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Align Technology

algn · NASDAQ Healthcare
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Employees 10,000+
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FY2020 Annual Report · Align Technology
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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

OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

☐

For the fiscal year ended December 31, 2020

For the transition period from                     to                    

Commission file number: 000-32259
________________________________________________________________________
ALIGN TECHNOLOGY, INC.
(Exact name of registrant as specified in its charter)
________________________________________________________________________

Delaware
(State or other jurisdiction of
incorporation or organization)

94-3267295
(I.R.S. Employer
Identification Number)

410 North Scottsdale Road, Suite 1300
Tempe, Arizona 85281
(Address of principal executive offices)

(408) 470-1000
(Registrant’s telephone number, including area code)

________________________________________________________________________

Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Common Stock, $0.0001 par value

Trading Symbol
ALGN

Name of each exchange on which registered
The NASDAQ Stock Market LLC
(NASDAQ Global Market)

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 Exchange Act.    Yes  ☐    No  ☒

Securities registered pursuant to Section 12(g) of the Act: None

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

definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
☒
☐

Large accelerated filer

Non-accelerated filer  

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 7(a)(2)(B) of the Securities 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. ☒

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ☐    No  ☒

The aggregate market value of the registrant’s common stock held by non-affiliates of the registrant was approximately $14.5 billion as of June 30, 2020 based on the closing sale price of
the registrant’s common stock on the NASDAQ Global Market on such date. Shares held by persons who may be deemed affiliates have been excluded. This determination of affiliate status is not
necessarily a conclusive determination for other purposes.

On February 22, 2021, 79,132,723 shares of the registrant’s common stock were outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s definitive Proxy Statement relating to its 2021 Annual Stockholders’ Meeting to be filed pursuant to Regulation 14A within 120 days after the registrant’s fiscal

year end of December 31, 2020 are incorporated by reference into Part III of this Annual Report on Form 10-K.

ALIGN TECHNOLOGY, INC.

FORM 10-K
For the Year Ended December 31, 2020
TABLE OF CONTENTS

PART I  
Item 1.

Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
PART II
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.
PART IV
Item 15.
Item 16.
Signatures

Business
Executive Officers of the Registrant
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Selected Consolidated Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Consolidated Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions and Director Independence
Principal Accounting Fees and Services

Exhibits, Financial Statement Schedules
Form 10-K Summary

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Invisalign,  Align,  the  Invisalign  logo,  ClinCheck,  Made  to  Move,  Invisalign  Assist,  Invisalign  Teen,  Invisalign  Go,  Vivera,  SmartForce,  SmartTrack,
SmartStage,  SmileView,  iTero,  iTero  Element,  Orthocad,  iCast,  iRecord  and  exocad,  among  others,  are  trademarks  and/or  service  marks  of  Align
Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the United States and/or other countries.

2

 
 
 
In addition to historical information, this annual report on Form 10-K contains forward-looking statements within the meaning of Section 27A of the
Securities  Act  of  1933  and  Section  21E  of  the  Securities  Exchange  Act  of  1934.  These  statements  include,  among  other  things,  our  expectations  and
intentions  regarding  our  strategic  objectives  and  the  means  to  achieve  them,  our  estimates  regarding  the  size  and  opportunities  of  the  markets  we  are
targeting  along  with  our  expectations  for  growth  in  those  markets,  our  beliefs  regarding  the  impact  of  technological  innovation  in  general,  and  in  our
solutions and products in particular, on target markets and patient care, our beliefs regarding digital dentistry and its potential to impact our business, our
intentions regarding expanding our business, including its impact on our operational flexibility and responsiveness to customer demand, our expectations
for the impact of the exocad acquisition, our beliefs regarding the potential for clinical solutions and their utilization to increase sales of our Invisalign
system  as  well  as  the  complementary  products  and  solutions  themselves,  our  beliefs  regarding  doctor  training  and  its  impact  on  Invisalign  System
utilization, our beliefs regarding the importance of our manufacturing operations on our success, our beliefs regarding the need for and benefits of our
technological development on Invisalign treatment, the areas of development in which we focus our efforts, and the advantages of our intellectual property
portfolio, our beliefs regarding our business strategy and growth drivers, our expectations regarding product mix and product adoption, our expectations
regarding  the  utilization  rates  for  our  products,  including  the  impact  of  marketing  on  those  rates  and  causes  for  periodic  fluctuations  of  the  rates,  our
expectations regarding the existence and impact of seasonality and the COVID-19 disruptions to seasonality, our expectations regarding the sales growth
of our intraoral scanner sales in international markets, our expectations regarding the productivity impact additional sales representatives will have on our
sales and the impact of specialization of those representatives in sales channels, our expectations regarding the continued expansion of our international
markets,  including  our  expectation  that  international  revenues  will  grow  at  a  faster  rate  than  Americas  for  the  foreseeable  future,  our  expectation
regarding customer and consumer purchasing behavior, including expectations related to the consumer demand environment in China especially for U.S.
based  products  and  services,  our  expectations  regarding  competition  and  our  ability  to  compete  in  our  target  markets,  our  beliefs  concerning  our
compliance  with  applicable  laws  and  regulations,  our  beliefs  regarding  our  culture  and  commitment  its  impact  on  our  financial  and  operational
performance and its importance to our future success, our expectations for future investments in and benefits from consumer demand sales and marketing
activities,  our  expectations  regarding  the  implications  of  the  COVID-19  pandemic  and  the  health,  safety  and  economic  recovery  from  it,  on  the  global
economy, the businesses of our customers, and us, including our preparedness to react to changing circumstances and overall on our revenues, results of
operations and financial condition, our expectations for our expenses and capital obligations and expenditures in particular, the actions we will take to
control  spending  and  for  investments,  our  intentions  regarding  the  investment  of  our  international  earnings  from  operations,  our  belief  regarding  the
sufficiency  of  our  cash  balances  and  borrowing  capacity,  our  judgments  regarding  the  estimates  used  in  our  revenue  recognition,  and  assessment  of
goodwill and intangible assets, our expectations regarding our tax positions and the judgments we make related to our tax obligations, our expectations
regarding potential additional litigation with SDC Financial LLC and certain affiliates regarding the “capital account” balance and other matters, the
level  of  our  operating  expenses  and  gross  margins  and  other  factors  beyond  our  control,  as  well  as  other  statements  regarding  our  future  operations,
financial  condition  and  prospects  and  business  strategies.  These  statements  may  contain  words  such  as  “expects,”  “anticipates,”  “intends,”  “plans,”
“believes,” “estimates,” or other words indicating future results. These forward-looking statements are subject to certain risks and uncertainties that could
cause actual results to differ materially from those reflected in the forward-looking statements. Factors that could cause or contribute to such differences
include,  but  are  not  limited  to,  those  discussed  in  Part  II,  Item  7  “Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of
Operations,” and in particular, the risks discussed below in Part I, Item 1A “Risk Factors.” We undertake no obligation to revise or update these forward-
looking statements. Given these risks and uncertainties, readers are cautioned not to place undue reliance on such forward-looking statements.

ITEM 1.

BUSINESS

Our Company

PART I

Align Technology, Inc. (“We”, “Our”, “Align”) is a global medical device company engaged in the design, manufacture and marketing of Invisalign®
clear  aligners  and  iTero®  intraoral  scanners  and  services  for  dentistry,  and  exocad®  computer-aided  design  and  computer-aided  manufacturing
(“CAD/CAM”)  software  for  dental  laboratories  and  dental  practitioners.  Our  products  are  intended  primarily  for  the  treatment  of  malocclusion  or  the
misalignment of teeth and are designed to help dental professionals achieve the clinical outcomes that they expect and the results patients desire. Our goal
is to establish clear aligners as the principal solution for the treatment of malocclusions and our Invisalign System as the treatment solution of choice by
orthodontists, general dental practitioners and patients globally. To date, over 9.6 million people worldwide have been treated with our Invisalign System.

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Effective  January  1,  2021,  Align’s  corporate  headquarters  is  located  at  410  North  Scottsdale  Road,  Suite  1300,  Tempe,  Arizona  85281,  and  our
telephone number is 408-470-1000. Our internet address is www.aligntech.com. Our Americas regional headquarters is located in Raleigh, North Carolina,
U.S.A.;  our  European,  Middle  East  and  Africa  (“EMEA”)  regional  headquarters  is  located  in  Rotkreuz,  Switzerland;  and  our  Asia  Pacific  (“APAC”)
regional headquarters is located in Singapore.

We have two operating segments: (1) Clear Aligner and (2) Imaging Systems and CAD/CAM Services (“Systems and Services”). For the year ended
December  31,  2020,  Clear  Aligner  net  revenues  represented  approximately  85%  of  worldwide  net  revenues,  while  Systems  and  Services  net  revenues
represented the remaining 15% of worldwide net revenues. We sell the majority of our products directly through a dedicated and specialized sales force to
our  customers:  orthodontists,  general  practitioner  dentists  (“GPs”),  restorative  and  aesthetic  dentists,  including  prosthodontists,  periodontists,  and  oral
surgeons, and dental laboratories. We also sell through non-inventory carrying sales agents and distributors in certain countries. In addition, we sell directly
to Dental Support Organizations (“DSOs”) who contract with dental practices to provide critical business management and support including non-clinical
operations, and we sell products used by dental laboratories who manufacture or customize a variety of products used by licensed dentists to provide oral
health care.

We received 510(k) clearance from the United States Food and Drug Administration (“FDA”) to market the Invisalign System in 1998. The Invisalign
System is regulated by the FDA as a Class II medical device. In order to provide Invisalign treatment to their patients, orthodontists and GPs must initially
complete an Invisalign training course.

Our iTero intraoral scanner is used by dental professionals and/or labs and service providers for restorative and orthodontic digital procedures as well
as Invisalign case submissions. We received 510(k) clearance from the FDA to market iTero software for expanded indications in 2013. Our Systems and
Services products are primarily sold through our direct sales force and through non-inventory carrying sales agents and distributors in certain countries and
directly to DSOs.

In  April  2020,  we  completed  the  acquisition  of  privately-held  exocad  Global  Holdings  GmbH  (“exocad”),  a  German  dental  CAD/CAM  software
company  that  offers  fully  integrated  workflows  to  dental  labs  and  dental  practices.  We  acquired  exocad  for  its  expertise  in  restorative  dentistry,
implantology, guided surgery, and smile design to extend the Invisalign System and iTero digital solutions and pave the way for new, cross-disciplinary
dentistry in labs and at chairside. exocad now has over 200 partners and more than 40,000 software licenses installed worldwide.

Clear Aligner Segment

Malocclusion and Traditional Orthodontic Treatment

Malocclusion, or the misalignment of teeth, is one of the most prevalent clinical dental conditions, affecting billions of people, or approximately 60%
to 75% of the global population. Annually, approximately 15 million people in major developed countries elect treatment by orthodontists worldwide. Most
orthodontic patients are treated with the use of traditional methods such as metal arch wires and brackets, referred to as braces, and may be augmented with
elastics,  metal  expanders,  headgear  or  functional  appliances,  and  other  ancillary  devices  as  needed.  Upon  completion  of  the  treatment,  the  dental
professional may, at his or her discretion, have the patient use a retainer appliance. Of the 15 million annual global orthodontic cases started, we estimate
that approximately 90% or 13.5 million could be treated using our Invisalign clear aligners. In addition, globally approximately 500 million people with
malocclusion  could  benefit  from  straightening  their  teeth.  This  represents  a  significant  opportunity  for  us  as  we  expand  the  market  for  orthodontics  by
training  more  doctors,  including  GP  dentists  as  well  as  orthodontists,  and  educating  more  consumers  about  the  benefits  of  straighter  teeth  using  the
Invisalign System and connecting them with an Invisalign doctor of their choice.

The Invisalign System

The Invisalign System is a proprietary method for treating malocclusion based on a proprietary computer-simulated virtual treatment plan and a series
of  doctor-prescribed,  custom  manufactured,  clear  polymer  removable  aligners.  The  Invisalign  System  offers  a  range  of  treatment  options,  specialized
services, and access to proprietary software for treatment visualization and is comprised of the following phases:

Diagnosis and transmission of treatment data. An Invisalign System trained dental professional prepares an online prescription form on our Invisalign
Doctor  Site  and  submits  the  patient's  records,  which  include  a  digital  intraoral  scan  or  a  polyvinyl-siloxane  (“PVS”)  impression  of  the  relevant  dental
arches,  photographs  of  the  patient  and,  at  the  dental  professional’s  election,  x-rays  of  the  patient’s  dentition.  Intraoral  digital  scans  may  be  submitted
through Align’s iTero scanner or certain third-party scanners capable of accurately interfacing with our systems and processes. See “Third Party Scanners
and Digital scans.” More than 79% of Invisalign System case submissions are now submitted via digital scan, increasing the accuracy of

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treatments,  reducing  the  time  from  prescription  submission  to  patient  receipt,  and  decreasing  the  carbon  footprint  resulting  from  the  shipment  of  the
materials used to form PVS impressions to the doctors and shipping those PVS impressions back to us.

Computer-simulated  treatment  plan.  Using  the  information,  certain  doctor  preferences  and  digital  data  provided,  we  generate  a  proposed  custom,
three-dimensional  treatment  plan,  called  a  ClinCheck treatment  plan  using  proprietary  software  we  have  developed  through  significant,  ongoing
investments  over  more  than  20  years.  A  patient’s  ClinCheck  treatment  plan  simulates  desired  tooth  movement  in  stages  and  details  the  timing  and
placement  of  any  features  or  attachments  to  be  used  during  treatment. Attachments  are  tooth-colored  “buttons”  that  are  sometimes  used  to  increase  the
biomechanical force on a specific tooth or teeth in order to affect the desired movement(s).

® 

Review  and  approval  of  the  treatment  plan  by  an  Invisalign  trained  doctor.  The  patient’s  ClinCheck  treatment  plan  is  then  made  available  to  the
prescribing dental professional via Align’s Invisalign Doctor Site which enables the dental professional to evaluate projected tooth movement from initial
position to final position and compare multiple treatment plan options. By reviewing, modifying as needed and approving the treatment plan, the dental
professional retains control of the patient’s treatment.

Manufacture  of  custom  aligners.  Following  the  dental  professional’s  approval  of  the  ClinCheck  treatment  plan,  we  use  the  data  underlying  the
simulation  as  input  for  the  next  stage  in  which  we  use  stereolithography  technology  (a  form  of  3D  printing  technology)  to  construct  a  series  of  molds
depicting the future position of the patient’s teeth. Each mold is a replica of the patient’s teeth at each stage of the simulated course of treatment. From
these molds, aligners are fabricated by pressure-forming polymeric sheets over each mold. Aligners are thin, clear polymer, removable dental appliances
that are custom manufactured in a series to correspond to each stage of the patient's ClinCheck treatment plan.

Shipment to the dental professional and patient aligner wear. Once manufactured, in most countries all the aligners for a patient's treatment plan are
shipped directly to the dental professional, who then dispenses them to the patient at regular check-up intervals. Aligners are generally worn for a short
period of time corresponding to the stages of the patient’s approved ClinCheck treatment plan. The patient replaces the aligners with the next pair in the
series when prescribed, advancing tooth movement through each stage. At various points in each patient’s treatment, their doctor may place attachments or
use other auxiliaries to achieve desired tooth movements, per the doctor’s original prescription and the approved ClinCheck treatment plan. At the treating
doctor’s discretion, weekly aligner changes are recommended for all Invisalign treatments except for Express packages and may provide shorter treatment
time compared with two-week aligner wear.

Feature Enhancements

We  continually  introduce  enhanced  features  across  our  digital  platform  that  includes  our  Invisalign  System,  iTero  intraoral  scanners,  exocad
CAD/CAM solutions and digital workflows to improve treatment outcomes, address broader clinical indications or respond to customer demand. 2020 saw
a number of new innovations intended to enhance the ease by which doctors can diagnose, plan and treat patients more efficiently and effectively, many of
which  became  critically  important  to  patient  care  in  the  wake  of  limited  in-person  visits  as  a  result  of  the  COVID-19  pandemic.  In  addition  to  other
examples referenced throughout this Annual Report on Form 10-K, in 2020 Align launched the following products:

•

Invisalign Virtual Appointment and Invisalign Virtual Care - Two continuity of care virtual solutions generally released in May 2020 that offer
practice and care transformation to doctors by enabling a range of remote practice services for their patients such as video appointments and care
and treatment progress reviews and communications.

• ClinCheck 6.0 Pro Software -  Released  in  the  third  quarter  of  2020,  ClinCheck  Pro  6.0  software  is  the  latest  release  of  Align’s  proprietary  3D
treatment  planning  software  showing  the  planned  tooth  movements  throughout  a  patient’s  Invisalign  treatment,  now  more  broadly  available  to
doctors  on  multiple  devices  at  any  time  via  the  cloud.  ClinCheck  Pro  6.0  software  also  included  the  ClinCheck  “In-Face”  Visualization  tool,
enhancing the digital treatment planning experience for doctors and their patients by incorporating a front-facing image of a patient’s face into
their 3D ClinCheck treatment plan to create a personalized view of how their new smile could look with Invisalign System treatment.

•

Invisalign Stickables - Released in the third quarter of 2020, Invisalign Stickables are sticker accessories designed exclusively for use with our
patented SmartTrack® material in Invisalign clear aligners to personalize Invisalign clear aligners. Invisalign Stickables are available in an array
of  designs,  colors,  shapes,  and  themes  and  allow  patients  to  show  their  personal  flair  during  Invisalign  System  treatment  in  fun  and  engaging
ways.

5

Clear Aligner Products

We offer our Invisalign clear aligner products in a variety of treatment packages designed to correspond with the case-by-case treatment needs of our
doctors and their patients. The table below provides a general description of the types of treatment products we offer in various regions as they typically
correspond to the severity of malocclusion and length of anticipated treatment.

Malocclusion

Product
Stages

Very Mild
Invisalign Express
Package
7

Invisalign Lite Package
14

Clinical Scope

Relapse and minor
movement, anterior
esthetic alignment

Class I, mild
crowding/spacing, non-
extraction, pre-restorative

Moderate
Invisalign Go Limited
Movement (GP)
20
Class I, no anterior /
posterior correction, mild
to moderate crowding,
spacing, non-extraction,
pre-restorative Tooth
movement from 2nd
premolar to 2nd premolar
(5x5)

Invisalign Moderate
Packages
20-26

Severe
Invisalign Comprehensive
Packages
As many as required

Class I, mild Class II,
mild to moderate
crowding/spacing, mild
anterior / posterior and
vertical discrepancies,
pre-restorative

Class I, II, III, moderate to
severe crowding/spacing,
anterior / posterior and
vertical discrepancies,
extractions, complex pre-
restorative

Most of our Invisalign System treatment plans described above provide dental professionals with the option to order additional aligners if the patient's
treatment deviates from the original treatment plan. The number and timing of additional aligner orders are subject to certain requirements noted in our
terms and conditions.

Comprehensive Products - Invisalign Treatment Options:

Invisalign Comprehensive Packages. The Invisalign Comprehensive Package is used to treat adults and teens for a full spectrum of mild to severe
malocclusion and contains a wide variety of Invisalign features to address the doctor's treatment goals. It also addresses the frequently complex orthodontic
needs of teenage or younger patients with advanced features such as mandibular advancement, compliance indicators and compensation for tooth eruption.
These packages include Invisalign Comprehensive, Invisalign First Phase 1 and Invisalign First Comprehensive Phase 2.  

