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Henry Schein, Inc. (HSIC)

Q1 2020 Earnings Call· Tue, May 5, 2020

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Transcript

Operator

Operator

Good morning, ladies and gentlemen, and welcome to the Henry Schein First Quarter 2020 Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session and instructions will follow at that time. [Operator Instructions] As a reminder, this call is being recorded. I'd now like to introduce your host for today's conference, Carolynne Borders, Henry Schein's Vice President of Investor Relations. Please go ahead, Carolynne.

Carolynne Borders

Analyst

Thank you very much Holly. And my thanks to each of you for joining us to discuss Henry Schein's results for the first quarter of 2020. With me on the call today are Stanley Bergman, Chairman of the Board and Chief Executive Officer of Henry Schein; and Steven Paladino, Executive Vice President and Chief Financial Officer. Before we begin, I would like to state that certain comments made during this call will include information that is forward looking. As you know, risks and uncertainties involved in the company's business may affect the matters referred to in forward-looking statements. As a result, the company's performance may materially differ from those expressed in or indicated by such forward-looking statements. These forward-looking statements are qualified in their entirety by the cautionary statements contained in Henry Schein's filings with the Securities and Exchange Commission, including in the Risk Factors section of such filings. In addition, all comments about the markets we serve, including end market growth rates and market share are based upon the company's internal analysis and estimates. Our conference call remarks will include both GAAP and non-GAAP financial results. We believe the non-GAAP financial measures provide investors with useful supplemental information about the financial performance of our business, enable the comparison of financial results between periods where certain items may vary independently of business performance, and allow for greater transparency with respect to key metrics used by management in operating our business. These non-GAAP financial measures are presented solely for informational and comparative purposes, and should not be regarded as a replacement for corresponding GAAP measures. These reconciliations can be found in the Supplemental Information section of our Investor Relations website; and in Exhibit B of today's press release, which is available in the Investor Relations section of our website. The content of this conference call contains time-sensitive information that is accurate only as of the date of the live broadcast May 5, 2020. Henry Schein undertakes no obligation to revise or update any forward-looking statements to reflect events or circumstances after the date of this call. Please limit yourself to a single question and a follow-up during Q&A to allow as many -- excuse me, as many listeners as possible to ask a question. With that said, I would like to turn the call over to Stanley Bergman.

Stanley Bergman

Analyst

Good morning. And thank you Carolynne. And thank you everyone for joining us. As we gather on this call today to discuss Henry Schein's first quarter 2020 results, we face an unprecedented public health and economic crisis from the COVID-19 pandemic. It was only a few months ago when we last spoke with investors during our year-end call and of course at the Chicago Dental Society Midwinter Meeting, yet so much has changed during that time. Over the last several weeks, our leadership team supported by our Board of Directors has had to make some very difficult decisions. The company has maintained focus on three key priorities: protecting the health and welfare of our Team Schein Members and the well-being and the Team Schein families. Assisting with business continuity for our customers and our suppliers. And third, sustaining financial health of the business in the midst of this uncertain macroeconomic landscape and of course positioning the company for the future. Beginning in mid-March, most of Henry Schein's dental customers worldwide began to suspend operations except for emergency procedures. Dental sales were approximately 65% of Henry Schein's total sales last year for the year 2019. Therefore these closures had, and of course, continue to have a meaningful impact on our business. Our Medical business, which serves physician offices; urgent care centers; ambulatory care sites; emergency medical techs' EMTs; dialysis centers; large enterprises such as group practices and IDNs the integrated delivery networks amongst other providers, represented approximately 30% of our total sales in 2019. As the COVID virus spread, many physician, offices limited patient flow due to social distancing guidelines. In turn, we moved into the second quarter -- as we moved into the second quarter, individuals increasingly sought critical care in hospital settings or interacted with their physicians online through…

