically entail scheduled deliveries of large equipment primarily
 
by
equipment service technicians.
 
Most equipment requires minimal installation, which is
 
typically completed at the
time of delivery.
 
Our product generally carries standard warranty terms provided
 
by the manufacturer; however, in
instances where we provide warranty labor services, the warranty costs
 
are accrued in accordance with Accounting
Standards Codification (“ASC”) Topic 460 Guarantees.
 
At December 30, 2023 and December 31, 2022, we had
accrued approximately $
12
 
million and $
8
 
million, respectively, for warranty costs.
 
Revenue derived from the sale of software products is recognized when
 
products are delivered to customers or
made available electronically.
 
Such software is generally installed by customers and does
 
not require extensive
training.
 
Revenue derived from post-contract customer support for software,
 
including annual support and/or
training, is generally recognized over time using time elapsed as the input method
 
that best depicts the transfer of
control to the customer.
 
Revenue derived from software sold on a Software-as-a-Service
 
basis is recognized ratably
over the subscription period as control is transferred to the customer.
Revenue derived from other sources, including freight charges, equipment repairs and financial
 
services, is
recognized when the related product revenue is recognized or when
 
the services are provided.
 
We apply the
practical expedient to treat shipping and handling activities performed after
 
the customer obtains control as
fulfillment activities, rather than a separate performance obligation in the
 
contract.
Sales, value-add and other taxes we collect concurrent with revenue-producing
 
activities are excluded from
revenue.
Some of our revenue is derived from bundled arrangements that include
 
multiple distinct performance obligations,
which are accounted for separately.
 
When we sell software products together with related services (i.e.,
 
training
and technical support), we allocate revenue to software by the residual
 
method, using an estimate of the standalone
selling price to estimate the fair value of the undelivered elements.
 
Bundled arrangements that include elements
that are not considered software consist primarily of equipment and the related
 
installation service.
 
We allocate
revenue for such arrangements based on the relative selling prices of the goods
 
or services.
 
If an observable selling
price is not available (i.e., because we or others do not sell the goods or
 
services separately), we use one of the
following techniques to estimate the standalone selling price: adjusted
 
market approach; cost-plus approach; or the
residual method.
 
There is no specific hierarchy for the use of these methods,
 
but the estimated selling price reflects
our best estimate of what the selling prices of each deliverable would be
 
if it were sold regularly on a standalone
basis taking into consideration the cost structure of our business, technical skill
 
required, customer location and
other market conditions.
See
 
for additional disclosures of disaggregated net sales and
 
for disclosures of net sales by segment and geographic data.
Sales Returns
Sales returns are recognized as a reduction of revenue by the amount
 
of expected returns and are recorded as refund
liability within accrued expenses-other within our consolidated balance sheets.
 
We estimate the sales return
liability based on historical data for specific products, adjusted as necessary
 
for new products.
 
The allowance for
returns is presented gross as a refund liability and we record an inventory
 
asset (and a corresponding adjustment to
cost of sales) for any products that we expect to be returned
 
and resaleable.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
73
Cost of Sales
The primary components of cost of sales include the cost of the product
 
(net of purchase discounts, supplier
chargebacks and rebates) and inbound and outbound freight charges.
Costs related to purchasing, receiving, inspections, warehousing,
 
internal inventory transfers and other costs of our
distribution network are included in selling, general and administrative
 
expenses along with other operating costs.
 
Total distribution network costs were $
105
 
million, $
103
 
million and $
89
 
million for the years ended December 30,
2023, December 31, 2022 and December 25, 2021, respectively.
Supplier Rebates
 
Supplier rebates are included as a reduction of cost of sales and are recognized
 
over the period they are earned.
 
The
factors we consider in estimating supplier rebate accruals include forecasted
 
inventory purchases,
 
sales, supplier
rebate contract terms, which generally provide for increasing rebates based
 
on either increased purchase or sales
volumes.
Direct Shipping and Handling Costs
Freight and other direct shipping costs are included in cost of sales.
 
Direct handling costs, which represent
primarily direct compensation costs of employees who pick, pack and otherwise
 
prepare, if necessary, merchandise
for shipment to our customers are reflected in selling, general and administrative
 
expenses.
 
Direct handling costs
were $
98
 
million, $
96
 
million and $
97
 
million for the years ended December 30, 2023, December 31, 2022
 
and
December 25, 2021, respectively.
Advertising and Promotional Costs
We expense advertising and promotional costs as incurred.
 
Total advertising and promotional expenses were $
47
million, $
47
 
million and $
48
 
million for the years ended December 30, 2023, December 31, 2022 and
 
December
25, 2021, respectively.
Stock-Based Compensation Costs
We
measure stock-based compensation at the grant date, based on the estimated
 
fair value of the award, and
recognize the cost (net of estimated forfeitures) as compensation expense on
 
a straight-line basis over the requisite
service period for time-based restricted stock units and on a graded vesting
 
basis for the option awards.
 
For
performance-based awards, at each reporting date, we reassess whether achievement
 
of the performance condition
is probable and accrue compensation expense when achievement of
 
the performance condition is probable.
 
Our
stock-based compensation expense is reflected in selling, general and administrative
 
expenses.
 
Employment Benefit Plans and other Postretirement Benefit Plans
Some of our employees in our international markets participate
 
in various noncontributory defined benefit plans.
 
We recognize the funded status, measured as the difference between the fair value of plan assets and the projected
benefit obligation.
 
Each unfunded plan is recognized as a liability and each funded
 
plan is recognized as either an
asset or liability based on its funded status.
 
We measure our plan assets and liabilities at the end of our fiscal year.
Net periodic pension costs and valuations are dependent on assumptions
 
used by third-party actuaries in calculating
those amounts.
 
These assumptions include discount rates, expected return on plan
 
assets, rate of future
compensation levels, retirement rates, mortality rates, and other factors.
 
We record the service cost component of
net pension cost in selling, general and administrative expenses within
 
our consolidated statements of income.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
74
Gains and losses that result from changes in actuarial assumptions or
 
from actual experience that differs from
actuarial assumptions are recognized in and then amortized from Accumulated
 
other comprehensive income (loss).
Cash and Cash Equivalents
 
We consider all highly liquid short-term investments with an original maturity of three months or less to be cash
equivalents.
 
Due to the short-term maturity of such investments,
 
the carrying amounts are a reasonable estimate of
fair value.
 
Outstanding checks in excess of funds on deposit of $
52
 
million and $
53
 
million, primarily related to
payments for inventory, were classified as accounts payable as of December 30, 2023 and December 31, 2022.
 
Accounts Receivable and Allowance for Credit Losses
Accounts receivable are generally recognized when health care distribution
 
and technology and value-added
services revenues are recognized.
 
In accordance with the “expected credit loss” model, the carrying amount
 
of
accounts receivable is reduced by a valuation allowance that reflects
 
our best estimate of the amounts that we do
not expect to collect.
 
In addition to reviewing delinquent accounts receivable, we consider many
 
factors in
estimating our reserve, including types of customers and their credit worthiness,
 
experience and historical data
adjusted for current conditions and reasonable supportable forecasts.
 
We
record allowances for credit losses based upon a specific review of all
 
significant outstanding invoices.
 
For
those invoices not specifically reviewed, provisions are provided at differing rates,
 
based upon the age of the
receivable, the collection history associated with the geographic region
 
that the receivable was recorded in, current
economic trends and reasonable supportable forecasts.
 
We
write-off a receivable and charge it against its recorded
allowance when we deem them uncollectible.
Our net accounts receivable balance was $
1,863
 
million, $
1,442
 
million, and $
1,452
 
million at December 30, 2023,
December 31, 2022, and December 25, 2021, respectively.
 
Our allowance for credit losses was $
83
 
million, $
65
million $
67
 
million, and $
88
 
million as of December 30, 2023, December 31, 2022, December 25, 2021,
 
and
December 26, 2020, respectively.
 
Additions to the allowance for the years ended December 30, 2023,
 
December
31, 2022 and December 25, 2021 were $
34
 
million, $
8
 
million and $
0
 
million, respectively.
 
Deductions to the
allowance for the years ended December 30, 2023, December 31, 2022
 
and December 25, 2021, were $
16
 
million,
$
10
 
million and $
21
 
million
, respectively.
Contract Assets
Contract assets include amounts related to any conditional right to consideration
 
for work completed but not billed
as of the reporting date.
 
Contract assets are transferred to accounts receivable when
 
the right becomes
unconditional.
 
The contract assets primarily relate to our bundled arrangements for
 
the sale of equipment and
consumables and sales of term software licenses.
 
Current contract assets are included in Prepaid expenses and
other and the non-current contract assets are included in investments and other
 
within our consolidated balance
sheets.
 
Current and non-current contract asset balances as of December 30,
 
2023 and December 31, 2022 were not
material.
Contract Liabilities
Contract liabilities are comprised of advance payments and upfront payments
 
for service arrangements provided
over time that are accounted for as deferred revenue amounts.
 
Contract liabilities are transferred to revenue once
the performance obligation has been satisfied.
 
Current contract liabilities are included in accrued expenses: other
and the non-current contract liabilities are included in other liabilities
 
within our consolidated balance sheets.
 
At
December 30, 2023 and December 31, 2022, the current and non-current contract
 
liabilities were $
89
 
million and
$
9
 
million, and $
86
 
million and $
8
 
million, respectively. During the year ended December 30, 2023, we recognized
substantially all of the current contract liability amounts that were previously
 
deferred at December 31, 2022.
 
At
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
75
December 25, 2021, the current and non-current contract liabilities were
 
$
89
 
million and $
10
 
million.
 
During the
year ended December 31, 2022, we recognized substantially all of the current
 
contract liability amounts that were
previously deferred at December 25, 2021.
 
Current contract liabilities at December 30, 2023 included
 
balances of
$
9
 
million related to business acquisitions completed in 2023.
 
Acquisition-related contract liability amounts at
December 31, 2022 and December 25, 2021 were immaterial.
Inventories and Reserves
 
Inventories consist primarily of finished goods and are valued at
 
the lower of cost or net realizable value.
 
Cost is
determined by the weighted-average first-in, first-out method for merchandise
 
and by actual cost for large
equipment and high tech equipment.
 
In accordance with our policy for inventory valuation, we consider
 
many
factors including the condition and salability of the inventory, historical sales, forecasted sales and market and
economic trends.
 
From time to time, we adjust our assumptions for anticipated
 
changes in any of these or other
factors expected to affect the value of inventory.
Property and Equipment
Property and equipment are stated at cost, net of accumulated depreciation or
 
amortization.
 
Depreciation is
computed under the straight-line method
 
using estimated useful lives (See
for estimated useful lives).
 
Amortization of leasehold improvements is computed using the straight-line
 
method
over the lesser of the useful life of the assets or the remaining lease term.
 
 
 
 
Capitalized Software Development Costs
Capitalized internal-use software costs consist of costs to purchase and
 
develop software.
 
For software to be used
solely to meet internal needs and for cloud-based applications used to deliver
 
our services, we capitalize costs
incurred during the application development stage and include such costs within
 
property and equipment, net within
our consolidated balance sheets.
 
For software to be sold, leased, or marketed to external users, we capitalize
software development costs when technological feasibility is reached and
 
include such costs within investments and
other within our consolidated balance sheets.
Leases
 
We
determine if an arrangement contains a lease at inception.
 
An arrangement contains a lease if it implicitly or
explicitly identifies an asset to be used and conveys the right to control
 
the use of the identified asset in exchange
for consideration.
 
As a lessee, we include operating leases in operating lease right-of-use
 
(“ROU”) assets,
operating lease liabilities, and non-current operating lease liabilities in our
 
consolidated balance sheets.
 
Finance
leases are included in property and equipment, current maturities of
 
long-term debt, and long-term debt in our
consolidated balance sheets.
 
ROU assets represent our right to use an underlying asset for the lease
 
term and lease liabilities represent our
obligation to make lease payments arising from the lease.
 
Operating lease ROU assets and liabilities are recognized
upon commencement of the lease based on the present value of the lease payments
 
over the lease term.
 
As most of
our leases do not provide an implicit interest rate, we generally use our incremental
 
borrowing rate based on the
estimated rate of interest for fully collateralized and fully amortizing borrowings
 
over a similar term of the lease
payments at commencement date to determine the present value of
 
lease payments.
 
When readily determinable, we
use the implicit rate.
 
Our lease terms may include options to extend or terminate the lease when it is reasonably
certain that we will exercise that option.
 
Lease expense for lease payments is recognized on a straight-line
 
basis
over the lease term.
 
Expenses associated with operating leases and finance leases
 
are included in selling, general
and administrative and interest expense, respectively within our consolidated
 
statement of income.
 
Short-term
leases with a term of 12 months or less are not capitalized.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
76
We
have lease agreements with lease and non-lease components, which are
 
generally accounted for as a single
lease component, except non-lease components for leases of vehicles, which
 
are accounted for separately.
 
When a
vehicle lease contains both lease and non-lease components, we allocate the
 
transaction price based on the relative
standalone selling price.
Business Acquisitions
We account for business acquisitions under the acquisition method of accounting, under which
 
the net assets of
acquired businesses are recorded at their fair value at the acquisition
 
date and our consolidated financial statements
include the acquired businesses’ results of operations from that date.
Some prior owners of acquired subsidiaries are eligible to receive additional
 
purchase price cash consideration, or
we may be entitled to recoup a portion of purchase price cash consideration
 
if certain financial targets are met.
 
We
have accrued liabilities for the estimated fair value of additional purchase
 
price consideration at the time of the
acquisition, using the income approach, including a probability-weighted
 
discounted cash flow method or an option
pricing method, where applicable.
 
Any adjustments to these accrual amounts are recorded
 
in selling, general and
administrative within our consolidated statements of income.
 
While we use our best estimates and assumptions to accurately value
 
assets acquired and liabilities assumed at the
acquisition date, our estimates are inherently uncertain and subject
 
to refinement.
 
As a result, within
12 months
following the date of acquisition, or the measurement period, we
 
may record adjustments to the assets acquired and
liabilities assumed with the corresponding offset to goodwill within our consolidated balance
 
sheets.
 
At the end of
the measurement period or final determination of the values of such assets
 
acquired or liabilities assumed,
whichever comes first, any subsequent adjustments are recognized
 
in our consolidated statements of operations.
Goodwill
 
Any excess of acquisition consideration over the fair value of identifiable
 
net assets acquired is recorded as
goodwill.
 
Goodwill is an asset representing the future economic benefits
 
arising from other assets acquired in a
business combination that are not individually identified and separately
 
recognized, such as future customers and
technology, as well as the assembled workforce.
Goodwill represents, for acquired business, the excess of the purchase price
 
over the estimated fair value of the net
assets acquired, including the amount assigned to identifiable intangible
 
assets.
 
Goodwill is subject to impairment
analysis annually or more frequently if needed.
 
Such impairment analyses for goodwill requires a comparison
 
of
the fair value to the carrying value of reporting units.
 
We regard our reporting units to be our operating segments:
global dental; global medical; and technology and value-added services.
 
Goodwill was allocated to such reporting
units, for the purposes of preparing our impairment analyses, based on
 
a specific identification basis.
For the years ended December 30, 2023 and December 31, 2022, we tested goodwill
 
for impairment, on the first
day of the fourth quarter, using a quantitative analysis comparing the carrying value of our reporting
 
units,
including goodwill, to their estimated fair values using a discounted
 
cash flow methodology.
 
When the estimated
fair value of a reporting unit exceeds its carrying amount, goodwill of the
 
reporting unit is considered not
impaired.
 
Conversely, when a reporting unit’s carrying value exceeds its fair value, an impairment charge against
goodwill, limited to the total amount of goodwill allocated to that
 
reporting unit, is recognized.
Application of the goodwill impairment test requires judgment, including
 
the identification of reporting units,
assignment of assets and liabilities that are considered shared services
 
to the reporting units, and ultimately the
determination of the fair value of each reporting unit.
 
The fair value of each reporting unit is calculated by
applying the discounted cash flow methodology and confirming with
 
a market approach.
 
There are inherent
uncertainties related to fair value models, the inputs and our judgments
 
in applying them to this analysis.
 
The most
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
77
significant inputs include estimation of future cash flows based on budget
 
expectations, and determination of
comparable companies to develop a weighted average cost of capital for each
 
reporting unit.
For the year ended December 30, 2023 and December 25, 2021, the results of
 
our goodwill impairment analysis did
no
t result in any impairments.
 
For the year ended December 31, 2022 we recorded a $
20
 
million impairment of
goodwill relating to the disposal of an unprofitable business whose
 
estimated fair value was lower than its carrying
value.
 
The disposal of this business is part of our restructuring initiative
 
as more fully discussed in
Intangible Assets
In connection with our business acquisitions, the major classes of
 
assets and liabilities to which we generally
allocate acquisition consideration to, excluding goodwill, include
 
identifiable intangible assets (i.e., customer
relationships and lists, trademarks and trade names, product development
 
and non-compete agreements), inventory
and accounts receivable.
 
The estimated fair value of identifiable intangible assets
 
is based on critical judgments
and assumptions derived from analysis of market conditions, including
 
discount rates, projected revenue growth
rates (which are based on historical trends and assessment of financial projections),
 
estimated customer attrition and
projected cash flows.
 
We have calculated the value of these intangible assets using the multi-period excess
earnings method, the relief-from-royalty method, and the with and without
 
method, where applicable.
 
These
assumptions are forward-looking and could be affected by future economic and
 
market conditions.
 
Intangible assets, other than goodwill, are evaluated for impairment whenever
 
events or changes in circumstances
indicate that the carrying amount of the assets may not be recoverable
 
through the undiscounted future cash flows
expected to be derived from such asset or asset group.
Definite-lived intangible assets primarily consist of non-compete agreements,
 
trademarks, trade names, customer
lists, customer relationships and product development.
 
For long-lived assets used in operations, impairment losses
are only recorded if the asset or asset groups carrying amount is not recoverable
 
through its undiscounted future
cash flows.
 
We measure the impairment loss based on the difference between the carrying amount and the
estimated fair value.
 
When an impairment exists, the related assets are written down to fair value.
During the years ended December 30, 2023, December 31, 2022
 
and December 25, 2021, we recorded total
impairment charges, within the selling, general and administrative line of our consolidated statements
 
of income, on
intangible assets of $
7
 
million, $
34
 
million and $
1
 
million, respectively, as more fully discussed in
Income Taxes
We account for income taxes under an asset and liability approach that requires the recognition of deferred income
tax assets and liabilities for the expected future tax consequences of events
 
that have been recognized in our
financial statements or tax returns.
 
In estimating future tax consequences, we generally consider all expected
 
future
events other than expected enactments of changes in tax laws or rates.
 
The effect on deferred income tax assets and
liabilities of a change in tax rates is recognized as income or expense in
 
the period that includes the enactment date.
 
We file a consolidated U.S. federal income tax return with our 80% or greater owned U.S. subsidiaries
.
Redeemable Noncontrolling Interests
Some minority stockholders in certain of our consolidated subsidiaries have
 
the right, at certain times, to require us
to acquire their ownership interest in those entities at fair value.
 
Their interests in these subsidiaries are classified
outside permanent equity on our consolidated balance sheets and are
 
carried at the estimated redemption amounts.
 
The redemption amounts have been estimated based on expected future
 
earnings and cash flows and, if such
earnings and cash flows are not achieved, the value of the redeemable noncontrolling
 
interests might be impacted.
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
78
Changes in the estimated redemption amounts of the noncontrolling
 
interests subject to put options are reflected at
each reporting period with a corresponding adjustment to Additional paid-in
 
capital.
 
Future reductions in the
carrying amounts are subject to a “floor” amount that is equal to the
 
fair value of the redeemable noncontrolling
interests at the time they were originally recorded.
 
The recorded value of the redeemable noncontrolling interests
cannot go below the floor level.
 
Adjustments to the carrying amount of noncontrolling interests
 
to
 
reflect a fair value redemption feature do not impact the calculation of
 
earnings per share.
 
Our net income is
reduced by the portion of the subsidiaries’ net income that is attributable
 
to redeemable noncontrolling interests.
Noncontrolling Interests
Noncontrolling interest represents the ownership interests of certain
 
minority owners of our consolidated
subsidiaries.
 
Our net income is reduced by the portion of the subsidiaries’
 
net income that is attributable to
noncontrolling interests.
Comprehensive Income
Comprehensive income includes certain gains and losses that, under accounting
 
principles generally accepted in the
United States, are excluded from net income as such amounts are recorded
 
directly as an adjustment to
stockholders’ equity.
 
Our comprehensive income is primarily comprised of net income,
 
foreign currency
translation gain (loss), unrealized gain (loss) from hedging activities
 
and unrealized pension adjustment gain.
Risk Management and Derivative Financial Instruments
 
We use derivative instruments to minimize our exposure to fluctuations in foreign currency exchange rates, interest
rates, and our unfunded non-qualified supplemental retirement plan (“SERP”)
 
and our deferred compensation plan
(“DCP”).
 
Our objective is to manage the impact that foreign currency
 
exchange rate fluctuations could have on
recognized asset and liability fair values, earnings and cash flows, as well
 
as our net investments in foreign
subsidiaries, the interest rate risk on variable rate debt, and the returns on
 
our SERP and DCP.
 
Our risk
management policy requires that derivative contracts used as hedges be
 
effective at reducing the risks associated
with the exposure being hedged and be designated hedges at inception
 
of the contracts.
 
We do not enter into
derivative instruments for speculative purposes.
 
Our derivative instruments primarily include foreign currency
forward contracts, total return swaps, and interest rate swaps.
 
Foreign currency forward agreements related to forecasted inventory
 
purchase commitments with foreign suppliers,
foreign currency swaps related to foreign currency denominated debt, and
 
interest rate swaps related to variable rate
debt are designated as cash flow hedges.
 
For derivatives that are designated and qualify as cash flow hedges,
 
the
changes in the fair value of the derivatives are recorded as a
 
component of Accumulated other comprehensive
income in stockholders’ equity and subsequently reclassified into
 
earnings in the period(s) during which the hedged
transactions affect earnings.
 
We classify the cash flows related to our hedging activities in the same category in our
consolidated statements of cash flows as the cash flows related
 
to the hedged item.
Foreign currency forward contracts related to our euro-denominated
 
foreign operations are designated as net
investment hedges.
 
For derivatives that are designated and qualify as net investment
 
hedges, changes in the fair
value of the derivatives are recorded in the foreign currency translation gain
 
(loss) component of Accumulated
other comprehensive income in stockholders’ equity until the net
 
investment is sold or substantially liquidated.
Interest swap agreements are entered into for the purpose of hedging
 
the cash flow of our variable interest rate term
loan.
Our foreign currency forward agreements related to foreign currency
 
balance sheet exposure provide economic
hedges but are not designated as hedges for accounting purposes.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
79
 
For agreements not designated as hedges, changes in the value of the derivative,
 
along with the transaction gain or
loss on the hedged item, are recorded in other, net, within our consolidated statements of income.
Total return swaps are entered into for the purpose of economically hedging our SERP and DCP.
 
These swaps are
expected to be renewed on an annual basis.
 
Changes in the fair values of these total return swaps are recorded in
selling, general, and administrative expenses within our consolidated
 
statements of income and offset recognized
changes in the fair values of our SERP and DCP liabilities.
Foreign Currency Translation
 
and Transactions
The financial position and results of operations of our foreign subsidiaries
 
are determined using local currencies as
the functional currencies.
 
Assets and liabilities of foreign subsidiaries are translated at the exchange
 
rate in effect at
each year-end.
 
Income statement accounts are translated at the average rate
 
of exchange prevailing during the year.
 
Translation adjustments arising from the use of differing exchange rates from period to period are included
 
in
Accumulated other comprehensive income in stockholders’ equity.
 
Gains and losses resulting from foreign
currency transactions are included in earnings.
Accounting Pronouncements Adopted
 
During the year ended December 30, 2023, we adopted ASC Topic 848,
“Reference Rate Reform” (Topic 848):
Facilitation of the Effects of Reference Rate Reform on Financial Reporting”
 
which provides optional expedients
and exceptions for applying GAAP to contracts, hedging relationships and
 
other transactions affected by the
discontinuation of the London Interbank Offered Rate or by another reference rate
 
expected to be discontinued
because of reference rate reform.
 
The adoption of Topic 848 did not have a material impact on our consolidated
financial statements.
On December 26, 2021 we adopted Accounting Standards Update
 
(“ASU”) No. 2021 – 08,
“Accounting for
Contract Assets and Contract Liabilities from Contracts with Customers” (Subtopic 805).
 
ASU 2021 – 08 requires
an acquirer to recognize and measure contract assets and contract liabilities acquired
 
in a business combination in
accordance with ASU No. 2014 - 09, “Revenue from Contracts with Customers”
 
(Topic 606).
 
At the acquisition
date, an acquirer should account for the related revenue contracts in accordance
 
with Topic 606 as if it had
originated the contracts.
 
To achieve this, an acquirer may assess how the acquiree applied Topic 606 to determine
what to record for the acquired revenue contracts.
 
Generally, this should result in an acquirer recognizing and
measuring the acquired contract assets and contract liabilities consistent with how
 
they were recognized and
measured in the acquiree’s financial statements.
 
Our adoption of ASU 2021 - 08 did not have a material impact on
our consolidated financial statements.
On December 27, 2020 we adopted ASU No. 2019-12,
“Income Taxes” (Topic
 
740): Simplifying the Accounting
for Income Taxes
 
(“ASU 2019-12”).
 
ASU 2019-12 simplifies the accounting for income taxes by
 
removing certain
exceptions to the general principles in Topic 740.
 
The amendments also improve consistent application of and
simplify U.S. GAAP for other areas of Topic 740 by clarifying and amending existing guidance.
 
Our adoption of
ASU 2019-12 did not have a material impact on our consolidated
 
financial statements.
Recently Issued Accounting Standards
In December 2023, the Financial Accounting Standards Board (“FASB”) issued ASU 2023-09, “
Income Taxes
(Topic 740): Improvements to
 
Income Tax Disclosures
,” which requires public business entities to disclose
additional information in specified categories with respect to
 
the reconciliation of the effective tax rate to the
statutory rate for federal, state, and foreign income taxes.
 
It also requires greater detail about individual reconciling
items in the rate reconciliation to the extent the impact of those items
 
exceeds a specified threshold.
 