Invisalign First Phase 1 and Invisalign First Comprehensive Phase 2 Packages. Invisalign First Phase 1 Package is designed specifically for younger
patients generally between the ages of seven and ten years, who frequently have a mixture of primary/baby and permanent teeth. Invisalign First Phase 1
treatment provides early interceptive orthodontic treatment, traditionally done through arch expanders, or partial metal braces, before all permanent teeth
have erupted. Invisalign First Phase 1 clear aligners are designed specifically to address a broad range of younger patients' malocclusions, including shorter
clinical  crowns,  management  of  erupting  dentition  and  predictable  dental  arch  expansion.  Our  Invisalign  First  Comprehensive  Phase  2  Package  is  a
continuation of Invisalign First Phase 1 and is generally consistent with our Invisalign Comprehensive Package. After a patient completes Invisalign First
Phase 1, doctors have the option to purchase a discounted Comprehensive Phase 2 Package for that same patient.

Non-Comprehensive Products - Invisalign Treatment Options:

Invisalign  Non-comprehensive  Packages.  We  offer  a  variety  of  lower  priced  treatment  packages  for  less  complex  orthodontic  cases,  non-
comprehensive  relapse  cases,  or  straightening  prior  to  restorative  or  cosmetic  treatments,  such  as  veneers.  These  treatment  packages  include  Invisalign
Express, Lite, Go, Go Plus and Moderate. These packages may be offered in select countries and/or may differ from region to region.

Invisalign Go Packages. We also offer in various markets Invisalign Go and Invisalign Go Plus, streamlined Non-Comprehensive packages designed
for  GPs  to  more  easily  identify  and  treat  patients  with  mild  malocclusion.  The  Invisalign  Go  and  Invisalign  Go  Plus  packages  include  case  assessment
support, simplified ClinCheck treatment plans and a progress assessment feature for case monitoring.

Non-Case Products:

Clear  Aligner  non-case  products  include  retention  products,  Invisalign  training  fees  and  sales  of  ancillary  products,  such  as  cleaning  material  and

adjusting tools used by dental professionals during the course of treatment.

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Retention. We offer up to four sets of custom clear aligners called Vivera Retainers made with proprietary material strong enough to maintain tooth
position  and  correct  minor  relapse,  if  necessary.  Retainers  are  generally  available  for  doctors  to  offer  to  any  of  their  patients,  whether  they  use  the
Invisalign System or other products, including wires and brackets. In select markets, we also offer single set retainers.

SmartTrack Aligner Material

SmartTrack  clear  aligner  material  is  a  patented,  custom-engineered  Invisalign  clear  aligner  material  that  delivers  gentle,  more  constant  force
considered ideal for orthodontic tooth movements. Conventional aligner materials relax and lose a substantial percent of their energy in the initial days of
wear,  but  SmartTrack  material  maintains  more  constant  force  over  time.  The  flexible  SmartTrack  material  also  more  precisely  conforms  to  tooth
morphology, attachments and interproximal spaces to improve control of tooth movement throughout treatment.

In October 2020, we introduced Invisalign G8 with SmartForce Aligner Activation; a clear aligner biomechanical innovation that allows doctors to
more predictably treat crowding, crossbite and deep bite cases through the targeted application of force to teeth through surface contours on the aligners
that help control the location, direction and intensity of tooth movement.

Systems and Services Segment

Intraoral scanning is a rapidly evolving technology that is having a substantial impact on the practice of dentistry. By enabling the dental practitioner
to create a 3D image of a patient's teeth (digital scan) using a handheld intraoral scanner, digital scanning is faster, more efficient, precise and comfortable
for patients. Beginning patient care with the early usage of our iTero intraoral scanners and combining the results with digital workflows designed to assist
doctors  and  patients  visualize  and  evaluate  various  treatment  options  with  detailed  imagery  and  CAD/CAM  solutions  is  helping  improve  treatments,
outcomes and satisfaction. The accuracy of digitally scanned models substantially reduces the rate of restoration "remakes;" meaning patients are recalled
less often and the appointment time for the restoration is shorter because of fewer adjustments, increasing overall patient satisfaction. Digital models also
reduce  the  carbon  footprint  associated  with  the  shipping  of  the  materials  used  to  create  PVS  impressions,  the  shipping  of  those  impressions,  and  their
disposal. Moreover, the digital model file can be used for various procedures and services including fabrication of physical dental models for use by labs to
create restorative units such as veneers, inlays, onlays, crowns, bridges and implant abutments; digital records storage; aid to caries detection; orthodontic
diagnosis; orthodontic retainers and appliances; and Invisalign digital impression submission.

iTero Scanner. The iTero Element scanner is available as a single hardware platform with software options for restorative or orthodontic procedures.
The expanded portfolio includes the iTero Element 2, the iTero Element Flex, iTero Element 5D Imaging System and iTero Element Plus Series of intraoral
scanners  which  are  each  available  in  select  regions  and  countries.  These  products  build  on  the  existing  high  precision,  full-color  imaging  and  fast  scan
times  of  the  iTero  Element  portfolio  while  streamlining  orthodontic  and  restorative  workflows.  The  iTero  scanner  is  interoperable  with  our  Invisalign
treatment such that a full arch or full mouth digital scan can be submitted as part of the Invisalign System case submission process.

In  February  2019,  we  launched  the  iTero  Element  5D  Imaging  system  which  provides  a  new  comprehensive  approach  to  clinical  applications,
workflows  and  user  experience  that  expands  the  suite  of  existing  high-precision,  full-color  imagining  and  fast  scan  times  of  the  iTero  Element  scanner
portfolio and in March 2020, we received U.S. FDA 501(K) clearance for the system. In addition to offering all of the features and functionality of the
iTero Element 2 scanner, the iTero Element 5D scanner is the first integrated dental imaging system that simultaneously records 3D, intra-oral color and
near-infrared  (“NIRI”)  imaging  and  enables  comparison  over  time  using  the  iTero  TimeLapse  technology.  NIRI  technology  included  in  our  intraoral
scanners  like  the  iTero  Element  5D  Imaging  System,  aids  in  detection  and  monitoring  of  interproximal  caries  lesions  above  the  gingiva  without  using
harmful radiation. The iTero Element 5D Imaging System is available in the majority of North America, EMEA and select APAC and LATAM countries
and is pending regulatory approval in others.

We  also  recently  announced  the  launch  of  the  iTero  Element  Plus  Series  next  generation  of  scanners  and  imaging  systems  featuring  advanced
technology and capabilities designed to improve the scanning experience and increase practice productivity. The iTero Element Plus Series offers faster
processing times and advanced visualization capabilities in an ergonomically designed package available in both cart and mobile configurations for greater
practice flexibility.

Restorative  software  for  iTero.  Our  Restorative  software  is  designed  for  GPs,  prosthodontists,  periodontists,  and  oral  surgeons  which  includes
restorative workflows providing them with the ability to send digital impressions to the lab of choice and communicate seamlessly with external treatment
planning, custom implant abutment, chairside milling, and laboratory CAD/CAM systems.

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Orthodontic  software  for  iTero.  Our  iTero  software  is  designed  for  orthodontists  for  digital  records  storage,  orthodontic  diagnosis,  and  for  the

fabrication of printed models and retainers. 

CAD/CAM Services and Ancillary Products

CAD/CAM Services. The acquisition of exocad’s CAD/CAM software in April 2020 broadens Align’s digital platform reach by adding technology
that addresses restorative needs in an end-to-end digital platform workflow to facilitate ortho-restorative and comprehensive dentistry. exocad software is
licensed and sold separately.

Ancillary Products. We sell disposable sleeves for the wand and other ancillary products for the iTero scanner.

iTero Models and Dies. An accurate physical model and dies are manufactured based on the digital scan and sent to the laboratory of the dentist’s
choice for completion of the needed restoration. The laboratory also has the option to export the digital file for immediate production of coping and full-
contour restorations on their laboratory CAD/CAM systems. The laboratory then completes the ceramic buildup or staining and glazing and delivers the
end result - a precisely fitting restoration.

Third  Party  Scanners  and  Digital  scans.  We  accept  case  submissions  for  our  clear  aligner  products  in  two  ways:  (1)  physical  impressions  of  the
patient’s teeth or (2) intraoral scans of their teeth. With respect to intraoral scans, we accept scans from iTero scanners and certain third-party scanners that
have interoperability relationship with our systems and processes.

iTero Applications and Tools

Invisalign Outcome Simulator. The Invisalign Outcome Simulator is an exclusive chair-side and cloud-based application for the iTero scanner that
allows doctors to help patients visualize how their teeth may look at the end of Invisalign treatment. This is achieved through a dual view layout that shows
a prospective patient an image of his/her own current dentition next to his/her simulated final position after Invisalign treatment.

Invisalign Progress Assessment tool. The Invisalign Progress Assessment tool provides the ability to compare a patient’s new scan with a specific
stage of their ClinCheck treatment plan; allowing doctors to visually assess and communicate Invisalign treatment progress with an easy to read, color-
coded tooth movement report.

TimeLapse Technology. The TimeLapse technology allows doctors or practitioners to compare a patient’s historic 3D scans to the present-day scan,
enabling clinicians to identify and measure orthodontic movement, tooth wear, and gingival recession. This highlights areas of diagnostic interest to dental
professionals and helps foster a proactive conversation with the patient regarding potential restorative or orthodontic solutions.

Our  iTero  Element  scanners  are  offered  in  a  number  of  software  configurations  such  as  Ortho  Comprehensive,  Restorative  Comprehensive  and
Restorative Foundation. These software packages are included in the price of the system. They enable various orthodontic and restorative workflows as
well  as  provide  other  applications,  including  Invisalign  Outcome  Simulator,  Invisalign  Case  Assessment  tool,  Invisalign  Progress  Assessment  tool,  and
iTero TimeLapse technology.

Other proprietary software mentioned in this Annual Report on Form 10-K, such as ClinCheck and ClinCheck Pro software, the Invisalign Doctor
Site, and  feature  enhancements  are  included  as  part  of  the  Invisalign  System  and  are  not  sold  separately  nor  do  they  contribute  as  individual  items  to
revenues.

Business Strategy

Our  goal  remains  to  establish  the  Invisalign  System  as  the  standard  method  for  treating  malocclusion  and  our  intraoral  scanning  platform  as  the
preferred scanning protocol for digital dental scans. Our technology and innovations are designed to meet the demands of today’s patients with treatment
options  that  are  convenient,  comfortable,  affordable,  while  helping  to  improve  overall  oral  health.  We  strive  to  help  our  doctors  move  their  practices
forward by connecting them with new patients, providing digital solutions to help increase practice efficiency and helping them deliver the best possible
treatment outcomes and experiences to millions of people around the world. We achieve this by focusing on and executing to our strategic growth drivers:

International Expansion. We continue increasing our presence globally by making our products available in more countries to more consumers.
During  2020,  we  shipped  our  Invisalign  System  to  our  2  millionth  patient  in  EMEA  and  1  millionth  patient  in  APAC.  We  expect  to  continue
expanding our business by investing in resources, infrastructure, and initiatives that will drive Invisalign treatment growth in our current and new
international markets. As our core

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international countries continue to grow in both number of new Invisalign trained doctors and customer utilization, we strive to make sure we can
support  that  growth  through  investments  such  as  headcount,  clinical  support,  product  improvements,  technological  innovations,  education  and
advertising. In addition, we are scaling and expanding our operations and facilities to better support our customers across the globe. For instance,
primarily  for  the  China  and  APAC  markets  we  now  fabricate  our  clear  aligners  in  Ziyang,  China  and  perform  digital  treatment  planning  and
interpretation for restorative cases worldwide, including in Costa Rica, China, Germany, Spain, Poland, and Japan among others. By establishing
and expanding our key operational activities in locations closer to our customers, we have created an infrastructure that allows us to be responsive
and  flexible  to  more  than  195,000  customers  in  approximately  100  countries,  while  providing  operational  flexibility  and  scale  needed  for
variations in demand.

GP Adoption. We want to enable GPs, who have access to a large patient base, to more easily identify Invisalign cases they can treat, monitor
patient progress or, if needed, help refer cases to an orthodontist while providing high-quality restorative, orthodontic, and dental hygiene care. We
believe  success  with  GPs  can  be  achieved  through  doctor  training  and  by  offering  tools  such  as  the  iTero  scanner  and  product  offerings  like
Invisalign Go treatment that address the distinctive needs of GP patients; all delivered by sales and marketing personnel specifically focused on
this unique customer category. We encourage GPs to scan every patient as a means to diagnose and treat patients over time and as an opportunity
to drive future demand for their services and the Invisalign system.

Patient Demand & Conversion. Our goal is to make the Invisalign brand a highly recognized name brand worldwide by creating awareness for
Invisalign treatment among consumers and motivating the potential 500 million patients who can benefit from treatment of malocclusion to seek
that treatment using the Invisalign System. We accomplish this through an integrated consumer marketing strategy that includes television, media,
social networking and event marketing and strategic alliances with professional sports teams as well as educating patients on treatment options and
directing them to high volume Invisalign doctors. We furthermore support our doctor customers as they adopt digital dentistry through programs
such as ADAPT (Align Digital and Practice Transformation). ADAPT is an expert and independent fee-based business consulting service that we
announced  in  2020  designed  to  optimize  dental  operational  workflow  and  processes  to  enhance  patients'  experiences  and  customer  and  staff
satisfaction with the goal of increasing practice growth and efficiencies.

Orthodontist Utilization. We continue to train doctors, innovate and increase product applicability and predictability to address a wide range of
cases, from simple to complex, thereby enabling doctors to confidently diagnose and treat children and adults with the Invisalign System. We also
continue to make improvements to our Invisalign treatment software, ClinCheck Pro software, designed to deliver an exceptional user experience
and increase treatment control to help our doctors achieve their treatment goals.

Manufacturing and Suppliers

We have manufacturing facilities located in Juarez, Mexico, where we conduct our aligner fabrication, distribution, repair of our iTero scanners and
perform certain CAD/CAM services and in Ziyang, China, where we fabricate aligners primarily for the China and APAC markets. In addition, we produce
our handheld intraoral scanner wand, perform final scanner assembly and repair our scanners at our facilities in Or Yehuda, Israel and Ziyang, China. We
also perform digital treatment planning and interpretation for restorative cases based on digital scans generated by our iTero intraoral scanners. Our digital
treatment planning facilities are located worldwide, including in Costa Rica, China and other international locations. Information regarding risks associated
with our manufacturing process and foreign operations may be found in Item 1A of this Annual Report on Form 10-K under the heading “Risk Factors.”

Our quality system is required to be in compliance with the Quality System regulations enforced by the FDA, and similar regulations enforced by
other  worldwide  regulatory  authorities.  We  are  certified  to  EN  ISO  13485:2003,  an  internationally  recognized  standard  for  medical  device
manufacturing. We have a formal, documented quality system by which quality objectives are defined, understood and achieved. Systems, processes and
procedures are implemented to ensure high levels of product and service quality. We monitor the effectiveness of the quality system based on internal data
and direct customer feedback and strive to continually improve our systems and processes, taking corrective action, as needed.

Since the manufacturing process of our products requires substantial and varied technical expertise, we believe that our manufacturing capacity and
capabilities are important to our success. In order to produce our highly customized, highly precise, medical quality products in volume, we have developed
a  number  of  proprietary  processes  and  technologies.  These  technologies  include  complex  software  algorithms  and  solutions,  CT  scanning,
stereolithography  and  automated  aligner  fabrication.  To  increase  the  efficiency  of  our  manufacturing  processes,  we  continue  to  focus  our  efforts  on
software  development  and  the  improvement  of  rate-limiting  processes  or  bottlenecks.  We  continuously  upgrade  our  proprietary,  three-dimensional
treatment planning software to enhance computer analysis of treatment data and to reduce time spent on manual

9

and judgmental tasks for each case, thereby increasing the efficiency of our technicians. In addition, to improve efficiency and increase the scale of our
operations, we continue to invest in the development of automated systems for the fabrication and packaging of aligners.

We are highly dependent on manufacturers of specialized scanning equipment, rapid prototyping machines, resin and other advanced materials for our
aligners, as well as the optics, electronic and other mechanical components of our intraoral scanners. We maintain single supply relationships for many of
these machines and materials technologies. In particular, our CT scanning and stereolithography equipment used in our aligner manufacturing and many of
the critical components for the optics of our intraoral scanners are provided by single or sole source suppliers. We also currently purchase our resin and
polymer, the primary raw materials used in our manufacturing process for clear aligners, from a single source. A discussion of the risks of our supply and
manufacturing operations may be found in Item 1A of this Annual Report on Form 10-K under the heading "Risk Factors."

Sales and Marketing

Our sales efforts are focused on increasing adoption and utilization of the Invisalign System by orthodontists and GPs worldwide and integrating the
iTero scanner and exocad CAD/CAM products into dental labs and practices. The scanner is an important component to the customer experience and is
central to a digital approach as well as overall customer utilization of Invisalign treatments. In each region, we have direct sales and support organizations,
which include quota carrying sales representatives, sales management and sales administration. We also have distribution partners in certain markets. Our
sales and marketing personnel are organized to support orthodontists and GP dentists separately, allowing highly trained and specialized personnel to serve
each customer category, thereby increasing our focus and effectiveness on both. We continue to expand in existing markets through targeted investments in
sales resources, professional marketing and education programs, along with consumer marketing in select countries.

We  provide  training,  marketing  and  clinical  support  to  orthodontists  and  GPs. As  of  December  31,  2020,  we  had  approximately  102,000  active

Invisalign trained doctors, which we define as having submitted at least one case in the prior 12-month period.

Research and Development

We  are  committed  to  investing  in  world-class  technology  development,  which  we  believe  is  critical  to  achieving  our  goal  of  establishing  the
Invisalign System as the standard method for treating malocclusion and our intraoral scanning platform as the preferred scanning protocol for digital dental
scans.

Our research and development activities are directed toward developing the technology innovations that we believe will deliver our next generation of
products  and  platforms. These  activities  range  from  accelerating  product  and  clinical  innovation  to  developing  manufacturing  process  improvements  to
researching future technologies and products.

In an effort to demonstrate the broad treatment capabilities of the Invisalign System, various clinical case studies and articles have been published that
highlight the clinical applicability of Invisalign treatment to malocclusion cases, including those of severe complexity. We undertake pre-commercialization
trials and testing of our technological improvements to the product and manufacturing process. We furthermore fund research in the field of orthodontics
and  dentistry  through  initiatives  such  as  our  Annual  Research  Award  Program,  which  was  in  its  11th  year  in  2020  and  our  partnership  with  MedTech
Innovator Asia Pacific, a nonprofit startup accelerator for the medical technology industry that connects healthcare industry leaders with innovative medical
technology startups for mentorship and support.

Intellectual Property

We believe our intellectual property portfolio represents a substantial business advantage. As of December 31, 2020, we had 553 active U.S. patents,
592 active foreign patents, and 648 pending global patent applications. Our active U.S. patents expire between 2021 and 2039. When patents expire, we
lose the protection and competitive advantages they provided, which could negatively impact our operating results; however, we continue to pursue further
intellectual  property  protection  through  U.S.  and  foreign  patent  applications  and  non-disclosure  agreements.  We  also  seek  to  protect  our  software,
documentation and other written materials under trade secret and copyright laws. We furthermore have a broad and diverse trademark portfolio that we use
to  highlight  and  protect  our  universally  recognized  brands.  Information  regarding  risks  associated  with  our  proprietary  technology  and  our  intellectual
property rights may be found in Item 1A of this Annual Report on Form 10-K under the heading “Risk Factors.”