Steven Paladino

Analyst

Okay. Thank you, Stanley, and good morning to all. As we begin, I'd like to point out that I will be discussing our results from continuing operations as reported on a GAAP basis and also on a non-GAAP basis. Our Q1 2020 and Q1 2019 non-GAAP results exclude certain items that are detailed in Exhibit B of today's press release and in the Supplemental Information section of our Investor Relations website. Please note that we have again included a corporate sales category for Q1 that represents sales to Covetrus under the transitional services agreements. As Stanley mentioned, our 2020 first quarter results were negatively impacted by COVID-19. While it's difficult to quantify the precise impact, we saw negative effects of the virus beginning in March particularly as global dental practices began to suspend operations. In response to the COVID-19 pandemic, we have implemented a broad-based cost reduction initiative, including having implemented a payroll cost reduction plan centered around furloughs, reduced work hours, voluntary unpaid time off, suspension of our 401(k) match and certain job reductions. As we proceed throughout the year, we will be closely monitoring the health of our business and we are prepared to take additional cost-saving measures as warranted. Before I walk through our financial performance for Q1, I would like to note that we recorded a noncash asset impairment charge of approximately $6.1 million pre-tax related to certain prepaid assets and intangible assets. We do not expect the impairment to have any future impact on our business operations or liquidity or cash flow from operating activities or any compliance with debt covenants. So turning now to our financial results. Net sales for the quarter ended March 28, 2020 were $2.4 billion, reflecting a 2.9% increase compared with the first quarter of 2019 with internally generated sales…

Stanley Bergman

Analyst

Thank you, Steven. So let's review our business performance from the first quarter and recent weeks starting with dental. As we discussed, North American dental consumable merchandise sales were relatively in line with expectations in January and February. In fact, the business was quite good, but were significantly impacted by U.S. dental office closures during the American Dental -- driven by the American Dental Association's guidance issued in the middle of March. Similarly in Canada, most provinces recommended that dental practices suspend operations except for emergency procedures, of course, significantly impacting sales in the last couple of weeks of March. Similarly international dental consumable merchandise and equipment, internal sales growth was relatively in line with expectations during January and February. However, these sales were significantly impacted in March, a little bit earlier than in the U.S. by social distancing with practices closed and limiting hours across virtually all of the dental markets Henry Schein serves, including China and Europe; as previously mentioned, the exception in Germany where practices were not broadly mandated to close for general dentistry. Of course, social distancing was important, but practices were allowed to operate using very careful infection control guidelines. Also sales in Australia and Brazil experienced less-severe decline versus other countries since the COVID-19 impact began later than in other regions and government restrictions on practices were not implemented until late March. Today we have begun to see dental clinics reopen in China. However, the rate of practices reopening has been at a gradual pace but most of China is back in one way or another but at a much, much lower pace. The number of patients that practitioners can see is being limited. The number of people allowed into the practice is limited, but in other parts of the world, we expect that…

Operator

Operator

Absolutely. [Operator Instructions] Our first question is going to come from the line of Jon Block, Stifel.

Jon Block

Analyst

Great. Thanks guys morning. Stanley, the down 70% to 80% comment for Dental I believe that was a global metric. And I know this is a bit detailed but is there a way to view how that looked for the end of April versus the beginning of the month? And then sort of part two of that same question is just for China. Is there an estimate of where that market is relative to normal as we sit here in April? Because people are looking at that as call it a leading indicator for future markets. And then I've just got a follow-up.

Stanley Bergman

Analyst

Yes. Maybe Steven has that data. I don't have it with me right now. Steven?

Steven Paladino

Analyst

Yes. Jon, the variance between the end of April and beginning of May, was not really that significant on a global Dental basis. It was all within that range. Specifically with China, since the outbreak started in China, we are seeing gradual improvement there. We are seeing many dental offices that were closed a little while ago are now reopening. So we do see that occurring and that's optimistic for what could occur in the rest of the world.

Jon Block

Analyst

Okay. And then second question Stanley for you. Just would love your thoughts on the long-term ramifications of COVID. In other words what does it mean for PPE at dental practices and other practices? And is that a long-term positive for you? Does it accelerate the pace of dental consolidation because some practices unfortunately won't make it out of this? Is that a long-term negative for you? I'd just love to get your thoughts call it on these longer-term structural changes in the industry. Thanks guys.