In addition to
new disclosures associated with the rate reconciliation, the ASU requires
 
information pertaining to taxes paid (net
of refunds received) to be disaggregated for federal, state, and foreign
 
taxes and further disaggregated for specific
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
80
jurisdictions to the extent the related amounts exceed a quantitative threshold.
 
The ASU also describes items that
need to be disaggregated based on their nature, which is determined by
 
reference to the item’s fundamental or
essential characteristics, such as the transaction or event that triggered
 
the establishment of the reconciling item and
the activity with which the reconciling item is associated.
 
The ASU eliminates the historic requirement that entities
disclose information concerning unrecognized tax benefits having a reasonable
 
possibility of significantly
increasing or decreasing in the 12 months following the reporting date.
 
This ASU is effective for annual periods
beginning after December 15, 2024.
 
Early adoption is permitted for annual financial statements
 
that have not yet
been issued or made available for issuance.
 
This ASU should be applied on a prospective basis; however,
retrospective application is permitted.
 
We are currently evaluating the impact that ASU 2023 – 09 will have on our
consolidated financial statements.
In November 2023, the FASB issued ASU 2023-07, “
Segment Reporting (Topic 280): Improvements to Reportable
Segments
,” which aims to improve financial reporting by requiring disclosure
 
of incremental segment information
on an annual and interim basis for all public entities to enable investors to
 
develop more decision-useful financial
analyses.
 
Currently, Topic
 
280 requires that a public entity disclose certain information about its
 
reportable
segments.
 
For example, a public entity is required to report a measure of
 
segment profit or loss that the CODM
uses to assess segment performance and make decisions about allocating
 
resources.
 
Topic 280 also requires other
specified segment items and amounts, such as depreciation, amortization,
 
and depletion expense, to be disclosed
under certain circumstances.
 
The amendments in this ASU do not change or remove those disclosure
 
requirements
and do not change how a public entity identifies its operating segments,
 
aggregates those operating segments, or
applies the quantitative thresholds to determine its reportable segments.
 
This ASU is effective for fiscal years
beginning after December 15, 2023, and interim periods within fiscal years
 
beginning after December 15, 2024.
 
Early adoption is permitted.
 
We do not expect that the requirements of ASU 2023 – 07 will have a material impact
on our consolidated financial statements.
Note 2 – Cybersecurity Incident
In October 2023 Henry Schein experienced a cybersecurity incident that
 
primarily affected the operations of our
North American and European dental and medical distribution businesses.
 
Henry Schein One, our practice
management software, revenue cycle management and patient relationship
 
management solutions business, was not
affected, and our manufacturing businesses were mostly unaffected.
 
We reported the incident to law enforcement
authorities, restored affected systems and applications, our distribution operations
 
resumed and we reactivated our
ecommerce platform. Subsequently, on or about November 8, 2023, we determined that the threat actor obtained
personal and sensitive information maintained on our systems belonging
 
to certain third parties and since that date
we have notified affected and potentially affected parties as appropriate.
 
The scope of personal and sensitive data
impacted is still under investigation.
 
On November 22, 2023, we experienced a disruption
 
of our ecommerce
platform and related applications, which has since been remediated.
 
The incident adversely impacted our financial
results for the fourth quarter and full year 2023.
During the year ended December 30, 2023, we incurred $
11
 
million of expenses directly related to the
cybersecurity incident, mostly consisting of professional fees.
 
We maintain cybersecurity insurance, subject to
certain retentions and policy limitations.
 
With respect to the October 2023 cybersecurity incident, we have a $
60
million insurance policy, following a $
5
 
million retention.
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
81
Note 3 – Net Sales from Contracts with Customers
Net sales are recognized in accordance with policies disclosed
 
in
Disaggregation of Net sales
The following table disaggregates our net sales by reportable and operating segment
 
and geographic area:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year
 
Ended
December 30, 2023
North America
International
Global
Net sales:
Health care distribution
Dental
$
4,500
$
3,039
$
7,539
Medical
3,897
97
3,994
Total health care distribution
8,397
3,136
11,533
Technology
 
and value-added services
705
101
806
Total net sales
$
9,102
$
3,237
$
12,339
Year
 
Ended
December 31, 2022
North America
International
Global
Net sales:
Health care distribution
Dental
$
4,628
$
2,845
$
7,473
Medical
4,375
76
4,451
Total health care distribution
9,003
2,921
11,924
Technology
 
and value-added services
633
90
723
Total net sales
$
9,636
$
3,011
$
12,647
Year
 
Ended
December 25, 2021
North America
International
Global
Net sales:
Health care distribution
Dental
$
4,506
$
3,038
$
7,544
Medical
4,107
103
4,210
Total health care distribution
8,613
3,141
11,754
Technology
 
and value-added services
560
87
647
Total net sales
$
9,173
$
3,228
-
$
12,401
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
82
 
Note 4 – Segment and Geographic Data
We conduct our business through
two
 
reportable segments: (i) health care distribution and (ii) technology
 
and
value-added services.
 
These segments offer different products and services to the same customer base.
 
Our global
dental businesses serve office-based dental practitioners, dental laboratories, schools, government
 
and other
institutions.
 
Our medical businesses serve physician offices, urgent care centers, ambulatory care sites,
 
emergency
medical technicians, dialysis centers, home health, federal and state governments
 
and large enterprises, such as
group practices and integrated delivery networks, among other providers
 
across a wide range of specialties.
 
Our
dental and medical groups serve practitioners in
33
 
countries worldwide.
The health care distribution reportable segment aggregates our global dental
 
and medical operating segments.
 
This
segment distributes consumable products, dental specialty products, small
 
equipment, laboratory products, large
equipment, equipment repair services, branded and generic pharmaceuticals,
 
vaccines, surgical products, diagnostic
tests, infection-control products, personal protective equipment products (“PPE”)
 
and vitamins.
 
Our global technology and value-added services reportable segment provides
 
software, technology and other value-
added services to health care practitioners.
 
Our technology offerings include practice management software
systems for dental and medical practitioners.
 
Our value-added practice solutions include practice consultancy,
education, revenue cycle management and financial services on a non-recourse
 
basis, e-services, practice
technology, network and hardware services, as well as continuing education services for practitioners.
The following tables present information about our reportable and operating
 
segments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Net sales:
Health care distribution
(1)
Dental
$
7,539
$
7,473
$
7,544
Medical
3,994
4,451
4,210
Total health care distribution
11,533
11,924
11,754
Technology
 
and value-added services
(2)
806
723
647
Total
$
12,339
$
12,647
$
12,401
(1)
Consists of consumable products, dental specialty products (including implant, orthodontic and endodontic products), small
equipment, laboratory products, large equipment, equipment repair services, branded and generic pharmaceuticals, vaccines, surgical
products, diagnostic tests, infection-control products, PPE products and vitamins.
(2)
Consists of practice management software and other value-added products, which are distributed primarily to health care providers,
practice consultancy, education, revenue cycle management and financial services on a non-recourse basis, e-services, continuing
education services for practitioners, consulting and other services.
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
83
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
ended
December 30,
December 31,
December 25,
2023
2022
2021
Operating Income:
Health care distribution
$
470
$
619
$
727
Technology
 
and value-added services
145
128
125
Total
$
615
$
747
$
852
Income before taxes and equity in earnings of affiliates:
Health care distribution
$
396
$
592
$
706
Technology
 
and value-added services
146
129
125
Total
$
542
$
721
$
831
Depreciation and Amortization:
Health care distribution
$
184
$
160
$
157
Technology
 
and value-added services
64
52
53
Total
$
248
$
212
$
210
Interest Income:
Health care distribution
$
16
$
7
$
6
Technology
 
and value-added services
1
1
-
Total
$
17
$
8
$
6
Interest Expense:
Health care distribution
$
87
$
35
$
27
Technology
 
and value-added services
-
-
-
Total
$
87
$
35
$
27
Income Tax
 
Expense:
Health care distribution
$
90
$
141
$
168
Technology
 
and value-added services
30
29
30
Total
$
120
$
170
$
198
Equity in Earnings of Affiliates:
Health care distribution
$
14
$
14
$
19
Technology
 
and value-added services
-
1
1
Total
$
14
$
15
$
20
Purchases of Property and Equipment:
Health care distribution
$
139
$
86
$
74
Technology
 
and value-added services
8
10
5
Total
$
147
$
96
$
79
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
84
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As of
December 30,
December 31,
December 25,
2023
2022
2021
Total
 
Assets:
Health care distribution
$
9,083
$
7,287
$
7,157
Technology
 
and value-added services
1,490
1,320
1,324
Total
$
10,573
$
8,607
$
8,481
The following table presents information about our operations by geographic
 
area as of and for the years ended
December 30, 2023, December 31, 2022 and December 25, 2021.
 
Net sales by geographic area are based on the
respective locations of our subsidiaries.
 
No country, except for the United States, generated net sales greater than
10
% of consolidated net sales.
 
There were no material amounts of sales or transfers among geographic
 
areas and
there were no material amounts of export sales.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
2022
2021
Net Sales
Long-Lived
Assets
Net Sales
Long-Lived
Assets
Net Sales
Long-Lived
Assets
United States
$
8,631
$
3,434
$
9,190
$
2,891
$
8,722
$
2,981
Other
3,708
2,180
3,457
1,256
3,679
1,232
Consolidated total
$
12,339
$
5,614
$
12,647
$
4,147
$
12,401
$
4,213
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
85
Note 5 – Business Acquisitions and Divestiture
 
Our acquisition strategy is focused on investments in companies that
 
add new customers and sales teams, increase
our geographic footprint (whether entering a new country, such as emerging markets, or building scale where we
have already invested in businesses), and finally, those that enable us to access new products and technologies
.
Acquisition of Shield Healthcare
On October 2, 2023 we acquired a
90
% voting equity interest in Shield Healthcare, Inc. (“Shield”), a supplier
 
of
homecare medical products delivered directly to patients in their homes.
 
Based in California, Shield expands our
existing medical business by delivering a diverse range of products,
 
including items such as incontinence, urology,
ostomy, enteral nutrition, advanced wound care, and diabetes supplies.
 
Additionally, Shield offers continuous
glucose monitoring devices directly to patients in their homes.
 
The following table aggregates
 
the preliminary estimated fair value, as of the date of acquisition, of
 
consideration
paid and net assets acquired in the Shield acquisition:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Acquisition consideration:
Cash
$
307
Deferred consideration
22
Redeemable noncontrolling interest
37
Total consideration
$
366
Identifiable assets acquired and liabilities assumed:
Current assets
$
41
Intangible assets
166
Other noncurrent assets
14
Current liabilities
(24)
Deferred income taxes
(41)
Other noncurrent liabilities
(7)
Total identifiable
 
net assets
149
Goodwill
217
Total net assets acquired
$
366
Goodwill is a result of expected synergies that are expected to originate from the
 
acquisition as well as the expected
growth potential of Shield.
 
The acquired goodwill is not deductible for tax purposes.
The following table summarizes the preliminary identifiable intangible assets
 
acquired as part of the acquisition of
Shield:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Weighted Average
 
Useful
Lives (in years)
Customer relationships and lists
$
156
12
Trademarks / Tradenames
10
5
Total
$
166
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
86
The accounting for the acquisition of Shield has not been completed
 
in several respects, including but not limited to
finalizing valuation assessments of accounts receivable, inventory, accrued liabilities and income and non-income
based taxes.
 
To assist in the allocation of consideration,
 
we engaged valuation specialists to determine the fair
value of intangible and tangible assets acquired and liabilities assumed.
 
We
will finalize the amounts recognized as
the information necessary to complete the analysis is obtained.
 
We expect to finalize these amounts as soon as
possible but no later than one year from the acquisition date.
 
The pro forma financial information has not been
presented because the impact of the Shield acquisition during the year ended
 
December 30, 2023 was immaterial to
our consolidated financial statements.
Acquisition of S.I.N. Implant System
On July 5, 2023, we acquired a
100
% voting equity interest in S.I.N. Implant System (“S.I.N.”).
 
Based in São
Paulo, S.I.N. manufactures an extensive line of products to perform dental
 
implant procedures and is focused on
advancing the development of value-priced dental implants.
 
S.I.N. recently expanded the distribution of its
products into the United States and other international markets.
The following table aggregates the preliminary estimated fair value, as of
 
the date of acquisition, of consideration
paid and net assets acquired in the S.I.N., including measurement period
 
adjustments recorded through December
30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Preliminary
Allocation as
of September
30, 2023
Measurement
Period
Adjustments
Preliminary
Allocation as
of December
30, 2023
Acquisition consideration:
Cash
$
326
$
3
$
329
Total consideration
$
326
$
3
$
329
Identifiable assets acquired and liabilities assumed:
Current assets
$
75
$
(8)
$
67
Intangible assets
155
(68)
87
Other noncurrent assets
33
13
46
Current liabilities
(33)
-
(33)
Long-term debt
(22)
-
(22)
Deferred income taxes
(55)
20
(35)
Other noncurrent liabilities
(27)
-
(27)
Total identifiable
 
net assets
126
(43)
83
Goodwill
200
46
246
Total net assets acquired
$
326
$
3
$
329
Goodwill is a result of expected synergies that are expected to originate from the
 
acquisition as well as the expected
growth potential of S.I.N.
 
The acquired goodwill is not deductible for tax purposes.
 
Measurement period
adjustments recorded in the year ended December 30, 2023 were primarily
 
a result of finalization of net working
capital adjustments and third party intangible valuations.
The following table summarizes the preliminary identifiable intangible assets
 
acquired as part of the acquisition of
S.I.N.:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Weighted Average
 
Useful
Lives (in years)
Customer relationships and lists
$
38
7
Trademarks / Tradenames
13
10
Product development
36
8
Total
$
87
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
87
The accounting for the acquisition of S.I.N. has not been completed
 
in several respects, including but not limited to
finalizing valuation assessments of accounts receivable, inventory, accrued liabilities and income and non-income
based taxes.
 
To assist in the allocation of consideration,
 
we engaged valuation specialists to determine the fair
value of intangible and tangible assets acquired and liabilities assumed.
 
We
will finalize the amounts recognized as
the information necessary to complete the analysis is obtained.
 
We expect to finalize these amounts as soon as
possible but no later than one year from the acquisition date.
 
The pro forma financial information has not been
presented because the impact of the S.I.N. acquisition during the year ended
 
December 30, 2023 was immaterial to
our consolidated financial statements.
Acquisition of Biotech Dental
On April 5, 2023, we acquired a
57
% voting equity interest in Biotech Dental (“Biotech Dental”), which
 
is a
provider of dental implants, clear aligners, individualized prosthetics,
 
and innovative digital dental software based
in France.
 
Biotech Dental has several important solutions for dental practices
 
and dental labs, including Nemotec, a
comprehensive, integrated suite of planning and diagnostic software
 
using open architecture that connects disparate
medical devices to create a digital view of the patient, offering greater diagnostic
 
accuracy and an improved patient
experience.
 
The integration of Biotech Dental’s software with Henry Schein One’s industry-leading practice
management software solutions will help customers streamline their
 
clinical as well as administrative workflow for
the ultimate benefit of patients.
The following table aggregates the preliminary estimated fair value, as
 
of the date of acquisition, of consideration
paid and net assets acquired in the Biotech Dental acquisition, including
 
measurement period adjustments recorded
through December 30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Preliminary
Allocation as
of July 1, 2023
Measurement
Period
Adjustments
Allocation as
of December
30, 2023
Acquisition consideration:
Cash
$
216
$
-
$
216
Fair value of contributed equity share in a controlled subsidiary
25
-
25
Redeemable noncontrolling interests
182
-
182
Total consideration
$
423
$
-
$
423
Identifiable assets acquired and liabilities assumed:
Current assets
$
78
$
-
$
78
Intangible assets
119
28
147
Other noncurrent assets
76
10
86
Current liabilities
(50)
(9)
(59)
Long-term debt
(90)
16
(74)
Deferred income taxes
(38)
(7)
(45)
Other noncurrent liabilities
(16)
(7)
(23)
Total identifiable
 
net assets
79
31
110
Goodwill
344
(31)
313
Total net assets acquired
$
423
$
-
$
423
Goodwill is a result of expected synergies that are expected to originate from the
 
acquisition as well as the expected
growth potential of Biotech Dental.
 
The acquired goodwill is deductible for tax purposes.
 
Measurement period
adjustments recorded in the year ended December 30, 2023 were primarily
 
a result of preliminary third party
intangible valuation and various other adjustments.
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
88
The following table summarizes the preliminary identifiable intangible assets
 
acquired as part of the acquisition of
Biotech Dental:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Weighted Average
 
Useful
Lives (in years)
Customer relationships and lists
$
46
9
Trademarks / Tradenames
18
7
Product development
83
10
Total
$
147
The accounting for the acquisition of Biotech Dental has
 
not been completed in several areas, including but not
limited to pending assessments of accounts receivable, inventory, intangible assets, accrued liabilities and income
and non-income based taxes.
 
To assist in the allocation of consideration, we engaged valuation specialists to
determine the fair value of intangible and tangible assets acquired and liabilities
 
assumed.
 
We will finalize the
amounts recognized as the information necessary to complete the
 
analysis is obtained.
 
We expect to finalize these
amounts as soon as possible but no later than one year from the acquisition
 
date.
 
The pro forma financial
information has not been presented because the impact of the Biotech Dental
 
acquisition during the year ended
December 30, 2023 was immaterial to our consolidated financial statements.
Other 2023 Acquisitions
During the year ended December 30, 2023, we acquired companies within
 
the health care distribution and
technology and value-added services segments.
 
Our acquired ownership interest ranged between
51
% to
100
%.
The following table aggregates
 
the preliminary estimated fair value, as of the date of acquisition, of
 
consideration
paid and net assets acquired for these acquisitions during the year ended
 
December 30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Acquisition consideration:
Cash
$
168
Deferred consideration
4
Estimated fair value of contingent consideration payable
6
Fair value of previously held equity method investment
29
Redeemable noncontrolling interests
77
Total consideration
$
284
Identifiable assets acquired and liabilities assumed:
Current assets
$
32
Intangible assets
116
Other noncurrent assets
17
Current liabilities
(23)
Deferred income taxes
(11)
Long-term debt
(8)
Other noncurrent liabilities
(10)
Total identifiable
 
net assets
113
Goodwill
171
Total net assets acquired
$
284
Goodwill is a result of the expected synergies and cross-selling opportunities that
 
these acquisitions are expected to
provide for us, as well as the expected growth potential.
 
Approximately half of the acquired goodwill is deductible
for tax purposes.
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
89
In connection with an acquisition of a controlling interest of an
 
affiliate, we recognized a gain of approximately $
18
million related to the remeasurement to fair value of our previously held
 
equity investment, using a discounted cash
flow model based on Level 3 inputs, as defined in
The following table summarizes the preliminary identifiable intangible
 
assets acquired during the year ended
December 30, 2023 and their estimated useful lives as of the date of the acquisition:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2023
Weighted Average
 
Useful
Lives (in years)
Customer relationships and lists
$
79
9
Trademarks / Tradenames
8
5
Non-compete agreements
2
5
Product development
7
7
Patents
1
10
Other
19
2
Total
$
116
The pro forma financial information has not been presented because the
 
impact of the acquisitions during the year
ended December 30, 2023 was immaterial to our consolidated financial
 
statements.
2022 Acquisitions
We completed several acquisitions during the year ended December 31, 2022, which were immaterial to our
consolidated financial statements.
 
Our acquired ownership interests ranged from between
55
% to
100
%.
 
Acquisitions in our health care distribution segment included companies
 
that specialize in the distribution of dental
products.
 
Within our technology and value-added services segment, we acquired a company that educates and
connects dental office managers, practice administrators and dental business leaders
 
across North America.
 
The following table aggregates the estimated fair value, as of the
 
date of acquisition, of consideration paid and net
assets acquired for acquisitions during the year ended December 31, 2022.
 
Approximately half of the acquired
goodwill is deductible for tax purposes.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2022
Acquisition consideration:
Cash
$
158
Deferred consideration
2
Fair value of previously held equity method investment
16
Redeemable noncontrolling interests
17
Total consideration
$
193
Identifiable assets acquired and liabilities assumed:
Current assets
$
41
Intangible assets
96
Other noncurrent assets
13
Current liabilities
(29)
Deferred income taxes
(6)
Other noncurrent liabilities
(8)
Total identifiable
 
net assets
107
Goodwill
86
Total net assets acquired
$
193
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
90
The following table summarizes the identifiable intangible assets acquired during
 
the year ended December 31,
2022 and their estimated useful lives as of the date of the acquisition:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Estimated
Useful Lives
2022
(in years)
Customer relationships and lists
$
81
8
-
12
Trademarks / Tradenames
9
5
Non-compete agreements
3
2
-
5
Other
3
10
Total
$
96
2021 Acquisitions
We completed several acquisitions during the year ended December 25, 2021, which were immaterial to our
financial statements.
 
Our acquired ownership interests ranged from between approximately
51
% to
100
%.
 
Acquisitions within our health care distribution segment included companies
 
that specialize in the distribution and
manufacturing of dental and medical products, a provider of home
 
medical supplies, and a provider of product
kitting and sterile packaging.
 
Within our technology and value-added services segment, we acquired companies
that focus on dental marketing and website solutions, practice transition
 
services, revenue cycle management, and
business analytics and intelligence software.
 
Approximately half of the acquired goodwill is deductible for tax
purposes.
 
 
The following table aggregates the estimated fair value, as of the date of
 
acquisition, of consideration paid and net
assets acquired for acquisitions during the year ended December 25, 2021
:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2021
Acquisition consideration:
Cash
$
579
Deferred consideration
11
Estimated fair value of contingent consideration receivable
(5)
Fair value of previously held equity method investment
8
Redeemable noncontrolling interests
181
Total consideration
$
774
Identifiable assets acquired and liabilities assumed:
Current assets
$
195
Intangible assets
317
Other noncurrent assets
51
Current liabilities
(93)
Deferred income taxes
(26)
Other noncurrent liabilities
(46)
Total identifiable
 
net assets
398
Goodwill
376
Total net assets acquired
$
774
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
91
The following table summarizes the identifiable intangible assets acquired during
 
the year ended December 25,
2021 and their estimated useful lives as of the date of the acquisition:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Estimated
Useful Lives
2021
(in years)
Customer relationships and lists
$
220
5
-
12
Trademarks / Tradenames
58
5
-
12
Product development
19
5
-
10
Non-compete agreements
5
3
-
5
Other
15
18
Total
$
317
For the years ended December 30, 2023, December 31, 2022 and December
 
25, 2021, there were no material
adjustments recorded in our financial statements relating to acquisitions
 
for which provisional amounts were
recorded in prior periods.
 
At December 25, 2021 we recorded an estimated contingent consideration
 
receivable of
$
5
 
million, which was subsequently increased by an additional $
5
 
million during 2022, by crediting income from
operations, based on delays in timing of government approval of a certain
 
product.
 
During the years ended December 30, 2023, December 31, 2022
 
and December 25, 2021 we incurred $
22
 
million,
$
9
 
million and $
7
 
million in acquisition costs, which are included in “selling, general
 
and administrative” within
our consolidated statements of income.
Divestiture
 
In the third quarter of 2021 we received contingent proceeds of $
10
 
million from the 2019 sale of Hu-Friedy,
resulting in the recognition of an after-tax gain of $
7
 
million.
 
During the fourth quarter of 2020 we received
contingent proceeds of $
2
 
million from the 2019 sale of Hu-Friedy, resulting in the recognition of an after-tax gain
of $
2
 
million.
 
We do not expect to receive any additional proceeds from the sale of Hu-Friedy.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
92
Note 6 – Property and Equipment, Net
Property and equipment, including related estimated useful lives, consisted
 
of the following as of:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
2023
2022
Land
$
21
$
20
Buildings and permanent improvements
166
135
Leasehold improvements
103
94
Machinery and warehouse equipment
243
169
Furniture, fixtures and other
137
127
Computer equipment and software
500
411
1,170
956
Less accumulated depreciation and amortization
(672)
(573)
Property and equipment, net
$
498
$
383
Estimated Useful
Lives (in years)
Buildings and permanent improvements
40
Machinery and warehouse equipment
5
-
10
Furniture, fixtures and other
3
-
10
Computer equipment and software
3
-
10
Leasehold improvements are amortized on a straight-line basis over
 
the lesser of the useful life of the assets or the
remaining lease term.
Property and equipment related depreciation expense for the years
 
ended December 30, 2023, December 31, 2022
and December 25, 2021, was $
70
 
million, $
68
 
million and $
71
 
million, respectively.
 
Please see
for
finance lease amounts included in property and equipment, net within our
 
consolidated balance sheets.
During the year ended December 30, 2023 we recorded a $
27
 
million impairment of capitalized costs, within our
healthcare distribution segment.
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
93
Note 7 – Leases
We have operating and finance leases for corporate offices, office space, distribution and other facilities, vehicles
and certain equipment.
 
Our leases have remaining terms of less than
one year
 
to approximately
18
 
years, some of
which may include options to extend the leases for up to
15
 
years.
 
The components of lease expense were as
follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Operating lease cost:
$
99
$
132
$
89
Variable
 
lease cost
12
11
10
Short-term lease cost
10
7
4
Total operating lease cost
 
(1)
121
150
103
Finance lease cost
5
3
3
Total lease cost
$
126
$
153
$
106
(1)
Total operating lease cost for the years ended December 30, 2023, December 31, 2022 and December 25, 2021, included costs of
$
11
 
million, $
42
 
million and $
0
 
million, respectively, related to facility leases recorded in "Restructuring and integration costs"
within our consolidated statements of income.
Further, for the years ended December 30, 2023,
 
December 31, 2022 and December 25, 2021, we recognized an
impairment of operating lease right-of-use assets of $
3
 
million, $
3
 
million, and $
0
 
million respectively, related to
facility leases recorded in “Restructuring and integration costs” within our consolidated
 
statement of income.
Supplemental balance sheet information related to leases is as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
2023
2022
Operating Leases:
Operating lease right-of-use assets
$
325
$
284
Current operating lease liabilities
80
73
Non-current operating lease liabilities
310
275
Total operating lease liabilities
$
390
$
348
Finance Leases:
Property and equipment, at cost
$
18
$
16
Accumulated depreciation
(9)
(6)
Property and equipment, net of accumulated depreciation
$
9
$
10
Current maturities of long-term debt
$
4
$
4
Long-term debt
4
6
Total finance
 
lease liabilities
$
8
$
10
Weighted Average
 
Remaining Lease Term in
 
Years:
Operating leases
6.6
6.7
Finance leases
2.6
3.1
Weighted Average
 
Discount Rate:
Operating leases
3.6
%
2.8
%
Finance leases
4.0
%
3.3
%
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
94
Supplemental cash flow information related to leases is as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
2023
2022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases
$
92
87
Financing cash flows for finance leases
5
3
Right-of-use assets obtained in exchange for lease obligations:
Operating leases
$
124
88
Finance leases
4
6
Maturities of lease liabilities are as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30, 2023
Operating
Finance
Leases
Leases
2024
$
92
$
4
2025
77
2
2026
64
1
2027
48
1
2028
38
1
Thereafter
119
-
Total future
 
lease payments
438
9
Less imputed interest
(48)
(1)
Total
$
390
$
8
As of December 30, 2023, we have additional operating leases that have
 
not yet commenced with total lease
payments of $
9
 
million for buildings and vehicles.
 