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Seasonal Fluctuations

General economic conditions impact our business and financial results, and we have historically experienced seasonal trends within our two operating
segments,  customer  channels  and  the  geographic  locations  that  we  serve.  Sales  of  Invisalign  treatments  are  often  weaker  in  Europe  during  the  summer
months due to our customers and their patients being on holiday and seasonally higher in China during the third quarter, particularly related to increased
teen  cases.  Similarly,  other  international  holidays  like  Lunar  New  Year  can  also  negatively  impact  our  sales  in  APAC.  In  North  America,  summer  is
typically the busiest season for orthodontists with practices that have a high percentage of adolescent and teenage patients as many parents want to get their
teenagers started in treatment before the start of the school year; however, many GPs are on vacation during this time and therefore tend to start fewer
cases. For our Systems and Services segment, capital equipment sales are often stronger in the fourth calendar quarter. Consequently, these seasonal trends
have  caused  and  may  continue  to  cause  fluctuations  in  our  quarterly  results,  including  fluctuations  in  sequential  revenue  growth  rates.  Moreover,  the
COVID-19 pandemic has disrupted many seasonal patterns and it remains unclear when or if they will return to historical norms.

Competition

Our  clear  aligner  products  compete  directly  against  traditional  treatments  using  metal  brackets  and  wires  and  increasingly  against  clear  aligner
products  manufactured  and  distributed  by  various  companies,  both  within  and  outside  the  U.S.  We  also  face  competition  in  the  emerging  and  rapidly
evolving  markets  for  intraoral  scanners  and  CAD/CAM  software.  Although  the  number  of  competitors  varies  by  segment,  product,  geography  and
customer,  they  include  new  and  well-established  regional  competitors  in  certain  foreign  markets,  as  well  as  larger  companies  or  divisions  of  larger
companies  with  substantial  sales,  marketing,  research  and  financial  capabilities.  Due  in  part  to  the  expiration  of  certain  of  our  clear  aligner  key  patents
beginning  in  2017,  we  are  facing  increased  competition  in  the  clear  aligner  market.  In  addition,  corresponding  foreign  patents  began  expiring  in  2018
which has increased competition in the clear aligner markets outside the U.S. These competitors include existing larger companies in certain markets who
have the ability to leverage their existing channels in the dental market to compete directly with us, direct-to-consumer (“DTC”) companies that provide
clear aligners using a remote teledentistry model requiring little or no in-office care from trained and licensed doctors, and doctors themselves who can
manufacture custom aligners in their offices using modern 3D printing technology. Unlike our DTC competitors, we are committed to doctors being at the
core  of  our  business  strategy,  and  Invisalign  Treatment  requires  a  doctor's  prescription  and  an  in-person  physical  examination  of  the  patient’s  dentition
before treatment can begin. Information regarding risks associated with increased competition may be found in Item 1A of this Annual Report on Form 10-
K under the heading “Risk Factors.”

We believe we are well positioned to compete in the markets we target. Our significant historical and ongoing investments in research and design in
around the movement of teeth, SmartTrack aligner materials and design, intraoral scanning, 3D manufacturing, and an in depth understanding of the drivers
and  motivations  within  the  orthodontic  and  GP  dental  markets  are  among  a  few  of  our  key  competitive  factors  that  compare  favorably  with  our
competitors’ products and services.

Government Regulation

Many countries throughout the world have established regulatory frameworks for commercialization of medical devices. As a designer, manufacturer,
and marketer of medical devices, we are obligated to comply with the respective framework of these countries to obtain and maintain access to these global
markets.  The  framework  often  defines  requirements  for  marketing  authorizations  which  vary  by  country.  Failure  to  obtain  appropriate  marketing
authorization and to meet all local requirements including specific quality and safety standards in any country in which we currently market our products
could cause commercial disruption and/or subject us to sanctions and fines. Delays in receipt of, or a failure to receive, such marketing authorizations, or
the loss of any previously received authorizations, could have a material adverse effect on our business, financial condition, and results of operations.

With regards to premarket authorization in the U.S., many of our products are classified as medical devices under the U.S. Food, Drug, and Cosmetic
Act  (“FD&C  Act”).  The  FD&C  Act  requires  these  products,  when  sold  in  the  U.S.,  to  be  safe  and  effective  for  their  intended  use  and  to  comply  with
medical device regulations defined by the FDA. The regulatory framework depends on a set of written processes for ensuring consistent quality called a
Quality  Management  System  ("QMS")  coupled  with  a  product  marketing  authorization  which  depends  on  the  risk  classification  of  the  product.  This
regulatory  framework  is  comparable  to  the  framework  established  in  the  European  Union  (“EU”).  Within  the  EU,  our  products  are  subject  to  the
requirements defined by the Medical Device Regulation EU 2017/745 which replaced the Medical Device Directive 93/42/EEC with a final transition date
of May 26, 2021. Similar market access regulations exist in Brazil, China, Japan and other countries. Our QMS is routinely audited by certification bodies
as well as country regulators for compliance with applicable regulations.

11

We believe we are in compliance with all state, federal, and international regulatory requirements applicable to our products.

We are also subject to various laws inside and outside the U.S. concerning our relationships with healthcare professionals and government officials,
price  reporting  and  regulation,  the  promotion,  sale  and  marketing  of  our  products  and  services,  the  importation  and  exportation  of  our  products,  the
operation of our facilities and distribution of our products. As a global company, we are subject to varying degrees of government regulation in the various
countries in which we do business, and the general trend is toward increasingly stringent oversight and enforcement. Initiatives sponsored by government
agencies, legislative bodies, and the private sector to limit the growth of healthcare expenses generally are ongoing in markets where we do business. It is
not possible to predict at this time the long-term impact of such cost containment measures on our future business.

Our customers are healthcare providers that may be reimbursed by state or federal funded programs such as Medicaid, a foreign national healthcare
program  or  private  pay  insurance,  each  of  which  may  offer  some  degree  of  oversight.  Many  government  agencies,  both  domestic  and  foreign,  have
increased their enforcement activities with respect to healthcare providers and companies in recent years. Enforcement actions and associated defense can
be expensive, and any resulting findings carry the risk of significant civil and criminal penalties.

In addition, we must comply with numerous data protection requirements that span from individual state and national laws in the U.S. and China, to
multinational requirements in the EU. In the U.S., final regulations implementing amendments to the Health Insurance Portability and Accountability Act
of 1996 (“HIPAA”) became effective in the latter part of 2013 with the HIPAA Omnibus Rule. We are also required to be in compliance with the California
Consumer Privacy Act (“CCPA”). In the EU, we must comply with the General Data Protection Regulation (“GDPR”), which serves as a harmonization of
European  data-privacy  laws.  With  relocation  of  our  EMEA  headquarters  to  Switzerland,  the  Swiss  Federal  Act  on  Data  Protection  (“FADP”),  passed
September 25, 2020, becomes increasingly important. Expansion into LATAM markets requires us to comply with Brazil's Lei Geral de Proteção de Dados
(“LGPD”).  Meanwhile,  the  APAC  and  EMEA  regions  have  also  seen  rapid  development  of  privacy  laws  including  India,  Russia,  China,  South  Korea,
Singapore, Hong Kong, and Australia.

Information regarding risks associated with data security and privacy may be found in Item 1A of this Annual Report on Form 10-K under the heading

“Risk Factors.”

Human Capital

We believe our culture and commitment to our employees provides unique value to our Company and its shareholders. Every employee, and every
job, is important to our success and helps us achieve our purpose of transforming smiles and changing lives. Our core values of Agility, Customer and
Accountability inform our culture. Our Global Code of Conduct (“Code”) and Quality Policy are designed to enable us to operate with integrity and deliver
superior treatment outcomes and experiences to patients. We seek to create an environment that values the health, safety and wellness of our teams, and we
work to equip them with the knowledge and skills to serve our business and develop in their careers.

As of December 31, 2020, we had approximately 18,070 employees, including 11,900 in manufacturing and operations, 3,505 in sales and marketing
which includes customer care, 1,020 in research and development and 1,645 in general and administrative functions. We are a global organization with the
majority of our employees in direct-labor roles in our manufacturing and clinical treatment planning facilities. Set forth in the following paragraphs are
some of the most important elements of our culture and commitment to our employees.

Diversity.  Fostering  diversity  and  encouraging  inclusion  in  the  workplace  makes  Align  a  more  welcoming  and  enjoyable  place  to  work.  Our
management team is comprised of a diverse group from around the globe who are committed to promoting and encouraging the health and well-being of
our employees at work and in society overall. Our work culture is designed to create innumerable benefits for our employees, customers, consumers and
organization. We believe we are at our best, and our success has been driven by, different backgrounds, orientations, beliefs, perspectives and capabilities in
our workforce.

Training and Professional Development. Training is an integral part of developing and retaining our employees and creating a culture of leadership
within the Company. This begins with our Code, which was significantly revised in 2020 to emphasize our strong commitment to ethical business practices
in all aspects of our operations. Every employee and contractor is required to review the Code and confirm they understand it and we routinely reference
the  Code  in  presentations  and  as  part  of  everyday  operations.  As  a  further  part  of  our  standard  onboarding  program,  we  train  employees  on  important
environmental health and safety topics to protect them and our environment as we operate our business. As a general practice, employees are trained to
perform their jobs in accordance with any and all applicable statutory/regulatory requirements and that training is routinely re-administered, updated and
refreshed. Employees are encouraged to participate in a variety of Company provided

12

learning  resources  through  our  corporate  Align  University  platform,  including:  professional  development  events;  external  training  programs  based  on
individual needs; business-led enterprise leader learning events; diversity and inclusion; online business skills courses and onsite classroom events. This is
in addition to opportunities offered for job development such as management skills training and trainings that improve their opportunities for advancement.

Compensation  and  Benefits.  Our  commitment  to  our  employees  starts  with  benefit  and  compensation  programs  that  reflect  the  value  and  the
contributions  our  employees  make.  In  addition  to  competitive  base  pay,  we  offer  an  assortment  of  benefits  that  vary  by  country,  including  health  and
welfare benefit plans, retirement planning services and benefits, holiday and leave policies, equity participation programs such as our Incentive Plan and
Employee  Stock  Purchase  Plan,  and  charitable  and  community  service  opportunities.  Besides  these,  we  also  offer  discounts  to  our  employees  and  their
dependents  when  they  undergo  Invisalign  treatment.  Importantly,  during  the  initial  onset  of  the  pandemic  in  early  2020,  we  committed  to  protect  our
employees financially by declaring that we did not intend to furlough, lay off or cut employee pay. We believe our strong operational performance in the
second half of 2020 is directly attributable to that decision along with the exceptional efforts of our employees throughout the pandemic.

Health  and  Safety.  Our  employees  are  essential  to  us  as  a  business  and  their  health  and  well-being  is  critical  to  our  success  and  their  continuing
achievements. We therefore offer a wide variety of robust programs and initiatives designed to promote the overall health and welfare of all our employees
and their families. In addition to the compensation and benefits listed above, we offer family support services, healthcare initiatives, and career services
support, among many others. In response to the COVID-19 pandemic and the impacts of remote working, we have encouraged employees to take time
away from work to be with their families and implemented initiatives to promote better work-life balance. In addition, we have several health and safety
programs  in  place  to  help  protect  our  employees.  For  instance,  we  have  training  programs  and  courses  that  employees  exposed  to  particular  risks  are
required to take and update periodically. Examples include hazardous material training, emergency response and evacuation training, ergonomics training,
biohazard  and  personal  protective  equipment  training,  and  more  recently  COVID-19  related  safety  training.  We  also  invest  to  ensure  our  facilities  and
equipment are safe by complying with OSHA or other statutory standards.

Charitable and Community Services. We provide opportunities for and actively encourage employees to support local charities through volunteerism,
team  building,  and  donation  and  matching  programs  and  are  extremely  proud  of  the  generosity  and  dedication  of  our  employees  especially  during  our
annual Month of Smiles initiative in October. In addition, through our Align Foundation, we support businesses with complementary missions including
Operation Smile and America’s ToothFairy as well as provide product donations to the dental community to help patients in need of a healthy, beautiful
smile. For example, in 2020 we pledged a $1 million donation to support COVID-19 global relief efforts. This was in addition to a 1 million renminbi
donation to the Chinese Red Cross to support its COVID-19 prevention and control efforts and donations of personal protective equipment to hospitals and
healthcare providers treating patients with COVID-19. For more information on our charitable and community efforts, please refer to the Corporate Social
Responsibility portion of our website located at https://www.aligntech.com/about/corporate_social_responsibility.

Information Systems. We understand the critical nature of measurable data and insights from a human capital perspective. We made the decision to
leverage a cloud-based human capital management software solution that unifies our wide range of human relations functionality onto one single platform.
This allows support for the entire enterprise with qualitative and quantitative analytics specific to employee transactions, processes and programs, thereby
creating a culture where data and analytics are the norm and to drive key decisions.

Available Information

Our website is www.aligntech.com, and our investor relations website is http://investor.aligntech.com. The information on or accessible through our
websites is not part of this Annual Report on Form 10-K. Our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-
K,  our  proxy  statement  on  Schedule  14A  for  our  annual  stockholders’  meeting  and  amendments  to  such  reports  are  available,  free  of  charge,  on  our
investor relations website as soon as reasonably practicable after we electronically file or furnish such material with the SEC. Further, the SEC maintains an
internet site that contains reports, proxy and information statements and other information regarding our filings at http://www.sec.gov.

13

Information about our Executive Officers

The following table sets forth certain information regarding our executive officers as of February 26, 2021:

Name
Joseph M. Hogan
John F. Morici
Julie Coletti
Stuart Hockridge
Emory M. Wright

Age
63
54
53
49
51

Position
President and Chief Executive Officer
Chief Financial Officer and Senior Vice President, Global Finance
Senior Vice President, Chief Legal and Regulatory Officer
Senior Vice President, Global Human Resources
Senior Vice President, Global Operations

Joseph  M.  Hogan  has  served  as  our  President  and  Chief  Executive  Officer  and  as  a  member  of  our  Board  of  Directors  since  June  2015.  Prior  to
joining us, Mr. Hogan was Chief Executive Officer of ABB Ltd., a global power and automation technologies company based in Zurich, Switzerland from
2008 to 2013. Prior to working at ABB, Mr. Hogan worked at General Electric Company (GE) in a variety of executive and management roles from 1985
to 2008, including eight years as Chief Executive Officer of GE Healthcare from 2000 to 2008.

John F. Morici served as our Chief Financial Officer beginning in November 2016. His title was changed to Chief Financial Officer and Senior Vice
President,  Global  Finance  in  February  2018.  Prior  to  joining  us,  Mr.  Morici  was  at  NBC  Universal  from  2007  to  2016  where  he  held  several  senior
management  positions  in  their  Universal  Pictures  Home  Entertainment  U.S.  and  Canadian  business,  including  Chief  Financial  Officer,  Chief  Operating
Officer, and most recently, Executive Vice President and Managing Director from 2014 to 2016. Prior to NBC Universal, Mr. Morici was in various senior
financial management positions at GE Healthcare from 1999 to 2007, including Chief Financial Officer for its Diagnostic Imaging and Global Products
units from 2002 to 2003.

Julie Coletti has served as our Senior Vice President, Chief Legal and Regulatory Officer since May 2019. Ms. Coletti joined Align in May 2018,
serving as Vice President and Associate General Counsel, Strategic Commercial Affairs until her promotion in 2019. Prior to Align, Ms. Coletti was Vice
President,  Global  General  Counsel  and  Chief  Compliance  Officer  for  Danaher  Corporation,  a  healthcare,  environmental  and  industrial  equipment
manufacturer, in its dental platform business.

Stuart Hockridge served as our Vice President, Global Human Resources beginning in May 2016. His title was changed to Senior Vice President,
Global Human Resources in February 2018. Prior to joining us, Mr. Hockridge was Senior Vice President of Talent at Visa Inc. from 2013 to 2016. Prior to
Visa, Mr. Hockridge held a number of human resource management positions at GE Healthcare from 2002 to 2012 leading HR processes both globally and
for various divisions.

Emory  M.  Wright  served  as  our  Vice  President,  Operations  beginning  in  December  2007.  His  title  changed  to  Senior  Vice  President,  Global
Operations  in  February  2018.  He  has  been  with  us  since  March  2000  predominantly  in  manufacturing  and  operations  roles  including  Vice  President,
Manufacturing and was General Manager of New Product Development. Prior to joining Align, from 1999 to 2000, Mr. Wright was Senior Manufacturing
Manager at Metrika, Inc. a medical device manufacturer. Mr. Wright also previously served as Manager of Manufacturing and Process Development for
Metra Biosystems Inc.

ITEM 1A.

RISK FACTORS

The following discussion is divided into two sections. The first, entitled “Risks Relating to our Business,” discusses some of the risks that may affect
our business, results of operations and financial condition. The second, captioned "General Risk Factors," discusses some of the risks that apply generally
to companies and to owning our common stock, in particular. You should carefully review both sections, as well as our consolidated financial statements
and notes thereto and other information appearing in this Annual Report on Form 10-K, for important information regarding these and other risks that
may affect us. The order we have chosen to list the risks below or the sections in which we have identified them should not be interpreted to mean we deem
any risks to be more or less important or likely to occur or, if any do occur, that their impact may be any less significant than others. These risk factors
should be considered in connection with evaluating the forward-looking statements contained in this report because they could cause our actual results and
conditions to differ materially from those statements. Before you invest in Align, you should know that investing involves risks, including those described
below. The risks below are not the only ones we face. If any of the risks actually occur, our business, financial condition and results of operations could be
negatively affected, the trading price of our common stock could decline, and you may lose all or part of your investment.

14

 
Summary of Risk Factors

The following is a summary of the risks that are more fully described below in this “Risk Factors” section:

Risks Relating to our Business Operations and Strategy

• Our results of operations have been materially adversely affected by global and regional efforts to mitigate the spread of COVID-19 and we expect

this will continue in as yet unknown ways and to varying degrees in the future.

• Our net revenues are dependent primarily on our Invisalign System and iTero Scanners and any decline in sales or average selling price of these

products for any reason, may adversely affect net revenues, gross margin and net income.

• Competition in the markets for our products is increasing and we expect aggressive competition from existing competitors, other companies that

may introduce new technologies in the future and customers who create aligners or retainers in house.

• An  increasingly  larger  portion  of  our  total  revenues  are  derived  from  international  sales  and  we  are  dependent  on  our  international  operations,

which exposes us to foreign operational, political and other risks that may harm our business.

• Demand for our products may not increase as rapidly as we anticipate or may decrease due to a variety of factors, including a weakness in general

economic conditions and resistance to non-traditional treatment methods.

• Our success depends on our ability to develop, successfully introduce and achieve market acceptance of new products and services.
• We may not achieve the anticipated benefits from our recent acquisition of exocad in the timeframe expected, or at all, which may have an adverse

effect on our business and our financial results.

• As  we  continue  to  grow,  we  are  subject  to  growth  related  risks,  including  risks  related  to  excess  or  constrained  capacity  and  operational

inefficiencies at our manufacturing and treat facilities.
If we fail to sustain or increase revenue growth while controlling expenses, our profitability may decline.

•
• Our operating results have and will fluctuate in the future, which makes predicting the timing and amount of our revenues, costs and expenditures

difficult.