Stanley Bergman

Analyst

A very good question. Obviously it's pretty soon into the COVID history, but I think dentistry will recover. I think the question is more when. I think 2021 will be -- I wouldn't say back to where it was in 2019, but getting closer to that. I do think that on the specialty side, there will be a good solid demand for products, but maybe pricing will have to come down a bit at the dentist level; and therefore, there may be some pressure on pricing. I don't know for sure. But I think the demand will remain solid. The question is really the bridge between now and then between now and say, the middle of 2021. And I can only reflect on what happened in the '80s with respect to the HIV AIDS situation when -- and remember this was the time that probably dentists wore masks and gloves. And so going into that crisis they were not wearing gloves and masks. And then the public became aware of the concern of the infection. And dentists understood that and they understood the concern and they needed to protect themselves. It took about a year or two to bridge that. And then patients returned to practices. It was the result by the way from a business point of view that an area a product category gloves and masks which was very small for dental distributors at that time became a significant category. So I think that business will -- I'm not sure how close to normal, but will get back pretty close to where it was sometime in 2021. And at the same time, the demand for PPE will grow. Having said that I also think that there is a bit of a reduction in regulatory compliance standards today to…

Operator

Operator

Thank you. Our next question will come from the line of John Kreger with William Blair.

John Kreger

Analyst

Hi, thanks very much. Stan just to follow up on some of those very helpful stats you gave us towards the end of the call. For a typical U.S. dental customer, is it reasonable to assume that emergency care would be on the order of 20% of what you would normally be doing for that customer? Or would you give a different stat?

Stanley Bergman

Analyst

I'm not sure that -- it's very hard to tell. There is no available information, but there are some practices that are doing more and there are some practices that are doing very little. The exact mix is very difficult John to tell at this time, but there are a lot of practices undertaking emergency services today but not all. And probably a lot of practices are doing virtually nothing. So it's very hard to get that mix right. I think the basic statistic that we gave in the call on all three of our businesses on expectations -- although very difficult to tell exactly where this is heading, but I think the basic guidelines we gave on Dental 70% to 80% down run rate; Medical 20% to 30%; Technology 30% or 40% are probably reasonable. Having said that, the Dental side may be closer to the 70% than the 80% at this moment, of course states are opening up and maybe it's going to be good. Maybe it's going to not. We don't know if there's going to be a second bout, but if there's not then we're actually ahead of these numbers. But we have to be very, very careful because we don't know if a state opens up whether there's a second round to go on the CV-19.

John Kreger

Analyst

Thank you. That's helpful. One quick clarification on your technology businesses: if I am a typical Dentrix kind of client server customer am I able to use some of the virtual tools that you now offer under Henry Schein One? Or do I have to convert to the cloud system? Thank you.

Stanley Bergman

Analyst

That's a good question. I'm pretty sure it's available to Dentrix users. We will confirm that. I don't know if you know Steven.

Steven Paladino

Analyst

Yes, I'm pretty sure also that it is available both cloud and non-cloud systems.

John Kreger

Analyst

Great, thank you.

Operator

Operator

Thank you. Our next question will come from the line of Jeffrey Johnson, Baird.

Jeffrey Johnson

Analyst

Thank you. Good morning guys. Stanley, I just want to say thanks for all you guys do as a company, in response to COVID. But also for all these earthquakes and hurricanes in that you're always putting, emergency services out there. It's well appreciated. We don't talk about it enough on these calls. So thank you. Steve, wondering if I could push you a little bit on Jon Block's question about China, you didn't give a percentage. We've heard a percentage from others that China is back to 20% or 40% or 60%. Could you put a number on that? And maybe it’s something similar on Germany as well? My gut is that the German market would be a better predicate for the U.S. market just given small practices versus hospital care in China. So any numbers you could put on Germany as well would be helpful. Thank you.

Steven Paladino

Analyst

Yes. Thank you, Jeff. Thanks for that comment earlier. Yes, I'm not sure, it makes sense to be very specific on the percentages, because I'm not sure that they will translate into other countries or not. And it's still rather fluid. So I'd rather not give specifics. Well, Germany I think was impacted less from the beginning, for whatever reason they had less cases of COVID-19. And that's why the market in Dental held up much better than in other areas, like Italy and other places. But I'd rather not give specific numbers at this point. Because it is very fluid and it does change quite quickly.

Jeffrey Johnson

Analyst

Yes sure, understood. Fair enough. On the cost-cutting side, Steve or Stanley, obviously you guys have been very aggressive. Can you talk about maybe what the flow-through then from some of these revenue declines, should be decremental margin-wise or however you could couch it for us? And another part of that question, just your largest competitor on the Dental side anyway, doesn't seem to be making nearly the aggressive cuts that you guys are. They have a couple years ago gone through some of that. But how does this position you competitively coming out of a downturn? Any concerns there? Or is the industry just changing that some of these maybe changes on the sales force side that you're making, probably would have been necessary overtime anyways? Thank you.