These operating leases will commence after December 30,
2023, with lease terms of
one year
 
to
10 years
.
Certain of our facilities related to our acquisitions are leased from
 
employees and minority shareholders.
 
These
leases are classified as operating leases and have a remaining lease term
 
ranging from
five months
 
to
14 years
.
 
As
of December 30, 2023, current and non-current liabilities associated with
 
related party operating leases were $
5
million and $
23
 
million, respectively.
 
At December 30, 2023 related party leases represented
6.3
% and
7.4
% of the
total current and non-current operating lease liabilities, respectively.
 
As of December 31, 2022, current and non-
current liabilities associated with related party operating leases were
 
$
4
 
million and $
14
 
million, respectively.
 
At
December 31, 2022 related party leases represented
5.0
% and
5.3
% of the total current and non-current operating
lease liabilities, respectively.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
95
Note 8 – Goodwill and Other Intangibles, Net
Changes in the carrying amounts
 
of goodwill for the years ended December 30, 2023 and December
 
31, 2022 were
as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Health Care
Distribution
Technology
 
and
Value-Added
Services
Total
Balance as of December 25, 2021
$
1,831
$
1,023
$
2,854
Adjustments to goodwill:
Acquisitions
86
(1)
85
Impairment
(20)
-
(20)
Foreign currency translation
(22)
(4)
(26)
Balance as of December 31, 2022
1,875
1,018
2,893
Adjustments to goodwill:
Acquisitions
827
118
945
Foreign currency translation
35
2
37
Balance as of December 30, 2023
$
2,737
$
1,138
$
3,875
For the year ended December 31, 2022, we recorded a $
20
 
million impairment of goodwill relating to the disposal
of an unprofitable business whose estimated fair value was lower than
 
its carrying value.
 
The disposal of this
business is part of our restructuring initiative as more fully discussed
 
in
Other intangible assets consisted of the following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30, 2023
Weighted Average
Accumulated
Remaining Life
Cost
Amortization
Net
(in years)
Customer relationships and lists
$
984
$
(346)
$
638
10
Trademarks / Tradenames
168
(69)
99
8
Product development
205
(62)
143
9
Non-compete agreements
21
(6)
15
5
Other
39
(18)
21
10
Total
$
1,417
$
(501)
$
916
December 31, 2022
Weighted Average
Accumulated
Remaining Life
Cost
Amortization
Net
(in years)
Customer relationships and lists
$
826
$
(387)
$
439
10
Trademarks / Tradenames
125
(51)
74
8
Product development
90
(56)
34
9
Non-compete agreements
25
(6)
19
5
Other
31
(10)
21
17
Total
$
1,097
$
(510)
$
587
Trademarks, trade names, customer lists and customer relationships were established through
 
business acquisitions
and are amortized on a straight-line basis over their respective asset life.
 
Non-compete agreements represent
amounts paid primarily to prior owners of acquired businesses and certain
 
sales persons, in exchange for placing
restrictions on their ability to pose a competitive risk to us.
 
Such amounts are amortized, on a straight-line basis
over the respective non-compete period, which generally commences upon
 
termination of employment or
separation from us.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
96
Amortization expense, excluding impairment charges, related to definite-lived intangible assets
 
for the years ended
December 30, 2023, December 31, 2022 and December 25, 2021, was $
152
 
million, $
126
 
million and $
124
 
million.
 
During the year ended December 30, 2023 we recorded $
19
 
million of impairment charges related to businesses in
our health care distribution segment, the components of which were
 
$
7
 
million primarily related to customer lists
and relationships attributable to lower than anticipated operating
 
margins in certain businesses, and a $
12
 
million
charge related to the planned exit of a business.
 
These impairment charges were calculated as the differences
between the carrying values and the estimated fair values
 
of the impaired intangible assets, using a discounted
estimate of future cash flows.
 
Please see
 
for additional
details.
During the year ended December 31, 2022 we recorded $
49
 
million of impairment charges related to businesses in
our health care distribution segment, the components of which were
 
a $
15
 
million charge related to the disposal of
an unprofitable business and a $
34
 
million charge related to customer lists and relationships attributable to
customer attrition rates being higher than expected in certain other health
 
care distribution businesses.
 
These
impairment charges were calculated as the differences between the carrying values and the estimated
 
fair values
 
of
the impaired intangible assets, using a discounted estimate of future
 
cash flows.
 
Please see
 
for additional details.
During the year ended December 25, 2021, we recorded a $
1
 
million impairment charge related ratably to a
business within our health care distribution segment and a business within
 
our technology and value-added services
segment.
The above intangible asset impairment charges were recorded within selling, general
 
and administrative expenses
and in restructuring and integration charges in our consolidated statement of income.
The annual amortization expense expected to be recorded for existing
 
intangibles assets for the years 2024 through
2028 is $
157
 
million, $
138
 
million, $
121
 
million, $
109
 
million and $
91
 
million.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
97
Note 9 – Investments and Other
Investments and other consisted of the following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
2023
2022
Investments in unconsolidated affiliates
 
$
180
$
161
Non-current deferred foreign, state and local income taxes
 
38
88
Notes receivable
(1)
44
28
Capitalized costs for software to be sold, leased or marketed to external
 
users
95
79
Security deposits
 
4
3
Acquisition-related indemnification
 
46
59
Non-current pension assets
9
8
Other long-term assets
55
46
Total
 
$
471
$
472
(1)
Long-term notes receivable carry interest rates ranging from
3.0
% to
10.0
% and are due in varying installments through
November 21, 2028
.
Amortization expense, primarily related to capitalized costs for software to
 
be sold, leased or marketed to external
users, for the years ended December 30, 2023, December 31, 2022 and
 
December 25, 2021, was $
26
 
million, $
18
million and $
15
 
million, respectively, and is included in the selling, general and administrative line within our
consolidated statements of income.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
98
Note 10 – Fair Value Measurements
The following section describes the fair values of our financial instruments
 
and the methodologies that we used to
measure their fair values.
 
Investments and notes receivable
There are no quoted market prices available for investments in unconsolidated
 
affiliates and notes receivable.
 
Certain of our notes receivable contain variable interest rates.
 
We believe the carrying amounts are a reasonable
estimate of fair value based on the interest rates in the applicable markets.
 
Our investments and notes receivable
fair value is based on Level 3 inputs within the fair value hierarchy.
Debt
The fair value of our debt (including bank credit lines, current maturities
 
of long-term debt and long-term debt) is
based on Level 3 inputs within the fair value hierarchy, and as of December 30, 2023 and December 31, 2022 was
estimated at $
2,351
 
million and $
1,149
 
million, respectively.
 
Factors that we considered when estimating the fair
value of our debt include market conditions, such as interest rates and credit
 
spreads.
 
Derivative contracts
Derivative contracts are valued using quoted market prices and
 
significant other observable inputs.
 
Our derivative
instruments primarily include foreign currency forward agreements, forecasted
 
inventory purchase commitments,
foreign currency forward contracts, interest rate swaps, and total return
 
swaps.
The fair values for the majority of our foreign currency derivative contracts
 
are obtained by comparing our contract
rate to a published forward price of the underlying market rates, which
 
are based on market rates for comparable
transactions that are classified within Level 2 of the fair value hierarchy.
The fair value of the interest rate swap, which is classified within Level 2
 
of the fair value hierarchy, is determined
by comparing our contract rate to a forward market rate as of the
 
valuation date.
The fair value of total return swaps is determined by valuing the underlying
 
exchange traded funds of the swap
using market-on-close pricing by industry providers as of the valuation
 
date that are classified within Level 2 of the
fair value hierarchy.
Redeemable noncontrolling interests
The values for redeemable noncontrolling interests are based on recent
 
transactions and/or implied multiples of
earnings that are classified within Level 3 of the fair value hierarchy.
 
See
 
for additional information.
Assets measured on a non-recurring basis at fair value include intangibles.
 
Inputs for measuring intangibles are
classified as Level 3 within the fair value hierarchy.
 
See
 
and
 
for additional information.
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
99
The following table presents our assets and liabilities that are measured and
 
recognized at fair value on a recurring
basis classified under the appropriate level of the fair value hierarchy as of
 
December 30, 2023 and December 31,
2022:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30, 2023
Level 1
Level 2
Level 3
Total
Assets:
Derivative contracts designated as hedges
$
-
$
1
$
-
$
1
Derivative contracts undesignated
-
1
-
1
Total return
 
swap
-
4
-
4
Total assets
$
-
$
6
$
-
$
6
Liabilities:
Derivative contracts designated as hedges
$
-
$
18
$
-
$
18
Derivative contracts undesignated
-
2
-
2
Total liabilities
$
-
$
20
$
-
$
20
Redeemable noncontrolling interests
$
-
$
-
$
864
$
864
December 31, 2022
Level 1
Level 2
Level 3
Total
Assets:
Derivative contracts designated as hedges
$
-
$
23
$
-
$
23
Derivative contracts undesignated
-
4
-
4
Total assets
$
-
$
27
$
-
$
27
Liabilities:
Derivative contracts designated as hedges
$
-
$
1
$
-
$
1
Derivative contracts undesignated
-
3
-
3
Total return
 
swaps
-
3
-
3
Total liabilities
$
-
$
7
$
-
$
7
Redeemable noncontrolling interests
$
-
$
-
$
576
$
576
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
100
Note 11 – Concentrations of Risk
Certain financial instruments potentially subject us to concentrations of
 
credit risk.
 
These financial instruments
consist primarily of cash equivalents, trade receivables, long-term investments,
 
notes receivable and derivative
instruments.
 
In all cases, our maximum exposure to loss from credit
 
risk equals the gross fair value of the financial
instruments.
 
We routinely maintain cash balances at financial institutions in excess of insured amounts.
 
We have
not experienced any loss in such accounts and we manage this risk through
 
maintaining cash deposits and other
highly liquid investments in high quality financial institutions.
 
We continuously assess the need for reserves for
such losses, which have been within our expectations.
 
We do not require collateral or other security to support
financial instruments subject to credit risk, except for long-term notes receivable.
We limit credit risk with respect to our cash equivalents, short-term and long-term investments and derivative
instruments, by monitoring the credit worthiness of the financial institutions
 
who are the counter-parties to such
financial instruments.
 
As a risk management policy, we limit the amount of credit exposure by diversifying and
utilizing numerous investment grade counter-parties.
With respect to our trade receivables, credit risk is somewhat limited due to a relatively large customer base
 
and its
dispersion across different types of health care professionals and geographic areas.
 
No single customer accounted
for more than
2
% of our net sales in either of the years ended December 30, 2023
 
or December 31, 2022.
 
With
respect to our sources of supply, our top 10 health care distribution suppliers and our single largest supplier
accounted for approximately
24
% and
4
%, respectively, of our aggregate purchases for the year ended December
30, 2023 and approximately
28
% and
4
%, respectively, of our aggregate purchases for the year ended December
31, 2022.
Our long-term notes receivable primarily represent strategic financing arrangements
 
with certain affiliates.
 
Generally, these notes are secured by certain assets of the counterparty; however, in most cases our security is
subordinate to the rights of other commercial financial institutions.
 
While we have exposure to credit loss in the
event of non-performance by these counter-parties, we conduct ongoing
 
assessments of their financial and
operational performance.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
101
Note 12 – Derivatives and Hedging Activities
We are exposed to market risks and changes in foreign currency exchange rates against the U.S. dollar and each
other, and changes to the credit risk of the derivative counterparties.
 
We attempt to minimize these risks using
foreign currency forward contracts and by maintaining counter-party credit limits.
 
Our hedging activities provide
only limited protection against currency exchange and credit risks.
 
Factors that could influence the effectiveness of
our hedging programs include currency markets and availability of hedging
 
instruments and liquidity of the credit
markets.
 
All foreign currency forward contracts that we enter are for the sole
 
purpose of hedging an existing or
anticipated currency exposure.
 
We do not enter into foreign currency forward contracts for speculative purposes
and we manage our credit risks by diversifying our counterparties,
 
maintaining a strong balance sheet and having
multiple sources of capital.
 
Our derivative instruments primarily include foreign currency forward contracts,
 
total
return swaps, and interest rate swaps.
During 2019 we entered foreign currency forward contracts that we
 
designated as net investment hedges to hedge a
portion of our euro-denominated foreign operations.
 
These net investment hedges offset changes in the U.S. dollar
value of our investments in certain euro-functional currency subsidiaries due
 
to fluctuating foreign exchange rates.
 
Gains and losses related to these net investment hedges are recorded
 
in accumulated other comprehensive loss
within our consolidated balance sheets.
 
Amounts excluded from the assessment of hedge effectiveness are
 
included
in interest expense within our consolidated statements of income.
 
The aggregate notional value of these net
investment hedges, which matured on
November 16, 2023
, was approximately €
200
 
million.
 
On November 3,
2023 we entered into new foreign currency forward contracts to
 
hedge a portion of our euro-denominated foreign
operations which are designated as net investment hedges.
 
The aggregate notional value of these net investment
hedges, which matured on
November 16, 2023
, was approximately €
200
 
million.
 
The aggregate notional value of
this net investment hedge, which matures on
November 3, 2028
, is approximately €
300
 
million.
 
During the years
ended December 30, 2023, December 31, 2022, and December 25, 2021,
 
we recorded an increase/(decrease) of
$
(32)
 
million, $
9
 
million, and $
11
 
million, respectively, within other comprehensive income related to these foreign
currency forward contracts.
 
See
 
for additional information.
On
March 20, 2020
, we entered a total return swap to economically hedge our unfunded
 
non-qualified SERP and
our DCP.
 
This swap will offset changes in our SERP and DCP liabilities.
 
At the swap’s inception, the notional
value of the investments in these plans was $
43
 
million.
 
At December 30, 2023, the notional value of the
investments in these plans was $
96
 
million.
 
At December 30, 2023, the financing blended rate for
 
this swap was
based on the Secured Overnight Financing Rate (“SOFR”) of
5.33
% plus
0.52
%, for a combined rate of
5.85
%.
 
For
the years ended December 30, 2023, December 31, 2022,
 
and December 25, 2021, we recorded within selling,
general and administrative expenses in our consolidated statement of income,
 
a gain (loss ) of $
10
 
million, ($
17
)
million, and $
12
 
million, respectively, net of transaction costs, related to this undesignated swap.
 
See
 
for additional information.
On July 11, 2023, we entered into interest rate swap agreements to hedge the cash flow of our variable
 
rate $
750
million floating debt term loan facility, with
three years
 
maturity, effectively changing the floating rate portion of
our obligation to a fixed rate.
 
Under the terms of the interest rate swap agreements, we receive variable
 
interest
payments based on the one-month Term SOFR rate and pay interest at a fixed rate.
 
As of December 30, 2023, the
notional value of the interest rate swap agreements was $
741
 
million.
 
For the year ended December 30, 2023, we
recorded, within accumulated other comprehensive loss within our consolidated
 
balance sheets, a loss of $
10
million related to the change in the fair value of these interest rate
 
swap agreements, since we have designated these
swaps agreements as cash flow hedges.
Fluctuations in the value of certain foreign currencies as compared
 
to the U.S. dollar may positively or negatively
affect our revenues, gross margins, operating expenses and retained earnings, all of which are expressed
 
in U.S.
dollars.
 
Where we deem it prudent, we engage in hedging programs using primarily
 
foreign currency forward
contracts aimed at limiting the impact of foreign currency exchange
 
rate fluctuations on earnings.
 
We purchase
short-term (i.e., generally 18 months or less) foreign currency forward contracts
 
to protect against currency
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
102
exchange risks associated with intercompany loans due from our international
 
subsidiaries and the payment of
merchandise purchases to our foreign suppliers.
 
We do not hedge the translation of foreign currency profits into
U.S. dollars, as we consider foreign currency translation to be an accounting
 
exposure, not an economic
exposure.
 
Amounts related to our hedging activities are recorded in prepaid
 
expenses and other and/or accrued
expenses: other within our consolidated balance sheets.
The following table summarizes the terms and fair value of our outstanding derivative
 
financial instruments as of
December 30, 2023 and December 31, 2022:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30, 2023
Notional
Amount
Classification
Fair
Value
Maturity Date
Derivatives used in cash flow hedges:
Foreign currency forward contracts
$
102
Accrued expenses, other
$
(1)
November 21, 2024
Interest rate swaps
741
Accrued expenses, other
(10)
July 13, 2026
Derivatives used in net investment hedges:
Foreign currency forward contracts
352
Accrued expenses, other
(6)
November 3, 2028
Undesignated hedging relationships:
Total return
 
swaps
96
Prepaid expenses and other
4
January 3, 2024
Total
$
1,291
$
(13)
December 31, 2022
Notional
Amount
Classification
Fair
Value
Maturity Date
Derivatives used in cash flow hedges:
Foreign currency forward contracts
$
123
Prepaid expenses and other
$
2
December 28, 2023
Derivatives used in net investment hedges:
Foreign currency forward contracts
200
Prepaid expenses and other
20
November 16, 2023
Undesignated hedging relationships:
Total return
 
swaps
78
Accrued expenses, other
(3)
January 4, 2023
Total
$
401
$
19
The following table summarizes the effect of cash flow hedges and net investment hedges
 
on our consolidated
statements of income for the years ended
 
December 30, 2023, December 31, 2022 and December
 
25, 2021:
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Derivatives used in cash flow hedges:
Foreign currency forward contracts
$
(1)
$
-
$
1
Interest rate swaps
(7)
-
-
Derivatives used in net investment hedges:
Foreign currency forward contracts
(10)
7
8
Total
$
(18)
$
7
$
9
The amount of gains or losses reclassified from accumulated other comprehensive
 
loss into income were not
material for the years ended December 30, 2023, December 31, 2022,
 
and December 25, 2021.
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
103
Note 13 – Debt
Bank Credit Lines
Bank credit lines consisted of the following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
2023
2022
Revolving credit agreement
$
200
$
-
Other short-term bank credit lines
64
103
Total
$
264
$
103
Revolving Credit Agreement
On
August 20, 2021
, we entered a $
1.0
 
billion revolving credit agreement (the “Revolving Credit Agreement”)
which was scheduled to mature on
August 20, 2026
.
 
On
July 11, 2023
, we amended and restated the Revolving
Credit Agreement to, among other things, extend the maturity date
 
to
July 11, 2028
 
and update the interest rate
provisions to reflect the current market approach for a multicurrency
 
facility.
 
The interest rate on this revolving
credit facility is based on Term Secured Overnight Financing Rate (“Term SOFR”) plus a spread based on our
leverage ratio at the end of each financial reporting quarter.
 
The Revolving Credit Agreement requires, among
other things, that we maintain certain maximum leverage ratios.
 
Additionally, the Revolving Credit Agreement
contains customary representations, warranties and affirmative covenants as well
 
as customary negative covenants,
subject to negotiated exceptions, on liens, indebtedness, significant corporate
 
changes (including mergers),
dispositions and certain restrictive agreements.
 
As of December 30, 2023 and December 31, 2022, we had $
200
million and $
0
 
million in borrowings, respectively under this revolving credit facility.
 
During the year ended
December 30, 2023, the average outstanding balance under the Revolving Credit
 
Agreement was approximately
$
61
 
million.
 
As of December 30, 2023 and December 31, 2022, there were $
10
 
million and $
9
 
million of letters of
credit, respectively, provided to third parties under this Revolving Credit Agreement.
Other Short-Term Bank Credit
 
Lines
As of December 30, 2023 and December 31, 2022, we had various other
 
short-term bank credit lines available, in
various currencies, with a maximum borrowing capacity of $
368
 
million and $
402
 
million, respectively.
 
As of
December 30, 2023 and December 31, 2022, $
64
 
million and $
103
 
million, respectively, were outstanding.
 
During
the year ended December 30, 2023, the average outstanding balances under our
 
various other short-term bank credit
lines was approximately $
115
 
million.
 
At December 30, 2023 and December 31, 2022, borrowings under
 
other
short-term bank credit lines had weighted average interest rates of
6.02
% and
10.11
%, respectively.
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
104
Long-term debt
 
Long-term debt consisted of the following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
2023
2022
Private placement facilities
$
1,074
$
699
U.S. trade accounts receivable securitization
210
330
Term loan
741
-
Various
 
collateralized and uncollateralized loans payable with interest,
in varying installments through 2030 at interest rates
from
0.00
% to
9.42
% at December 30, 2023 and
from
0.00
% to
3.50
% at December 31, 2022
54
7
Finance lease obligations
8
10
Total
2,087
1,046
Less current maturities
(150)
(6)
Total long-term debt
$
1,937
$
1,040
As of December 30, 2023,
 
the aggregate amounts of long-term debt, including finance lease obligations
 
and net of
deferred debt issuance costs of $
1
 
million, maturing in each of the next five years and thereafter
 
are as follows:
 
 
 
 
 
 
 
 
2024
 
$
150
2025
 
231
2026
 
721
2027
 
104
2028
 
179
Thereafter
 
702
Total
 
$
2,087
 
Private Placement Facilities
Our private placement facilities include four insurance companies, have
 
a total facility amount of $
1.5
 
billion, and
are available on an uncommitted basis at fixed rate economic
 
terms to be agreed upon at the time of issuance, from
time to time through
October 20, 2026
.
 
The facilities allow us to issue senior promissory notes to the
 
lenders at a
fixed rate based on an agreed upon spread over applicable treasury notes
 
at the time of issuance.
 
The term of each
possible issuance will be selected by us and can range from
five
 
to
15 years
 
(with an average life no longer than
12
years
).
 
The proceeds of any issuances under the facilities will be used
 
for general corporate purposes, including
working capital and capital expenditures, to refinance existing indebtedness,
 
and/or to fund potential acquisitions.
 
The agreements provide, among other things, that we maintain
 
certain maximum leverage ratios, and contain
restrictions relating to subsidiary indebtedness, liens, affiliate transactions, disposal
 
of assets and certain changes in
ownership.
 
These facilities contain make-whole provisions in the event that we
 
pay off the facilities prior to the
applicable due dates.
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
105
The components of our private placement facility borrowings, which
 
have a weighted average interest rate of
3.65
%, as of December 30, 2023 are presented in the following table:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Amount of
Date of
 
Borrowing
Borrowing
 
Borrowing
Outstanding
Rate
Due Date
January 20, 2012
$
50
3.45
%
January 20, 2024
December 24, 2012
50
3.00
December 24, 2024
June 16, 2017
100
3.42
June 16, 2027
September 15, 2017
100
3.52
September 15, 2029
January 2, 2018
100
3.32
January 2, 2028
September 2, 2020
100
2.35
September 2, 2030
June 2, 2021
100
2.48
June 2, 2031
June 2, 2021
100
2.58
June 2, 2033
May 4, 2023
75
4.79
May 4, 2028
May 4, 2023
75
4.84
May 4, 2030
May 4, 2023
75
4.96
May 4, 2033
May 4, 2023
150
4.94
May 4, 2033
Less: Deferred debt issuance costs
(1)
Total
$
1,074
 
U.S. Trade Accounts Receivable Securitization
We have a facility agreement based on our U.S. trade accounts receivable that is structured as an asset-backed
securitization program with pricing committed for up to
three years
.
 
This facility agreement has a purchase limit of
$
450
 
million with
two
 
banks as agents, and expires on
December 15, 2025
.
As of December 30, 2023 and December 31, 2022, the borrowings outstanding
 
under this securitization facility
were $
210
 
million and $
330
 
million, respectively.
 
At December 30, 2023, the interest rate on borrowings under
this facility was based on the asset-backed commercial paper rate of
5.67
% plus
0.75
%, for a combined rate of
6.42
%.
 
At December 31, 2022, the interest rate on borrowings under
 
this facility was based on the asset-backed
commercial paper rate of
4.58
% plus
0.75
%, for a combined rate of
5.33
%.
If our accounts receivable collection pattern changes due to customers
 
either paying late or not making payments,
our ability to borrow under this facility may be reduced.
We are required to pay a commitment fee of
30
 
to
35
 
basis points depending upon program utilization.
On December 20, 2023 and February 23, 2024, we amended this facility
 
to temporarily adjust certain covenant
levels.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
106
Term Loan
On July 11, 2023, we entered into a
three-year
 
$
750
 
million term loan credit agreement (the “Term Credit
Agreement”).
 
The interest rate on this term loan is based on the Term SOFR plus a spread based on our leverage
ratio at the end of each financial reporting quarter.
 
This term loan matures on July 11, 2026.
 
We are required to make quarterly payments of $
5
 
million from September 2023 through June 2024 and quarterly
payments of $
9
 
million from September 2024 through June 2026, with the remaining balance
 
due in July 2026.
 
As
of December 30, 2023, the borrowings outstanding under this term
 
loan were $
741
 
million.
 
At December 30, 2023,
the interest on this Term Credit Agreement was
5.36
% plus
1.35
% for a combined rate of
6.71
%.
 
However, we
have a hedge in place (see
for additional information) that ultimately
creates an effective fixed rate of
5.79
%.
 
The Term Credit Agreement requires, among other things, that we
maintain certain maximum leverage ratios.
 
Additionally, the Term
 
Credit Agreement contains customary
representations, warranties and affirmative covenants as well as customary negative
 
covenants, subject to
negotiated exceptions, on liens, indebtedness, significant corporate changes
 
(including mergers), dispositions and
certain restrictive agreements.
 