• A disruption in the operations of a primary freight carrier or higher shipping costs could cause a decline in our net revenues or a reduction in our

•

earnings.
If we fail to accurately predict our volume growth and hire too many or too few technicians, the delivery time of our products could be delayed or
our costs may exceed our revenues, each of which could adversely affect our results of operations.

• Our information technology systems are critical to our business. System integration and implementation issues and system security risks could

•

•

disrupt our operations, which could have a material adverse impact on our business and operating results.
If the security of our customer and patient information is compromised or we are unable to comply with data protection laws, our operations may
be severely adversely impacted, patient care could suffer, we could be liable for related damages, and our reputation could be impaired.
In order to deepen our market penetration and raise awareness of our brand and products, we may increase the amount we spend on marketing
activities, which may not ultimately prove successful or an effective use of our resources.

• Our success depends in part on our proprietary technology, and if we fail to successfully obtain or enforce our intellectual property rights, our
competitive position may be harmed. Litigating claims of this type are costly and could distract our management and cause a decline in our results
of operations and stock price.

• Obtaining approvals and complying with governmental regulations, particularly healthcare and data privacy compliance, is expensive and time-
consuming,  and  any  failure  to  obtain  or  maintain  approvals  or  comply  with  regulations  regarding  our  products  or  services  or  the  products  and
services of our suppliers or customers could materially harm our sales, result in substantial penalties and cause harm to our reputation.
If we or any vendors on whose products or services we rely for our products and service infringe the patents or IP rights of other parties or are
subject to a patent infringement claim, our ability to grow our business may be severely limited.

•

15

• We maintain single supply relationships for certain key machines and materials, and our business and operating results could be harmed if supply

is restricted or ends or the price of raw materials used in our manufacturing process increases.

• We primarily rely on our direct sales force to sell our products, and any failure to train and maintain our key sales force personnel could harm our

business.

• We use distributors for a portion of the importation, marketing and sales efforts related to our products and services, which exposes us to risks that

may be harmful to our sales and operations.

• Our business exposes us to potential liability for the quality and safety of our products and services, how we advertise and market those products
and services and how and to whom we sell them, and we may incur substantial expenses or be liable for substantial damages or penalties if we are
subject to claims or litigation.

• We  are  subject  to  risks  associated  with  our  strategic  investments.  Impairments  in  the  value  of  our  investments  could  negatively  impact  our

financial results.

General Risk Factors

•

If we lose our key personnel or are unable to attract and retain key personnel, we may be unable to pursue business opportunities or develop our
products.

• Business disruptions could seriously harm our financial condition.
• Changes in, or interpretations of, accounting rules and regulations, could result in unfavorable accounting charges.
• We are required to annually assess our internal control over financial reporting and any adverse results from such assessment may result in a loss

of investor confidence in our financial reports and have an adverse effect on our stock price.

• We are exposed to fluctuations in currency exchange rates, which could negatively affect our financial condition and results of operations.
•

If we fail to manage our exposure to global financial and securities market risk successfully, our operating results and financial statements could
be materially impacted.
If our goodwill or long-lived assets become impaired, we may be required to record a significant charge to earnings.

•
• Our effective tax rate may vary significantly from period to period.
• Changes in tax laws or tax rulings could negatively impact our income tax provision and net income.
• We  may  acquire  other  businesses,  products  or  technologies  in  the  future  which  could  require  significant  management  attention,  disrupt  our

business, dilute shareholder value and adversely affect our results of operations.

• Historically, the market price for our common stock has been volatile.
• We cannot guarantee we will repurchase our common stock again in the future, and any repurchases may not achieve our objectives.
• Future sales of significant amounts of our common stock may depress our stock price.

Risks Relating to our Business Operations and Strategy

Our results of operations have been materially adversely affected by global and regional efforts to mitigate the spread of COVID-19 and we expect

this will continue in as yet unknown ways and to varying degrees in the future.

The broad and extensive impact of the COVID-19 pandemic on virtually all aspects of our business and society generally has exacerbated many of the
pre-existing risks to our business by making some or many of them more likely to occur or more impactful when they do occur. Accordingly, you should
consider the risks in this risk factor in addition to, and not in lieu of, the risks identified throughout this section discussing the risks related to our business.

COVID-19 created significant, widespread and unprecedented volatility, uncertainty, and economic instability, disrupting broad aspects of the global
economy, our operations and the businesses of our customers and suppliers. Renewed outbreaks of COVID-19 may harm recovering consumer confidence
or  renew  implementation  of  harsh  preventative  measures.  Because  COVID-19  spreads  readily  through  airways  in  nasal  passages  and  the  mouth,  our
principal customers, dental and orthodontic practices, were an initial focus leading to the complete or substantial closures of their operations; materially
harming our sales and sales efforts. While practices across all regions have largely reopened, many have not returned to pre-pandemic capacities.

16

In response to COVID-19, we implemented measures aimed at limiting its spread for the health and safety of our employees, customers, patients and
the  communities  in  which  we  live  and  work  as  well  as  in  accordance  with  orders  and  decrees  of  governmental  agencies.  These  measures  included
diagnostic screenings at our facilities, increased social distancing mandates, closures of physical offices, manufacturing and treatment planning facilities,
including our U.S. corporate headquarters and regional facilities worldwide, implementing remote working where feasible, prohibiting non-essential travel,
and  converting  underutilized  manufacturing  capacity  to  produce  personal  protective  equipment.  Many  of  these  actions  remain  in  effect  and  we  may
implement new or revise existing requirements as circumstances require, some of which may be highly disruptive to our business and may ultimately prove
wholly or partially ineffective. Even if effective, if employees perceive them to be inadequate or overly burdensome, or they prove difficult to maintain
over extended periods of time, productivity may decline or we may experience employee unrest, slowdowns, stoppages or other demands, we may fail to
timely meet customer demand or fulfill orders, the costs to maintain or implement protective measures or deliver our products may increase, and we may be
subject to increased litigation, including product liability and occupational safety and condition claims.

As the economic and societal impact of the pandemic continues to unfold, we are continually evaluating macroeconomic as well as industry-specific
factors, including the extent our business and financial results are or may be impacted as well as those of our customers and suppliers, and the financial
health and stability of businesses and consumers overall depends on numerous evolving factors, many of which we cannot control nor accurately predict.
Examples include:

•
•

•
•

•

•

the duration, scope, and severity of governmental, business and societal actions in response to the pandemic;
the time in which dental practices return to pre-pandemic operating capacities and our ability to timely and effectively respond to decreases or
increases in demand;
the impact on worldwide economic activity, employment rates and actions taken by central banks and governments;
changes  in  product  and  services  demand,  particularly  for  products  or  services  that  may  be  deemed  discretionary  or  that  can  be  delayed  or
cancelled;
the liquidity and financial stability of consumers, customers, and patients, including their willingness to purchase our products and services, delays
paying for products or services, requests for extended payment terms, or payment defaults;
travel restrictions, including those that adversely impair or prohibit patients from visiting their doctors and our sales personnel from interacting
with customers;

• diversion of management as they focus on the short- and long-term ramifications of the pandemic;
•

actions by us or our competitors such as price reductions, aggressive product promotions, changes in or the launch or termination of products or
product lines, and mergers, consolidations and liquidations;
the confidence of our customers and patients that our products and solutions are sanitary and safe to use;
customer and consumer purchasing behavior changes as pandemic-related restrictions are curtailed or lifted, remote working declines and travel
and discretionary spending patterns shift;

•
•

• data  privacy  and  cybersecurity  risks  from  new  or  expanded  use  of  remote  working  and/or  teledentistry  by  our  suppliers,  customers,  and  us,
including new or expanded use of online service platforms, products and solutions such as video conferencing applications, doctor, consumer and
patient  apps,  inadequately  secured  computing  networks  or  servers,  overheard  telephone  conversations,  viewable  computer  screens,  stolen
passwords or access information, increased phishing and other cyber threats; and
the impact of remote working arrangements on our financial reporting systems and internal control over financial reporting, including our ability
to  ensure  information  required  to  be  disclosed  is  timely  and  accurately  recorded,  processed,  summarized,  reported,  and  communicated  to
management,  including  our  Chief  Executive  and  Chief  Financial  Officers,  as  appropriate,  to  allow  for  timely  decisions  regarding  required
disclosure.

•

The impact of the pandemic continues to evolve and we cannot predict the future impact on our business or results of operations; although it may
have  a  material  adverse  effect  on  our  business,  financial  condition,  results  of  operations,  cash  flows  and  stock  price  as  well  as  the  businesses  of  our
customers, and economic activity generally.

Our net revenues are dependent primarily on our Invisalign System and iTero Scanners and any decline in sales or average selling price of these

products for any reason, may adversely affect net revenues, gross margin and net income.

Our net revenues are largely dependent on sales of our Invisalign System of clear aligners and iTero intraoral scanners. Of the two, we expect net
revenues  from  the  sale  of  the  Invisalign  System,  primarily  our  comprehensive  products,  will  continue  to  account  for  the  majority  of  our  net  revenues;
making the continued and widespread acceptance of the Invisalign System by orthodontists, GPs and consumers critical to our future success. Sales of our
iTero scanners are becoming a larger percentage of our overall revenues and we expect the acquisition of exocad to complement the adoption of digital
dentistry. If orthodontists and GPs experience a reduction in consumer demand for orthodontic services, if consumers prove unwilling to adopt Invisalign
System treatment as rapidly or in the volumes we anticipate and at the prices offered, if orthodontists or GPs choose to continue

17

using wires and brackets or competitive products rather than the Invisalign System, if sales of our iTero scanners decline or fail to grow sufficiently or as
expected, if the acquisition of exocad does not produce the results expected, or if the average selling price of our products declines for any reason, our
operating results could be harmed.

The average selling price of our products, particularly our Invisalign System, are influenced by numerous factors, including the type and timing of
products sold, price increases and reductions, product mix, product and services bundling, promotions, and foreign exchange rates. We provide volume-
based discount programs to our customers. In addition, we sell a number of products at different list prices which may differ based on country and season.
If we change volume-based discount programs that affect our average selling prices; if we introduce price reductions or consumer rebate programs; if we
implement  new  or  expand  existing  discount  programs  or  participation  in  these  programs  increases;  if  our  critical  accounting  estimates  materially  differ
from actual behavior or results; or if our geographic, channel, or product mix shifts to lower priced products or to products that have a higher percentage of
deferred  revenue,  our  average  selling  prices  would  be  adversely  affected.  Moreover,  some  programs  may  be  unsuccessful  or  may  drive  demand  in
unexpected ways. Were any of the foregoing to occur, our net revenues, gross profit, gross margin and net income may decline.

Competition in the markets for our products is increasing and we expect aggressive competition from existing competitors, other companies that

may introduce new technologies in the future and customers who create aligners or retainers in house.

The dental industry is in a period of immense and rapid digital transformation involving products, technologies, distribution channels and business
models.  While  our  clear  aligner  and  iTero  scanners  facilitate  this  transition,  whether  our  technologies  will  achieve  market  acceptance  and,  if  adopted,
whether and when they may become obsolete as new offerings become available remains unclear.

Currently, our clear aligner system competes directly against traditional metal wires and brackets and increasingly against clear aligners manufactured
and distributed by new market entrants and traditional manufacturers of wires and brackets, both within and outside the U.S., and from traditional medical
device companies, laboratories, startups and, in some cases, doctors themselves. Due in part to market opportunities and the expiration of certain of our key
patents beginning in 2017, competition in the clear aligner market is increasing. The number and types of competitors are diverse and vary by segment,
geography  and  customers,  including  new  and  well-established  regional  competitors,  as  well  as  larger  companies  or  divisions  of  larger  companies  with
substantial sales, marketing, research and financial capabilities, including the ability to leverage existing dental market channels to compete directly with
us. Our competitors also include direct-to-consumer (“DTC”) companies that provide clear aligners using a remote teledentistry model requiring little or no
in-office care from trained and licensed doctors and doctors themselves who can manufacture custom aligners in their offices using modern 3D printing
technology. Large consumer product companies may also enter the orthodontic supply market.

The manipulation and movement of teeth and bone is a delicate process with potentially painful and debilitating results if not appropriately performed
and  monitored.  Accordingly,  we  are  committed  to  delivering  our  Invisalign  System  solutions  primarily  through  trained  and  skilled  doctors.  Invisalign
System  treatment  requires  a  doctor's  prescription  and  an  in  person  physical  examination  of  the  patient’s  dentition  before  beginning  treatment;  however,
with the advent of DTC providers accompanied by significant advertising campaigns, there has been a shift away from traditional practices that may impact
our  primary  selling  channels.  We  also  believe  doctors  are  sampling  alternative  products  and/or  taking  advantage  of  competitive  promotions  and  sale
opportunities.  In  addition,  we  may  face  competition  from  companies  that  introduce  new  technologies  and  we  may  be  unable  to  compete  with  these
competitors or they may render our technology obsolete or economically unattractive. If we are unable to compete effectively with existing products or
respond  effectively  to  any  new  technologies,  our  business  could  be  harmed.  To  stimulate  product  and  services  demand,  we  have  a  history  of  offering
volume discounts, price reductions and other promotions to targeted customers and consumers. Whether or not successful, these promotional campaigns
can have unexpected and unintended consequences, including reduced gross margins, profitability and average selling prices, loss of market share, and may
discourage  dental  professionals’  efforts  and  commitment  to  use  our  products,  any  of  which  could  materially  adversely  affect  our  net  revenues,  volume
growth,  net  income  and  stock  price.  We  cannot  assure  that  we  will  be  able  to  compete  successfully  against  our  current  or  future  competitors  or  that
competitive pressures will not have a material adverse effect on our business, results of operations and financial condition.

An increasingly larger portion of our total revenues are derived from international sales and we are dependent on our international operations,

which exposes us to foreign operational, political and other risks that may harm our business.

We earn an increasingly larger portion of our total revenues from international sales generated through our foreign direct and indirect operations and
we expect to increase our sales and presence outside the U.S., particularly in markets we believe have high-growth potential. Moreover, many of our key
production  steps  are  performed  in  locations  outside  of  the  U.S.  For  instance,  technicians  use  a  sophisticated,  internally  developed  computer-modeling
program to prepare digital treatment plans

18

(“ClinCheck”), which are approved by licensed doctors before being transmitted electronically for to our aligner fabrication facilities. These digital files
form  the  basis  of  the  ClinCheck  treatment  plan  and  are  used  to  manufacture  our  aligners.  Our  digital  treatment  planning  and  aligner  fabrication  are
performed in multiple international locations, including large-scale operations in Mexico, Costa Rica and China and we continue to establish additional
sites  closer  to  our  international  customers.  Also,  we  maintain  significant  regional  sales  and  marketing  operations  in  Switzerland,  Singapore  and  China
along  with  research  and  development  operations  globally,  including  in  the  U.S.,  Russia,  Israel,  and  Germany.  Our  reliance  on  international  operations
exposes us to risks and uncertainties that may affect our business or results of operations, including:

•

fluctuations in currency exchange rates;
import and export risks, penalties, controls, license requirements and restrictions;
controlling production volume and quality of the manufacturing process;

• difficulties managing international operations, including any travel restrictions on us or our customers;
•
•
•
• difficulties  hiring  and  retaining  employees,  particularly  employees  with  software  and  technological  design  and  development  backgrounds
necessary  to  create,  develop  and  perform  the  more  technical  aspects  of  our  operations  as  well  as  to  service,  market  and  sell  complex  medical
devices and technologies;
the engagement in activities by our employees, contractors, partners and agents prohibited by international and local trade, labor and other laws
prohibiting corrupt payments to government officials, including the U.S. Foreign Corrupt Practices Act, the U.K. Bribery Act of 2010 and export
control laws, in spite of our policies and procedures designed to ensure compliance with these laws;
increased expense of developing, testing, making and marketing localized versions of our products;

•
• political, military, social, economic, or business instability, acts of terrorism and acts of war, including increased levels of violence and protests in
various regions of the world, including regions in which we operate such as the United States, Mexico, Hong Kong, the Middle East and Africa. In
addition,  some  of  our  employees  in  Israel  are  obligated  to  perform  annual  reserve  duty  in  the  Israeli  military  and  may  be  called  for  additional
active  duty  under  emergency  circumstances  which  may  materially  impair  all  or  a  portion  of  our  business  operations  critical  to  our  iTero
operations. Were any of these events or conditions to occur, the impact to us, our employees and customers is uncertain, particularly if emergency
circumstances, armed conflicts or an escalation in political instability or violence were to occur;

• general geopolitical instability and the responses to it, such as the possibility, threat of, imposition of, or changes in sanctions, trade restrictions

•

and tariffs, particularly in key customer or manufacturing markets such as China, Mexico or other countries;
interruptions and limitations in telecommunication services or critical systems or applications reliant on a stable and uninterrupted
communications infrastructure;

• production or material transportation delays or disruption, including as a result of customs clearance, workforce unrest, slowdowns or stoppages,

unionization efforts, or as a result of disasters, whether as a natural forces or human caused;

• burdens of complying with a wide variety of regional and local laws, including anti-trust, and competition laws;
•

the impact of government-led initiatives to encourage the purchase or support of domestic vendors, which can affect the willingness of customers
to purchase products from, or collaborate to promote interoperability of products with, companies whose headquarters or primarily operations are
not domestic;
reduced intellectual property rights protections as compared to the protections afforded under the laws of the U.S.;
longer payment cycles and greater difficulty in accounts receivable collection; and

•
•
• potential adverse tax consequences.

The  potential  impacts  of  the  United  Kingdom’s  (“UK”)  withdrawal  from  the  European  Union  ("EU")  is  still  unfolding  and  could,  among  other
potential outcomes, adversely affect the tax, tax treaty, currency, operational, legal and regulatory regimes to which our businesses are subject, including
those involving data privacy and the regulation of medical devices. The withdrawal could also, among other potential outcomes, disrupt the free movement
of goods, services, people, data and information and significantly disrupt trade. Further, uncertainty around these and related issues could lead to adverse
effects on the economies of the UK, EU and the other economies in which we operate.

Should any of these factors, either individually or in combination, occur they could materially impact our international operations and adversely affect

our business as a whole.

Demand for our products may not increase as rapidly as we anticipate or may decrease due to a variety of factors, including a weakness in general

economic conditions and resistance to non-traditional treatment methods.

Consumer spending habits are affected by, among other things, pandemics, prevailing economic conditions, levels of employment, salaries and wage
rates, debt obligations, discretionary income, consumer confidence and consumer perception of current and future economic conditions. A decrease in U.S.
or certain international economies or an uncertain economic outlook, both of which have or are occurring as a result of the COVID-19 pandemic, would
adversely affect consumer spending

19

habits  which  may,  among  other  things,  result  in  a  decrease  in  the  number  of  overall  orthodontic  case  starts,  reduced  patient  traffic  in  dentists’  offices,
reduction in consumer spending on elective, non-urgent, or higher value procedures or a reduction in the demand for dental services generally, any of which
would  materially  adversely  affect  our  sales  and  operating  results.  Conversely,  the  pandemic  may  have  temporarily  limited  options  for  consumer
discretionary spending and demand for our products may be harmed once travel and other restrictions are eased. Weakness in the global economy results in
a  challenging  environment  for  selling  dental  technologies  and  dentists  may  postpone  investments  in  capital  equipment,  such  as  intraoral  scanners  and
CAD/CAM  software.  In  addition,  Invisalign  treatment,  which  accounts  for  the  vast  majority  of  our  net  revenues,  represents  a  significant  change  from
traditional  metal  brackets  and  wires  orthodontic  treatment,  and  customers  and  consumers  may  not  find  it  cost-effective  or  preferable  to  traditional
treatment.  For  instance,  a  number  of  dental  professionals  continue  to  believe  the  Invisalign  treatment  is  appropriate  for  only  a  limited  percentage  of
patients. Increased market acceptance of our products depends in part upon the recommendations of dental professionals, as well as other factors including
effectiveness, safety, ease of use, reliability, aesthetics, and price compared to competing products and treatment methods.