Stanley Bergman

Analyst

Steven?

Steven Paladino

Analyst

Yes. On the cost cutting, we've done a lot. And the main reason is that, no one really knows how long the impact will be, what the duration of the impact will be, in the Dental side. And we've done it in a way where we do things like furloughs, where we can extend it if need be or cut those expense cuts to shorter term if need be. So it does allow us flexibility on the expense cuts, because no one really knows how long it will last. Some of those are just -- some of the cuts really are things that are an outcome like supplier rebates. I think people realize that we do get a certain amount of supplier rebates. One of the reasons why our gross margin was down a bit in Q1 was because the performance-based supplier rebates. At this point, we're not expecting much to be able to be earned, unless we renegotiate those performance criteria. So we took I would say the conservative, but a realistic view that very little will be earned. You could see on our cash flow the adjustment on stock-based compensation was $17.5 million for the quarter. So again, we have the flexibility. And I believe, we are the best positioned in the industry with the strongest balance sheet, the most access to liquidity. And the things that we've been doing in cost cutting to really emerge smarter and strong from whenever this pandemic ends.

Jeffrey Johnson

Analyst

Thank you.

Operator

Operator

Thank you. Our next question is going to come from the line of Steven Valiquette, Barclays. Mr. Valiquette, your line is open. All right, we will go to the next question. Okay. Our next question will come from the line of Glen Santangelo, Guggenheim.

Glen Santangelo

Analyst

Yes. Thanks for taking my questions. I just want to follow-up on two areas, if I could. First Stan with respect to the comments that have been made with respect to China and Germany, it sounds like we're seeing some sort of measured recovery. And while, it seems intuitive that consumables will come back. First, could you maybe comment a little bit more specifically on what you're seeing about the return of equipment sales, given the economic hit being absorbed by some of these practices?

Stanley Bergman

Analyst

Sure, Glen. I -- also another -- a lot of good questions here today, I do think that, equipment will come back in that, a big part of our equipment growth has been coming from digital, from the digital side. And I do believe that that will continue, as practices will try to position themselves or position themselves as being competitive compared to other practices using best-of-class, products and procedures. And of course, digital dentistry is best of class and the best equipment for procedures. So I think there will be a need for that. I also think that, there will be greater pressure on ensuring that every practice has digital imaging. So I think these categories will grow. There is also -- and there are also new products out there, relating to air treatment in the practice. I'm not going to -- I'm not sure if we're actually going to classify them as large equipment or midsize, and therefore in our consumable category, but there will be a demand for these kinds of products amalgam separators, et cetera. So hard to give you a specific number sitting here in the early part of May when practices are closed, but for example in Germany, we're seeing quite a bit of interest in our equipment. And by the way our implant business in Germany is not doing terribly. So I don't know if these are early sort of exit polls, but it's -- I would say, I'm more encouraged today than I was two or three weeks ago, but this is a very volatile situation.

Glen Santangelo

Analyst

I appreciate that. Maybe I just follow-up one for Steve. Steve thanks for discussing the cash flow in the first quarter, but I think what a lot of us are trying to understand is the impact on the cash flow for example in April at the sort of lower revenue run rates. Like how should we think about the cash situation and the expenses relative to the $1.7 billion of liquidity that you referenced in the press release?

Steven Paladino

Analyst

Sure, Glen. Let me just tag onto the first question to Stanley. I think it's clear that consumables, the new way of doing business with consumables should accelerate the overall market. People will now be using more PPE equipment and products than prior to COVID. People will use more cleaning agents and disinfectants and things like that, so when consumables does come back, it should come back in my opinion at a higher rate, because of the new use of these products. Equipment on the other hand what we learned in the recession of 2008 and 2009 is equipment does take a little bit longer to come back, because people can delay equipment purchases. With respect to cash flow, look, it's very fluid. We're not going to give cash flow guidance for Q2, but we do expect that cash flow will be negatively impacted versus Q1 for the quarter given the sales declines. Even with the mitigation of expenses and also reducing capital expenditures and things like that cash flow will be negatively impacted, but again, we feel like we've done the right things to preserve cash and mitigate the sales downturn. And again, we have really the ability to use our credit lines and our cash on hand to mitigate any cash flow impact, but again it's too early really to give specifics on that. I'm not giving any guidance on the P&L. I don't think it makes sense to give guidance on the cash flow other than to say, we feel like we're well prepared and it will be negative compared to Q1.