 
 
 
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
107
Note 14 – Income Taxes
Income before taxes and equity in earnings of affiliates was as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
ended
December 30,
December 31,
December 25,
2023
2022
2021
Domestic
$
424
$
506
$
593
Foreign
118
215
238
Total
$
542
$
721
$
831
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The provisions for income taxes were as follows:
Years
 
ended
December 30,
December 31,
December 25,
2023
2022
2021
Current income tax expense:
U.S. Federal
$
72
$
150
$
129
State and local
28
49
37
Foreign
40
44
43
Total current
140
243
209
Deferred income tax expense (benefit):
U.S. Federal
9
(48)
(12)
State and local
(3)
(13)
(3)
Foreign
(26)
(12)
4
Total deferred
(20)
(73)
(11)
Total provision
$
120
$
170
$
198
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
108
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The tax effects of temporary differences that give rise to our deferred income tax asset (liability) were
 
as follows:
Years
 
Ended
December 30,
December 31,
2023
2022
Deferred income tax asset:
Net operating losses
$
90
$
64
Other carryforwards
34
10
Inventory, premium
 
coupon redemptions and accounts receivable
valuation allowances
 
44
57
Operating lease liability
80
77
Other asset
66
60
Total deferred income
 
tax asset
 
314
268
Valuation
 
allowance for deferred tax assets
(1)
(36)
(36)
Net deferred income tax asset
278
232
Deferred income tax liability
Intangibles amortization
(219)
(112)
Operating lease right-of-use asset
(65)
(61)
Property and equipment
(10)
(7)
Total deferred tax
 
liability
(294)
(180)
Net deferred income tax asset (liability)
$
(16)
$
52
(1)
Primarily relates to operating losses, the benefits of which are uncertain.
 
Any future reductions of such valuation allowances will be
reflected as a reduction of income tax expense.
The assessment of the amount of value assigned to our deferred tax assets under
 
the applicable accounting rules is
judgmental.
 
We
are required to consider all available positive and negative evidence
 
in evaluating the likelihood
that we will be able to realize the benefit of our deferred tax assets in the future.
 
Such evidence includes reversals
of deferred tax liabilities and projected future taxable income.
 
Since this evaluation requires consideration of
events that may occur some years into the future, there is an element of
 
judgment involved.
 
Realization of our
deferred tax assets is dependent on generating sufficient taxable income in future periods.
 
We
believe that it is
more likely than not that future taxable income will be sufficient to allow us to recover
 
substantially all of the value
assigned to our deferred tax assets.
 
However, if future events cause us to conclude that it is not more likely than
not that we will be able to recover the value assigned to our deferred tax assets, we
 
will be required to adjust our
valuation allowance accordingly.
As of December 30, 2023, we had federal, state and foreign net operating
 
loss carryforwards of approximately
$
37
 
million, $
69
 
million and $
317
 
million, respectively.
 
The federal, state and foreign net operating loss
carryforwards will begin to expire in various years from 2024 through
 
2043.
 
The amounts of federal, state and
foreign net operating losses that can be carried-forward indefinitely are $
37
 
million, $
23
 
million and $
304
 
million,
respectively.
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
109
The tax provisions differ from the amount computed using the federal statutory income
 
tax rate as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
ended
December 30,
December 31,
December 25,
2023
2022
2021
Income tax provision at federal statutory rate
$
114
$
151
$
175
State income tax provision, net of federal income tax effect
15
20
21
Foreign income tax provision
5
4
6
Pass-through noncontrolling interest
(8)
(4)
(4)
Valuation
 
allowance
(3)
(2)
(6)
Unrecognized tax benefits and audit settlements
9
11
7
Interest expense related to loans
(13)
(12)
(11)
Tax on global
 
intangible low-taxed income ("GILTI")
7
6
5
Other
(6)
(4)
5
Total income
 
tax provision
$
120
$
170
$
198
 
 
 
For the year ended December 30, 2023 our effective tax rate was
22.1
%, compared to
23.5
% for the prior year
period.
 
In 2023, the difference between our effective tax rate and the federal statutory tax rate primarily
 
relates to
state and foreign income taxes and interest expense.
 
In 2022, the difference between our effective tax rate and the
federal statutory tax rate was primarily due to state and foreign income
 
taxes and interest expense.
 
In 2021, our
effective tax rate was
23.8
%, the difference between our effective tax rate and the federal statutory tax rate was
primarily due to state and foreign income taxes and interest expense.
 
On December 22, 2017, the U.S. government passed the Tax Cuts and Jobs Act, which requires U.S. companies to
pay a mandatory one-time transition tax on historical offshore earnings that have not
 
been repatriated to the U.S.
 
The transition tax is payable over eight years.
 
Within our consolidated balance sheets, transition tax of $
11
 
million
and $
19
 
million were included in “accrued taxes” for 2023 and 2022, respectively, and $
24
 
million and $
23
 
million
were included in “other liabilities” for 2023 and 2022, respectively.
Due to the one-time transition tax and the imposition of the GILTI provisions, all previously unremitted earnings
will no longer be subject to U.S. federal income tax; however, there could be U.S., state and/or foreign withholding
taxes upon distribution of such unremitted earnings.
 
Determination of the amount of unrecognized deferred tax
liability with respect to such earnings is not practicable.
The Organization of Economic Co-Operation and Development (OECD) issued
 
technical and administrative
guidance on Pillar Two Model Rules in December 2021, which provides for a global minimum tax rate on the
earnings of large multinational businesses, on a country-by-country basis.
 
Effective January 1, 2024, the minimum
global tax rate is 15% for various jurisdictions pursuant to the Pillar Two framework.
 
Future tax reform resulting
from these developments may result in changes to long-standing tax principles,
 
which may adversely impact our
effective tax rate going forward or result in higher cash tax liabilities.
 
As we operate in jurisdictions which have
adopted Pillar 2, we are continuing to analyze the implications to effectively manage
 
the impact for 2024 and
beyond.
ASC Topic 740 prescribes the accounting for uncertainty in income taxes recognized in accordance with other
provisions contained within its guidance.
 
This topic prescribes a recognition threshold and a measurement
 
attribute
for the financial statement recognition and measurement of tax positions taken or
 
expected to be taken in a tax
return.
 
For those benefits to be recognized, a tax position must be
 
more likely than not to be sustained upon
examination by the taxing authorities.
 
The amount recognized is measured as the largest amount of benefit that has
a greater than 50% likelihood of being realized upon ultimate audit settlement.
 
In the normal course of business,
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
110
our tax returns are subject to examination by various taxing authorities.
 
Such examinations may result in future tax
and interest assessments by these taxing authorities for uncertain tax positions
 
taken in respect of certain tax
matters.
The total amount of unrecognized tax benefits, which are included in “other
 
liabilities” within our consolidated
balance sheets, as of December 30, 2023 and December 31, 2022, was $
115
 
million and $
94
 
million, respectively,
of which $
107
 
million and $
80
 
million, respectively, would affect the effective tax rate if recognized.
 
It is possible
that the amount of unrecognized tax benefits will change in the next 12
 
months, which may result in a material
impact on our consolidated statements of income.
All tax returns audited by the IRS are officially closed through 2019.
 
The tax years subject to examination by the
IRS include years 2020 and forward.
 
In addition, limited positions reported in the 2017 tax year are subject
 
to IRS
examination.
The amount of tax interest expense included as a component of the provision
 
for taxes was $
4
 
million, $
0
 
million
and $
0
 
million in 2023, 2022 and 2021, respectively.
 
The total amount of accrued interest is included in “other
liabilities,” and was $
16
 
million as of December 30, 2023 and $
12
 
million as of December 31, 2022.
 
The amount
of penalties accrued for during the periods presented were not material to
 
our consolidated financial statements.
The following table provides a reconciliation of unrecognized tax benefits:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
December 25,
2023
2022
2021
Balance, beginning of period
$
82
$
71
$
70
Additions based on current year tax positions
9
14
3
Additions based on prior year tax positions
26
8
11
Reductions based on prior year tax positions
(2)
-
(1)
Reductions resulting from settlements with taxing authorities
(3)
(1)
(9)
Reductions resulting from lapse in statutes of limitations
(14)
(10)
(3)
Balance, end of period
$
98
$
82
$
71
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
111
Note 15 – Plans of Restructuring
 
and Integration Costs
 
On August 1, 2022, we committed to a restructuring plan focused on
 
funding the priorities of the BOLD+1 strategic
plan, streamlining operations and other initiatives to increase efficiency.
 
We revised our previous expectations of
completion and we have extended this initiative through the end of 2024.
 
We are currently unable in good faith to
make a determination of an estimate of the amount or range of amounts
 
expected to be incurred in connection with
these activities, both with respect to each major type of cost associated
 
therewith and to the total cost, or an
estimate of the amount or range of amounts that will result in future
 
cash expenditures.
During the years ended December 30, 2023, December 31, 2022, and December
 
25, 2021, we recorded
restructuring costs of $
80
 
million, $
128
 
million, and $
8
 
million, respectively.
 
The restructuring costs for these
periods primarily related to severance and employee-related costs,
 
impairment of intangible assets, accelerated
amortization of right-of-use lease assets and fixed assets, other lease exit
 
costs, and certain business exit costs
discussed below.
 
During the year ended December 30, 2023, in connection with our restructuring
 
plan, we recorded an impairment of
an intangible asset of $
12
 
million related to a planned disposal of a non-U.S. business.
 
The disposal is expected to
be completed in 2024.
 
This impairment is included in the $
80
 
million of restructuring charges discussed above.
During the year ended December 31, 2022, in connection with our
 
restructuring plan, we vacated
one
 
of the
buildings at our corporate headquarters in Melville, New York, which resulted in an accelerated amortization of a
right-of-use lease asset of $
34
 
million.
 
We also initiated the disposal of a non-profitable U.S. business and
recorded related costs of $
49
 
million, which primarily consisted of impairment of intangible
 
assets and goodwill,
inventory impairment, and severance and employee-related costs.
 
These expenses are included in the $
128
 
million
of restructuring charges discussed above.
 
The disposal was completed during the first quarter of 2023.
 
On August 26, 2022, we acquired Midway Dental Supply.
 
In connection with this acquisition, during the year
ended December 31, 2022, we recorded integration costs of $
3
 
million related to one-time employee and other
costs, as well as restructuring charges of $
9
 
million, which are included in the $
128
 
million of restructuring charges
discussed above.
On November 20, 2019, we committed to a contemplated restructuring
 
initiative intended to mitigate stranded costs
associated with the spin-off of our animal health business and to rationalize operations
 
and provide expense
efficiencies.
 
These activities were originally expected to be completed by
 
the end of 2020 but we extended them to
the end of 2021 in light of the changes to the business environment brought
 
on by the COVID-19 pandemic.
 
The
restructuring activities under this prior initiative were completed
 
in 2021.
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
112
Restructuring and integration costs recorded during our 2023, 2022 and
 
2021 fiscal years consisted of the
following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year
 
Ended December 30, 2023
Health Care Distribution
Technology
 
and Value-Added
Services
Restructuring
Costs
Integration
Costs
Restructuring
Costs
Integration
Costs
Total
Severance and employee-related costs
$
41
$
-
$
5
$
-
$
46
Impairment and accelerated depreciation and
amortization of right-of-use lease assets and
other long-lived assets
13
-
2
-
15
Exit and other related costs
5
-
1
-
6
Loss on disposal of a business
13
-
-
-
13
Total restructuring and integration costs
$
72
$
-
$
8
$
-
$
80
Year
 
Ended December 31, 2022
Health Care Distribution
Technology
 
and Value-Added
Services
Restructuring
Costs
Integration
Costs
Restructuring
Costs
Integration
Costs
Total
Severance and employee-related costs
$
25
$
-
$
4
$
-
$
29
Impairment and accelerated depreciation and
amortization of right-of-use lease assets and
other long-lived assets
47
-
-
-
47
Exit and other related costs
3
-
-
-
3
Loss on disposal of a business
49
-
-
-
49
Integration employee-related and other costs
-
3
-
-
3
Total restructuring and integration costs
$
124
$
3
$
4
$
-
$
131
Year
 
Ended December 25, 2021
Health Care Distribution
Technology
 
and Value-Added
Services
Restructuring
Costs
Integration
Costs
Restructuring
Costs
Integration
Costs
Total
Severance and employee-related costs
$
6
$
-
$
2
$
-
$
8
Total restructuring and integration costs
$
6
$
-
$
2
$
-
$
8
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
113
The following table summarizes, by reportable segment, the activity related
 
to the liabilities associated with our
restructuring initiatives for the year ended December 30, 2023.
 
The remaining accrued balance of restructuring
costs as of December 30, 2023, which primarily relates to severance and
 
employee-related costs, is included in
accrued expenses: other within our consolidated balance sheets.
 
Liabilities related to exited leased facilities are
recorded within our current and non-current operating lease liabilities within
 
our condensed consolidated balance
sheets.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Technology
 
and
Health Care
Value-Added
Distribution
Services
Total
Balance, December 25, 2021
$
3
$
1
$
4
Restructuring and integration costs
124
4
128
Non-cash asset impairment and accelerated depreciation and
amortization of right-of-use lease assets and other long-lived assets
(47)
-
(47)
Non-cash impairment on disposal of a business
(46)
-
(46)
Cash payments and other adjustments
(13)
(2)
(15)
Balance, December 31, 2022
21
3
24
Restructuring and integration costs
72
8
80
Non-cash asset impairment and accelerated depreciation and
amortization of right-of-use lease assets and other long-lived assets
(13)
(2)
(15)
Non-cash impairment on disposal of a business
(12)
-
(12)
Cash payments and other adjustments
(46)
(8)
(54)
Balance, December 30, 2023
$
22
$
1
$
23
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
114
Note 16 – Commitments and Contingencies
Purchase Commitments
In our health care distribution business, we sometimes enter into long-term purchase
 
commitments to ensure the
availability of products for distribution.
 
Future minimum annual payments for inventory purchase commitments
 
as
of December 30, 2023 were:
 
 
 
 
 
 
 
 
 
 
2024
$
5
2025
4
2026
4
2027
4
2028
-
Thereafter
-
Total minimum
 
inventory purchase commitment payments
$
17
Employment, Consulting and Non-Compete Agreements
We have employment, consulting and non-compete agreements that have varying base aggregate annual payments
for the years 2024 through 2028 and thereafter of approximately $
21
 
million, $
8
 
million, $
1
 
million, $
1
 
million, $
0
million, and $
0
 
million, respectively.
 
We also have lifetime consulting agreements that provide for current
compensation of four-hundred thousand dollars per year, with small scheduled increases every fifth year with the
next increase in 2027.
 
In addition, some agreements have provisions for additional
 
incentives and compensation.
 
 
Legal Proceedings
Henry Schein, Inc. has been named as a defendant in multiple opioid related
 
lawsuits (currently less than one-
hundred and seventy-five (
175
); one or more of Henry Schein, Inc.’s subsidiaries is also named as a defendant in a
number of those cases).
 
Generally, the lawsuits allege that the manufacturers of prescription opioid drugs engaged
in a false advertising campaign to expand the market for such drugs and
 
their own market share and that the entities
in the supply chain (including Henry Schein, Inc. and its subsidiaries) reaped
 
financial rewards by refusing or
otherwise failing to monitor appropriately and restrict the improper distribution
 
of those drugs.
 
These actions
consist of some that have been consolidated within the MultiDistrict Litigation
 
(“MDL”) proceeding In Re National
Prescription Opiate Litigation (MDL No. 2804; Case No. 17-md-2804)
 
and are currently stayed, and others which
remain pending in state courts and are proceeding independently and outside
 
of the MDL.
 
At this time, the
following cases are set for trial: the action filed by DCH Health Care Authority, et al. in Alabama state court, which
is currently set for a jury trial on July 8, 2024; the action filed by Mobile
 
County Board of Health, et al. in Alabama
state court, which has been set for a jury trial on August 12, 2024;
 
and the action filed by Florida Health Sciences
Center, Inc. (and
25
other hospitals located throughout the State of Florida) in Florida state court,
 
which is currently
scheduled for a jury trial in September 2025.
 
Of Henry Schein’s 2023 net sales of approximately $
12.3
 
billion,
sales of opioids represented less than four-tenths of 1 percent.
 
Opioids represent a negligible part of our
business.
 
We intend to defend ourselves vigorously against these actions.
In August 2022, Henry Schein received a Grand Jury Subpoena from the United
 
States Attorney’s Office for the
Western District of Virginia,
 
seeking documents in connection with an investigation of possible
 
violations of the
Federal Food, Drug & Cosmetic Act by Butler Animal Health Supply, LLC (“Butler”), a former subsidiary of
Henry Schein.
 
The investigation relates to the sale of veterinary prescription drugs
 
to certain customers.
 
In
October 2022, Henry Schein received a second Grand Jury Subpoena
 
from the United States Attorney’s Office for
the Western District of Virginia.
 
The October 2022 Subpoena seeks documents relating to payments Henry
 
Schein
received from Butler or Covetrus, Inc. (“Covetrus”).
 
Butler was spun off into a separate company and became a
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
115
subsidiary of Covetrus in 2019 and is no longer owned by Henry Schein.
 
We are cooperating with the
investigation.
On January 18, 2024, a putative class action was filed against the Company
 
in the U.S. District Court for the
Eastern District of New York (“EDNY”), Case No. 24-cv-387 (the “Cruz-Bermudez Action”), based on the
October 2023 cybersecurity incident described above.
 
On January 26, 2024, a second putative class action was
filed against the Company based on the cybersecurity incident, also in
 
the EDNY,
 
Case No. 24-cv-550 (the
“Depperschmidt Action”).
 
On February 12, 2024, the Depperschmidt Action was voluntarily dismissed
 
without
prejudice.
 
On February 16, 2024, an amended complaint was filed in
 
the Cruz-Bermudez Action with additional
plaintiffs’ counsel from the Depperschmidt Action and an additional new plaintiff.
 
 
Plaintiffs in the Cruz-Bermudez Action seek to represent a class of all individuals
 
whose personally identifying
information and personal health information was compromised by
 
the incident.
 
Plaintiffs generally claim to have
been harmed by alleged actions and/or omissions by the Company
 
in connection with the incident and that the
Company made deceptive public statements regarding privacy and data protection.
 
Plaintiffs assert a variety of
common law and statutory claims seeking monetary damages, injunctive
 
relief, costs and attorneys’ fees, and other
related relief.
 
The case remains pending.
 
We intend to defend ourselves vigorously against this action.
From time to time, we may become a party to other legal proceedings,
 
including, without limitation, product
liability claims, employment matters, commercial disputes, governmental
 
inquiries and investigations (which may
in some cases involve our entering into settlement arrangements or consent
 
decrees), and other matters arising out
of the ordinary course of our business.
 
While the results of any legal proceeding cannot be predicted with certainty,
in our opinion none of these other pending matters are currently
 
anticipated to have a material adverse effect on our
consolidated financial position, liquidity or results of operations.
As of December 30, 2023, we had accrued our best estimate of potential
 
losses relating to claims that were probable
to result in liability and for which we were able to reasonably estimate
 
a loss.
 
This accrued amount, as well as
related expenses, was not material to our financial position, results of operations
 
or cash flows.
 
Our method for
determining estimated losses considers currently available
 
facts, presently enacted laws and regulations and other
factors, including probable recoveries from third parties.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
116
 
Note 17 – Stock-Based Compensation
Stock-based awards are provided to certain employees under our 2020 Stock Incentive
 
Plan and to non-employee
directors under our 2023 Non-Employee Director Stock Incentive Plan
 
(formerly known as the 2015 Non-
Employee Director Stock Incentive Plan) (together, the “Plans”).
 
The Plans are administered by the Compensation
Committee of the Board (the “Compensation Committee”).
 
Historically, equity-based awards to our employees
have been granted solely in the form of time-based and performance-based
 
restricted stock units (“RSUs”) with the
exception of our 2021 plan year in which non-qualified stock options were
 
issued in place of performance-based
RSUs and in 2022, when we granted time-based and performance-based
 
RSUs, as well as non-qualified stock
options.
 
For our 2023 plan year, we returned to granting our employees equity-based awards solely
 
in the form of
time-based and performance-based RSUs.
 
Our non-employee directors receive equity-based awards solely
 
in the
form of time-based RSUs.
As of December 30, 2023, there were
70,942,657
 
shares authorized and
6,773,234
 
shares available to be granted
under the 2020 Stock Incentive Plan and
2,075,000
 
shares authorized and
393,309
 
shares available to be granted
under the 2023 Non-Employee Director Stock Incentive Plan.
RSUs are stock-based awards granted to recipients with specified vesting provisions.
 
In the case of RSUs, common
stock is delivered on or following satisfaction of vesting conditions.
 
We issue RSUs to employees that primarily
vest (i) solely based on the recipient’s continued service over time, primarily with
four
-year cliff vesting and/or (ii)
based on achieving specified performance measurements and the recipient’s continued service over time, primarily
with
three
-year cliff vesting.
 
RSUs granted to our non-employee directors primarily include
12
-month cliff vesting.
 
For these RSUs, we recognize the cost as compensation expense on a straight-line
 
basis.
For all RSUs, we estimate the fair value based on our closing stock
 
price on the grant date.
 
With respect to
performance-based RSUs, the number of shares that ultimately vest and
 
are received by the recipient is based upon
our performance as measured against specified targets over a specified period, as
 
determined by the Compensation
Committee.
 
Although there is no guarantee that performance targets will be achieved, we
 
estimate the fair value of
performance-based RSUs based on our closing stock price at time of grant.
 
Each of the Plans provide for certain adjustments to the performance
 
measurement in connection with awards under
the Plans.
 
With respect to the performance-based RSUs granted under our 2020 Stock Incentive Plan, such
performance measurement adjustments relate to significant events, including,
 
without limitation, acquisitions,
divestitures, new business ventures, certain capital transactions (including share
 
repurchases), differences in
budgeted average outstanding shares (other than those resulting from capital
 
transactions referred to above),
restructuring costs, if any, certain litigation settlements or payments, if any, changes in accounting principles or in
applicable laws or regulations, changes in income tax rates in certain
 
markets, foreign exchange fluctuations, the
financial impact either positive or negative, of the difference in projected earnings
 
generated by COVID-19 test kits
(solely with respect to performance-based RSUs granted in the 2022 and
 
2023 plan years) and impairment charges
(solely with respect to performance-based RSUs granted in the 2023 plan
 
year), and unforeseen events or
circumstances affecting us.
Over the performance period, the number of RSUs that will ultimately vest
 
and be issued and the related
compensation expense is adjusted upward or downward based upon our
 
estimation of achieving such performance
targets.
 
The ultimate number of shares delivered to recipients and the related compensation
 
cost recognized as an
expense is based on our actual performance metrics as defined under
 
the 2020 Stock Incentive Plan.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
117
Stock options are awards that allow the recipient to purchase shares of our
 
common stock after vesting at a fixed
price set at the time of grant.
 
Stock options were granted at an exercise price equal to our
 
closing stock price on the
date of grant.
 
Stock options issued in 2021 and 2022 vest one-third per year based
 
on the recipient’s continued
service, subject to the terms and conditions of the 2020 Stock Incentive Plan,
 
are fully vested
three years
 
from the
grant date and have a contractual term of
ten years
 
from the grant date, subject to earlier termination of term and
term acceleration upon certain events.
 
Compensation expense for stock options is recognized using
 
a graded
vesting method.
 
We estimate grant date fair value of stock options using the Black-Scholes valuation model.
 
During the year ended December 30, 2023, we did
no
t grant any stock options.
In addition to equity-based awards granted in fiscal 2021 under the long-term
 
incentive program, the Compensation
Committee granted a Special Pandemic Recognition Award under the 2020 Stock Incentive Plan to recipients of
performance-based RSUs under the 2018 long-term incentive program.
 
The payout under the performance-based
restricted stock units granted under the fiscal 2018 long-term incentive program
 
(the “2018 LTIP”) was negatively
impacted by the global COVID-19 pandemic.
 
Given the significance of the impact of the pandemic on our
three
-
year EPS goal under such equity awards and the contributions made by our
 
employees (including those who
received such awards), on March 3, 2021, the Compensation Committee granted
 
a Special Pandemic Recognition
Award to recipients of performance-based restricted stock units under the 2018 LTIP who were employed by us on
the grant date of the Special Pandemic Recognition Award.
 
These time-based RSU awards vested
50
% on the first
anniversary of the grant date and
50
% on the second anniversary of the grant date, based on the recipient’s
continued service and subject to the terms and conditions of the 2020 Stock Incentive
 
Plan, and were recorded as
compensation expense using a graded vesting method.
 
The combination of the
20
% payout based on actual
performance of the 2018 LTIP and the one-time Special Pandemic Recognition Award granted in 2021 generated a
cumulative payout of
75
% of each recipient’s original number of performance-based restricted stock units awarded
in 2018 if the recipient satisfied the
two
-year vesting schedule commencing on the grant date.
Our consolidated statements of income reflect pre-tax share-based compensation
 
expense of $
39
 
million, $
54
million and $
78
 
million for the years ended December 30, 2023, December 31, 2022
 
and December 25, 2021.
Total unrecognized compensation cost related to unvested awards as of December 30, 2023 was $
65
 
million, which
is expected to be recognized over a weighted-average period of approximately
2.6
 
years.
 
The weighted-average grant date fair value of stock-based awards granted
 
was $
76.43
, $
85.51
 
and $
62.72
 
per share
during the years ended December 30, 2023, December 31, 2022 and December
 
25, 2021.
 
Certain stock-based compensation is required to be settled in cash.
 
During the year ended December 30, 2023, we
recorded a liability of $
0.1
 
million for stock-based compensation to be settled in cash.
We
record deferred income tax assets for awards that will result in
 
future income tax deductions based on the
amount of compensation cost recognized and our statutory tax rate in the
 
jurisdiction in which we will receive a
deduction.
Our consolidated statements of cash flows present our stock-based compensation
 
expense as a reconciling
adjustment between net income and net cash provided by operating
 
activities for all periods presented.
 
There were
no cash benefits associated with tax deductions in excess of recognized
 
compensation for the years ended
December 30, 2023, December 31, 2022 and December 25, 2021.
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
118
The following weighted-average assumptions were used in determining
 
the most recent fair values of stock options
using the Black-Scholes valuation model:
 
 
 
 
 
 
 
 
2022
2021
Expected dividend yield
-
%
-
%
Expected stock price volatility
27.80
%
27.10
%
Risk-free interest rate
3.62
%
1.33
%
Expected life of options (in years)
6.00
6.00
 
 
 
 
 
 
We have not declared cash dividends on our stock in the past and we do not anticipate declaring cash dividends in
the foreseeable future.
 