Our success depends on our ability to develop, successfully introduce and achieve market acceptance of new products and services.

Our  success  depends  on  our  ability  to  profitably  and  quickly  develop,  manufacture,  market  and  obtain  regulatory  approval  or  clearance  of  new
products  and  services  along  with  improvements  to  existing  products  and  services.  There  is  no  assurance  we  can  successfully  develop,  sell  and  achieve
market  acceptance  of  our  products  and  services.  The  extent  of,  and  rate  at  which,  market  acceptance  and  penetration  are  achieved  by  any  products  or
offerings is a function of many variables, including our ability to:

•

correctly predict, timely develop and cost effectively manufacture or bring to market solutions that meet future customer needs and preferences
with the features and functionality they desire or expect;
allocate our research and development funding to products with higher growth prospects;
ensure compatibility of our technology, services and systems with those of our customers;
anticipate and rapidly respond to new competitive products, product offerings and technological innovations;

•
•
•
• differentiate our products and product offerings from our competitors as well as other products in our own portfolio and successfully articulate the

•

benefits of those differences to our customers;
innovate and develop new technologies and applications and timely obtain approval or clearance by government agencies such as the FDA and
analogous agencies in other countries;

• qualify for third-party reimbursement for procedures using our products;
•
•

successfully identify, timely develop and market products and services to new and evolving target markets; and
encourage customers to adopt new technologies.

If  we  fail  to  accurately  predict  customer  needs  and  preferences  or  fail  to  produce  viable  technologies,  we  may  invest  heavily  in  research  and
development of products that do not lead to significant revenues. If we successfully innovate and develop new products and product enhancements, we may
incur substantial costs doing so and our profitability may suffer. Even if our new products are successfully introduced, it may be difficult to gain market
share and acceptance, particularly if doctors require education to understand the benefits of the new products or measure their success only after extended
periods of time required to treat patients. For instance, it can take up to 24 months or longer to treat patients using our Invisalign System. Consequently,
doctors  may  be  unwilling  to  adopt  our  new  products  until  they  successfully  complete  one  or  more  cases  or  until  more  historical  clinical  results  are
available.

Any  failure  to  successfully  develop  and  introduce  or  achieve  market  acceptance  of  new  products  or  enhancements  to  existing  products  could

materially adversely affect our operating results and cause our net revenues to decline.

We may not achieve the anticipated benefits from our recent acquisition of exocad in the timeframe expected, or at all, which may have an adverse

effect on our business and our financial results.

We closed our acquisition of exocad on April 1, 2020. There is no guarantee that the acquisition will achieve the desired benefits and synergies or that

the exocad CAD/CAM software will continue to succeed in the marketplace.

In addition, we do not have a history of significant acquisitions and integrating exocad during the COVID-19 pandemic poses challenges which may
make it difficult to achieve the expected financial, technical or strategic benefits of the acquisition in the time frames anticipated if at all. Potential risks we
may experience include:

• difficulties integrating the business of exocad in the timeframes expected or as anticipated and without adversely impacting our existing operations

or the operations of exocad;

20

•

slower adoption of or technological difficulties uniting our product and service offerings to produce solutions that efficiently and effectively
integrate with the workflows between doctors, laboratories and other market participants;

• diversion of management resources;
•
•

the inability to retain or attract key personnel;
the  failure  to  accurately  estimate  the  potential  markets  and  market  shares  for  the  companies’  products,  the  nature  and  extent  of  competitive
responses to the acquisition and the ability to achieve or exceed projected market growth rates;

• difficulties  cost-effectively  integrating  and  dealing  with  tax,  employment,  logistics,  and  other  related  issues  unique  to  international  operations,

•

•

particularly when travel restrictions make collaboration efforts more difficult;
the potential that our due diligence did not uncover risks and potential liabilities, that we fail to adequately mitigate or control them, or that new
risks and potential liabilities associated with exocad arise;
the  failure  to  successfully  manage  relationships  with  Align  and  exocad’s  historic  customers,  suppliers  and  strategic  partners  and  develop  new
relationships;

• product development delays and errors;
• possible  inconsistencies  in  standards,  internal  controls,  procedures  and  policies  which  may  make  it  more  difficult  to  implement  and  harmonize

company-wide financial reporting, forecasting and budgeting, accounting, billing, information technology and other systems;
all or material portions of the expected synergies and benefits of the acquisition may change or disappear or may take longer to realize;

•
• negative  impact  on  our  GAAP  results  of  operations,  financial  condition,  and  liquidity  from  acquisition-related  costs,  charges,  amortization  of

intangible assets and/or asset or goodwill impairment charges;

• outcomes  or  rulings  in  known,  or  as  yet  to  be  discovered,  regulatory  enforcement,  intellectual  property  and  other  litigation,  anti-bribery  and

corruption or other similar matters that are, alone or in the aggregate, materially adverse; and

• our  ability  to  protect  our  intellectual  property  rights  as  well  as  protect  our  IT  networks  from  cybersecurity  threats  and  ensure  customer  and

sensitive personal and health data remain secure.

If we cannot successfully integrate exocad with our existing business, our results of operations and financial condition could be harmed.

As  we  continue  to  grow,  we  are  subject  to  growth  related  risks,  including  risks  related  to  excess  or  constrained  capacity  and  operational

inefficiencies at our manufacturing and treat facilities.

We  are  subject  to  growth  related  risks,  including  excess  or  constrained  capacity  and  pressure  on  our  internal  systems  and  personnel.  In  order  to
manage current operations and future growth effectively, we will need to continue to implement and improve our operational, financial and management
information systems and to hire, train, motivate, manage and retain employees. We may be unable to manage such growth effectively. Any such failure
could have a material adverse impact on our business, operations and prospects. We continue to establish additional order acquisition, treatment planning
and manufacturing facilities closer to our international customers in order to provide doctors with better experiences, improve their confidence in using the
Invisalign  System  and  iTero  intraoral  scanners  to  treat  more  patients  and  provide  redundancy  should  other  facilities  be  temporarily  or  permanently
unavailable. Our ability to obtain regulatory clearance and certifications for, move into, plan, construct and equip additional order acquisition, treatment
planning  and  manufacturing  facilities  is  subject  to  significant  risk  and  uncertainty,  including  risks  related  to  establishing  facilities,  such  as  hiring  and
retaining employees and delays and cost overruns, any of which may be out of our control and may negatively impact our gross margin. In addition, these
facilities may be located in higher cost regions compared to Mexico, China and Costa Rica, which may negatively impact our gross margin. If the transition
into  additional  facilities  is  significantly  delayed,  if  a  facility  is  required  to  temporarily  or  permanently,  partially  or  fully  shut  down,  or  demand  for  our
products increases, we may be unable to fulfill orders timely, or at all, which may negatively impact our financial results, reputation and overall business.

In addition, because adapting production capacity and related cost structures to changing market conditions takes time, our facility capacity may at
times exceed or fall short of our production requirements. For instance, as a result of the COVID-19 pandemic sales in the final weeks of the first quarter of
2020  declined  substantially  and  operations  at  our  manufacturing  facilities  declined  shortly  thereafter.  Thereafter,  as  dental  practices  reopened  we
experienced a rapid increase in demand. If product demand decreases or increases more than forecast, we could be required to write off inventory or record
excess capacity charges, we may be required to purchase or lease additional or larger facilities and additional equipment, or we may be unable to fulfill
customer demand in the time frames and with the quantities they require, any of which may take time to accomplish, lower our gross margin, inhibit sales
or  harm  our  reputation,  or  if  we  are  required  to  implement  additional  protective  measures  to  safeguard  our  employees,  productivity  could  decline.
Production of our clear aligners and intraoral scanners may also be limited by capacity constraints due to a variety of factors, including our dependency on
third party vendors for key components

21

in addition to limited production yields. Any or all of these problems could result in the loss of customers, provide an opportunity for competing products
to gain market acceptance and otherwise harm our business and financial results.

If we fail to sustain or increase revenue growth while controlling expenses, our profitability may decline.

If we are to sustain or increase profitability in future periods, we need to continue increasing our net revenues, while controlling expenses. Because
our business and the markets we target are evolving, it is difficult to predict our future operating results or levels of growth or declines, and we have not in
the past and may be unable in the future to sustain or regain our historical growth rates which may cause our profitability to decline.

Our operating results have and will continue to fluctuate in the future, which makes predicting the timing and amount of our revenues, costs and

expenditures difficult.

Our quarterly and annual operating results have and will continue to fluctuate for a variety of reasons, including as a result of changing doctor and

consumer product demand. Some of the factors that could cause our operating results to fluctuate include:

limited visibility into and difficulty predicting from quarter to quarter, the level of activity in our customers’ practices;
changes in geographic, channel, or product mix;

•
•
• weakness in consumer spending and confidence or a slowdown in domestic or international economies;
• higher manufacturing, delivery and inventory costs;
•
•
•

competition in general and competitive developments in the market;
changes in relationships with our dental support organizations and distributors, including timing of orders;
changes in the timing of revenue recognition and changes in our average selling prices, including as a result of the timing of receipt of product
orders and shipments, product and services mix, geographic mix, product and services deferrals, the introduction of new products and software
releases,  product  pricing,  bundling  and  promotions,  modifications  to  our  terms  and  conditions  such  as  payment  terms,  or  as  a  result  of  new
accounting pronouncements or changes to critical accounting estimates including, without limitation, those estimates based on such matters as our
predicted usage of additional aligners;
the creditworthiness, liquidity and solvency of our customers and their ability to timely make payments when due;
fluctuations in currency exchange rates against the U.S. dollar;

•
•
• our inability to scale, suspend or reduce production based on variations in product demand;
•

seasonal  fluctuations,  including  those  related  to  patient  demographics  such  as  teen  buying  habits  in  the  U.S.,  China  and  Europe  as  well  as  the
number of doctors in their offices and their availability to take appointments;
success of or changes to our marketing programs from quarter to quarter;
timing and fluctuation of spending around marketing and brand awareness campaigns and industry trade shows;

•
•
• our reliance on our contract manufacturers for the production of sub-assemblies for our intraoral scanners;
•
•
• unanticipated delays and disruptions in the manufacturing process caused by insufficient capacity or availability of raw materials, turnover in the
labor force or the introduction of new production processes, power outages, natural or other disasters, pandemics or general economic conditions
impacting the solvency of vendors in our supply chain;

increased advertising or marketing efforts or aggressive price competition from competitors;
changes to our effective tax rate;

• underutilization of manufacturing and treat facilities;
• major  changes  in  available  technology  or  the  preferences  of  customers  may  cause  our  current  product  offerings  to  become  less  competitive  or

•

obsolete;
costs and expenditures in connection with such things as the establishment of treatment planning and fabrication facilities, the hiring and
deployment of personnel, and litigation;

• unanticipated delays in our receipt of patient records made through intraoral scanners for any reason;
• disruptions to our business due to political, economic or other social instability or any governmental regulatory or similar actions, including the
impact  of  epidemics  and  pandemics  such  as  COVID-19,  any  of  which  results  in  changes  in  consumer  spending  habits,  limiting  or  restricting
patient visits to orthodontists or general practitioners, as well as any impact on workforce absenteeism;
inaccurate forecasting of net revenues, production and other operating costs;
investments in research and development to develop new products and enhancements; and

•
•
• material impairments of goodwill, long-lived assets, or notes receivable.

To respond to these and other factors, we may make business decisions that adversely affect our operating results such as modifications to our pricing
policy and payment terms, promotions, development efforts, product releases, business structure or operations. Most of our expenses, such as employee
compensation and lease obligations, are relatively fixed in the short term. Moreover, our expense levels are based, in part, on our expectations for future
revenues. As a result, if our net revenues for a

22

particular period fall below expectations, we may be unable to reduce spending to offset any shortfall in net revenues. Due to these and other factors, we do
not believe that quarter-to-quarter comparisons of our operating results are meaningful.

A disruption in the operations of a primary freight carrier or higher shipping costs could cause a decline in our net revenues or a reduction in our

earnings.

We  are  dependent  on  commercial  freight  carriers,  primarily  UPS,  to  deliver  our  products.  If  the  operations  of  these  carriers  are  disrupted  for  any
reason, we may be unable to timely deliver our products to our customers. If we cannot deliver our products on time and cost effectively, customers may
choose alternative products causing our net revenues and gross margins to decline, possibly materially. If fuel costs increase, so do our freight costs. In
addition, we earn an increasingly larger portion of our total revenues from international sales. International sales carry higher shipping costs which could
negatively  impact  our  gross  margin  and  results  of  operations.  If  freight  costs  materially  increase  and  we  are  unable  to  pass  that  increase  along  to  our
customers or otherwise offset such increases in our cost of net revenues, our gross margin and financial results could be adversely affected.

If we fail to accurately predict our volume growth and hire too many or too few technicians, the delivery time of our products could be delayed or

our costs may exceed our revenues, each of which could adversely affect our results of operations.

Treatment planning is a key step leading to our manufacturing process which relies on sophisticated computer software. This requires new technicians
to undergo a relatively long training process, often 120 days or longer. As a result, if we are unable to accurately predict our volume growth, we may have
an insufficient number of trained technicians to ensure products are manufactured and delivered within the time frame our customers expect. Such a delay
could  cause  us  to  lose  existing  customers  or  fail  to  attract  new  customers.  This  could  cause  a  decline  in  our  net  revenues  and  net  income  and  could
adversely affect our results of operations. Conversely, if we hire and train too many technicians in anticipation of volume growth that does not materialize,
materializes  at  a  rate  slower  than  anticipated,  or  if  volumes  decline,  our  costs  and  expenditures  may  outpace  our  revenue  growth,  harming  our  gross
margins, operating expenses and financial results.

Our  information  technology  systems  are  critical  to  our  business.  System  integration  and  implementation  issues  and  system  security  risks  could

disrupt our operations, which could have a material adverse impact on our business and operating results.

We  rely  on  the  efficient  and  uninterrupted  operation  of  complex  information  technology  systems  ("IT  systems").  All  IT  systems  are  vulnerable  to
damage, attack or interruption from a variety of sources. As our business has grown in size and complexity, the growth has placed, and will continue to
place,  significant  demands  on  such  systems.  To  effectively  manage  this  growth,  our  IT  systems  and  applications  require  an  ongoing  commitment  of
significant  resources  to  maintain,  protect  and  enhance  existing  systems  and  develop  new  systems  to  keep  pace  with  continuing  changes  in  information
processing technology, evolving industry and regulatory standards, increasingly sophisticated cyber threats, and changing customer preferences. Expanded
remote  working  and  increased  customer  usage  of  online  technology  platforms  by  us,  our  customers  and  suppliers  as  a  means  to  mitigate  the  spread  of
COVID-19  have  increased  the  demands  on  and  risks  to  our  IT  systems  and  personnel.  Moreover,  we  continue  to  transform  certain  business  processes,
extend established processes to new subsidiaries and/or implement additional functionality in our enterprise resource planning (“ERP”) software system
which entails certain risks, including disruption of our operations, such as our ability to track orders and timely ship products, manage our supply chain and
aggregate financial and operational data.

System  upgrades,  new  releases  and  enhancements  require  significant  expenditures  and  allocation  of  valuable  employee  resources.  Delays  in
integration or disruptions to our business from implementation of these new or upgraded systems could have a material adverse impact on our financial
condition and operating results.

Additionally,  we  continuously  upgrade  and  issue  new  releases  of  our  customer  facing  software  applications,  such  as  my  iTero,  our  ClinCheck
software,  MyAligntech  and  the  Invisalign  Doctor  Site  as  well  as  our  internal  software  applications  upon  which  customer  facing,  manufacturing  and
treatment  planning  operations  are  dependent.  Software  applications  frequently  contain  errors  or  defects,  especially  when  first  introduced  or  when  new
versions are released. The discovery of a defect, error or security vulnerability in our software applications or IT systems, incompatibility with customers’
computer  operating  systems  and  hardware  configurations  with  a  new  release  or  upgraded  version  or  the  failure  of  our  primary  IT  systems  may  cause
adverse consequences, including: delay or loss of revenues, delay in market acceptance, damage to our reputation, loss of market share or increased service
costs, any of which could have a material adverse effect on our business, financial condition or results of operations.

23

A significant portion of our clear aligner production is dependent on digital scans from our iTero and third party intraoral scanners. A failure of all or
any portion of ours or third party software or other components or systems to interoperate with iTero or third party scanners, termination of interoperability
with third party scanners, or a system outage for any reason could have a material adverse effect on our ability to accept scans, manufacture clear aligners
or otherwise service our customers which may amongst other things, harm our sales, damage our reputation, or result in litigation.

If the information we rely on to run our businesses is inaccurate or unreliable, if we fail to properly maintain our IT systems and data integrity, or if
we fail to develop new capabilities to meet our business needs in a timely manner, we could suffer operational disruptions, have customer disputes, and fail
to produce timely and accurate reports. We may also be required to respond to regulatory inquiries or actions, forced to defend against litigation or pay
damages, penalties or fines, experience increases in operating and administrative expenses, find it necessary to rebuild networks or systems, lose existing
customers,  experience  difficulties  attracting  new  customers  or  implementing  our  growth  strategies,  or  suffer  other  adverse  consequences.  In  addition,
experienced computer programmers and hackers may be able to penetrate our network security or our cloud-based software servers hosted by third parties
and  misappropriate  our  confidential  information  or  that  of  third  parties,  expose  personal  and  financial  data  of  our  customers  and  their  patients,  create
system  disruptions  or  cause  shutdowns.  Furthermore,  sophisticated  hardware  and  operating  system  software  and  applications  that  we  either  internally
develop or procure from third parties may contain defects or present risks in design, development, manufacture or distribution, including “bugs,” security
vulnerabilities, and other problems that can unexpectedly interfere with the operation of the system or compromise or exploit the safety and security of our
networks. The costs to eliminate or mitigate security problems, viruses and bugs could be significant and depending on the nature and extent of the problem
and  the  networks  or  products  impacted,  may  result  in  network  or  systems  interruptions  that  may  have  a  material  adverse  impact  on  our  operations,  net
revenues and operating results.

There can be no assurance that our process of improving existing or developing new IT systems, integrating new IT systems, protecting confidential
patient  health  information,  and  improving  service  levels  will  not  be  delayed  or  that  additional  IT  systems  issues  will  not  arise  in  the  future.  Failure  to
adequately  protect  and  maintain  the  integrity  of  our  IT  systems  and  data  may  result  in  a  material  adverse  effect  on  our  financial  position,  results  of
operations and cash flows.

If the security of our customer and patient information is compromised or we are unable to comply with data protection laws, our operations may

be severely adversely impacted, patient care could suffer, we could be liable for related damages, and our reputation could be impaired.