Glen Santangelo

Analyst

Okay. Thank you.

Operator

Operator

And our next question is going to come from the line of Steve Beuchaw, Wolfe Research.

Steve Beuchaw

Analyst

Hi. Thanks for the time here and I'd echo the comments thanking you guys for everything you're doing to help everyone who's really in need today. First, I wanted to ask about PPE. I appreciate the comment about PPE supply ramping up to be hopefully at a better level later in May, but I wonder if you could take that and play that a little bit further out and say, how long does it take to get to the level of PPE that you need to supply your medical customers and dental customers at the level that they're really looking for? And how close do you think the first quarter growth rate in Medical is to being a reasonable barometer for growth in Medical if we had that level of supply?

Stanley Bergman

Analyst

So the second part of your question, I will ask Steven to respond to. The first part, product is growing in output. Output is growing in PPE product. Having said that, there are complexities with moving product around the world. Governments not one, but multiple governments are precluding exports; put restrictions in place; or put additional hurdles on paperwork, customs work, et cetera and getting our products. Production is coming up. So it's actually grown significantly a multiple of what it was before the COVID. And the issue is the actual logistics being impacted by as I noted restrictions, but also logistics. And planes out of China are much more expensive multiples of what they were a few -- six weeks ago and they're being used not only for PPE but for other products as well. At the same time, there will be expansion of product capacity in the United States on certain products. Having said that, that product is really heading to U.S. government, primarily I think for replenishment of stockpiles. We don't know for sure what they're going to do with the product, but also for use by specific states. So exactly how this is going to flow who is going to get the product. There is a certain amount of sympathy, I think within the U.S. government and in other parts of the world for the importance of alternate care sites, whether it's dentists' offices that are really playing a valiant job in keeping patients out of the ER or for that matter physician offices and alternate care sites in general. So all of this has to play out, and this will all impact I think the second and third and maybe the fourth quarter as well in terms of allocation availability. I think as we go…

Steven Paladino

Analyst

Yes. And on the second part of your question with respect to Medical sales, the estimate of 20% to 30% down year-over-year in Medical sales is net. It does include some benefit for PPE products. Although, we're being conservative on that benefit since availability of products -- it's not certain on the timing of the availability, but it's all in that 20% to 30%.

Steve Beuchaw

Analyst

Okay. Thank you very much for that clarification. And then just one quick follow-up. I wonder if you could tell us a little bit about your ambitions as it relates to testing. So you're very well positioned logistically to be a supplier into offices of all sorts with rapid tests. I'm going to set aside serological testing here for a moment and focus really on actual ID tests. I think of China as a provider of rapid antigen test for flu for example, but I wonder, how are you thinking about expanding your line-up of product to service the market as there will be increasing demands for rapid -- not just rapid antigen testing but for rapid molecular testing in office settings both dental and medical? Thanks so much.

Stanley Bergman

Analyst

Yes, also a good question. I noted in my call earlier on that Henry Schein has been focused on laboratory testing, both traditional and I'm talking about in-office testing; as well as places like urgi centers, community-type health care clinics. We've been involved in that for years both the equipment the reagents and the disposable snap test. I think we're one of the biggest provider of these products in the world. We are continuing to focus on that. We have a great and knowledgeable group of people that focus on identifying products and then of course selling them. We have people both in the field and on the telephone, and of course are capable of putting up very good marketing material. So we examine all these sources that have presented to us. Some of our traditional sources, manufacturers of equipment right now are in back order with us, because a lot of the product that they are producing a lot of equipment and the fluids the reagents and the like are going to the government. And by the way, this business is primarily a U.S. business for us, a small part in Europe but primarily going to the government or directed by the government to go to certain sites, and primarily acute care sites. So, we have not had a lot of availability, but we expect that availability to increase. And we offer, as I said, a wide variety of these products and will add to the offering as time goes by.