The expected stock price volatility is based on implied volatilities
 
from traded options on
our stock, historical volatility of our stock and other factors.
 
The risk-free interest rate is based on the U.S.
Treasury yield curve in effect at the time of grant that most closely aligns to the expected life of options.
 
The six-
year expected life of the options was determined using the simplified
 
method for estimating the expected term as
permitted under Staff Accounting Bulletin Topic 14.
The following table summarizes the stock option activity for the year
 
ended December 30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Stock Options
Weighted Average
Aggregate
Weighted Average
 
Remaining Contractual
Intrinsic
Shares
Exercise Price
Life (in years)
Value
Outstanding at beginning of year
1,117,574
$
71.38
Granted
-
-
Exercised
(23,498)
62.74
Forfeited
(15,617)
79.04
Outstanding at end of year
1,078,459
$
71.46
7.6
$
9
Options exercisable at end of year
573,459
$
68.43
 
 
 
 
 
 
 
 
 
 
 
 
Weighted Average
Aggregate
Number of
Weighted Average
Remaining Contractual
Intrinsic
Options
Exercise Price
Life (in years)
Value
Vested
 
or expected to vest
503,497
$
74.95
7.7
$
3
The following tables summarize the activity of our unvested RSUs for
 
the year ended December 30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Time-Based Restricted Stock Units
Performance-Based Restricted Stock Units
Weighted Average
Weighted Average
Grant Date Fair
Intrinsic Value
Grant Date Fair
Intrinsic Value
Shares/Units
Value Per Share
Per Share
Shares/Units
Value Per Share
Per Share
Outstanding at beginning of period
1,756,044
$
66.59
520,916
$
60.23
Granted
426,021
77.50
381,571
81.00
Vested
(433,973)
61.96
(631,458)
60.65
Forfeited
(92,699)
72.37
(62,287)
77.45
Outstanding at end of period
1,655,393
$
70.34
$
75.71
208,742
$
78.02
$
75.71
The total intrinsic value per share of RSUs that vested was $
76.85
, $
78.74
 
and $
73.99
 
during the years ended
December 30, 2023, December 31, 2022 and December 25, 2021, respectively.
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
119
Note 18 – Employee Benefit Plans
Defined benefit plans
Certain of our employees in our international markets participate
 
in various noncontributory defined benefit plans.
 
These plans are managed to provide pension benefits to covered employees
 
in accordance with local regulations
and practices.
 
Our net unfunded liability for these plans are recorded
 
in accrued expenses: other; and other
liabilities within our consolidated balance sheets.
 
The following table presents the changes in projected benefit
obligations, plan assets, and the funded status of our defined benefit
 
pension plans:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
2023
2022
Obligation and funded status:
Change in benefit obligation
Projected benefit obligation, beginning of period
$
108
$
128
Service costs
3
3
Interest cost
3
1
Past service cost
1
-
Actuarial gain (loss)
6
(19)
Benefits paid
 
(1)
-
(1)
Participant contributions
1
1
Settlements
(3)
(1)
Effect of foreign currency translation
6
(4)
Projected benefit obligation, end of period
$
125
$
108
Change in plan assets
Fair value of plan assets at beginning of period
$
73
$
75
Actual return on plan assets
4
(3)
Employer contributions
2
2
Plan participant contributions
1
1
Expected return on plan assets
1
1
Benefit received
 
(1)
2
-
Settlements
(2)
(1)
Effect of foreign currency translation
5
(2)
Fair value of plan assets at end of period
$
86
$
73
Unfunded status at end of period
$
39
$
35
(1)
Includes regular benefit payments and amounts transferred in by new
 
participants.
The majority of our defined benefit plans are unfunded, with the exception
 
of one plan in one country where the
amount of assets exceeds the projected benefit obligation by approximately
 
$
7
 
million and $
6
 
million as of
December 30, 2023 and December 31, 2022, respectively.
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
120
The following table provides the amounts recognized in our consolidated
 
balance sheets for our defined benefit
pension plans:
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
2023
2022
Non-current assets
$
27
$
25
Current liabilities
(1)
(1)
Non-current liabilities
(65)
(59)
Accumulated other comprehensive loss, pre-tax
8
4
The following table provides the components of net periodic pension cost
 
for our defined benefit plans:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Service cost
$
3
$
3
$
4
Interest cost
3
1
-
Expected return on plan assets
(3)
(1)
(1)
Employee contributions
(1)
-
-
Amortization of prior service credit
-
1
1
Recognized net actuarial loss
-
-
-
Settlements
-
-
-
Net periodic pension cost
$
2
$
4
$
4
The following tables present the weighted-average actuarial assumptions
 
used to determine our pension benefit
obligation and our net periodic pension cost for the periods presented:
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
Pension Benefit Obligation
2023
2022
Weighted average
 
discount rate
2.71
%
1.67
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
Net Periodic Pension Cost
2023
2022
2021
Discount rate-pension benefit
1.50
%
1.25
%
0.56
%
Expected return on plan assets
0.51
%
0.81
%
0.71
%
Rate of compensation increase
1.64
%
1.68
%
1.95
%
Pension increase rate
0.80
%
0.61
%
0.72
%
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
121
The following table presents the estimated pension benefit payments that
 
are payable to the plan’s participants as of
December 30, 2023:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year
2024
$
7
2025
6
2026
7
2027
7
2028
8
2029 to 2033
44
Total
$
79
401(k) Plans
We offer
 
qualified 401(k) plans to substantially all domestic full-time employees.
 
As determined by our Board,
matching contributions to these plans generally do not exceed
100
% of the participants’ contributions up to
7
% of
their base compensation, subject to applicable legal limits.
 
Matching contributions are made in cash and are
allocated consistent with the participants’ investment elections on file, subject
 
to a
20
% allocation limit to the
Henry Schein Stock Fund.
 
Forfeitures attributable to participants whose employment terminates
 
prior to becoming
fully vested are reallocated as part of our ongoing matching contributions
 
and to offset administrative expenses of
the 401(k) plans.
Assets of the 401(k) and other defined contribution plans are held
 
in self-directed accounts enabling participants to
choose from various investment fund options.
 
Matching contributions related to these plans charged to operations
during the years ended December 30, 2023, December 31, 2022 and December
 
25, 2021 amounted to $
50
 
million,
$
45
 
million and $
38
 
million, respectively.
 
Within our consolidated statements of income, $
42
 
million, $
37
 
million,
and $
30
 
million, is included in selling, general and administrative; and $
8
 
million, $
8
 
million, and $
8
 
million is
included in cost of goods sold for the years ended December 30, 2023, December
 
31, 2022, and December 25,
2021, respectively.
Supplemental Executive Retirement Plan
We offer
 
an unfunded, non-qualified SERP to eligible employees.
 
This plan generally covers officers and certain
highly compensated employees after they have reached the maximum
 
IRS allowed pre-tax 401(k) contribution
limit.
 
Our contributions to this plan are equal to the 401(k) employee-elected
 
contribution percentage applied to
base compensation for the portion of the year in which such employees are
 
not eligible to make pre-tax
contributions to the 401(k) plan.
 
The amounts charged to operations during the years ended December 30, 2023,
December 31, 2022 and December 25, 2021 amounted to $
3
 
million, $
(1)
 
million and $
2
 
million, respectively.
 
The
charges are included in selling, general and administrative within our consolidated
 
statements of income.
 
Please
see
 
for additional information.
 
Deferred Compensation Plan
During 2011, we began to offer DCP to a select group of management or highly compensated employees of
 
the
Company and certain subsidiaries.
 
This plan allows for the elective deferral of base salary, bonus and/or
commission compensation by eligible employees.
 
The amounts (credited)/charged to operations during the years
ended December 30, 2023, December 31, 2022 and December 25, 2021
 
were approximately $
12
 
million, $
(11)
million and $
8
 
million, respectively.
 
The charges are included in selling, general and administrative within our
consolidated statements of income.
 
Please see
 
for additional
information.
 
 
 
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
122
Note 19 – Redeemable Noncontrolling Interests
Some minority stockholders in certain of our subsidiaries have the right,
 
at certain times, to require us to acquire
their ownership interest in those entities at fair value.
 
ASC Topic 480-10 is applicable for noncontrolling interests
where we are or may be required to purchase all or a portion of the
 
outstanding interest in a consolidated subsidiary
from the noncontrolling interest holder under the terms of a put option contained
 
in contractual agreements.
 
The
components of the change in the redeemable noncontrolling interests for the
 
years ended December 30, 2023,
December 31, 2022 and December 25, 2021, are presented in the following table:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
December 25,
2023
2022
2021
Balance, beginning of period
$
576
$
613
$
328
Decrease in redeemable noncontrolling interests due to acquisitions of
noncontrolling interests in subsidiaries
(19)
(31)
(60)
Increase in redeemable noncontrolling interests due to business
acquisitions
326
4
189
Net income attributable to redeemable noncontrolling interests
6
21
23
Distributions declared, net of capital contributions
(19)
(21)
(21)
Effect of foreign currency translation gain (loss)
 
attributable to
redeemable noncontrolling interests
5
(6)
(6)
Change in fair value of redeemable securities
 
(11)
(4)
160
Balance, end of period
$
864
$
576
$
613
Note 20 – Comprehensive Income
Comprehensive income includes certain gains and losses that, under U.S.
 
GAAP,
 
are excluded from net income and
are recorded directly to stockholders’ equity.
 
The following table summarizes our Accumulated other comprehensive loss, net
 
of applicable taxes as of:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
December 25,
2023
2022
2021
Attributable to redeemable noncontrolling interests:
Foreign currency translation adjustment
$
(32)
$
(37)
$
(31)
Attributable to noncontrolling interests:
Foreign currency translation adjustment
$
(1)
$
(1)
$
-
Attributable to Henry Schein, Inc.:
Foreign currency translation adjustment
$
(188)
$
(236)
$
(155)
Unrealized gain (loss) from hedging activities
(13)
5
(2)
Pension adjustment loss
(5)
(2)
(14)
Accumulated other comprehensive loss
$
(206)
$
(233)
$
(171)
Total Accumulated
 
other comprehensive loss
$
(239)
$
(271)
$
(202)
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
123
The following table summarizes the components of comprehensive income, net
 
of applicable taxes as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
December 25,
2023
2022
2021
Net income
$
436
$
566
$
660
Foreign currency translation gain (loss)
53
(88)
(84)
Tax effect
-
-
-
Foreign currency translation gain (loss)
53
(88)
(84)
Unrealized gain (loss) from hedging activities
(25)
10
12
Tax effect
7
(3)
(3)
Unrealized gain (loss) from hedging activities
(18)
7
9
Pension adjustment gain (loss)
(3)
16
8
Tax effect
-
(4)
(2)
Pension adjustment gain (loss)
(3)
12
6
Comprehensive income
$
468
$
497
$
591
Our financial statements are denominated in U.S. Dollars.
 
Fluctuations in the value of foreign currencies as
compared to the U.S. Dollar may have a significant impact on our
 
comprehensive income.
 
The foreign currency
translation gain (loss) during the years ended December 30, 2023, December 31,
 
2022 and December 25, 2021 was
primarily due to changes in foreign currency exchange rates of the Euro,
 
Brazilian Real, British Pound, Swiss
Franc, and Canadian Dollar.
 
The hedging gain (loss) during the years ended December 30, 2023 , December
 
31, 2022, and December 25, 2021
was attributable to a net investment hedge.
 
See
 
for further
information.
The following table summarizes our total comprehensive income, net of
 
applicable taxes as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 30,
December 31,
December 25,
2023
2022
2021
Comprehensive income attributable to
Henry Schein, Inc.
$
443
$
476
$
568
Comprehensive income attributable to
noncontrolling interests
14
6
6
Comprehensive income attributable to
Redeemable noncontrolling interests
11
15
17
Comprehensive income
$
468
$
497
$
591
 
 
 
 
 
 
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
124
Note 21 – Earnings Per Share
 
Basic earnings per share is computed by dividing net income attributable
 
to Henry Schein, Inc. by the weighted-
average number of common shares outstanding for the period.
 
Our diluted earnings per share is computed similarly
to basic earnings per share, except that it reflects the effect of common shares issuable
 
for unvested RSUs and upon
exercise of stock options using the treasury stock method in periods
 
in which they have a dilutive effect.
A reconciliation of shares used in calculating earnings per basic and
 
diluted share follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Basic
130,618,990
136,064,221
140,090,889
Effect of dilutive securities:
Stock options and restricted stock units
1,129,181
1,691,449
1,681,892
Diluted
131,748,171
137,755,670
141,772,781
The number of antidilutive securities that were excluded from the calculation
 
of diluted weighted average common
shares outstanding are as follows:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Years
 
Ended
December 30,
December 31,
December 25,
2023
2022
2021
Stock options
424,695
342,716
611,869
Restricted stock units
15,040
19,466
1,048
Total anti-dilutive
 
securities excluded from earnings per share
computation
439,735
362,182
612,917
Note 22 – Supplemental Cash Flow Information
 
Cash paid for interest and income taxes was:
 
 
 
 
 
 
 
 
 
 
Years
 
ended
December 30,
December 31,
December 25,
2023
2022
2021
Interest
$
84
$
47
$
29
Income taxes
218
265
242
For the years ended December 30, 2023, December 31, 2022 and December
 
25, 2021, we had $
(25)
 
million, $
10
million and $
12
 
million of non-cash net unrealized gains (losses) related to hedging
 
activities, respectively.
 
See
for additional information related to our total return swap and
 
our
interest rate swap agreements.
There was approximately $
143
 
million of debt assumed as part of the acquisitions for the year ended
 
December 30,
2023.
 
Debt assumed during the year ended December 30, 2023 primarily
 
relates to the acquisitions of Biotech
Dental and S.I.N.
HENRY SCHEIN, INC.
NOTES TO CONSOLIDATED
 
FINANCIAL STATEMENTS
(in millions, except share and per share data)
125
Note 23 – Related Party Transactions
In connection with the formation of Henry Schein One, LLC, our joint venture
 
with Internet Brands, which was
formed on July 1, 2018, we entered into a
ten-year
 
royalty agreement with Internet Brands whereby we will pay
Internet Brands approximately $
31
 
million annually for the use of their intellectual property.
 
During the years
ended December 30, 2023, December 31, 2022 and December 25, 2021, we recorded
 
$
31
 
million, $
31
 
million and
$
31
 
million, respectively, in connection with costs related to this royalty agreement.
 
As of December 30, 2023 and
December 31, 2022, Henry Schein One, LLC had a net payable balance
 
to Internet Brands of $
1
 
million and $
9
million, respectively, comprised of amounts related to results of operations and the royalty agreement.
 
The
components of this payable are recorded within accrued expenses: other, respectively, within our consolidated
balance sheets.
We
have interests in entities that we account for under the equity accounting
 
method.
 
In our normal course of
business, during the years ended December 30, 2023, December 31, 2022
 
and December 25, 2021, we recorded net
sales of $
46
 
million, $
46
 
million, and $
48
 
million respectively, to such entities.
 
During the years ended December
30, 2023, December 31, 2022 and December 25, 2021, we purchased
 
$
10
 
million, $
9
 
million and $
15
 
million
respectively, from such entities.
 
At December 30, 2023 and December 31, 2022, we had an aggregate
 
$
32
 
million
and $
36
 
million, respectively, due from our equity affiliates, and $
5
 
million and $
6
 
million, respectively, due to our
equity affiliates.
Certain of our facilities related to our acquisitions are leased from employees
 
and minority shareholders.
 
Please see
for further information.
126
ITEM 9.
 
Changes in and Disagreements with Accountants on Accounting and
 
Financial Disclosure
None.
ITEM 9A.
 
Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Under the supervision and with the participation of management, including
 
our principal executive officer and
principal financial officer, we evaluated the effectiveness of the design and operation of our disclosure controls and
procedures as of the end of the period covered by this annual report as
 
such term is defined in Rules 13a-15(e) and
15d-15(e) promulgated under the Securities Exchange Act of 1934,
 
as amended (the “Exchange Act”).
 
Based on
this evaluation, our management, including our principal executive
 
officer and principal financial officer,
concluded that our disclosure controls and procedures were effective as of December 30,
 
2023, to ensure that all
material information required to be disclosed by us in reports that we file
 
or submit under the Exchange Act is
accumulated and communicated to them as appropriate to allow timely
 
decisions regarding required disclosure and
that all such information is recorded, processed, summarized and reported
 
within the time periods specified in the
SEC’s rules and forms, and the rules of the Nasdaq stock exchange.
 
Changes in Internal Control over Financial Reporting
During the quarter ended December 30, 2023, we acquired a 90% voting
 
equity interest in Shield, a supplier of
homecare medical products headquartered in California.
 
The full integration of this acquisition, as well as our
previously reported acquisitions of S.I.N and Biotech Dental, extended
 
beyond year-end and, therefore, we
excluded Shield, Biotech Dental, and S.I.N., which together represent
 
less than 1.5% of our total net sales, from our
annual assessment of internal control over financial reporting as of December
 
30, 2023, as permitted by SEC staff
interpretive guidance for newly acquired businesses.
 
Post-acquisition integration related activities for other dental and
 
medical businesses acquired during 2023 across
the U.S., Europe, Brazil, Australia, and China were included in
 
our annual assessment of internal control over
financial reporting as of December 30, 2023.
 
These acquisitions, the majority of which utilize separate information
and financial accounting systems, have been included in our consolidated financial
 
statements since their respective
dates of acquisition.
 
Finally, we continued systems implementation activities in the U.S. for two of our dental businesses.
The combination of acquisitions (including Shield, S.I.N., and Biotech
 
Dental), continued acquisition integrations
and systems implementation activities undertaken during the quarter
 
and carried over from prior quarters when
considered in the aggregate, represents a material change in our
 
internal control over financial reporting.
 
During the quarter, all acquisitions, continued acquisition integrations and systems implementation activities
involve necessary and appropriate change-management controls
 
that are considered in our quarterly assessment of
changes in our internal control over financial reporting.
In October 2023, we experienced a cybersecurity incident that primarily
 
affected the operations of our North
American and European dental and medical distribution businesses.
 
Once we became aware of the issue, as part of
the Company’s incident response plan, we took precautionary actions to contain the incident including shutting
down connectivity to networks and key business, operating and financial
 
accounting systems globally.
 
In addition
to notifying affected and potentially affected third parties and all relevant law enforcement
 
authorities, we engaged
external cyber-security experts to support our assessment of the cyber-incident’s impact as well as sanitize, rebuild
and restore our affected systems and applications.
 
We also notified law enforcement and our employees,
customers, suppliers and investors, informing them of both the incident and
 
management’s efforts to mitigate its
impact on our daily operations and data maintained on the Company’s systems.
 
127
Subsequently, on or about November 8, 2023, we determined that the threat actor obtained personal and sensitive
information maintained on our systems belonging to certain third parties and
 
since that date we have notified
affected parties and potentially affected parties as appropriate.
 
The scope of personal and sensitive data impacted is
still under investigation.
 
On November 22, 2023, we experienced a related disruption to our
 
ecommerce platform and related applications,
which has since been remediated.
In order to mitigate the impact of this disruption on our systems and on our
 
ability to service customers, alternative
procedures and controls were temporarily implemented.
Management’s
 
Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate
 
internal control over financial reporting,
as such term is defined in Exchange Act Rule 13a-15(f).
 
Our internal control system is designed to provide
reasonable assurance to our management and Board regarding the preparation
 
and fair presentation of published
financial statements.
 
Under the supervision and with the participation of our management,
 
including our principal
executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our internal
control over financial reporting based on the framework in Internal Control-Integrated
 
Framework (2013), updated
and reissued by the Committee of Sponsoring Organizations, or the COSO Framework.
 
Based on our evaluation
under the COSO Framework, our management concluded that our
 
internal control over financial reporting was
effective at a reasonable assurance level as of December 30, 2023.
The effectiveness of our internal control over financial reporting as of December 30,
 
2023, has been independently
audited by BDO USA, P.C., an independent registered public accounting firm, and their attestation is included
herein. The evaluation of internal controls involves judgment.
 
Our external auditor has concluded that the
Company has a material weakness resulting from the aggregation of certain
 
control deficiencies at the application
control level related to logical and user access management and segregation of
 
duties.
 
The Company agrees that
there are control deficiencies that our external auditor has identified, all of which
 
either have been addressed or are
being addressed. The Company’s management has considered the control deficiencies identified by our
 
external
auditor, and believes that, individually and in aggregate, they do not result in a material weakness.
 
A material
weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such
 
that
there is a reasonable possibility that a material misstatement of the
 
company’s financial statements will not be
prevented or detected on a timely basis.
Limitations of the Effectiveness of Internal Control
A control system, no matter how well conceived and operated, can provide
 
only reasonable, not absolute, assurance
that the objectives of the internal control system are met.
 
Because of the inherent limitations of any internal control
system, no evaluation of controls can provide absolute assurance that
 
all control issues, if any, within a company
have been detected.
128
Report of Independent Registered Public Accounting Firm
Shareholders and Board of Directors
Henry Schein, Inc.
Melville, NY
Opinion on Internal Control over Financial Reporting
We
 
have audited Henry
 
Schein, Inc.’s
 
(the “Company’s”)
 
internal control over
 
financial reporting as
 
of December
30, 2023, based on
 
criteria established in Internal Control
 
– Integrated Framework (2013) issued
 
by the Committee
of Sponsoring Organizations of the Treadway Commission (the
 
“COSO criteria”). In our opinion, the Company did
not maintain,
 
in all
 
material respects,
 
effective internal
 
control over
 
financial reporting
 
as of
 
December 30,
 
2023,
based on the COSO criteria.
We
 
do
 
not
 
express
 
an
 
opinion
 
or
 
any
 
other
 
form
 
of
 
assurance
 
on
 
management’s
 
statements
 
referring
 
to
 
any
corrective actions taken by the Company after the date of management’s assessment.
We
 
also
 
have
 
audited,
 
in
 
accordance
 
with
 
the
 
standards
 
of
 
the
 
Public
 
Company
 
Accounting
 
Oversight
 
Board
(United
 
States)
 
(“PCAOB”),
 
the
 
consolidated
 
balance
 
sheets
 
of
 
the
 
Company
 
as
 
of
 
December
 
30,
 
2023
 
and
December
 
31,
 
2022,
 
the
 
related
 
consolidated
 
statements
 
of
 
income,
 
comprehensive
 
income,
 
changes
 
in
stockholders’ equity,
 
and cash
 
flows for
 
each of
 
the three
 
years in
 
the
 
period ended
 
December 30,
 
2023, and
 
the
related
 
notes
 
(collectively
 
referred
 
to
 
as
 
“the
 
financial
 
statements”)
 
and
 
our
 
report
 
dated
 
February
 
28,
 
2024
expressed an unqualified opinion thereon.
Basis for Opinion
The Company’s
 
management is
 
responsible for
 
maintaining effective
 
internal control
 
over financial
 
reporting and
for
 
its
 
assessment of
 
the
 
effectiveness
 
of
 
internal control
 
over financial
 
reporting, included
 
in
 
the
 
accompanying,
“Item 9A, Management’s
 
Report on Internal
 
Control over Financial Reporting”. Our
 
responsibility is to express
 
an
opinion on the
 
Company’s internal
 
control over financial
 
reporting based on
 
our audit. We
 
are a public
 
accounting
firm
 
registered
 
with
 
the
 
PCAOB and
 
are
 
required
 
to
 
be
 
independent
 
with
 
respect
 
to
 
the
 
Company in
 
accordance
with
 
U.S.
 
federal
 
securities
 
laws
 
and
 
the
 
applicable
 
rules
 
and
 
regulations
 
of
 
the
 
Securities
 
and
 
Exchange
Commission and the PCAOB.
We conducted our audit of internal control over financial reporting in accordance with the standards of the PCAOB.
Those standards require
 
that we plan
 
and perform the
 
audit to
 
obtain reasonable assurance
 
about whether effective
internal
 
control
 
over
 
financial
 
reporting
 
was
 
maintained
 
in
 
all
 
material
 
respects.
 
Our
 
audit
 
included
 
obtaining
 
an
understanding
 
of
 
internal
 
control
 
over
 
financial
 
reporting,
 
assessing
 
the
 
risk
 
that
 
a
 
material
 
weakness
 
exists,
 
and
testing
 
and
 
evaluating
 
the
 
design
 
and
 
operating
 
effectiveness
 
of
 
internal
 
control
 
based
 
on
 
the
 
assessed
 
risk.
 
Our
audit also included performing
 
such other procedures as we
 
considered necessary in the
 
circumstances. We
 
believe
that our audit provides a reasonable basis for our opinion.
A material
 
weakness is
 
a deficiency,
 
or a
 
combination of
 
deficiencies, in
 
internal control
 
over financial
 
reporting,
such
 
that
 
there
 
is
 
a
 
reasonable
 
possibility
 
that
 
a
 
material
 
misstatement
 
of
 
the
 
Company’s
 
annual
 
or
 
interim
consolidated
 
financial
 
statements
 
will
 
not
 
be
 
prevented
 
or
 
detected
 
on
 
a
 
timely
 
basis.
 
We
 
have
 
identified
 
the
following material weakness
 
that has not
 
been identified as
 
a material weakness
 
in management’s
 
assessment. The
material weakness in
 
internal control over
 
financial reporting is
 
related to logical
 
and user access
 
management and
segregation
 
of
 
duties,
 
at
 
the
 
application
 
control
 
level,
 
in
 
certain
 
information
 
technology
 
environments
 
at
 
certain
components.
 
There
 
is
 
a
 
reasonable
 
possibility
 
that
 
a
 
material
 
misstatement
 
of
 
the
 
Company’s
 
annual
 
or
 
interim
consolidated
 
financial
 
statements
 
with
 
respect
 
to
 
these
 
matters
 
would
 
not
 
have
 
been
 
prevented
 
or
 
detected
 
on
 
a
timely
 
basis.
 
This
 
material
 
weakness
 
was
 
considered
 
in
 
determining
 
the
 
nature,
 
timing,
 
and
 
extent
 
of
 
audit
 
tests
applied in
 
our audit
 
of the
 
2023 consolidated
 
financial statements,
 
and this
 
report does
 
not affect
 
our report
 
dated
February 28, 2024, on those consolidated financial statements.
As indicated in
 
the accompanying “Item
 
9A, Management’s
 
Report on Internal
 
Control over Financial
 
Reporting”,
management’s assessment of and conclusion on the effectiveness of internal control
 
over financial reporting did not
include
 
the
 
internal
 
controls
 
of
 
Shield
 
Healthcare,
 
Inc.,
 
S.I.N.
 