We retain confidential customer financial as well as patient health information. Therefore, it is critical that the facilities and infrastructure on which
we depend to run our business remain secure and are also perceived by the marketplace and our customers to be secure. Despite the implementation of
security measures, we have experienced breaches in the past and the infrastructure and systems on which we depend may be vulnerable to physical break-
ins, computer viruses, programming errors or other technical malfunctions, hacking or phishing attacks by third parties, ransomware, employee error or
malfeasance or similar disruptive problems. For example, some companies have experienced an increase in phishing and social engineering attacks from
third  parties  in  connection  with  the  COVID-19  pandemic.  If  we  fail  to  meet  our  customer  and  patients’  expectations  regarding  the  security  of  their
information,  we  could  be  liable  for  damages  and  our  reputation  and  competitive  position  could  be  impaired.  Affected  parties  could  initiate  legal  or
regulatory action against us, which could cause us to incur significant expense and liability or result in judicial or governmental orders forcing us to cease
operations or modify our business practices in ways that could materially limit or restrict the products and services we provide. Concerns over our privacy
practices could adversely affect others’ perception of us and deter customers, advertisers and partners from using our products. In addition, patient care
could suffer, and we could be liable if our IT systems fail to deliver correct information in a timely manner. We have cybersecurity and other forms of
insurance coverage related to a breach event covering expenses for notification, credit monitoring, investigation, crisis management, public relations and
legal  advice.  The  policy  also  provides  coverage  for  regulatory  action  defense  including  fines  and  penalties,  potential  payment  card  industry  fines  and
penalties and costs related to cyber extortion; however, damage and claims arising from such incidents may not be covered or may exceed the amount of
any coverage.

We  are  also  subject  to  federal,  state  and  foreign  laws  and  regulations,  including  ones  relating  to  privacy,  data  protection,  content  regulation,  and
consumer protection. We may be or become subject to data localization or data residency laws which generally require that certain types of data collected
within a country be stored and processed only within that country or approved countries. Some countries, including Brazil, Russia and China, have enacted,
and others are considering enacting, data localization or data residency laws and we could be required to implement new or expand existing data storage
protocols,  build  new  storage  facilities,  and/or  devote  additional  resources  to  comply  with  the  requirements  of  such  laws,  any  of  which  could  have
significant cost implications. We may also be subject to data export restrictions, or international transfer laws which prohibit or impose conditions upon the
transfer of such data from one country to another. These laws and regulations are constantly evolving and may be interpreted, applied, created or amended
in a manner that could adversely affect our business.

24

In addition, we must comply with numerous data protection requirements that span from individual state and national laws in the U.S. and China to
multinational requirements in the EU. For instance, China has enacted new, complex and highly restrictive cybersecurity, data localization, and cross border
data  transfer  laws.  In  the  EU,  we  must  comply  with  the  General  Data  Protection  Regulation  which  serves  as  a  harmonization  of  EU  data-privacy  laws.
Maintaining compliance with these laws and regulations is costly and could require complex changes in the way we do business or provide services to our
customers and their patients. Additionally, our success may be dependent on the success of healthcare providers in managing data protection requirements.

In order to deepen our market penetration and raise awareness of our brand and products, we may increase the amount we spend on marketing

activities, which may not ultimately prove successful or an effective use of our resources.

Our marketing efforts and costs are significant and include national and regional campaigns involving television, print media, social media and, more
recently,  alliances  with  professional  sports  teams  and  other  strategic  partners.  We  attempt  to  structure  our  advertising  campaigns  to  increase  brand
awareness and adoption; however, there is no assurance our campaigns will achieve the returns on advertising spend desired or successfully increase brand
or product awareness sufficiently to sustain or increase our growth goals, which could have an adverse effect on our gross margin and business overall. In
addition,  various  countries  restrict  direct  to  consumer  advertising  of  our  products  and  we  could  run  afoul  of  restrictions  and  be  ordered  to  stop  certain
marketing activities.

Our success depends in part on our proprietary technology, and if we fail to successfully obtain or enforce our intellectual property rights, our
competitive position may be harmed. Litigating claims of this type are costly and could distract our management and cause a decline in our results of
operations and stock price.

Our success depends in part on our ability to maintain existing intellectual property ("IP") rights and to obtain and maintain further IP protection for

our products. Our inability to do so could harm our competitive position.

We  rely  on  our  portfolio  of  issued  and  pending  patent  applications  in  the  U.S.  and  in  other  countries  to  protect  a  large  part  of  our  IP  and  our
competitive position; however, our currently pending or future patent filings may not result in the issuance of patents. Additionally, any patents issued to us
may  be  challenged,  invalidated,  held  unenforceable,  circumvented,  or  may  not  be  sufficiently  broad  to  prevent  third  parties  from  producing  competing
products  similar  in  design  to  our  products.  In  addition,  any  protection  afforded  by  foreign  patents  may  be  more  limited  than  that  provided  under  U.S.
patents  and  IP  laws.  Moreover,  our  foreign  patent  portfolio  is  less  extensive  than  our  U.S.  portfolio.  We  also  rely  on  protection  of  our  copyrights,
trademarks, trade secrets, know-how and proprietary information. We generally enter into confidentiality agreements with our employees, consultants and
our collaborative partners upon commencement of a relationship with us; however, these agreements may not provide meaningful protection against the
unauthorized use or disclosure of our trade secrets or other confidential information, and adequate remedies may not exist if unauthorized use or disclosure
were to occur. Our inability to maintain the proprietary nature of our technology through patents, copyrights or trade secrets would impair our competitive
advantages  and  could  have  a  material  adverse  effect  on  our  operating  results,  financial  condition  and  future  growth  prospects.  In  particular,  a  failure  to
protect our proprietary rights might allow competitors to copy our technology, which could adversely affect our pricing and market share. In addition, in an
effort to protect our IP we are currently involved in litigation and expect to be in the future. The potential effects on our business operations resulting from
litigation, whether or not ultimately determined in our favor or settled by us, are costly and divert the efforts and attention of our management and technical
personnel from normal business operations.

Litigation, interferences, oppositions, re-exams, inter partes reviews, post grant reviews or other proceedings have been necessary and likely will be
needed in the future to determine the validity and scope of certain of our IP rights and the IP rights claimed by third parties to determine the validity, scope
or non-infringement of certain patent rights pertinent to the manufacture, use or sale of our products. Any of these proceedings are unpredictable and may
be protracted, expensive and distracting to management. The outcome of such proceedings could adversely affect the validity and scope of our patent or
other proprietary rights, hinder our ability to manufacture and market our products, require us to seek a license for the infringed product or technology or
result in the assessment of significant monetary damages. An unfavorable ruling could include monetary damages or, in cases where injunctive relief is
sought, an injunction prohibiting us from selling our products. Any of these results from our litigation could adversely affect our results of operations and
stock price.

25

Obtaining approvals and complying with governmental regulations, particularly healthcare and data privacy compliance, is expensive and time-
consuming, and any failure to obtain or maintain approvals or comply with regulations regarding our products or services or the products and services
of our suppliers or customers could materially harm our sales, result in substantial penalties and cause harm to our reputation.

As a medical device company, Align and many of our suppliers and customers are subject to extensive and frequently changing regulations under
numerous federal, state, local and foreign laws. Our healthcare provider customers and distributors are also subject to a wide variety of laws and regulations
that affect the nature and scope of their relationships with us. The healthcare market itself is highly regulated and subject to changing political, economic
and regulatory influences. For instance, regulations affecting the security and privacy of patient healthcare information held by healthcare providers and
their  business  associates  such  as  the  U.S.  Health  Insurance  Portability  and  Accountability  Act  (“HIPAA”)  may  require  us  to  make  significant  and
unplanned enhancements of software applications or services, result in delays or cancellations of orders, or result in the revocation of endorsement of our
products and services by healthcare participants. Our critical vendors and service providers are similarly subject to various regulations. Our failure, or the
failure of our suppliers or customers to strictly adhere to clearances or approvals in the labeling, marketing and sales of our products and services could
subject us to claims or litigation, including actions alleging false or misleading advertising, unfair or anti-competitive business practices or other violations
of laws or regulations, which may result in costly investigations, fines, penalties, as well as material judgments, settlements or decrees. There can be no
assurance that we will adequately address the business risks associated with the implementation and compliance with such laws or that we will be able to
take advantage of any resulting business opportunities.

Furthermore, in general before we can sell a new medical device or market a new use of or claim for an existing product, we must obtain clearance or

approval unless an exemption applies. For instance, in the U.S., FDA regulations are wide ranging and govern, among other things:

• product design, development, manufacturing and testing;
• product labeling;
• product storage;
• pre-market clearance or approval;
complaint handling and corrective actions;
•
•
advertising and promotion; and
• product sales and distribution.

It  takes  significant  time,  effort  and  expense  to  obtain  and  maintain  FDA  clearances  or  approvals  of  products  and  services.  In  other  countries,  the
requirements to obtain and maintain similar approvals may differ materially from those of the FDA. Moreover, there is no guarantee we will successfully
obtain or maintain approvals in all or any of the countries in which we do business now or in the future. Even if successful, the time and effort required
may  be  significant  and  costly.  The  impact  of  COVID-19  on  normal  governmental  operations  may  delay  our  efforts  to  obtain  and  maintain  approvals,
possibly significantly. If approvals to market our products or services are delayed, whether in the U.S. or other countries, we may be unable to market our
products  or  services  in  markets  we  deem  important  to  our  business.  Were  any  of  these  risks  to  occur,  our  domestic  or  international  operations  may  be
materially harmed, and our business as a whole adversely impacted.

In addition, our failure to comply with applicable regulatory requirements could result in enforcement actions in the U.S. and other countries. For

example, enforcement actions by the FDA may include one or more of the following sanctions:

repair, replacement, refunds, recall or seizure of our products;

• warning letters, fines, injunctions, consent decrees and civil penalties;
•
• operating restrictions or partial suspension or total shutdown of production;
•
• withdrawing clearance or pre-market approvals previously granted; and
•

criminal prosecution.

refusing our requests for 510(k) clearance or pre-market approval of new products, new intended uses, or modifications to existing products;

We  and  certain  of  our  vendors  must  also  comply  with  facility  registration  and  product  listing  requirements  of  the  FDA  and  adhere  to  applicable
Quality  System  regulations.  The  FDA  enforces  its  Quality  System  regulations  through  periodic  unannounced  inspections.  Our  failure  to  satisfactorily
correct an adverse inspection finding or to comply with applicable manufacturing regulations could result in enforcement actions, and we may be required
to  find  alternative  manufacturers,  which  could  be  a  long  and  costly  process.  Any  enforcement  action  by  the  FDA  or  foreign  governments  could  have  a
material adverse effect on us.

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In  addition,  numerous  foreign,  state  and  federal  healthcare-related  laws  regulate  our  business  and  the  businesses  of  our  customers,  suppliers  and

service providers, covering areas such as:

the storage, transmission and disclosure of medical information and healthcare records;

•
• prohibitions against the offer, payment or receipt of remuneration to induce referrals to entities providing healthcare services or goods or to induce

the order, purchase or recommendation of our products; and
the marketing and advertising of our products.

•

The sourcing and availability of metals that may be used in the manufacture of, or contained in, our products may be affected by laws and regulations
in the U.S. or internationally regarding the use of minerals obtained from certain regions of the world like the Democratic Republic of Congo and adjoining
countries. These laws and regulations may decrease the number of suppliers capable of supplying our needs for certain metals, thereby negatively affecting
our ability to manufacture products in sufficient quantities or at competitive prices. We may furthermore suffer financial and reputational harm if customers
require, and we are unable to deliver, certification that our products are conflict free. Regardless, compliance with these laws and regulations will require
time and effort by our personnel and others and we will incur additional costs.

If we or any vendors on whose products or services we rely for our products and service infringe the patents or IP rights of other parties or are

subject to a patent infringement claim, our ability to grow our business may be severely limited.

Extensive litigation over patents and other IP rights is common in the medical device, software 3D printing and other technologies and industries on
which our products and services and based. We have been sued for infringement of third party’s patents in the past and we may be the subject of patent or
other  litigation  in  the  future.  We  periodically  receive  letters  from  third  parties  drawing  our  attention  to  their  patent  rights.  While  we  do  not  believe  we
infringe upon any valid and enforceable rights that have been brought to our attention, there may be other more pertinent rights of which we are presently
unaware.  The  defense  and  prosecution  of  IP  suits,  interference  proceedings  and  related  legal  and  administrative  proceedings  could  result  in  substantial
expense to us and significant diversion of effort by our technical and management personnel. An adverse determination of any litigation or interference
proceeding to which we may become a party could subject us to significant liabilities, exclusion orders or injunctions that may prevent or limit our rights to
sell  or  import  our  products  in  one  or  more  countries.  An  adverse  determination  of  this  nature  could  also  put  our  patents  at  risk  of  being  invalidated  or
interpreted narrowly or require us to seek licenses from third parties. Licenses may not be available on commercially reasonable terms or at all, in which
event, our business would be materially adversely affected.

We maintain single supply relationships for certain key machines and materials, and our business and operating results could be harmed if supply

is restricted or ends or the price of raw materials used in our manufacturing process increases.

We are highly dependent on manufacturers of specialized scanning equipment, rapid prototyping machines, resin and other advanced materials, as
well  as  the  optics,  electronic  and  other  mechanical  components  of  our  intraoral  scanners.  We  maintain  single  supply  relationships  for  many  of  these
machines  and  materials.  In  particular,  our  CT  scanning  and  stereolithography  equipment  used  in  our  aligner  manufacturing  and  many  of  the  critical
components  for  the  optics  of  our  scanners  are  provided  by  single  suppliers.  We  purchase  the  vast  majority  of  our  resin  and  polymer,  the  primary  raw
materials used in our manufacturing process for clear aligners, from a single source. Moreover, we rely on a third-party manufacturer to supply key sub-
assemblies  for  our  iTero  Element  scanner.  If  these  or  other  suppliers  encounter  financial,  operating  or  other  difficulties,  are  unable  to  hire  or  maintain
personnel, cannot timely obtain supplies, are unable to maintain manufacturing standards or controls, fail to timely deliver materials, parts or components,
or if our relationship or the terms by which we contract with any of them changes, we may be unable to quickly establish or qualify replacement sources of
supply  and  could  face  production  interruptions,  delays  and  inefficiencies.  Finding  substitute  manufacturers  may  be  expensive,  time-consuming  or
impossible and could result in a significant interruption in the supply of one or more products, including our intraoral scanners, causing us to lose revenues
and suffer damage to our customer relationships. In addition, technology changes by our vendors could disrupt access to required manufacturing capacity
or require expensive, time consuming development efforts to adapt and integrate new equipment or processes. Our growth may exceed the capacity of one
or more of these manufacturers to produce the needed equipment and materials in sufficient quantities to support our growth. Conversely, in order to secure
supplies  for  production  of  products,  we  sometimes  enter  into  non-cancelable  minimum  purchase  commitments  with  vendors,  which  could  impact  our
ability to adjust our inventory to reflect declining market demands. If demand for our products is less than we expect, we may experience additional excess
and obsolete inventories and be forced to incur additional charges and our profitability may suffer. In the event of technology changes, delivery delays, or
shortages of or increases in price for these items, our business and growth prospects may be harmed.

27

We primarily rely on our direct sales force to sell our products, and any failure to train and maintain our key sales force personnel could harm our

business.

Our ability to sell our products and generate revenues primarily depends upon our direct sales force within our Americas and International markets.
We do not have any long-term employment contracts with our direct sales force and the loss of the services of key personnel or groups of employees may
harm our business. In order to provide more comprehensive sales and service coverage and pursue growth opportunities, we continue to increase the size of
our  sales  force  domestically  and  internationally.  Moreover,  as  we  focus  on  market  penetration,  we  have  begun  to  segregate  sales  personnel  to  focus  on
specific markets such as orthodontists and GPs. It can take up to twelve months or more to train sales representatives to successfully market and sell our
products  and  for  them  to  establish  strong  customer  relationships.  If  we  are  unable  to  expand  our  sales  force,  retain  our  key  sales  personnel  or  quickly
replace them with individuals of equivalent technical expertise and qualifications, if we are unable to successfully instill technical expertise in new and
existing  sales  representatives,  if  we  fail  to  establish  and  maintain  strong  relationships  with  our  customers,  or  if  our  efforts  at  specializing  our  selling
techniques prove unsuccessful or not cost-effective, our net revenues and our ability to maintain market share could be materially harmed. In addition, due
to our large and fragmented customer base, we may not be able to provide all of our customers with product support immediately upon the launch of a new
product. As a result, adoption of new products by our customers may be slower than anticipated and our ability to grow market share and increase our net
revenues may be harmed.

We use distributors for a portion of the importation, marketing and sales efforts related to our products and services, which exposes us to risks that

may be harmful to our sales and operations.

In addition to our direct sales force, we have and expect to continue to use distributors to import, market, sell, service and/or support our products.
Our agreements with these distributors may be non-exclusive and terminable by either party with little notice. If any of these relationships are terminated
and alternative distributors are not quickly found and trained in the use, marketing and sales of our products and services, our revenues and ability to sell or
service  our  products  in  markets  key  to  our  growth  and  expansion  could  be  adversely  affected.  These  distributors  may  also  choose  to  sell  alternative  or
competing products or services. In addition, we may be held responsible for the actions of these distributors and their employees and agents for compliance
with laws and regulations, including competition, bribery and corruption, and medical device and services marketing and sales activities. A distributor may
also affect our ability to effectively market our products in certain foreign countries or regulatory jurisdictions if it holds the regulatory authorization in
such countries or within such regions and causes, by action or inaction, the suspension of such marketing authorization or sanctions for non-compliance. It
may be difficult, expensive, and time-consuming for us to re-establish market access or regulatory compliance in such cases.

Our business exposes us to potential liability for the quality and safety of our products and services, how we advertise and market those products
and services and how and to whom we sell them, and we may incur substantial expenses or be liable for substantial damages or penalties if we are
subject to claims or litigation.

Our products and services involve an inherent risk of claims concerning their design, manufacture, safety and performance, how they are marketed
and advertised in a complex framework of highly regulated domestic and international laws and regulations, and how we package, bundle or and sell them
to customers who may be private individuals or companies or public entities such as hospitals and clinics. Moreover, consumer products and services are
routinely subject to claims of false, deceptive or misleading advertising, consumer fraud and unfair business practices. Additionally, we may be held liable
if any product we develop or manufacture or services we offer or perform causes injury or is otherwise found unhealthy or unsuitable. Even if our products
are safe, if they are promoted for use or used in unintended or unexpected ways or for which we have not obtained clearance or approvals (“off-label”
usage), we may be investigated, fined or have our products or services enjoined or clearances rescinded by administrative agencies or we may be required
to defend ourselves in litigation. Although we intend to continue to maintain insurance for product liability, business practices and other types of activities
we make or offer, coverage may not be available on acceptable terms, if at all, and may not be sufficient against potential liabilities. Any claim for product
liability, sales, advertising and business practices, regardless of its merit or eventual outcome, could result in significant legal defense costs and damage our
reputation, increase our expenses and diverting management’s attention away from the operation of our business.

We are subject to risks associated with our strategic investments. Impairments in the value of our investments could negatively impact our financial

results.

We have and expect to continue to make investments in promising research and technology, primarily through privately held companies, for strategic
reasons and to support key business initiatives, and we may not realize a return on our strategic investments. Of the companies in which we invest, they
may generate net losses and the market for their products, services or technologies may be slow to develop, if at all. Furthermore, valuations of privately
held companies are inherently complex due

28

to the lack of readily available market data. If we determine that our investments have declined in value, we may be required to record impairments which
could be material and could have an adverse impact on our financial results.

General Risk Factors

If we lose our key personnel or are unable to attract and retain key personnel, we may be unable to pursue business opportunities or develop our

products.