Operator

Operator

Thank you. We have time for one final question. That question will come from the line of Elizabeth Anderson, Evercore.

Elizabeth Anderson

Analyst

Hi. Good morning, guys. Thanks for taking the question. In terms of ordering patterns, when you've seen either practices as they were sort of shutting down or as they're reopening. Are you seeing anything in terms of fluctuations in terms of maybe some pre-buying of PPE before? Are they sort of ordering like slowly as they come back on? Are they placing big orders? Could you -- is there any kind of commentary you can reflect on that? And then could you also remind us what percent of sales PPE is for the Dental and Medical business either pre-COVID or post COVID depending on how you have it?

Stanley Bergman

Analyst

Yes. The demand has, of course, been significant from about the middle of March, in United States, for example, earlier in other parts of the world. But we've been on an allocation method basically around the number of practitioners in a practice, and really based on the size of the practice. It's not a precise science, but the allocation has been in place. So it's really not a matter of any particular practice spiking, because their allocation has been based on historical purchases. And so, I would not say there has been a loading of these practices not at Henry Schein. And I think there have been other parts of the market where people have bought significant amounts, but that's not been the case with us. It's been an allocation and rationing system that we've had in place since COVID picked up or since the spread of the COVID virus. So I wouldn't say there's been a particular loading in anticipation of practices returning either. We are selling at a continuous pace all along. Of course, the volume is much greater than it was last year, but not a huge amount more, a lot more but not a huge amount more. We expect that Dental volume will go up as we have availability, which we discussed already and as dental practices start opening up in the various states over the next month or so. Steven, I don't think we provide information on any product category other than consumables and equipment as broad categories, right?

Steven Paladino

Analyst

Yes, that's right. And PPE, it's also difficult to answer because the definition of what is in PPE is also different something like an examination glove. We've always sold a lot of examination gloves. It's always been one of our top SKUs, but things like gallons we don't sell as much because we're not in the acute care setting. But we do sell some on the Medical side. So again definitionally what's in PPE everyone has a slightly different definition...

Elizabeth Anderson

Analyst

Okay. That's helpful. And then have you had a change in sort of practitioners? I know you've said about the $10 million of bad debt expense reserve but have you seen a change in people asking for payment terms or discounting or anything that we should take into consideration?

Stanley Bergman

Analyst

Steven?

Steven Paladino

Analyst

Yes people are paying slower. It depends on the practice. Some are paying on time. We have certain third-party financing options for people to get practice loans to be able to pay off their debt whether it's to us or other people. Customers are also eligible for the government PPP program which should help but we are seeing generally slower payments from customers.

Elizabeth Anderson

Analyst

Okay. That's helpful. Thanks very much.

Stanley Bergman

Analyst

So I think we're -- we've gone over a little bit this time because we figured that there will be a lot more questions. And so thank you for listening to the call. I'd like to leave you with the following thought and that is that this is obviously a trying moment for business in general and particularly for health care providers. You can see it in the press, in the media, social media. We remain committed to continuing to provide outstanding customer service, driving operational efficiencies in our business. We have to provide better service unusual service shall we say because practices are operating differently to the way they were operating in the past, but we have to be mindful of our need to preserve cash so operating more efficiently than ever before. We have to conserve cash. This is a replay from this point of view of 2008 where I think -- for those investors that were around at the time I think we did a good job at preserving cash so when we got out of that crisis we were well positioned. We have maintained as Steven mentioned a strong balance sheet. We have ready access to capital for a while long term. And we believe we are positioned to weather this economic uncertainty and yes there will be opportunities that emerge from COVID-19 for Henry Schein to service the health care needs of the public through our practitioners. Our resiliency has been tested many times in the past and I am confident that the team will rise to the occasion again. We have an outstanding management team an extremely committed team in general 19,000 Team Schein Members. I believe our customers trust us. An extremely committed and I must tell you an experienced Board that have experienced all sorts of challenges along the way and have a good feel for health care in general. And so, as we end this call, I remain extremely confident in the future of Henry Schein, although we're going to have to go through some stormy waters, but the ship I believe is a solid ship manned by a great crew. So thank you for your participation. And to those investors that are with us thank you for your confidence. Thank you, operator.

Operator

Operator

Thank you. That will conclude today's Henry Schein Conference Call. We appreciate your participation and you may now disconnect.