Implant
 
System,
 
and
 
Biotech
 
Dental,
 
which
 
were
129
acquired
 
during
 
the
 
year
 
ended
 
December
 
30,
 
2023,
 
and
 
are
 
included
 
in
 
the
 
consolidated
 
balance
 
sheet
 
of
 
the
Company
 
as
 
of
 
December
 
30,
 
2023,
 
and
 
the
 
related
 
consolidated
 
statements
 
of
 
income,
 
comprehensive
 
income,
changes
 
in
 
stockholders’
 
equity,
 
and
 
cash
 
flows
 
for
 
the
 
year
 
then
 
ended.
 
Shield
 
Healthcare,
 
Inc.,
 
S.I.N.
 
Implant
System, and
 
Biotech Dental,
 
together represent
 
less than
 
1.5% of
 
total net
 
sales for
 
the year
 
ended December
 
30,
2023. Management did not assess the effectiveness of internal control over financial reporting of Shield Healthcare,
Inc.,
 
S.I.N.
 
Implant
 
System,
 
or
 
Biotech
 
Dental
 
because
 
of
 
the
 
timing
 
of
 
the
 
acquisitions
 
which
 
were
 
completed
during the
 
year ended
 
December 30,
 
2023. Our
 
audit of
 
internal control
 
over financial
 
reporting of
 
the Company
also did
 
not include
 
an evaluation
 
of the
 
internal control
 
over financial
 
reporting of
 
Shield Healthcare,
 
Inc., S.I.N.
Implant System, or Biotech Dental.
Definition and Limitations of Internal Control over Financial Reporting
A
 
company’s
 
internal
 
control
 
over
 
financial
 
reporting
 
is
 
a
 
process
 
designed
 
to
 
provide
 
reasonable
 
assurance
regarding the
 
reliability of
 
financial reporting
 
and the
 
preparation of
 
financial statements
 
for external
 
purposes in
accordance
 
with
 
generally
 
accepted
 
accounting
 
principles.
 
A
 
company’s
 
internal
 
control
 
over
 
financial
 
reporting
includes
 
those
 
policies
 
and
 
procedures
 
that
 
(1)
 
pertain
 
to
 
the
 
maintenance
 
of
 
records
 
that,
 
in
 
reasonable
 
detail,
accurately and
 
fairly reflect
 
the transactions
 
and dispositions
 
of the
 
assets of
 
the company;
 
(2) provide
 
reasonable
assurance
 
that
 
transactions
 
are
 
recorded
 
as
 
necessary
 
to
 
permit
 
preparation
 
of
 
financial
 
statements
 
in
 
accordance
with generally
 
accepted accounting
 
principles, and
 
that receipts
 
and expenditures
 
of the
 
company are
 
being made
only
 
in
 
accordance with
 
authorizations of
 
management and
 
directors of
 
the
 
company; and
 
(3) provide
 
reasonable
assurance
 
regarding
 
prevention
 
or
 
timely
 
detection
 
of
 
unauthorized
 
acquisition,
 
use,
 
or
 
disposition
 
of
 
the
company’s assets that could have a material effect on the financial statements.
Because
 
of
 
its
 
inherent
 
limitations,
 
internal
 
control
 
over
 
financial
 
reporting
 
may
 
not
 
prevent
 
or
 
detect
misstatements.
 
Also,
 
projections
 
of
 
any
 
evaluation
 
of
 
effectiveness
 
to
 
future
 
periods
 
are
 
subject
 
to
 
the
 
risk
 
that
controls
 
may
 
become
 
inadequate
 
because
 
of
 
changes
 
in
 
conditions,
 
or
 
that
 
the
 
degree
 
of
 
compliance
 
with
 
the
policies or procedures may deteriorate.
 
/s/ BDO USA, P.C.
New York
 
,
 
NY
 
February 28, 2024
130
ITEM 9B.
 
Other Information
Not applicable.
ITEM 9C.
 
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Not applicable.
PART
 
III
ITEM 10.
 
Directors, Executive Officers and Corporate Governance
Information required by this item regarding our directors and executive
 
officers and our corporate governance is
hereby incorporated by reference to the Section entitled “Election of Directors,”
 
with respect to directors, and the
first paragraph of the Section entitled “Corporate Governance - Board
 
of Directors Meetings and Committees -
Audit Committee,” with respect to corporate governance, in each case
 
in our definitive 2024 Proxy Statement to be
filed pursuant to Regulation 14A and to the Section entitled “Information
 
about our Executive Officers” in Part I of
this report, with respect to executive officers.
 
There have been no changes to the procedures by which stockholders
 
may recommend nominees to our Board since
our last disclosure of such procedures, which appeared in our definitive
 
2023 Proxy Statement filed pursuant to
Regulation 14A on April 11, 2023.
Information required by this item concerning compliance with Section
 
16(a) of the Securities Exchange Act of
1934 is hereby incorporated by reference to the Section entitled
 
“Delinquent Section 16(a) Reports” in our
definitive 2024 Proxy Statement to be filed pursuant to Regulation 14A,
 
to the extent responsive disclosure is
required.
We have adopted a Code of Ethics that applies to our Chief Executive Officer, Chief Financial Officer, Chief
Accounting Officer and Controller.
 
We make available free of charge through our Internet website,
www.henryschein.com,
 
under the “About Henry Schein--Corporate Governance
 
Highlights” caption, our Code of
Ethics.
 
We intend to disclose on our Web
 
site any amendment to, or waiver of, a provision of the Code
 
of Ethics.
ITEM 11.
 
Executive Compensation
The information required by this item is hereby incorporated by reference
 
to the Sections
 
entitled “Compensation
Discussion and Analysis,” “Compensation Committee Report” (which
 
information shall be deemed furnished in
this Annual Report on Form 10-K), “Executive and Director Compensation” and
 
“Compensation Committee
Interlocks and Insider Participation” in our definitive 2024 Proxy Statement
 
to be filed pursuant to Regulation 14A.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
131
ITEM 12.
 
Security Ownership of Certain Beneficial Owners and Management
 
and Related Stockholder
Matters
We maintain several stock incentive plans for the benefit of certain officers, directors and employees.
 
All active
plans have been approved by our stockholders.
 
Descriptions of these plans appear in the notes to our consolidated
financial statements.
 
The following table summarizes information relating to these plans as
 
of December 30, 2023:
Number of Common
Shares to be Issued Upon
Weighted-
 
Average
Number of Common
Exercise of Outstanding
Exercise Price of
Shares Available
 
for
Plan Category
Options and Rights
Outstanding Options
Future Issuances
Plans Approved by Stockholders
-
$
-
7,166,543
Plans Not Approved by Stockholders
-
-
-
Total
-
$
-
7,166,543
The other information required by this item is hereby incorporated by
 
reference to the Section entitled “Security
Ownership of Certain Beneficial Owners and Management” in our definitive
 
2024 Proxy Statement to be filed
pursuant to Regulation 14A.
ITEM 13.
 
Certain Relationships and Related Transactions, and Director Independence
The information required by this item is hereby incorporated by reference
 
to the Section entitled “Certain
Relationships and Related Transactions” and “Corporate Governance – Board of Directors Meetings and
Committees – Independent Directors” in our definitive 2024 Proxy Statement
 
to be filed pursuant to Regulation
14A.
ITEM 14.
 
Principal Accounting Fees and Services
The information required by this item is hereby incorporated by reference
 
to the Section entitled “Independent
Registered Public Accounting Firm Fees and Pre-Approval Policies and
 
Procedures” in our definitive 2024 Proxy
Statement to be filed pursuant to Regulation 14A.
PART
 
IV
ITEM 15.
 
Exhibits, Financial Statement Schedules
 
(a)
List of Documents Filed as a Part of This Report:
1.
Financial Statements:
Our Consolidated Financial Statements filed as a part of this report
 
are listed on the index on
 
Page 62.
2.
Index to Exhibits:
See exhibits listed under Item 15(b) below.
 
132
(b) Exhibits
133
134
**
135
136
137
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104
The cover page of Henry Schein, Inc.’s Annual Report on Form 10-K for the year ended
December 30, 2023, formatted in Inline XBRL (included within Exhibit 101
attachments).+
_________
+
 
Filed or furnished herewith.
**
 
Indicates management contract or compensatory plan or agreement.
# Certain identified information has been excluded from the exhibit because
 
it is both not material and is the type
that the registrant treats as private or confidential.
 
ITEM 16.
 
Form 10-K Summary
None.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
139
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
 
Act of 1934, the Registrant has duly
caused this report to be signed on its behalf by the undersigned,
 
thereunto duly authorized.
 
Henry Schein, Inc.
By: /s/ STANLEY M. BERGMAN
Stanley M. Bergman
Chairman and Chief Executive Officer
February 28, 2024
Pursuant to the requirements of the Securities Exchange Act of 1934, this
 
report has been signed below by the
following persons on behalf of the Registrant and in the capacities and on
 
the dates indicated.
Signature
Capacity
Date
/s/ STANLEY M. BERGMAN
Chairman, Chief Executive Officer
February 28, 2024
Stanley M. Bergman
and Director (principal executive officer)
/s/ RONALD N. SOUTH
Senior Vice President, Chief
 
Financial Officer
February 28, 2024
Ronald N. South
 
(principal financial and accounting officer)
/s/ JAMES P.
 
BRESLAWSKI
Vice Chairman, President
 
and Director
February 28, 2024
James P.
 
Breslawski
/s/ MARK E. MLOTEK
Executive Vice President,
 
Chief Strategic Officer and
Director
February 28, 2024
Mark E. Mlotek
/s/ MOHAMAD ALI
Director
February 28, 2024
Mohamad Ali
/s/ DEBORAH DERBY
Director
February 28, 2024
Deborah Derby
/s/ CAROLE T. FAIG
Director
February 28, 2024
Carole T. Faig
/s/ JOSEPH L. HERRING
Director
February 28, 2024
Joseph L. Herring
/s/ KURT P.
 
KUEHN
Director
February 28, 2024
Kurt P.
 
Kuehn
/s/ PHILIP A. LASKAWY
Director
February 28, 2024
Philip A. Laskawy
/s/ ANNE H. MARGULIES
Director
February 28, 2024
Anne H. Margulies
/s/ STEVEN PALADINO
Director
February 28, 2024
Steven Paladino
/s/ CAROL RAPHAEL
Director
February 28, 2024
Carol Raphael
/s/ SCOTT SEROTA
Director
February 28, 2024
Scott Serota
/s/ BRADLEY T. SHEARES,
 
PH.D.
Director
February 28, 2024
Bradley T. Sheares,
 
Ph.D.
/s/ REED V.
 
TUCKSON, M.D., FACP
Director
February 28, 2024
Reed V.
 
Tuckson, M.D., FACP
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Exhibit 21.1

List of Subsidiaries

 

Subsidiary    Jurisdiction of incorporation or organization

ACE Surgical Supply Co., Inc.1

  

Massachusetts

BioHorizons, Inc.2

  

Delaware

Camlog USA, Inc.3

  

Delaware

eAssist, Inc.4

  

Wyoming

Exan Enterprises Inc.5

  

Nevada

Handpiece Parts & Repairs, Inc.

  

Delaware

Henry Schein (Lancaster, PA) Inc.

  

Pennsylvania

Henry Schein Europe, Inc.6

  

Delaware

Henry Schein Global Sourcing, Inc.7

  

Delaware

Henry Schein Home Health, LLC8

  

Delaware

Henry Schein Latin America Pacific Rim, Inc.9

  

Delaware

Henry Schein Medical Systems, Inc.

  

Ohio

Henry Schein MSO, LLC

  

Delaware

Henry Schein PPT, Inc.

  

Wisconsin

Henry Schein Practice Solutions Inc.10

  

Utah

Henry Schein Puerto Rico, Inc.

  

Puerto Rico

Henry Schein Supply, Inc.

  

New York

HS Brand Management, LLC

  

Delaware

HS Financial Holdings, Inc.11

  

Delaware

HS TM Holdings, LLC12

  

Delaware

HSFR, Inc.

  

Delaware

HSI RE I, LLC

  

Delaware

Insource, Inc.

  

Virginia

Midway Group Holdings, LLC

  

Delaware

Ortho2, LLC

  

Delaware

Project Helium Holdings, LLC13

  

Delaware

Project Spartan Holdings Corp.14

  

Delaware

RxWorks, LLC

  

Delaware

S & S Discount, Inc.15

  

Delaware

SG Healthcare Corp.16

  

Delaware

TDSC, Inc.

  

Delaware

Toy Products Corp.17

  

Delaware

 

1 

ACE Surgical Supply Co., Inc. is the parent company of two consolidated, majority-owned subsidiaries, SAS Holdco, Inc. and Southern Anesthesia & Surgical, Inc., both which operate in the health care manufacturing and/or distribution industry in the United States.

2 

BioHorizons, Inc. is the parent company of 14 consolidated, wholly-owned subsidiaries, seven which operate in the dental implant and distribution industries in the United States and seven which operate in the dental implant and distribution industries outside the United States. BioHorizons, Inc. is also the parent company of a consolidated, majority-owned subsidiary, BioHorizons Camlog Italia SRL, which operates in the dental implant and distribution industry outside the United States.

3 

Camlog USA, Inc. is the parent company of two consolidated, wholly-owned subsidiaries, one which operates in the health care distribution industry in the United States and one which provides services to healthcare practices within and outside of the United States. Camlog USA, Inc. is also the parent company of the following three consolidated, majority-owned subsidiaries, all which provide services to healthcare practitioners within the United States: Henry Schein Financial Services, LLC; Large Practice Sales, LLC; and Invisible DSO Advisor, LLC.

4 

eAssist, Inc. is the parent company of the following four consolidated, majority-owned subsidiaries, all which operate to provide consulting and educational services in the dental industry in the United States: eAssist Consulting, LLC; eAssist Publishing, LLC; eAssist University, LLC; and Unitas PPO Solutions, LLC.


5 

Exan Enterprises Inc. is the parent company of one consolidated, wholly-owned subsidiary which operates in the dental management software industry in the United States.

6 

Henry Schein Europe, Inc. is the parent company of 71 consolidated, wholly-owned subsidiaries, six which operate in the health care distribution industry in the United States and 65 which operate in the health care distribution industry outside the United States. Henry Schein Europe, Inc. is also the parent company of the following 22 consolidated, majority-owned subsidiaries, all which operate in the health care distribution industry outside the United States: AS Medizintechnik Verwaltungs GmbH; BA Dental Europa, S.A.U.; Biocetis SARL; Biotech Dental Academy S.A.S.; Biotech Dental Connect S.A.S.; Biotech Dental Digital S.A.S.; Biotech Dental Manufacturing S.A.; Biotech Dental Smilers S.A.S.; Biotech Dental S.A.S.; Biotech Dental Digital Trading S.A.S.; Denteo S.A.S.; Henry Schein Dental Warehouse (PTY) Ltd.; Henry Schein España, S.L.; Henry Schein Medical S.L.U.; Henry Schein Portugal, Unipessoal LDA; Infomed Servicios Informáticos, S.L.; innOralis, S.A.S.; Marrodent Sp. Z.o.o.; Medentis Medical GmbH; Newshelf 1223 Proprietary Limited; Spain Dental Express S.A.U.; and Ztech Digital and Esthetics, S.L.

7 

Henry Schein Global Sourcing, Inc. is the parent company of one consolidated, wholly-owned subsidiary which provides health care regulatory and operational services outside of the United States.

8 

Henry Schein Home Health, LLC is the parent company of the following nine consolidated, majority owned subsidiaries, all which operate in the health care distribution industry in the United States: AEP Mini Holdco, LLC; Best Buy Care Supplies, Inc.; Dharma Ventures Group, Inc.; Lorraine Surgical Supply Company, Inc.; Mini Pharmacy Enterprises, Inc.; Shield-California Health Care, Inc.; Shield-Denver Health Care Center, Inc.; Shield-Texas Healthcare, Inc.; and Prism Medical Products, L.L.C.

9 

Henry Schein Latin America Pacific Rim, Inc. is the parent, holding company of 11 consolidated, wholly-owned subsidiaries, three which operate in the health care distribution industry in the United States and eight which operate in the health care distribution industry outside of the United States. Henry Schein Latin America Pacific Rim, Inc. is also the parent company of the following 26 consolidated, majority-owned subsidiaries, all which operate in the health care distribution industry outside the United States: Accord Corporation Limited; Adaam Pty Ltd.; Adaam Unit Trust; Alta-Dent Corporation; BA Pro Repair Ltd.; CB Healthcare Consulting Pty Ltd.; De Healthcare Limited; Hangzhou Lixue Henry Schein Medical Instrument Co., Ltd.; Henry Schein China Management Co. Ltd.; Henry Schein China Services Limited; Henry Schein Hemao Guangzhou Medical Device Co., Ltd.; Henry Schein Hong Kong Limited; Henry Schein Regional Limited; Henry Schein Regional Pty Ltd as the Trustee for the Henry Schein Regional Trust; Henry Schein Regional Trust; Henry Schein Shvadent (2009) Ltd.; Henry Schein Sunshine (Beijing) Medical Device Co. Ltd.; Henry Schein Trading (Shanghai) Co., Ltd.; Medi-Consumables PTY Limited; Ningbo Buyinghall Medical Equipment Co., Ltd.; Pacific Dental Specialties Limited; Pacific Dental Specialties Pty Ltd.; Regional Health Care Group Pty Limited; Regional Technology Systems Pty Limited; Wuhan Hongchang Henry Schein Dental Instrument Co., Ltd.; and Zhengzhou Yifeng Henry Schein Dental Instrument Co., Ltd.

10 

Henry Schein Practice Solutions Inc. is the parent company of 25 consolidated, wholly-owned subsidiaries, two which operate in the digital dental products and solutions industry in the United States and 23 which operate in the digital dental products and solutions industry outside the United States. Henry Schein Practice Solutions Inc. is also the parent company of Henry Schein One, LLC and Lighthouse 360, Inc., consolidated, majority-owned subsidiaries, which operate in the digital dental products and solutions industry within and outside of the United States. Additionally, Henry Schein Practice Solutions Inc. is the parent company of the following 15 consolidated, majority-owned subsidiaries, all which operate in the digital dental products and solutions industry outside the United States: Axium Solutions ULC; LSI S.A.; Elite Computer Italia S.r.l.; Henry Schein One Australia; Henry Schein One New Zealand; Infomed Software, S.L.; HS1 Holdings I, LLC; HSLC Participações S.A.; Henry Schein One France SAS; Kopfwerk Datensysteme GmbH; Orisline Espana S.L.; Orisline Portugal Unipessoal Lda; Quantity Serviços e Comércio de Produtos para a Saúde S.A.; Software of Excellence Practice Solutions Coöperatief U.A.; and Software of Excellence United Kingdom Limited.

11 

HS Financial Holdings, Inc. is the parent company of six consolidated, wholly-owned subsidiaries, five which oversee intercompany financing in the United States and one which operates outside the United States and acts as the beneficiary of a trust.

12 

HS TM Holdings, LLC is the parent, holding company of one consolidated, wholly-owned subsidiary which operates in the health care industry in the United States.


13 

Project Helium Holdings, LLC is the parent, holding company of one consolidated, wholly-owned subsidiary which operates in the dental handpiece repair and sales industry in the United States.

14 

Project Spartan Holdings Corp. is the parent, holding company of two consolidated, wholly-owned subsidiaries, both which operate in the health care industry in the United States. Project Spartan Holdings Corp. is also the parent, holding company of the following six consolidated, majority-owned subsidiaries, all which operate in the health care distribution and/or healthcare education and training industries in the United States: NAR (HSI) Holdings, LLC; NAR Blocker, Inc.; NAR Training, LLC; North American Rescue Holdings, LLC; North American Rescue, LLC; and NAR Medical Depot, LLC.

15 

S&S Discount Supply, Inc. is the parent, holding company of the following three consolidated, majority-owned subsidiaries, all which operate in the dental manufacturing and/or distribution industry in the United States: Ortho Organizers Holdings, Inc.; Ortho Organizers, Inc.; and Ortho Technology, Inc.

16 

SG Healthcare Corp. is the parent, holding company of six consolidated, wholly-owned subsidiaries, five which operate in the health care distribution industry in the United States, and one which operates in the health care distribution industry outside of the United States.

17 

Toy Products Corp. is the parent, holding company of Sherman Specialty LLC, a consolidated, majority-owned subsidiary which distributes toys to dental and medical offices in the United States.

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Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

Henry Schein, Inc.

Melville, NY

We hereby consent to the incorporation by reference in the Registration Statements on Form S-8 (Nos. 333-253633, 333-212994, 333-192788, 333-171400, 333-164360, 333-111914, 333-91778, 333-35144, 333-39893, 333-33193, and 333-05453) of Henry Schein, Inc. of our reports dated February 28, 2024, relating to the consolidated financial statements and the effectiveness of Henry Schein, Inc.’s internal control over financial reporting, which appear in this Annual Report on Form 10-K.

/s/ BDO USA, P.C.

New York, NY

February 28, 2024

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Exhibit 31.1

CERTIFICATION PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF THE SECURITIES

EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE

SARBANES-OXLEY ACT OF 2002

I, Stanley M. Bergman, certify that:

1. I have reviewed this annual report on Form 10-K of Henry Schein, Inc. (the “registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Dated: February 28, 2024      

/s/ Stanley M. Bergman

      Stanley M. Bergman
      Chairman and Chief Executive Officer
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Exhibit 31.2

CERTIFICATION PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF THE SECURITIES

EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE

SARBANES-OXLEY ACT OF 2002

I, Ronald N. South, certify that:

1. I have reviewed this annual report on Form 10-K of Henry Schein, Inc. (the “registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

Dated: February 28, 2024      

/s/ Ronald N. South

      Ronald N. South
      Senior Vice President and
      Chief Financial Officer
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Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the annual report on Form 10-K of Henry Schein, Inc. (the “Company”) for the period ended December 30, 2023, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Stanley M. Bergman, the Chairman and Chief Executive Officer of the Company, and I, Ronald N. South, Senior Vice President and Chief Financial Officer of the Company, do hereby certify pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, to the best of my knowledge and belief that:

(1) the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Dated: February 28, 2024      

/s/ Stanley M. Bergman

     

Stanley M. Bergman

Chairman and Chief Executive Officer

Dated: February 28, 2024      

/s/ Ronald N. South

     

Ronald N. South

Senior Vice President and

Chief Financial Officer

This certification accompanies each Report pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

A signed original of this written statement required by Section 906 of the Sarbanes-Oxley Act of 2002 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

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Exhibit 97.1

HENRY SCHEIN, INC.

DODD-FRANK CLAWBACK POLICY

(Effective as of December 1, 2023)

Introduction

The Board of Directors (the “Board”) of Henry Schein, Inc. (the “Company”) believes it to be in the best interests of the Company and its stockholders to create and maintain a culture that emphasizes integrity and accountability, reinforces the Company’s pay for performance compensation philosophy and complies with the requirements of Section 954 of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (“Dodd-Frank”) and Nasdaq Listing Rule 5608 (the “Listing Standards”). The Board, upon recommendation of the Compensation Committee of the Board (the “Compensation Committee”), hereby adopts this Dodd-Frank Clawback Policy, effective as of December 1, 2023 (this “Policy”).

Definitions

For purposes of this Policy, the following terms shall have the following meanings:

Applicable Period” means the three completed fiscal years of the Company immediately preceding the earlier of: (i) the date the Board, a committee of the Board, or the officer or officers of the Company authorized to take such action if Board action is not required, concludes (or reasonably should have concluded) that the Company is required to prepare a Restatement; or (ii) the date a court, regulator, or other legally authorized entity directs the Company to prepare a Restatement, in each case, regardless of if or when the Restatement is actually filed. The “Applicable Period” also includes any transition period (that results from a change in the Company’s fiscal year) within or immediately following the three completed fiscal years identified in the preceding sentence (except that a transition period that comprises a period of at least nine months shall count as a completed fiscal year).

Code” means the Internal Revenue Code of 1986, as amended.

Covered Executive” means each Executive Officer of the Company including current and former Executive Officers, as determined by the Board in accordance with the definition of “executive officer” in accordance with Dodd-Frank and the Listing Standards.

Exchange Act” means the Securities Exchange Act of 1934, as amended, and the rules promulgated thereunder.

Executive Officer” means the Company’s president, principal financial officer, principal accounting officer (or if there is no such accounting officer, the controller), any vice-president of the Company in charge of a principal business unit, division, or function (such as sales, administration, or finance), any other officer who performs a policy-making function, or any other person who performs similar policy-making functions for the Company. Executive officers of the

 

1


Company’s parent(s) or subsidiaries are deemed Executive Officers of the Company if they perform such policy-making functions for the Company. The term “policy-making function” is not intended to include policy-making functions that are not significant, as determined by the Board in accordance with this Policy. For purposes of this Policy, “Executive Officer” shall also include each person determined to be an “executive officer” for purposes of 17 CFR 229.401(b).

Financial Reporting Measure” means a measure that is determined and presented in accordance with the accounting principles used in preparing the Company’s financial statements (including “non-GAAP” financial measures, such as those appearing in the Company’s earnings releases or Management’s Discussion and Analysis), and any measures that are derived wholly or in part from such measures (including stock price and total shareholder return). Examples of Financial Reporting Measures include, without limitation, measures based on: revenues, net income, operating income, financial ratios, EBITDA, funds from operations and adjusted funds from operations, liquidity measures, return measures (such as return on assets), earnings measures (e.g., earnings per share), profitability of one or more segments, cost per employee where cost is subject to a Restatement, any of such financial measures relative to a peer group where the Financial Reporting Measure is subject to a Restatement, and tax basis income. A Financial Reporting Measure need not be presented within the financial statements or included in a filing with the SEC.

Impracticable” means that the Compensation Committee has determined in good faith that recovery of Recoverable Compensation would be “Impracticable” because: (i) pursuing such recovery would violate any home country law where that law was adopted prior to November 28, 2022, and the Company provides an opinion of home country counsel acceptable to Nasdaq that recovery would result in such a violation, and such opinion is provided to Nasdaq; (ii) the direct expense paid to a third party to assist in enforcing this Policy would exceed the Recoverable Compensation and the Company has (A) made a reasonable attempt to recover such amounts; and (B) provided documentation of such attempts to recover to Nasdaq; or (iii) recovery would likely cause an otherwise tax-qualified retirement plan, under which benefits are broadly available to employees of the Company, to fail to meet the requirements of the Code in each case, in accordance with Dodd-Frank and the Listing Standards.