We are highly dependent on the key employees in our clinical engineering, technology development, manufacturing, sales, training and marketing
personnel and management teams. The loss of the services provided by those individuals may significantly delay or prevent the achievement of our product
development and other business objectives and could harm our business. Our future success also depends on our ability to identify, recruit, train and retain
additional qualified personnel, including orthodontists and production technicians in our treatment planning facilities. Few orthodontists are accustomed to
working in a manufacturing environment since they are generally trained to work in private practices, universities and other research institutions. Thus, we
may be unable to attract and retain personnel with the advanced qualifications necessary for the further development of our business. Furthermore, we may
not be successful in retaining our key personnel or their services. If we are unable to attract and retain key personnel, our business could be materially
harmed.

Business disruptions could seriously harm our financial condition.

Our  global  operations  may  be  disrupted  by  natural  or  human  induced  disasters  including,  earthquakes,  tsunamis,  floods,  drought,  hurricanes,
typhoons,  wildfires,  extreme  weather  conditions,  power  shortages,  telecommunications  failures,  materials  scarcity  and  price  volatility,  and  medical
epidemics  or  health  pandemics.  For  instance,  the  COVID-19  pandemic  and  subsequent  recovery  materially  adversely  impacted  our  sales  and  business
operations  in  2020,  the  operations  of  our  customers  and  the  global  economy  overall.  Climate  change  may  increase  both  the  frequency  and  severity  of
natural disasters and, consequently, risks to our operations and growth. The occurrence of business disruptions could harm our growth and expansion, result
in  significant  losses,  seriously  harm  our  revenue,  profitability  and  financial  condition,  adversely  affect  our  competitive  position,  increase  our  costs  and
expenses, and require substantial expenditures and recovery time in order to fully resume operations. Our digital dental modeling is primarily processed in
our  facility  located  in  San  Jose,  Costa  Rica.  The  operations  teams  in  Costa  Rica  and  other  global  locations  create  ClinCheck  treatment  plans  using
sophisticated computer software. In addition, certain of our customer facing operations are located in Costa Rica. Our aligner molds and finished aligners
are fabricated in Mexico and China. Both locations in Costa Rica and Mexico as well as others are in earthquake zones and may be subject to other natural
disasters. If there is a major earthquake or any other natural disaster in a region where one of these facilities is located, our ability to create ClinCheck
treatment  plans,  respond  to  customer  inquiries  or  manufacture  and  ship  our  aligners  could  be  compromised  which  could  result  in  our  customers
experiencing significant delays receiving their aligners and a decrease in service levels for a period of time. Moreover, a significant portion of our research
and development activities are located in California, which suffers from earthquakes, periodic droughts, and wildfires affecting the health and safety of our
employees. Any such business interruptions could materially and adversely affect our business, financial condition and results of operations.

Changes in, or interpretations of, accounting rules and regulations, could result in unfavorable accounting charges.

We  prepare  our  consolidated  financial  statements  in  conformity  with  U.S.  GAAP.  These  principles  are  subject  to  interpretation  by  the  SEC  and
various bodies formed to interpret and create appropriate accounting policies. A change in these policies or in the way these policies are interpreted by us or
regulators can have a significant effect on our reported results and may even retroactively affect previously reported transactions.

We are required to annually assess our internal control over financial reporting and any adverse results from such assessment may result in a loss

of investor confidence in our financial reports and have an adverse effect on our stock price.

We routinely assess, update and refine our internal control over financial reporting for its effectiveness. Pursuant to the Sarbanes-Oxley Act of 2002
and rules and regulations promulgated by the SEC, we are required to furnish in our Form 10-K a report by our management regarding the effectiveness of
our  internal  control  over  financial  reporting.  The  report  includes,  among  other  things,  an  assessment  of  the  effectiveness  of  our  internal  control  over
financial reporting as of the end of our fiscal year, including a statement as to whether or not our internal control over financial reporting is effective. This
assessment  must  include  disclosure  of  any  material  weaknesses  in  our  internal  control  over  financial  reporting  identified  by  management.  Our  internal
controls may become inadequate because of changes in conditions including changes in personnel, updates and upgrades to existing software including our
ERP software system, changes in accounting standards or interpretations of existing standards, and, as a result, the degree of compliance of our internal
control over financial reporting with the existing policies or procedures may become ineffective. Establishing, testing and maintaining an effective system
of internal control over financial

29

reporting requires significant resources and time commitments on the part of our management and our finance staff, may require additional staffing and
infrastructure investments and increases our costs of doing business. If we are unable to assert that our internal control over financial reporting is effective
in any future period (or if our auditors are unable to express an opinion on the effectiveness of our internal controls or conclude that our internal controls
are ineffective), the timely filing of our financial reports could be delayed or we could be required to restate past reports, and cause us to lose investor
confidence in the accuracy and completeness of our financial reports in the future, which could have an adverse effect on our stock price.

We are exposed to fluctuations in currency exchange rates, which could negatively affect our financial condition and results of operations.

Although the U.S. dollar is our reporting currency, a growing portion of our net revenues and net income are generated in foreign currencies. Net
revenues  and  net  income  generated  by  subsidiaries  operating  outside  of  the  U.S.  are  translated  into  U.S.  dollars  using  constantly  fluctuating,  often
substantially, exchange rates. As a result, negative movements in exchange rates against the U.S. dollar have and may increasingly adversely affect our net
revenues and net income in our consolidated financial statements. We enter into currency forward contract transactions in an effort to cover some of our
exposure to currency fluctuations but there is no assurance these transactions will fully or effectively hedge our exposure to currency fluctuations, and,
under certain circumstances, these transactions could have an adverse effect on our financial condition.

If we fail to manage our exposure to global financial and securities market risk successfully, our operating results and financial statements could

be materially impacted.

The primary objective of our investment activities is to preserve principal. To achieve this objective, a majority of our marketable investments are
investment  grade,  liquid,  fixed-income  securities  and  money  market  instruments  denominated  in  U.S.  dollars.  If  the  carrying  value  of  an  investment
exceeds the fair value, and the decline in fair value is deemed to be other-than-temporary, we are required to write down the value of the investment, which
could  materially  harm  our  results  of  operations  and  financial  condition.  Moreover,  the  performance  of  certain  securities  in  our  investment  portfolio
correlates with the credit condition of the U.S. financial sector. In an unstable credit or economic environment, it is necessary to assess the value of our
investments more frequently and we might incur significant realized, unrealized or impairment losses associated with these investments.

If our goodwill or long-lived assets become impaired, we may be required to record a significant charge to earnings.

Under GAAP, we review our goodwill and long-lived asset group for impairment when events or changes in circumstances indicate the carrying value
may not be recoverable. Additionally, goodwill is required to be tested for impairment at least annually. The qualitative and quantitative analysis used to
test goodwill are dependent upon various assumptions and reflect management’s best estimates. Changes in certain assumptions including revenue growth
rates, discount rates, earnings multiples and future cash flows may cause a change in circumstances indicating that the carrying value of goodwill or the
asset group may be impaired and assessing these assumptions and predicting and forecasting future events can be difficult. Large acquisitions, such as our
acquisition  of  exocad  in  2020,  require  ongoing  fair  value  assessments  of  goodwill  and  purchased  assets  to  determine  if  they  have  become  impaired.
Consequently,  we  may  be  required  to  record  a  significant  charge  to  earnings  in  the  financial  statements  during  the  period  in  which  any  impairment  of
goodwill or long-lived asset group is determined.

Our effective tax rate may vary significantly from period to period.

Various  internal  and  external  factors  may  have  favorable  or  unfavorable  effects  on  our  future  effective  tax  rate.  These  factors  include,  but  are  not
limited  to,  changes  in  global  economic  environment,  changes  in  legal  entity  structure  or  activities  performed  within  our  entities,  changes  in  tax  laws,
regulations and/or rates, new or changes to accounting pronouncements, changing interpretations of existing tax laws or regulations, changes in the relative
proportions of revenues and income before taxes in the various jurisdictions in which we operate that have differing statutory tax rates, changes in overall
levels  of  pretax  earnings,  the  future  levels  of  tax  benefits  of  stock-based  compensation,  settlement  of  income  tax  audits  and  non-deductible  goodwill
impairments.  For  example,  our  effective  tax  rate  varied  significantly  in  the  first  quarter  of  fiscal  2020  due  to  the  relocation  of  our  EMEA  regional
headquarters from the Netherlands to Switzerland. Our effective tax rate is also dependent in part on forecasts of full year results which can vary materially.
Furthermore,  we  may  continue  to  experience  significant  variation  in  our  effective  tax  rate  related  to  excess  tax  benefits  on  stock-based  compensation,
particularly in the first quarter of each year when the majority of our equity awards vest.

Changes in tax laws or tax rulings could negatively impact our income tax provision and net income.

As a U.S. multinational corporation, we are subject to changing tax laws both within and outside of the U.S. Changes in tax laws or tax rulings, or

changes in interpretations of existing tax laws, could affect our income tax provision and net income

30

or  require  us  to  change  the  manner  in  which  we  operate  our  business.  In  addition,  governmental  tax  authorities  are  increasingly  scrutinizing  the  tax
positions  of  companies.  Many  countries  in  Europe,  as  well  as  a  number  of  other  countries  and  organizations,  have  recently  proposed  or  recommended
changes to existing tax laws or have enacted new laws. For example, the Organization for Economic Cooperation and Development (“OECD”) has been
working on a “Base Erosion and Profit Shifting Project,” which is focused on a number of issues, including the shifting of profits between affiliated entities
in different tax jurisdictions. The OECD has issued and is expected to continue to issue, guidelines and proposals that may change various aspects of the
existing framework under which our tax obligations are determined in many of the countries in which we do business.

We  may  acquire  other  businesses,  products  or  technologies  in  the  future  which  could  require  significant  management  attention,  disrupt  our

business, dilute shareholder value and adversely affect our results of operations.

Periodically, we may acquire, or make investments in, complementary companies, products or technologies like our acquisition of exocad in 2020.
Alternatively, we may be unable to find suitable acquisition targets in the future, and we may not be able to complete acquisitions on favorable terms, if at
all.  If  we  do  complete  acquisitions,  we  may  not  ultimately  strengthen  our  competitive  position  or  achieve  our  goals  or  desired  synergies,  and  any
acquisitions we complete could be viewed negatively by our customers, securities analysts and investors. Additionally, as an organization we do not have a
history  of  significant  acquisitions  or  integrating  their  operations  and  cultures  with  our  own.  If  we  fail  to  successfully  integrate  any  acquisitions  or  the
technologies acquired, our revenue and results of operations could be adversely affected or we may inherit or fail to uncover material issues of the acquired
company  or  assets,  including  litigation  or  ongoing  investigations,  accounting  irregularities  or  improprieties,  failure  to  comply  with  regulations,
governmental orders or decrees, and IT security and privacy compliance issues. Any integration process may require significant time and resources and we
may not successfully evaluate or utilize the acquired technology, or we may fail to retain key personnel, or accurately forecast the financial impact of an
acquired  business.  We  may  have  to  pay  cash,  incur  debt  or  issue  equity  securities  to  pay  for  any  acquisition,  any  of  which  could  adversely  affect  our
liquidity, financial condition or the value of our common stock. The sale of equity or issuance of debt to finance any acquisition could result in dilution to
our  shareholders.  The  occurrence  of  indebtedness  would  result  in  increased  fixed  obligations  and  could  also  include  covenants  or  other  restrictions  that
would impede our ability to manage our operations.

Moreover,  opposition  to  one  of  more  acquisitions  could  lead  to  negative  ratings  by  analysts  or  investors,  give  rise  objections  by  one  or  more
stockholders or result in shareholder activism, any of which could harm our stock price. Acquisitions can also lead to large non-cash charges that can have
an adverse effect on our results of operations as a result of write-offs for items such as future impairments of intangible assets and goodwill or the recording
of stock-based compensation.

Historically, the market price for our common stock has been volatile.

The market price of our common stock is subject to wide price fluctuations in response to various factors, many of which are beyond our control. The

factors include:

the impact on global and regional economies as a result of the COVID-19 pandemic;

•
• quarterly variations in our results of operations and liquidity or changes in our forecasts and guidance;
•
•
•

changes in recommendations by the investment community or their estimates of our net revenues or operating results;
speculation in the press or investment community concerning our business and results of operations;
announcements by us or our competitors or new market entrants, including strategic actions, management changes, and material transactions or
acquisitions;
technical factors in the public trading market for our stock that may produce price movements that may or may not comport with macro, industry
or company-specific fundamentals, including, without limitation, the sentiment of retail investors (including as it may be expressed on financial
trading and other social media sites), the amount and status of short interest in our securities, access to margin debt, trading in options and other
derivatives on our common stock, fractional share trading, and other technical trading factors or strategies;
announcements regarding stock repurchases, sales of our common stock, credit agreements and debt issuances;
announcements of technological innovations or new products or product offerings by us, our customers or competitors;

•

•
•
• key decisions in pending litigation;
•
• general economic market conditions.

sales of stock by us, our officers or directors; and

In addition, the stock market in general, and the market for technology and medical device companies, in particular, have experienced extreme price
and volume fluctuations that have often been unrelated to or disproportionate to the operating performance of those companies. These broad market and
industry factors may seriously harm the market price of our common stock, regardless of our operating performance. Historically, class action litigation is
often brought against an issuing company following periods of volatility in the market price of its securities and we have not been excepted from such
litigation.

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We cannot guarantee we will repurchase our common stock again in the future, and any repurchases may not achieve our objectives.

Although we have not repurchased any of our common stock recently, we have a history of recurring stock repurchase programs intended to return
capital to our investors. Any authorization or continuance of our share repurchase programs is contingent on a variety of factors, including our financial
condition, results of operations, business requirements, and our board of directors' continuing determination that share repurchases are in the best interests
of our stockholders and in compliance with all applicable laws and agreements. There is no assurance that we will resume repurchases of our common
stock, or continue repurchasing our common stock if we do resume, consistent with historical levels or at all, or that our stock repurchase programs will
have a beneficial impact on our stock price.

Future sales of significant amounts of our common stock may depress our stock price.

A large percentage of our outstanding common stock is currently owned by a small number of significant stockholders. These stockholders have sold
in the past, and may sell in the future, large amounts of common stock over relatively short periods of time. Sales of substantial amounts of our common
stock in the public market by existing stockholders may adversely affect the market price of our common stock by creating the perception of difficulties or
problems with our business that may depress our stock price.

ITEM 1B.

UNRESOLVED STAFF COMMENTS

None.

ITEM 2.

PROPERTIES

We occupy several leased and owned facilities. At December 31, 2020, the significant facilities occupied were as follows:

Location
San Jose, California,
U.S.A.
Raleigh, North Carolina,
U.S.A
San Jose, Costa Rica
Moscow, Russia
Or Yehuda, Israel 
Rotkreuz, Switzerland
Juarez, Mexico
Ziyang, China

Lease/Own
Own

Own

Lease and Own
Lease
Lease and Own
Lease
Own
Lease and Own

Primary Use
Office for corporate headquarters , research & development and administrative personnel

1

Expiration of Lease
N/A

Office for Americas regional headquarters

Office for administrative personnel, treatment personnel, and customer care
Office for research & development
Manufacturing and office for research & development and administrative personnel
Office for EMEA regional headquarters, sales and marketing and administrative personnel
Manufacturing and office for administrative personnel
Manufacturing and office for administrative personnel

N/A

July 2023
March 2024
February 2022
July 2024
N/A
May 2021

1
         During the fourth quarter of 2020, we entered into a lease agreement for office space in Tempe, Arizona which was designated as our new corporate headquarters

effective January 1, 2021.

ITEM 3.

LEGAL PROCEEDINGS

For a discussion of legal proceedings, refer to Note 10 "Legal Proceedings" of the Notes to Consolidated Financial Statements in Part II, Item 8 of

this Form 10-K.

ITEM 4.

MINE SAFETY DISCLOSURES

Not applicable.

32

PART II

ITEM 5.
OF EQUITY SECURITIES

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES

Market Information

As of February 22, 2021, there were approximately 57 holders of record of our common stock. Because the majority of our shares of outstanding
common stock are held by brokers and other institutions on behalf of stockholders, we are unable to estimate the total number of stockholders represented
by these record holders.

Securities Authorized for Issuance under Equity Compensation Plans

Refer to Part  III,  Item  12  “Security  Ownership  of  Certain  Beneficial  Owners  and  Management  and  Related  Stockholder  Matters”  of  this  Annual

Report on Form 10-K for more information regarding securities authorized for issuance.

Performance Graph

Notwithstanding any statement to the contrary in any of our previous or future filings with the SEC, the following information relating to the price
performance  of  our  common  stock  shall  not  be  deemed  “filed”  with  the  SEC  or  “Soliciting  Material”  under  the  Securities  Exchange  Act  of  1934,  as
amended, or subject to Regulation 14A or 14C, or to liabilities of Section 18 of the Exchange Act except to the extent we specifically request that such
information be treated as soliciting material or to the extent we specifically incorporate this information by reference.

The  graph  below  matches  our  cumulative  5-year  total  stockholder  return  on  common  stock  with  the  cumulative  total  returns  of  the  NASDAQ
Composite index, the S&P 500 index and the S&P 1500 Composite Health Care Equipment & Supplies index. The graph tracks the performance of a $100
investment in our common stock and each index (with the reinvestment of all dividends) from December 31, 2015 to December 31, 2020.

33

Unregistered Sales of Equity Securities and Use of Proceeds

There were no stock repurchases during the three months ended December 31, 2020. As of December 31, 2020, we have $100.0 million available for
repurchase under the $600.0 million repurchase program authorized by our Board of Directors in May 2018 (Refer to Note 13 “Common Stock Repurchase
Programs” of the Notes to Consolidated Financial Statements for details on our stock repurchase program).

ITEM 6.

SELECTED CONSOLIDATED FINANCIAL DATA

We have applied the amendment to Regulation S-K Item 301 which became effective on February 10, 2021.

ITEM 7.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The  following  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  should  be  read  together  with  our  consolidated  financial

statements and related notes included elsewhere in this Annual Report on Form 10-K.

A  discussion  regarding  our  financial  condition  and  results  of  operations  for  fiscal  2020  compared  to  fiscal  2019  is  presented  under  Results  of
Operations of this Form 10-K. Discussions regarding our financial condition and results of operations for fiscal 2019 compared to 2018 have been omitted
from  this  Annual  Report  on  Form  10-K,  but  can  be  found  in  "Item  7.  Management's  Discussion  and  Analysis  of  Financial  Condition  and  Results  of
Operations" in our Annual Report on Form 10-K for the fiscal year ended December 31, 2019, filed with the SEC on February 28, 2020, which is available
without charge on the SEC's website at www.sec.gov and on our investor relations website at investor.aligntech.com.

Overview

Our purpose is to transform smiles and change lives, and we are accomplishing this goal by establishing clear aligners as the principal solution for the
treatment of malocclusions and our Invisalign clear aligners as the treatment solution of choice by orthodontists, general dental practitioners and patients
globally. To date, over 9.6 million people worldwide have been treated with our Invisalign System.