Incentive-Based Compensation” means any compensation that is granted, earned, or vested based wholly or in part upon the attainment of a Financial Reporting Measure. Incentive-Based Compensation does not include any base salaries (except with respect to any salary increases earned wholly or in part based on the attainment of a Financial Reporting Measure); bonuses paid solely at the discretion of the Compensation Committee or the Board that are not paid from a “bonus pool” that is determined by satisfying a Financial Reporting Measure; bonuses paid solely upon satisfying one or more subjective standards and/or completion of a specified employment period; non-equity incentive plan awards earned solely upon satisfying one or more measures that are not a Financial Reporting Measure; and equity awards that vest solely based on the passage of time and/or attaining one or more measures that, in each case, are not based wholly or in part upon the attainment of a Financial Reporting Measure.

Nasdaq” means the Nasdaq Global Market.

 

2


Received” means, with respect to Incentive-Based Compensation, the point in time in the Company’s fiscal period during which the Financial Reporting Measure specified in the Incentive-Based Compensation award is attained, even if the payment, vesting or settlement of the Incentive-Based Compensation occurs after the end of such period.

Recoverable Compensation” means the amount of any Incentive-Based Compensation (calculated on a pre-tax basis) Received by a Covered Executive (i) after beginning services as a Covered Executive; (ii) if such person served as a Covered Executive at any time during the performance period applicable to such Incentive-Based Compensation; (iii) while the Company had a listed class of securities on a national securities exchange; and (iv) during the Applicable Period that is in excess of the amount that otherwise would have been Received if the calculation were based on the Restatement. Recoverable Compensation may include Incentive-Based Compensation Received by a Covered Executive if such person previously served as a Covered Executive and then left the Company, retired, and/or transitioned to a role that is not a Covered Executive role. If the subject Incentive-Based Compensation (calculated on a pre-tax basis) was based on stock price or total shareholder return, where the Recoverable Compensation is not subject to mathematical recalculation directly from the information in a Restatement, the Recoverable Compensation must be based on a reasonable estimate of the effect of the Restatement on the stock price or total shareholder return based upon which the Incentive-Based Compensation was Received, and documentation of such reasonable estimate must be provided to Nasdaq. The amount of Recoverable Compensation shall be determined by the Board in its sole and absolute discretion and in accordance with applicable laws, including Dodd-Frank and the Listing Standards.

Restatement” means an accounting restatement of any of the Company’s financial statements filed with the SEC under the Exchange Act, or the Securities Act of 1933, as amended, due to the Company’s material noncompliance with any financial reporting requirement under U.S. securities laws. “Restatement” includes any required accounting restatement to correct an error in previously issued financial statements that is material to the previously issued financial statements (commonly referred to as “Big R” restatements), or that would result in a material misstatement if the error were corrected in the current period or left uncorrected in the current period (commonly referred to as “little r” restatements).

SEC” means the Securities and Exchange Commission.

Administration

This Policy shall be administered by the Board or, if so designated by the Board, the Compensation Committee, in which case references herein to the Board shall be deemed references to the Compensation Committee. The Board shall interpret and construe this Policy and shall take such actions and prescribe such rules and regulations in connection with the operation of this Policy as it determines to be necessary, appropriate, or advisable for the administration of this Policy, and may rescind and amend its regulations from time to time, in each case, consistent with this Policy. Any determinations made by the Board shall be final, conclusive and binding upon the Company and all persons affected hereunder and need not be uniform with respect to each Covered Executive. Subject to any limitation under applicable law, the Board may authorize and empower any officer or employee of the Company or any of its affiliates to take any and all actions necessary or appropriate to carry out the purpose and intent of this Policy (other than with respect to any recovery under this Policy involving such officer).

 

3


Recoupment

If the Company is required to prepare a Restatement, then the Company shall recover, reasonably promptly, all Recoverable Compensation from any Covered Executive during the Applicable Period. Such recovery shall be made without regard to any individual knowledge or responsibility related to the Restatement or the Recoverable Compensation, and regardless of whether the Company’s or a Covered Executive’s misconduct or other action or omission was the cause for such Restatement. Further, if the achievement of one or more Financial Reporting Measures was considered in determining the Incentive-Based Compensation Received by a Covered Executive, but the Incentive-Based Compensation was not paid or awarded on a formulaic basis, the Board will in its good faith discretion determine the amount of any Recoverable Compensation that must be recouped with respect thereto. Notwithstanding the above provision, the Board can decide to refrain from recovering the Recoverable Compensation if the Compensation Committee determines that such recovery would be Impracticable.

Method of Recoupment of Incentive-Based Compensation

Upon any recoupment determination by the Board, the Board shall notify the Covered Executive in writing of its determination. The Board will determine, in its sole discretion, the method for the recoupment of the Incentive-Based Compensation. Methods of recoupment may include, without limitation, one or more of the following:

 

  (a)

requiring repayment of any cash Incentive-Based Compensation or other cash-based compensation previously paid;

 

  (b)

cancelling outstanding vested or unvested equity or equity-linked awards, including without limitation, awards constituting Incentive-Based Compensation;

 

  (c)

forfeiture of deferred compensation, subject to compliance with Section 409A (as defined below);

 

  (d)

seeking recovery of any gain realized from the vesting, exercise, settlement, sale, transfer or other disposition of any equity or equity-linked awards, including without limitation, awards constituting Incentive-Based Compensation;

 

  (e)

offsetting the recouped amount from any compensation otherwise owed by the Company to the Covered Executive;

 

  (f)

cancelling or offsetting against any planned future cash or equity-based awards; and/or

 

  (g)

taking any other remedial or recovery action permitted by law and the Listing Standards, as determined by the Board in its sole discretion.

 

4


To the extent that a Covered Executive is required to repay any Incentive-Based Compensation, or to take any other action required or appropriate to effectuate recoupment in accordance with this Policy, then the Covered Executive shall promptly repay such Incentive-Based Compensation and shall promptly take all such other actions, upon the Company’s demand or within a specified time period (and with or without interest), as determined by the Board in its sole discretion.

Disclosure

It is intended that the Company shall make such disclosures with respect to Incentive-Based Compensation subject to this Policy, and any actions taken or omitted to be taken hereunder, with the SEC and Nasdaq, in each case, as may be required under any applicable requirements, rules or standards thereof.

Interpretation

The Board and the Compensation Committee, as applicable, are authorized to interpret and construe this Policy and to make all determinations necessary, appropriate or advisable for the administration of this Policy. This Policy will be interpreted and enforced in accordance with Dodd-Frank and the Listing Standards.

No Indemnification or Reimbursement

Notwithstanding the terms of any other policy, program, agreement or arrangement, in no event will the Company or any of its affiliates indemnify or reimburse any Covered Executive for the loss of any Recoverable Compensation that is required to be repaid or that is otherwise subject to recoupment under this Policy. Further, in no event shall the Company or any of its affiliates pay or reimburse any Covered Executive for premiums on any insurance policy that would cover a Covered Executive’s potential obligations with respect to Recoverable Compensation under this Policy.

Acknowledgement by Covered Executives

The Company shall provide notice and seek written acknowledgement of this Policy from each Covered Executive, provided that the failure to provide such notice or obtain such acknowledgement shall have no impact on the applicability or enforceability of this Policy.

Effective Date

This Policy is effective as of December 1, 2023 (the “Effective Date”), and shall apply to Incentive-Based Compensation that is Received by Covered Executives on or after October 2, 2023, except to the extent otherwise required by the Exchange Act and/or Listing Standards or by applicable law.

 

5


Governing Law

This Policy shall be governed by the laws of the State of Delaware, excluding any conflict or choice of law or principle that might otherwise refer construction or interpretation of this Policy to the substantive law of another jurisdiction.

Amendment; Termination

The Board may amend or terminate this Policy at any time in its sole discretion.

Company Indemnification

Any and all members of the Board or the Compensation Committee and any and all employees of the Company or its affiliates who assist in the administration of this Policy shall not be personally liable for any action, determination or interpretation made with respect to this Policy and shall be fully indemnified by the Company to the fullest extent permitted under applicable law, Company policy and/or the Company’s organizational documents with respect to any such action, determination or interpretation. The foregoing sentence shall not limit any other rights to indemnification of the members of the Board or the Compensation Committee under applicable law, Company policy, and/or the Company’s organizational documents.

Other Recoupment Rights

The Board, in its sole discretion, may require that any equity or equity-linked award agreement or similar agreement entered into on or after the Effective Date shall contain an acknowledgement of this Policy, as a condition to the grant of any benefit thereunder, and shall require a Covered Executive to agree to abide by the terms of this Policy. Any right of recoupment under this Policy is in addition to, and not in lieu of, any other remedies or rights that may be available to the Company pursuant to the terms of any policy or in any employment agreement, equity or equity-linked award agreement, or similar agreement, plan or program, and shall not limit any other right, remedy or enforcement mechanism available to the Company under any local, state or federal law, regulation, agreement or other authority to reduce, eliminate or recover Incentive-Based Compensation or other compensation from any current, former or future Covered Executive, including, without limitation: (i) termination of employment for any reason; (ii) adjusting the Covered Executive’s future compensation; (iii) instituting civil or criminal proceedings, or any actions that may be imposed by law enforcement agencies, regulators, administrative bodies or other authorities; or (iv) taking such other action as the Company may deem appropriate. Nothing herein shall limit the authority of the Board or the Compensation Committee to impose additional requirements or conditions that may give rise to the Company’s right to forfeit or recoup any compensation. To the extent that applicable law (including, without limitation, Dodd-Frank), the Listing Standards, court order or court-approved settlement requires recovery of Recoverable Compensation in additional circumstances beyond those specified in this Policy, nothing in this Policy shall be deemed to limit or restrict the right or obligation of the Company to recover Recoverable Compensation or other compensation to the fullest extent required or permitted by applicable law and/or the Listing Standards.

 

6


Section 409A

Although the Company does not guarantee any particular tax treatment to any Covered Executive, in the event of recoupment of any Recoverable Compensation from any Covered Executive pursuant to this Policy by offset from or reduction of any amount that is payable and/or to be provided to the Covered Executive and that is considered “non-qualified deferred compensation” under Section 409A of the Code, and the regulations and guidance promulgated thereunder (collectively, “Section 409A”), to the extent determined by the Board or the Compensation Committee, it is intended that such offset and/or reduction shall be implemented in a manner intended to avoid imposition of penalties under Section 409A.

Successors

This Policy shall be binding and enforceable against all Covered Executives and their beneficiaries, heirs, executors, administrators or other legal representatives.

 

7


HENRY SCHEIN, INC.

DODD-FRANK CLAWBACK POLICY

Covered Executive Acknowledgment

Henry Schein, Inc. (the “Company”) maintains the Dodd-Frank Clawback Policy (the “Policy”), a copy of which is enclosed. I, ____________, a “Covered Executive” to whom the Policy applies, (i) have received, and have read and familiarized myself with, the Policy; (ii) accept and agree to be subject to the terms and conditions of the Policy, including the terms and conditions of any amendment of the Policy by the Board of Directors of the Company (the “Board”), or the Compensation Committee of the Board (the “Committee”), that the Board and/or the Committee determine to be necessary, appropriate, or advisable from time to time, including without limitation, to comply with applicable law (including, without limitation, Dodd-Frank) and with the applicable rules, regulations and/or requirements of the SEC, Nasdaq, law enforcement agencies, regulators, administrative bodies and/or other authorities; (iii) understand and agree that any action taken by the Company pursuant to the Policy shall not constitute or give rise to any constructive termination of employment, “good reason,” breach of contract or other similar rights under any Company agreement, arrangement, plan, award, program or policy (whether oral or written) or give rise to any right I have, or otherwise could have, to indemnification from the Company or otherwise in respect thereof and (iv) understand and agree that I remain subject to the Amended and Restated Incentive Compensation Recoupment Policy currently maintained by the Company (the “Prior Policy”). In the event of any inconsistency between the Policy or the Prior Policy, as applicable, and the terms of any employment agreement to which I am a party, or the terms of any compensation plan, program or agreement under which any compensation has been granted, awarded, earned or paid, the terms of the Policy or the Prior Policy, as applicable, shall govern. In the event it is determined by the Board or the Committee that any amounts granted, awarded, earned or paid to me must be forfeited or reimbursed to the Company pursuant to the Policy or the Prior Policy, as applicable, I will promptly take any action necessary to effectuate such forfeiture and/or reimbursement. I further acknowledge that I am subject to the terms and conditions of the Policy and the Prior Policy, as such Policy or such Prior Policy, as applicable, may be amended from time to time, in each case, notwithstanding the acknowledgment herein.

 

AGREED AND ACKNOWLEDGED      

 

     

 

(Signature of Covered Executive)       (Date)
Name:      
Title:      

 

8

HTML

Exhibit 99.1

AIG Asset Management (U.S.), LLC

2929 Allen Parkway, 36th Floor

Houston, TX 77019

November 10, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Multicurrency Private Shelf Agreement, dated as of October 20, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Agreement”), among Henry Schein, Inc., a Delaware corporation, AIG Asset Management (U.S.), LLC (“AIG”) and each AIG Affiliate party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Agreement.

The Company has requested an extension of the time required to deliver its unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(a) of the Agreement. The Required Holders hereby agree to extend the due date for the above item to December 8, 2023.

The Company hereby represents and warrants to AIG that no event has occurred, and no condition exists that, either before or after giving effect to this Waiver Letter, constitutes or would constitute a Default or an Event of Default.

Except as specifically set forth herein, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Agreement or any of the Financing Documents. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]


Very truly yours,

 

AIG ASSET MANAGEMENT (U.S.), LLC,
By:  

/s/ Peter DeFazio

  Name: Peter DeFazio
  Title: Managing Director

[Signature Page – Waiver Letter (AIG Multicurrency Private Shelf Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

[Signature Page – Waiver Letter (AIG Multicurrency Private Shelf Agreement)]

HTML

Exhibit 99.2

METLIFE INVESTMENT MANAGEMENT LIMITED

METLIFE INVESTMENT MANAGEMENT, LLC

One MetLife Way

Whippany, NJ, 07981

November 10, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Third Amended and Restated Multicurrency Master Note Purchase Agreement, dated as of October 20, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Agreement”), among Henry Schein, Inc., a Delaware corporation (the “Company”), MetLife Investment Management Limited (“MIML”), MetLife Investment Advisors Company, LLC (“MIM” and together with MIML, “MetLife”) and each MetLife Affiliate party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Agreement.

The Company has requested an extension of the time required to deliver its unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(a) of the Agreement. The Required Holders hereby agree to extend the due date for the above item to December 8, 2023.

The Company hereby represents and warrants to MetLife and each MetLife Affiliate party to the Agreement that no event has occurred, and no condition exists that, either before or after giving effect to this Waiver Letter, constitutes or would constitute a Default or an Event of Default.

Except as specifically set forth herein, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Agreement or any of the Financing Documents. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]


Very truly yours,

 

METLIFE INVESTMENT MANAGEMENT, LLC,
as Holder
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
METLIFE INVESTMENT MANAGEMENT LIMITED,
as Holder
By:  

/s/ Colin McGinlay

  Name: Colin McGinlay
  Title: Authorized Signatory
METROPOLITAN LIFE INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
METLIFE INSURANCE K.K.
By: MetLife Investment Management, LLC, its investment manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


METLIFE REINSURANCE COMPANY OF CHARLESTON
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
BRIGHTHOUSE LIFE INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
BRIGHTHOUSE REINSURANCE COMPANY OF DELAWARE
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
SYMETRA LIFE INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


TRANSATLANTIC REINSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
AMERICAN FIDELITY ASSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
BALTIMORE LIFE INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


RSUI INDEMNITY COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
SWISS RE LIFE & HEALTH AMERICA INC.
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
SWISS REINSURANCE COMPANY LIMITED
By: MetLife Investment Management Limited, as Investment Manager
By:  

/s/ Colin McGinlay

  Name: Colin McGinlay
  Title: Authorized Signatory
PENSION AND SAVINGS COMMITTEE, ON BEHALF OF
THE ZURICH AMERICAN INSURANCE COMPANY MASTER RETIREMENT TRUST
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


ZURICH AMERICAN INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


ZURICH GLOBAL, LTD.
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
FARMERS INSURANCE EXCHANGE
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
JOHN HANCOCK PENSION PLAN
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
NEW YORK STATE INSURANCE FUND
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


PRINCIPAL LIFE INSURANCE COMPANY
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory
MISSOURI REINSURANCE, INC.
By: MetLife Investment Management, LLC, Its Investment Manager
By:  

/s/ Edward Teagan

  Name: Edward Teagan
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (MetLife Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (MetLife Agreement)]

HTML

Exhibit 99.3

New York Life Insurance Company

c/o NYL Investors LLC

51 Madison Avenue

2nd Floor, Room 208

New York, New York 10010

November 10, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Third Amended and Restated Master Note Facility, dated as of October 20, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Agreement”), among Henry Schein, Inc., a Delaware corporation (the “Company” or “you”), NYL Investors, LLC (“New York Life”) and each New York Life Affiliate party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Agreement.

You have requested an extension of the time required to deliver your unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(a) of the Agreement. The Required Holders hereby agree to extend the due date for the above items to December 8, 2023 (or such later date as New York Life may agree in its sole discretion).

Except as specifically set forth herein, nothing contained in this Waiver Letter shall directly or indirectly: (a) amend, modify or alter any term or condition of the Agreement or any of the Note Documents, (b) constitute or create a course of dealing, (c) except as expressly set forth herein, constitute a consent to any other transaction or a consent or waiver to any past, present or future Default, Event of Default or other violation of any provisions of the Agreement or any other Note Documents, or (d) except as expressly set forth herein, amend, modify or operate as a waiver of any provision of the Agreement or any other Note Document or any right, power, privilege or remedy of New York Life or any one or more of the holders of Notes thereunder.

The Company represents and warrants that (i) concurrently with the execution of this Waiver Letter, the Company is receiving substantially similar waivers for each Principal Credit Facility, private shelf agreement or note purchase agreement (however designated or styled), credit agreement, loan, instrument and similar agreement to which it is a party, (ii) none of the lenders or agents affiliated with any of the aforementioned agreements is receiving any compensation in connection with such waivers and (iii) after giving effect to this Waiver Letter, no Default or Event of Default is continuing under the Agreement. The Company acknowledges that each representation and warranty contained herein constitutes a material inducement to New York Life and the Required Holders to execute this Waiver Letter and that each of New York Life and the Required Holders would not have done so but for New York Life’s and each Required Holder’s expectation that such representation and warranty is true and correct in all respects.


This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. The words “execution”, “signed”, “signature”, “delivery” and words of like import in or relating to this letter agreement shall be deemed to include electronic signatures, deliveries or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act or any other similar state laws based on the Uniform Electronic Transactions Act. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]

[Signature Page – Waiver Letter (NY Life Note Agreement)]


Very truly yours,

 

NYL INVESTORS LLC
(as successor in interest to New York
Life Investment Management LLC)
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
NEW YORK LIFE INSURANCE COMPANY,
as Holder
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION,
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION INSTITUTIONALLY OWNED LIFE INSURANCE SEPARATE ACCOUNT (BOLI 3),
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION INSTITUTIONALLY OWNED LIFE INSURANCE SEPARATE ACCOUNT (BOLI 3-2),
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION INSTITUTIONALLY OWNED LIFE INSURANCE SEPARATE ACCOUNT (BOLI 30C),
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION INSTITUTIONALLY OWNED LIFE INSURANCE SEPARATE ACCOUNT (BOLI 30D),
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION INSTITUTIONALLY OWNED LIFE INSURANCE SEPARATE ACCOUNT (BOLI 30E),
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
THE BANK OF NEW YORK MELLON, A BANKING CORPORATION ORGANIZED UNDER THE LAWS OF NEW YORK, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE UNDER THAT CERTAIN TRUST AGREEMENT DATED AS OF JULY 1ST, 2015 BETWEEN NEW YORK LIFE INSURANCE COMPANY, AS GRANTOR, JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.), AS BENEFICIARY, JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK, AS BENEFICIARY, AND THE BANK OF NEW YORK MELLON, AS TRUSTEE,
as Holder
By: New York Life Insurance Company, its attorney-in-fact
By: NYC Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


COMPSOURCE MUTUAL INSURANCE COMPANY,
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
LIFE INSURANCE COMPANY OF NORTH AMERICA,
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director
NEW YORK LIFE GROUP INSURANCE COMPANY OF NY,
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


THE BANK OF NEW YORK MELLON, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS TRUSTEE UNDER THAT CERTAIN TRUST AGREEMENT DATED AS OF DECEMBER 30, 2020 BY AND AMONG LIFE INSURANCE COMPANY OF NORTH AMERICA, AS GRANTOR, CONNECTICUT GENERAL LIFE INSURANCE COMPANY, AS BENEFICIARY, AND THE BANK OF NEW YORK MELLON, AS TRUSTEE,
as Holder
By:   NYL Investors LLC, its Investment Manager
By:  

/s/ Christopher H. Carey

  Name: Christopher H. Carey
  Title: Managing Director

 

[Signature Page – Waiver Letter (NY Life Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (NY Life Agreement)]

HTML

Exhibit 99.4

The Prudential Insurance Company of America

c/o PGIM, Inc.

Prudential Tower

655 Broad Street

14th Floor- South Tower

Newark, NJ 07102

November 10, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Third Amended and Restated Multicurrency Private Shelf Agreement, dated as of October 20, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Agreement”), among Henry Schein, Inc., a Delaware corporation (the “Company”), PGIM, Inc. (“Prudential”) and each Prudential Affiliate party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Agreement.

You have requested an extension of the time required to deliver its unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(a) of the Agreement. The Required Holders hereby agree to extend the due date for the above item to December 8, 2023.

The Company hereby represents and warrants to Prudential and each Prudential Affiliate party to the Agreement that no event has occurred, and no condition exists that, either before or after giving effect to this Waiver Letter, constitutes or would constitute a Default or an Event of Default.

Except as specifically set forth herein, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Agreement or any of the Financing Documents. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]


Very truly yours,

 

PGIM, INC.,
as Holder
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
THE PRUDENTIAL INSURANCE COMPANY
OF AMERICA,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
PRUDENTIAL UNIVERSAL REINSURANCE COMPANY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PRUCO LIFE INSURANCE COMPANY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
THE GIBRALTAR LIFE INSURANCE CO., LTD.,
as Holder
By:   Prudential Investment Management Japan
  Co., Ltd., as Investment Manager
By:   PGIM, Inc., as Sub-Adviser
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
PRUDENTIAL ARIZONA REINSURANCE UNIVERSAL COMPANY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PRUDENTIAL ARIZONA REINSURANCE
TERM COMPANY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
FARMERS NEW WORLD LIFE INSURANCE COMPANY,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


MEDICA HEALTH PLANS,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
FARMERS INSURANCE EXCHANGE,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


MID CENTURY INSURANCE COMPANY,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
ZURICH AMERICAN INSURANCE COMPANY,
as Holder
By:   Prudential Private Placement Investors,
  L.P. (as Investment Advisor)
By:   Prudential Private Placement Investors, Inc.
  (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
GIBRALTAR UNIVERSAL LIFE REINSURANCE COMPANY,
as Holder
By:   Prudential Investment Management Japan
  Co., Ltd., as Investment Manager
By:   PGIM, Inc., as Sub-Adviser
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PAR U HARTFORD LIFE & ANNUITY COMFORT TRUST,
as Holder
By:   The Prudential Insurance Company of America, as Grantor
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
PAR U HARTFORD LIFE INSURANCE COMFORT TRUST,
as Holder
By:   The Prudential Insurance Company of America, as Grantor
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PICA HARTFORD LIFE & ANNUITY COMFORT TRUST,
as Holder
By:   The Prudential Insurance Company of America, as Grantor
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
PICA HARTFORD LIFE INSURANCE COMFORT TRUST,
as Holder
By:   The Prudential Insurance Company of America, as Grantor
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
PRIVATE PLACEMENT TRUST INVESTORS, LLC,
as Holder
By:   PGIM Private Placement Investors, L.P.
  as Managing Member
By:   PGIM Private Placement Investors, Inc.
  as its General Partner
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PRUDENTIAL LEGACY INSURANCE COMPANY OF NEW JERSEY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

Name:   Ashley Dexter
Title:   Vice President
PRUDENTIAL TERM REINSURANCE COMPANY,
as Holder
By:   PGIM, Inc., as investment manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
HIGHMARK INC.
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


PENSIONSKASSE DES BUNDES PUBLICA
By: PGIM Private Capital Limited, as Investment Manager
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
COMPANION LIFE INSURANCE COMPANY
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


MUTUAL OF OMAHA INSURANCE COMPANY
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
UNITED OF OMAHA LIFE INSURANCE COMPANY
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President
THE INDEPENDENT ORDER OF FORESTERS
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

  Name: Ashley Dexter
  Title: Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


THE PRUDENTIAL LIFE INSURANCE COMPANY, LTD.
By: PGIM Japan Co., Ltd. (as Investment Advisor) By: PGIM, Inc. (as Sub-Adviser)
By:  

/s/ Ashley Dexter

Name:   Ashley Dexter
Title:   Vice President
PHYSICIANS MUTUAL INSURANCE COMPANY
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

Name:   Ashley Dexter
Title:   Vice President
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
By: PGIM Private Placement Investors, L.P. (as Investment Advisor)
By: PGIM Private Placement Investors, Inc. (as its General Partner)
By:  

/s/ Ashley Dexter

Name:   Ashley Dexter
Title:   Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


THE PRUDENTIAL GIBRALTAR FINANCIAL LIFE INSURANCE CO., LTD.
By: PGIM Japan Co., Ltd., as investment manager
By: PGIM, Inc., as sub-advisor
By:  

/s/ Ashley Dexter

Name:   Ashley Dexter
Title:   Vice President

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (Prudential Private Shelf Agreement)]

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Exhibit 99.5

MUFG BANK, LTD.

(F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.)

1251 Avenue of the Americas, 12th Floor

New York, NY 10020-1104

November 10, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Receivables Purchase Agreement, dated as of April 17, 2013 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Receivables Purchase Agreement”), among HSFR, Inc., a Delaware corporation, as Seller, Henry Schein, Inc., a Delaware corporation, as Servicer (Seller and Servicer, collectively, “you”), the various Purchaser Groups from time to time party thereto, MUFG Bank Ltd. (f/k/a The Bank of Tokyo-Mitsubishi UFJ, Ltd.), as Agent, and the other parties from time to time party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Receivables Purchase Agreement.

You have requested an extension of the time required to deliver your (i) unaudited financial statements and compliance certificate with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(p) of the Receivables Purchase Agreement and (ii) Settlement Reports for each of the Calculation Periods ended September 30, 2023 and November 4, 2023, respectively, pursuant to Section 8.5 of the Receivables Purchase Agreement (the reports described in clause (i) and (ii) above, collectively, the “Specified Reports”). Subject to the limitations set forth herein, each of the Agent, each Purchaser Agent and each Purchaser hereby agrees to extend the due date for the Specified Reports to December 8, 2023 (or such later date as the Agent may agree with the consent of the Required Purchaser Agents).

Each waiver set forth in the immediately preceding paragraph is a one-time waiver and is limited to its express terms. Except as specifically set forth herein for the Specified Reports, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Receivables Purchase Agreement or any of the Transaction Documents or operate as a waiver of any right, power or remedy of the Agent, any Purchaser Agent or any Purchaser. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York. This Waiver Letter may not be amended or modified except by a written instrument executed by each of the parties hereto.

[Signature Page Follows]


Very truly yours,

 

MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.),
as Agent
By:  

/s/ Helen Ellis

  Name: Helen Ellis
  Title: Managing Director

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as Purchaser Agent for Victory Receivables Corporation
By:  

/s/ Helen Ellis

  Name: Helen Ellis
  Title: Managing Director

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


VICTORY RECEIVABLES CORPORATION,
as an Uncommitted Purchaser
By:  

/s/ Kevin J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.),,
as a Related Committed Purchaser for Victory Receivables Corporation
By:  

/s/ Helen Ellis

  Name: Helen Ellis
  Title: Managing Director

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


THE TORONTO DOMINION BANK,
as a Purchaser Agent and the Related Committed Purchaser for the TD Purchaser Group
By:  

/s/ Brad Purkis

  Name: Brad Purkis
  Title: Managing Director

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


GTA FUNDING LLC, as a Conduit Purchaser and an Uncommitted Purchaser for the TD Purchaser Group
By:  

/s/ Kevin J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]


ACKNOWLEDGED AND AGREED:
HSFR, INC.,
as Seller
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Treasurer
Henry Schein, Inc.,
as Servicer
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (Receivables Purchase Agreement)]

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Exhibit 99.6

JPMorgan Chase Bank, N.A.

131 S Dearborn St, Floor 04

Chicago, IL, 60603-5506

November 14, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Second Amended and Restated Credit Agreement, dated as of July 11, 2023 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), among Henry Schein, Inc., a Delaware corporation, the several lenders from time to time party thereto, JPMorgan Chase Bank, N.A., as Administrative Agent, and the other parties from time to time party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Credit Agreement.

You have requested an extension of the time required to deliver your unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(b) of the Credit Agreement. The Majority Lenders hereby agree to extend the due date for the above items to December 8, 2023 (or such later date as the Administrative Agent may agree in its sole discretion).

Except as specifically set forth herein, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Credit Agreement or any of the Loan Documents. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]


Very truly yours,

 

JPMORGAN CHASE BANK, N.A.,
as Administrative Agent and as a Lender
By:  

/s/ James Kyle O’Donnell

  Name: James Kyle O’Donnell
  Title: Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


U.S. BANK NATIONAL ASSOCIATION,
as a Lender
By:  

/s/ Michael West

  Name: Michael West
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


TD BANK, N.A.,
as a Lender
By:  

/s/ Steve Levi

  Name: Steve Levi
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


BANK OF AMERICA, N.A.,
as a Lender
By:  

/s/ Martha Novak

  Name: Martha Novak
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


UNICREDIT BANK AG, NEW YORK BRANCH,
as a Lender
By:  

/s/ Kimberly Sousa

  Name: Kimberly Sousa
  Title: Managing Director
By:  

/s/ Jakub Gazi

  Name: Jakub Gazi
  Title: Senior Associate

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


THE BANK OF NEW YORK MELLON,
as a Lender
By:  

/s/ Luke Daly

  Name: Luke Daly
  Title: Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


ING BANK N.V., DUBLIN BRANCH,
as a Lender
By:  

/s/ Cormac Langford

  Name: Cormac Langford
  Title: Director
By:  

/s/ Louise Gough

  Name: Louise Gough
  Title: Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


HSBC BANK USA, NATIONAL ASSOCIATION,
as a Lender
By:  

/s/ Dennis Tybor

  Name: Dennis Tybor (23307)
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


BNP PARIBAS,
as a Lender
By:  

/s/ John Bosco

  Name: John Bosco
  Title: Managing Director
By:  

/s/ Adam Caretti

  Name: Adam Caretti
  Title: Director

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


MUFG BANK, LTD.,
as a Lender
By:  

/s/ Reema Sharma

  Name: Reema Sharma
  Title: Authorized Signatory

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


AUSTRALIA AND NEW ZEALAND BANKING GROUP LIMITED,
as a Lender
By:  

/s/ Cynthia Dioquino

  Name: Cynthia Dioquino
  Title: Director

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (Second Amended and Restated Credit Agreement)]

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Exhibit 99.7

JPMorgan Chase Bank, N.A.

131 S Dearborn St, Floor 04

Chicago, IL, 60603-5506

November 14, 2023

Henry Schein Inc.

135 Duryea Road

Melville, New York, 11747

Attn: Michael Amodio, Vice President and Treasurer

Limited Waiver

Ladies and Gentlemen:

Reference is hereby made to that certain Term Loan Credit Agreement, dated as of July 11, 2023 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), among Henry Schein, Inc., a Delaware corporation, the several lenders from time to time party thereto, JPMorgan Chase Bank, N.A., as Administrative Agent, and the other parties from time to time party thereto. Capitalized terms used in this waiver letter (“Waiver Letter”) but not defined herein shall have the respective meaning ascribed to them in the Credit Agreement.

You have requested an extension of the time required to deliver your unaudited financial statements with respect to the fiscal quarter ended September 30, 2023, pursuant to Section 7.1(b) of the Credit Agreement. The Majority Lenders hereby agree to extend the due date for the above items to December 8, 2023 (or such later date as the Administrative Agent may agree in its sole discretion).

Except as specifically set forth herein, nothing contained in this Waiver Letter shall amend, modify or alter any term or condition of the Credit Agreement or any of the Loan Documents. This Waiver Letter may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Delivery of an executed counterpart of a signature page to this Waiver Letter by electronic mail or by .pdf shall be effective as delivery of a manually executed counterpart of this Waiver Letter. This Waiver Letter and the rights and obligations of the parties hereunder shall be governed by, and construed and interpreted in accordance with, the laws of the State of New York.

[Signature Page Follows]

 


Very truly yours,

 

JPMORGAN CHASE BANK, N.A.,
as Administrative Agent and as a Lender
By  

/s/ James Kyle O’Donnell

  Name: James Kyle O’Donnell
  Title: Vice President

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


U.S. BANK NATIONAL ASSOCIATION,
as a Lender
By:  

/s/ Michael West

  Name: Michael West
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


TD BANK, N.A.,
as a Lender
By:  

/s/ Steve Levi

  Name: Steve Levi
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


BANK OF AMERICA, N.A.,
as a Lender
By:  

/s/ Martha Novak

  Name: Martha Novak
  Title: Senior Vice President

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


UNICREDIT BANK AG, NEW YORK BRANCH,
as a Lender
By:  

/s/ Kimberly Sousa

  Name: Kimberly Sousa
  Title: Managing Director
By:  

/s/ Jakub Gazi

  Name: Jakub Gazi
  Title: Senior Associate

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


BNP PARIBAS,
as a Lender
By:  

/s/ John Bosco

  Name: John Bosco
  Title: Managing Director
By:  

/s/ Adam Caretti

  Name: Adam Caretti
  Title: Director

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]


ACKNOWLEDGED AND AGREED:
HENRY SCHEIN, INC.,
as Borrower
By:  

/s/ Michael Amodio

Name:   Michael Amodio
Title:   Vice President and Treasurer

 

[Signature Page – Waiver Letter (Term Loan Credit Agreement)]

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Exhibit 99.8

AMENDMENT NO. 9 TO RECEIVABLES PURCHASE AGREEMENT

This AMENDMENT NO. 9 TO RECEIVABLES PURCHASE AGREEMENT, dated as of December 20, 2023 (this “Amendment”), is entered into among HSFR, INC., a Delaware corporation, as seller (the “Seller”), the PURCHASERS LISTED ON THE SIGNATURE PAGES HERETO (the “Purchasers”), the PURCHASER AGENTS LISTED ON THE SIGNATURE PAGES HERETO (the “Purchaser Agents”), MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as agent (in such capacity, together with its successors and assigns in such capacity, the “Agent”) for each Purchaser Group, and, HENRY SCHEIN, INC. (“HS”), a Delaware corporation, as initial servicer (in such capacity, the “Servicer”), and, solely with respect to Section 10, (the “Performance Guarantor”).

BACKGROUND

A. The Seller, the Servicer, Purchasers, Purchaser Agents and Agent are parties to a Receivables Purchase Agreement, dated as of April 17, 2013 (as amended by that certain Omnibus Amendment No. 1, dated as of July 22, 2013, that certain Omnibus Amendment No. 2, dated as of April 21, 2014, that certain Amendment No. 1 to Receivables Purchase Agreement, dated as of September 22, 2014, that certain Amendment No. 2 to Receivables Purchase Agreement, dated as of April 17, 2015, that certain Amendment No. 3 to Receivables Purchase Agreement, dated as of June 1, 2016, that certain Amendment No. 4 to Receivables Purchase Agreement, dated as of July 6, 2017, that certain Amendment No. 5 to Receivables Purchase Agreement, dated as of March 13, 2019, that certain Amendment No. 6 to Receivables Purchase Agreement, dated as of June 22, 2020, that certain Amendment No. 7 to Receivables Purchase Agreement, dated as of October 20, 2021, that certain Amendment No. 8 to Receivables Purchase Agreement, dated as of December 15, 2022, and as further amended, restated, modified or supplemented through the date hereof, the “Receivables Purchase Agreement”).

C. The parties are entering into this Amendment to amend or otherwise modify the Receivables Purchase Agreement.

AGREEMENT

1. Definitions. Capitalized terms are used in this Amendment as defined in Exhibit I to the Receivables Purchase Agreement. The rules of interpretation set forth in Appendix A to the Receivables Purchase Agreement are hereby incorporated as if fully set forth herein.

2. Amendments to Receivables Purchase Agreement. Subject to the occurrence of the Effective Date (as hereinafter defined), the Receivables Purchase Agreement is hereby amended as follows:

(a) Clause (f) of Section 9.1 of the Receivables Purchase Agreement is hereby amended and restated in its entirety to read as follows:

“(f) (i) the average of the Delinquency Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to each Calculation Period ending on or prior to May 30, 2020, 14.50%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020 and September 26, 2020, 18.50%; (C) with respect to the Calculation Period ending on October 31, 2020, 16.00%; and (D) with respect to each Calculation Period beginning after October 31, 2020, 14.50%;


(ii) the average of the Default Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to each Calculation Period ending on or prior to May 30, 2020, 2.50%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020, September 26, 2020, October 31, 2020 and November 28, 2020, 6.00%; (C) with respect to each Calculation Period beginning after November 28, 2020 and ending on or prior to November 4, 2023, 2.50%; (D) with respect to the Calculation Periods ending on December 2, 2023, December 30, 2023 and February 3, 2024, 3.50%; and (E) with respect to each Calculation Period beginning after February 3, 2024, 2.50%;

(iii) the average of the Dilution Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to any Calculation Period ending on or prior to May 30, 2020, 6.25%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020, September 26, 2020, and October 31, 2020, 9.50%; and (C) with respect to each Calculation Period beginning after October 31, 2020, 6.25%; or

(iv) the average of the Portfolio Turnover, computed for each of the immediately preceding three Calculation Periods shall exceed (A) with respect to each Calculation Period ending on or prior to September 26, 2020, 70 days; (B) with respect to each Calculation Period beginning after September 26, 2020 and ending on or prior to November 4, 2023, 50 days; (C) with respect to the Calculation Periods ending on December 2, 2023, December 30, 2023 and February 3, 2024, 65 days; and (E) with respect to each Calculation Period beginning after February 3, 2024, 50 days; or”

3. Representations and Warranties. Each of the Seller and Servicer hereby certifies, represents and warrants to the Agent, each Purchaser Agent and each Purchaser that on and as of the date hereof:

(a) each of its representations and warranties contained in Article V of the Receivables Purchase Agreement is true and correct, in all material respects, on and as of the date hereof; and

(b) no Termination Event or Unmatured Termination Event exists.

4. Conditions to Effectiveness. This Amendment shall become effective on the date hereof (the “Effective Date”) when each Purchaser Agent shall have received counterparts of this Amendment duly executed by the other parties hereto.

 

2


5. Ratification. This Amendment constitutes an amendment to the Receivables Purchase Agreement. After the execution and delivery of this Amendment, all references to the Receivables Purchase Agreement in any document shall be deemed to refer to the Receivables Purchase Agreement as amended by this Amendment, unless the context otherwise requires. Except as amended above, the Receivables Purchase Agreement is hereby ratified in all respects. Except as set forth above, the execution, delivery and effectiveness of this Amendment shall not operate as an amendment or waiver of any right, power or remedy of the parties hereto under the Receivables Purchase Agreement, nor constitute an amendment or waiver of any provision of the Receivables Purchase Agreement. This Amendment shall not constitute a course of dealing among the parties hereto at variance with the Receivables Purchase Agreement such as to require further notice by any of the Agent, the Purchaser Agents or the Purchasers to require strict compliance with the terms of the Receivables Purchase Agreement in the future, as amended by this Amendment, except as expressly set forth herein. The Seller hereby acknowledges and expressly agrees that each of the Agent, the Purchaser Agents and the Purchasers reserves the right to, and does in fact, require strict compliance with all terms and provisions of the Receivables Purchase Agreement, as amended herein.

6. Counterparts. This Amendment may be executed in any number of counterparts and by different parties on separate counterparts, and each counterpart shall be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument. Counterparts of this Amendment may be delivered by facsimile transmission or other electronic transmission, and such counterparts shall be as effective as if original counterparts had been physically delivered, and thereafter shall be binding on the parties hereto and their respective successors and assigns.

7. Governing Law. This Amendment shall be governed by, and construed in accordance with the law of the State of New York without regard to the principles of conflicts of law thereof (other than Sections 5-1401 and 5-1402 of the New York General Obligations Law).

8. Section Headings. The various headings of this Amendment are inserted for convenience only and shall not affect the meaning or interpretation of this Amendment, the Receivables Purchase Agreement or any other Transaction Document or any provision hereof or thereof.

9. Transaction Document. This Amendment shall constitute a Transaction Document under the Receivables Purchase Agreement.

10. Ratification of Performance Undertaking. After giving effect to this Amendment and the transactions contemplated hereby, all of the provisions of the Performance Undertaking shall remain in full force and effect and the Performance Guarantor hereby ratifies and affirms the Performance Undertaking and acknowledges that the Performance Undertaking has continued and shall continue in full force and effect in accordance with its terms.

[Signature Pages Follow]

 

3


IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by their respective officers hereunto duly authorized as of the day and year first above written.

 

HSFR INC.,
as Seller
By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Treasurer

 

Amendment No. 9 to Receivables Purchase Agreement


HENRY SCHEIN, INC.,
as Servicer
By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Vice President and Treasurer
Solely with respect to Section 10:
HENRY SCHEIN, INC.,
as Performance Guarantor
By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Vice President and Treasurer

 

Amendment No. 9 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as Purchaser Agent for Victory Receivables Corporation
By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

 

Amendment No. 9 to Receivables Purchase Agreement


VICTORY RECEIVABLES CORPORATION,
as an Uncommitted Purchaser
By:  

/s/ Kevin. J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

 

Amendment No. 9 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as Related Committed Purchaser for Victory Receivables Corporation
By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

 

Amendment No. 9 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.),
as Agent
By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

 

Amendment No. 9 to Receivables Purchase Agreement


THE TORONTO DOMINION BANK,
as Purchaser Agent and the Related Committed Purchaser for the TD Purchaser Group
By:  

/s/ Luna Mills

  Name: Luna Mills
  Title: Managing Director

 

Amendment No. 9 to Receivables Purchase Agreement


GTA FUNDING LLC, as a Conduit Purchaser and an Uncommitted Purchaser for the TD Purchaser Group
By:  

/s/ Kevin J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

 

Amendment No. 9 to Receivables Purchase Agreement

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Exhibit 99.9

AMENDMENT NO. 10 TO RECEIVABLES PURCHASE AGREEMENT

This AMENDMENT NO. 10 TO RECEIVABLES PURCHASE AGREEMENT, dated as of February 23, 2024 (this “Amendment”), is entered into among HSFR, INC., a Delaware corporation, as seller (the “Seller”), the PURCHASERS LISTED ON THE SIGNATURE PAGES HERETO (the “Purchasers”), the PURCHASER AGENTS LISTED ON THE SIGNATURE PAGES HERETO (the “Purchaser Agents”), MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as agent (in such capacity, together with its successors and assigns in such capacity, the “Agent”) for each Purchaser Group, and, HENRY SCHEIN, INC. (“HS”), a Delaware corporation, as initial servicer (in such capacity, the “Servicer”), and, solely with respect to Section 10, (the “Performance Guarantor”).

BACKGROUND

A. The Seller, the Servicer, Purchasers, Purchaser Agents and Agent are parties to a Receivables Purchase Agreement, dated as of April 17, 2013 (as amended by that certain Omnibus Amendment No. 1, dated as of July 22, 2013, that certain Omnibus Amendment No. 2, dated as of April 21, 2014, that certain Amendment No. 1 to Receivables Purchase Agreement, dated as of September 22, 2014, that certain Amendment No. 2 to Receivables Purchase Agreement, dated as of April 17, 2015, that certain Amendment No. 3 to Receivables Purchase Agreement, dated as of June 1, 2016, that certain Amendment No. 4 to Receivables Purchase Agreement, dated as of July 6, 2017, that certain Amendment No. 5 to Receivables Purchase Agreement, dated as of March 13, 2019, that certain Amendment No. 6 to Receivables Purchase Agreement, dated as of June 22, 2020, that certain Amendment No. 7 to Receivables Purchase Agreement, dated as of October 20, 2021, that certain Amendment No. 8 to Receivables Purchase Agreement, dated as of December 15, 2022, that certain Amendment No. 9 to Receivables Purchase Agreement, dated as of December 20, 2023, and as further amended, restated, modified or supplemented through the date hereof, the “Receivables Purchase Agreement”).

C. The parties are entering into this Amendment to amend or otherwise modify the Receivables Purchase Agreement.

AGREEMENT

1. Definitions. Capitalized terms are used in this Amendment as defined in Exhibit I to the Receivables Purchase Agreement. The rules of interpretation set forth in Appendix A to the Receivables Purchase Agreement are hereby incorporated as if fully set forth herein.

2. Amendments to Receivables Purchase Agreement. Subject to the occurrence of the Effective Date (as hereinafter defined), the Receivables Purchase Agreement is hereby amended as follows:

(a) Clause (f) of Section 9.1 of the Receivables Purchase Agreement is hereby amended and restated in its entirety to read as follows:


“(f) (i) the average of the Delinquency Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to each Calculation Period ending on or prior to May 30, 2020, 14.50%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020 and September 26, 2020, 18.50%; (C) with respect to the Calculation Period ending on October 31, 2020, 16.00%; (D) with respect to the Calculation Periods ending on March 2, 2024 and March 30, 2024, 16.50%; and (E) with respect to each Calculation Period beginning after March 30, 2024, 14.50%;

(ii) the average of the Default Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to each Calculation Period ending on or prior to May 30, 2020, 2.50%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020, September 26, 2020, October 31, 2020 and November 28, 2020, 6.00%; (C) with respect to each Calculation Period beginning after November 28, 2020 and ending on or prior to November 4, 2023, 2.50%; (D) with respect to the Calculation Periods ending on December 2, 2023 and December 30, 2023, 3.50%; (E) with respect to the Calculation Periods ending on February 3, 2024, March 2, 2024 and March 30, 2024, 5.50%; (F) with respect to the Calculation Periods ending on April 27, 2024 and June 1, 2024, 4.50%; and (G) with respect to each Calculation Period beginning after June 1, 2024, 2.50%;

(iii) the average of the Dilution Ratios, computed for each of the immediately preceding three Calculation Periods, shall exceed (A) with respect to any Calculation Period ending on or prior to May 30, 2020, 6.25%; (B) with respect to the Calculation Periods ending on June 27, 2020, August 1, 2020, August 29, 2020, September 26, 2020, and October 31, 2020, 9.50%; (C) with respect to the Calculation Periods ending on March 2, 2024 and March 30, 2024, 7.50%; and (D) with respect to each Calculation Period beginning after March 30, 2024, 6.25%; or

(iv) the average of the Portfolio Turnover, computed for each of the immediately preceding three Calculation Periods shall exceed (A) with respect to each Calculation Period ending on or prior to September 26, 2020, 70 days; (B) with respect to each Calculation Period beginning after September 26, 2020 and ending on or prior to November 4, 2023, 50 days; (C) with respect to the Calculation Periods ending on December 2, 2023, December 30, 2023 and February 3, 2024, 65 days; and (E) with respect to each Calculation Period beginning after February 3, 2024, 50 days; or”

3. Representations and Warranties. Each of the Seller and Servicer hereby certifies, represents and warrants to the Agent, each Purchaser Agent and each Purchaser that on and as of the date hereof:

(a) each of its representations and warranties contained in Article V of the Receivables Purchase Agreement is true and correct, in all material respects, on and as of the date hereof; and

(b) no Termination Event or Unmatured Termination Event exists.

4. Conditions to Effectiveness. This Amendment shall become effective as of February 3, 2024 (the “Effective Date”) when each Purchaser Agent shall have received counterparts of this Amendment duly executed by the other parties hereto.

 

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5. Ratification. This Amendment constitutes an amendment to the Receivables Purchase Agreement. After the execution and delivery of this Amendment, all references to the Receivables Purchase Agreement in any document shall be deemed to refer to the Receivables Purchase Agreement as amended by this Amendment, unless the context otherwise requires. Except as amended above, the Receivables Purchase Agreement is hereby ratified in all respects. Except as set forth above, the execution, delivery and effectiveness of this Amendment shall not operate as an amendment or waiver of any right, power or remedy of the parties hereto under the Receivables Purchase Agreement, nor constitute an amendment or waiver of any provision of the Receivables Purchase Agreement. This Amendment shall not constitute a course of dealing among the parties hereto at variance with the Receivables Purchase Agreement such as to require further notice by any of the Agent, the Purchaser Agents or the Purchasers to require strict compliance with the terms of the Receivables Purchase Agreement in the future, as amended by this Amendment, except as expressly set forth herein. The Seller hereby acknowledges and expressly agrees that each of the Agent, the Purchaser Agents and the Purchasers reserves the right to, and does in fact, require strict compliance with all terms and provisions of the Receivables Purchase Agreement, as amended herein.

6. Counterparts. This Amendment may be executed in any number of counterparts and by different parties on separate counterparts, and each counterpart shall be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument. Counterparts of this Amendment may be delivered by facsimile transmission or other electronic transmission, and such counterparts shall be as effective as if original counterparts had been physically delivered, and thereafter shall be binding on the parties hereto and their respective successors and assigns.

7. Governing Law. This Amendment shall be governed by, and construed in accordance with the law of the State of New York without regard to the principles of conflicts of law thereof (other than Sections 5-1401 and 5-1402 of the New York General Obligations Law).

8. Section Headings. The various headings of this Amendment are inserted for convenience only and shall not affect the meaning or interpretation of this Amendment, the Receivables Purchase Agreement or any other Transaction Document or any provision hereof or thereof.

9. Transaction Document. This Amendment shall constitute a Transaction Document under the Receivables Purchase Agreement.

10. Ratification of Performance Undertaking. After giving effect to this Amendment and the transactions contemplated hereby, all of the provisions of the Performance Undertaking shall remain in full force and effect and the Performance Guarantor hereby ratifies and affirms the Performance Undertaking and acknowledges that the Performance Undertaking has continued and shall continue in full force and effect in accordance with its terms.

[Signature Pages Follow]

 

 

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by their respective officers hereunto duly authorized as of the day and year first above written.

 

HSFR INC.,

as Seller

By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Treasurer

Amendment No. 10 to Receivables Purchase Agreement


HENRY SCHEIN, INC.,

as Servicer

By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Vice President and Treasurer
Solely with respect to Section 10:

HENRY SCHEIN, INC.,

as Performance Guarantor

By:  

/s/ Michael Amodio

  Name: Michael Amodio
  Title: Vice President and Treasurer

Amendment No. 10 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as Purchaser Agent for Victory Receivables Corporation
By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

Amendment No. 10 to Receivables Purchase Agreement


VICTORY RECEIVABLES CORPORATION,

as an Uncommitted Purchaser

By:  

/s/ Kevin J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

Amendment No. 10 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.), as Related Committed Purchaser for Victory Receivables Corporation
By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

Amendment No. 10 to Receivables Purchase Agreement


MUFG BANK, LTD. (F/K/A THE BANK OF TOKYO-MITSUBISHI UFJ, LTD.),

as Agent

By:  

/s/ Eric Williams

  Name: Eric Williams
  Title: Managing Director

Amendment No. 10 to Receivables Purchase Agreement


THE TORONTO DOMINION BANK,

as Purchaser Agent and the Related Committed Purchaser for the TD Purchaser Group

By:  

/s/ Luna Mills

  Name: Luna Mills
  Title: Managin Director

Amendment No. 10 to Receivables Purchase Agreement


GTA FUNDING LLC, as a Conduit Purchaser and an Uncommitted Purchaser for the TD Purchaser Group
By:  

/s/ Kevin J. Corrigan

  Name: Kevin J. Corrigan
  Title: Vice President

Amendment No. 10 to Receivables Purchase Agreement