To  encourage  consumers  to  treat  malocclusions  with  clear  aligners  under  the  direction  and  supervision  of  licensed  dental  professionals,  we  have
developed a business strategy designed to bring to market solutions that we believe strengthen our digital dental platform for doctors, labs and partners,
including establishing the iTero intraoral scanner and related services as the preferred 3D digital scanning solution and integrating computer-aided design
and  computer-aided  manufacturing  (“CAD/CAM”)  solutions  and  workflows  into  the  markets  for  clear  aligner  orthodontics  and  dental  restorative
treatments. Our business strategic priorities are currently based on four principal pillars of growth: (i) International expansion; (ii) GP adoption; (iii) Patient
demand & conversion; and (iv) Orthodontic utilization. For a further description of our strategic growth drivers, please see the Business - Business Strategy
section of this Annual Report on Form 10-K.

We strive to deliver on each of our strategic growth drivers through a variety of interrelated enterprise-wide efforts including:

• New Technology, Products, and Feature Enhancements. We believe technological innovations allowing dental professionals to more quickly and
accurately  diagnose,  plan  and  treat  a  wide  range  of  cases  from  simple  to  complex  combined  with  new  and  improved  products  drives  greater
treatment  predictability,  clinical  applicability,  ease  of  use  and  confidence  for  the  dental  professionals  we  serve;  thereby  supporting  adoption  of
Invisalign treatment in their practices. Furthermore, we believe the digital revolution in dentistry is an important aspect of the experience for our
customers and their patients, encouraging the utilization of our Invisalign solution and therefore comprising an important component of our digital
approach.

▪

Invisalign clear aligners: Our product portfolio includes Invisalign treatment with Mandibular Advancement, Invisalign Go, Invisalign
First and Invisalign Moderate. We also continue to increase the clinical efficacy and applicability of our products as exemplified most
recently in the announcement of Invisalign G8 with SmartForce Aligner Activation, and our ClinCheck Pro 6.0 3D treatment planning
software.  Each  of  these  advancements  broadens  and  strengthens  our  reach  into  key  markets  and  demographics  central  to  our  strategic
plans.

34

▪

•

®

iTero  Scanner:  We  continue  to  expand  our  intraoral  digital  scanning  solutions;  periodically  launching  or  announcing  new  offerings
including most recently the iTero Element  Plus Series of scanner solutions and previously the iTero Element 2, iTero Element Flex and
the iTero Element 5D Imaging System, for which we announced in March 2020 that we had obtained U.S. FDA 501(K) clearance and
which we continue to release in additional countries. The clearance of the iTero Element 5D Imaging system in the U.S. markets and its
release in other countries allows us to sell this first integrated dental imaging system that simultaneously records 3D, intra-oral color and
near-infrared (“NIRI”) images into a single, integrated scan that enables comparison over time using the iTero TimeLapse technology;
thereby  improving  doctor  experiences  and  improving  engagement  opportunities  and  communications  with  their  patients.  The  iTero
Element 5D aids in the detection and monitoring of interproximal caries lesions above the gingiva without using harmful radiation.

exocad: On April 1, 2020, we completed the acquisition of privately-held exocad Global Holdings GmbH (“exocad”), a German dental
CAD/CAM software company that offers fully integrated workflows to dental labs and practices. We believe the acquisition strengthens
our digital platform by adding exocad’s expertise in restorative dentistry, implantology, guided surgery, and smile design to extend our
digital dental solutions and broadens the Align digital platform towards fully interdisciplinary end-to-end workflows dentistry in lab and
at  chairside.  exocad  also  broadens  our  reach  in  digital  dentistry  with  over  200  partners  and  more  than  40,000  licenses  installed
worldwide.

To further the transformation of dental and orthodontic practices from outdated manual and analog practices to end-to-end digital workflows, in
2020  we  introduced  virtual  solutions  such  as  Invisalign®  Virtual  Appointment  and  Invisalign®  Virtual  Care;  solutions  that  facilitate  the  safe,
effective and successful continuity of treatment of patients by conveniently connecting doctors and their patients throughout their treatment plans.

•

Invisalign Adoption.  Our  goal  is  to  establish  Invisalign  clear  aligners  as  the  treatment  of  choice  for  treating  malocclusion,  ultimately  driving
increased product adoption and frequency of use by dental professionals, which we refer to as “utilization rates.”

• For the fourth quarter of 2020, total Invisalign cases submitted with a digital scanner in the Americas increased to 84.0%, up from 79.5% in the
fourth quarter of 2019 and international scans increased to 73.7%, up from 64.7% in the fourth quarter of 2019. For the fourth quarter of 2020,
94.8% of Invisalign cases submitted by North American orthodontists were submitted digitally. Our annual utilization rates for the last three fiscal
years are as follows:

* 
Invisalign utilization rates are calculated by dividing the number of cases shipped by the number of doctors to whom cases were shipped. Our International region includes
Europe, Middle East and Africa (“EMEA”) and Asia Pacific (“APAC”). Latin America (“LATAM”) is excluded from the above chart based on its immateriality.

35

• Total utilization rate in 2020 increased to 16.1 cases per doctor compared to 15.9 cases per doctor in 2019 and 15.7 cases per doctor in 2018.

• North America: Utilization rate among our North American orthodontist customers increased to 67.3 cases per doctor in 2020 compared
to  65.0  cases  per  doctor  in  2019  and  56.7  cases  per  doctor  in  2018  and  the  utilization  rate  among  our  North  American  GP  customers
increased to 9.6 cases per doctor in 2020 compared to 9.5 cases per doctor in 2019 and 9.1 cases per doctor in 2018.

•

International: International doctor utilization rate was 14.5 cases per doctor in 2020 compared to 13.8 cases in 2019 and 13.9 cases per
doctor in 2018.

We  expect  global  utilization  rates  to  steadily  improve  as  doctors’  clinical  confidence  in  the  use  of  Invisalign  clear  aligners  increases  with
advancements in products and technology and as patient and doctor demands for treatments that emphasize convenience and safety through fewer
in office visits and less invasive and quicker treatments rise. In addition, the teenage and younger market makes up 75% of the approximately 15
million total orthodontic case starts each year, and as we continue to drive adoption by teenage and younger patients through sales and marketing
programs, we expect utilization rates to improve. However, our utilization rates will fluctuate from period to period due to a variety of factors,
which may include seasonal trends in our business, COVID-19-related preventative measures and adoption rates for new products and features.

•

•

•

Invisalign Doctor Training. We  believe  our  training  and  education  efforts  are  an  important  aspect  of  each  of  our  strategic  growth  drivers  and,
accordingly,  we  continue  to  expand  our  Invisalign  customer  base  through  the  training  of  new  doctors.  During  2020,  we  trained  21,100  new
Invisalign doctors of which 9,075 were trained in the Americas region and 12,025 in the International region. In 2019, we trained a total of 22,275
new Invisalign doctors, of which 9,765 were trained in the Americas region and 12,510 in the International region.

International Invisalign Growth. Our  future  growth  is  dependent  upon  the  continued  penetration  and  expansion  of  Invisalign  product  usage  in
international markets. Accordingly, we continue to focus our efforts towards increasing Invisalign clear aligner adoption by dental professionals
internationally.  In  2020,  the  COVID-19  pandemic  caused  unprecedented  disruptions  in  our  business  as  we,  our  customers,  and  suppliers
experienced  varying  degrees  of  business  and  facilities  closures  and  restrictions  at  various  times  that  differed  by  geography  and  conditions  and
significant  uncertainties  remain.  For  a  further  discussion  of  COVID-19  and  its  impact  on  our  business,  see  the  section  entitled  "COVID-19
Update" below. Moreover, even under ideal circumstances the difficulties and intricacies of international sales and operations can be difficult to
manage  and  we  expect  to  periodically  experience  fluctuations  in  growth  rates  in  emerging  markets  for  reasons  ranging  from  regional  and
macroeconomic  conditions,  geopolitical  tensions  and  competition  among  others.  For  a  description  of  the  risks  related  our  international  growth
efforts, please see the Risk Factors section of this Annual Report on Form 10-K. For instance, prior to the impact of COVID-19, we experienced
slower  growth  rates  than  prior  periods  in  China  which  we  believe  were  primarily  due  to  the  U.S.-China  trade  war  and  resulting  economic
uncertainty which caused headwind for consumer demand especially for consumption of luxury goods and considered purchases. We also believe
there has been increased competitive activity in China from clear aligner suppliers. Notwithstanding these uncertainties, we continue to see growth
opportunities with international orthodontists and GP customers, particularly with adopters of digital dentistry platforms and as we continue to
segment our sales and marketing resources and programs specifically around each customer channel. Furthermore, we continue to expand in our
existing  markets  through  targeted  investments  in  sales  coverage  and  professional  marketing  and  education  programs,  along  with  consumer
marketing  in  select  country  markets.  For  instance,  we  increased  our  sales  presence  in  APAC  in  the  first  half  of  2020  and  will  continue  to
strategically  invest  in  regions  as  we  deem  appropriate  for  long-term  success.  We  also  intend  to  continue  expanding  our  manufacturing  and
treatment planning operations to meet local and regional demand. Overall, we expect International revenues to grow at a faster rate than Americas'
revenues for the foreseeable future due to our continued investment in international market expansion, the size of the market opportunities and our
relatively low market penetration of these regions.

Increasing Competition. Our primary competition for the sale of our clear aligners remains traditional wires and brackets although the number of
clear aligner competitors, primarily targeting the young adult demographic, continues to increase. We also have competitors in the markets for
other  products  and  services,  including  intraoral  scanners  and  CAD/CAM  software.  We  believe  our  continued  investments  in  product
improvements  and  operational  efficiencies  make  our  products  more  compelling  for  our  customers  and  their  patients  and  we  intend  to  maintain
these efforts. Additionally, we believe that well-designed, targeted sales and marketing promotions help us build on our strong brand awareness
and  differentiate  us  from  traditional  and  emerging  competitors.  Accordingly,  we  continue  to  increase  investments  intended  to  grow  consumer
demand. During 2020, our marketing and consumer engagement included

36

social  media  campaigns  targeting  teens  and  mothers  through  social  media  influencers,  becoming  the  Official  Clear  Aligner  Sponsor  of  the
National Football League and introducing Invisalign Stickables which patients can apply to their aligners as a fun and simple way to distinguish
themselves  and  our  products  from  the  competition.  We  expect  to  make  further  investments  to  create  additional  demand  for  Invisalign  System
treatment; driving more consumers to dental professionals for those treatments.

We  also  believe  that  investing  in  our  sales  teams  is  important  to  our  success.  The  addition  of  sales  representatives  in  APAC  in  2020  follows
increases in the U.S. in 2019. We believe the realignment of our sales teams to focus on the channels they serve, allows us to partner with doctors
in more meaningful ways; assessing their specific needs and helping to tailor their practices for success while encouraging increased adoption and
engagement of a variety of our products and services.

COVID-19 Update

The  COVID-19  pandemic  disrupted  our  business  and  the  businesses  and  lives  of  our  customers,  their  patients  and  our  suppliers  in  unprecedented
ways;  requiring  us  to  reevaluate  priorities,  adapt  to  new  ways  of  doing  business  and  developing  new  strategies  and  plans  quickly  and  revising  them
frequently as conditions evolved. By the end of the fourth quarter of 2020, many dental practices had resumed operations although often at capacities less
than pre-pandemic levels. Additionally, in virtually all practices the effects of COVID-19 persist, typically in the form of additional preventative safety
measures such as added sterilization requirements, increased costs for personal protective equipment and staggered patient visits intended to reduce the
risks of cross contamination, each of which contribute to fewer patient visits per day.

To help doctors through the pandemic and to stimulate demand for our products and services during the recovery, we modified existing programs and
implemented new promotions in 2020, some of which remain in effect. For instance, we did not implement annual price increases on our various clear
aligner products in 2020, offered promotions to encourage doctors with patients in wires and brackets to switch to our Invisalign clear aligners, allowed
doctors to maintain their promotional status levels notwithstanding declining sales, increased advertising and launched new media campaigns, implemented
new  promotions  and  modified  others,  all  in  an  effort  to  help  our  customers  and  accelerate  our  mutual  return  to  normal  operations.  As  a  result  of  these
efforts, during the year ended December 31, 2020, we recorded net revenues of $2.5 billion, an increase of 2.7% compared to the same period in 2019.
During  the  year  ended  December  31,  2020,  clear  aligner  case  volume  was  1.6  million,  an  increase  of  7.0%  compared  to  the  same  period  in  2019  and
Systems and Services net revenues decreased by 2.8% compared to the same period in 2019.

In the short term, our business remains susceptible to the COVID-19 pandemic. Concerns about additional outbreaks of the virus, the spread of new
variants  of  the  virus  and  the  efficacy  of  vaccines  against  those  variants,  and  efforts  to  slow  or  prevent  a  recurrence  of  its  spread  are  likely  to  continue
causing disruption and uncertainties in the markets, adversely impacting our customers and their patients for an indeterminate period of time. This in turn
could impact our operations as purchasing decisions are delayed or lost, create logistics complexities related to uneven or rapid changes in demand, and
sales and marketing efforts are postponed or prove ineffective. Conversely, we believe the pandemic emphasizes the benefits of digital dentistry and virtual
appointments over traditional practice methods that require frequent in office patient visits to manually adjust wires and brackets. We further believe that
this will in turn motivate doctors to use more digital solutions, including our iTero scanner, exocad CAD/CAM software and the Invisalign System.

As we assess the possible future short- and long-term impacts to our revenues, operations and financial condition from the COVID-19 pandemic, we
are  continually  evaluating  macroeconomic  as  well  as  industry-specific  factors.  For  instance,  among  the  many  factors  we  continue  to  monitor  are
governmental and societal reactions to the virus, global and regional economic activity, unemployment and its potential impact on discretionary spending
and  health  insurance  coverage,  patient  reluctance  or  fear  of  exposure  as  a  result  of  orthodontic  or  dental  office  visits,  travel  restrictions  on  employees,
suppliers, customers and their patients and other external factors beyond our control. Furthermore, if the threat of further spread of COVID-19 occurs or the
pace  of  recovery  by  dental  practices  is  haphazard  or  inconsistent,  there  may  be  a  substantial  impact  on  our  employees  or  suppliers,  our  operations,
including our ability to timely obtain the materials needed to manufacture our products and manufacture and deliver those products to customers; any of
which may harm our results of operations, financial condition and overall financial performance.

Moreover, many of the measures we implemented to protect our employees from the spread of the virus remain in effect. For instance, many of our
offices  across  the  globe  remain  underutilized  as  employees  continue  to  work  from  home.  We  are  also  screening  our  employees,  providing  them  with
personal protective equipment, and altering work environments to facilitate social distancing, which has in the past and may in the future harm productivity.
Furthermore, if our employees or their families are sickened by COVID-19, our ability to respond or mitigate the impact of COVID-19 may be adversely
impacted.

37

Ultimately,  we  believe  the  markets  we  serve  will  continue  to  recover  from  the  COVID-19  preventative  measures  at  differing  rates  and  times
corresponding with regional outbreaks and recoveries. Should any one or more events or circumstances previously mentioned or others occur or materially
adversely increase or other unknown circumstances arise, they could materially impact our business and results of operations in 2021 and beyond.

Further discussion of the impact of the COVID-19 pandemic on our business may be found in Item 1A of this Annual Report on Form 10-K under the

heading “Risk Factors.”

2021 Expenses

Overall, we expect expenses in 2021 to increase over 2020 levels; however, as a result of the financial impacts of COVID-19, we expect to continue

controlling our discretionary spending, such as travel and meeting related expenses, and focus investments in the following key areas:

▪ Manufacturing capacity and facilities to enhance our regional capabilities;
▪ Sales and marketing, including additional direct sales force personnel and consumer marketing; and
▪ Product and technology innovation to enhance product efficiency and operational productivity.

We believe these investments position us to take advantage of a recovering market and thereafter once markets return to greater normalcy, increasing

our revenues and growing our market share over the long term, but they could negatively impact our results of operations, particularly in the near term.

Relocating Headquarters

Effective  January  1,  2021,  we  moved  our  corporate  headquarters  from  San  Jose,  California  to  Tempe,  Arizona  which  offers  a  favorable  corporate
operating  environment  along  with  long-term  operating  efficiencies.  The  San  Jose  office  will  remain  our  hub  for  global  innovation,  product,  and  market
organization and home to our new Digital Innovation Center. There were no layoffs associated with this move.

Results of Operations

Net Revenues by Reportable Segment

We  group  our  operations  into  two  reportable  segments:  Clear  Aligner  segment  and  Imaging  Systems  and  CAD/CAM  Services  (“Systems  and

Services”) segment.

• Our Clear Aligner segment consists of Comprehensive Products, Non-Comprehensive Products and Non-Case revenues as defined below:

• Comprehensive Products include, but are not limited to, Invisalign Comprehensive and Invisalign First.

• Non-Comprehensive Products include, but are not limited to, Invisalign Moderate, Lite and Express packages and Invisalign Go.

• Non-Case includes, but is not limited to, Vivera retainers along with our training and ancillary products for treating malocclusion.  

• Our Systems and Services segment consists of our iTero intraoral scanning systems, which includes a single hardware platform and restorative or
orthodontic  software  options,  OrthoCAD  services  and  ancillary  products,  as  well  as  exocad’s  CAD/CAM  software  solution  that  integrates
workflows to dental labs and dental practices.

38

Net  revenues  for  our  Clear  Aligner  and  Systems  and  Services  segments  by  region  for  the  year  ended  December  31,  2020,  2019  and  2018  are  as

follows (in millions):

Net Revenues
Clear Aligner revenues:
    Americas
    International
    Non-case
Total Clear Aligner net revenues
Systems and Services net
revenues
Total net revenues

$

$

$

Year Ended December 31,

2020

2019

Change

Year Ended December 31,

2019

2018

Change

1,010.2  $
965.4 
125.8 
2,101.5  $

1,022.1  $
881.4 
122.3 
2,025.8  $

(11.9)
84.1 
3.5 
75.7 

370.5 
2,471.9  $

381.0 
2,406.8  $

(10.6)
65.1 

(1.2)% $
9.5 %
2.9 %
3.7 % $

(2.8)%
2.7 % $

1,022.1  $
881.4 
122.3 
2,025.8  $

903.3  $
684.2 
104.0 
1,691.5  $

118.8 
197.2 
18.3 
334.3 

381.0 
2,406.8  $

275.0 
1,966.5  $

106.0 
440.3 

13.2 %
28.8 %
17.6 %
19.8 %

38.5 %
22.4 %

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Clear Aligner Case Volume by Region

Case volume data which represents Clear Aligner case shipments by region for the year ended December 31, 2020, 2019 and 2018 is as follows (in

thousands):

Region
    Americas
    International
Total case volume

Year Ended December 31,

2020

2019

Change

Year Ended December 31,

2019

2018

Change

886.5 
758.9 
1,645.3 

867.3 
669.8 
1,537.1 

19.2 
89.0 
108.3 

2.2 %
13.3 %
7.0 %

867.3 
669.8 
1,537.1 

780.7 
499.9 
1,280.6 

86.6 
169.9 
256.5 

11.1 %
34.0 %
20.0 %

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Total net revenues increased by $65.1 million in 2020 as compared to 2019 primarily as a result of higher Clear Aligner volumes in the International

region partially offset by lower average selling prices (“ASP”) in the Americas region and lower Systems and Services net revenues in most regions.

Clear Aligner - Americas

Americas  net  revenues  decreased  by  $11.9  million  in  2020  as  compared  to  2019  primarily  due  to  lower  Clear  Aligner  ASP  that  decreased  net
revenues by $34.6 million. The lower ASP was as a result of higher promotional discounts which reduced net revenues by $44.6 million and unfavorable
foreign exchange rates reduced net revenues by $15.2 million; however, these were partially offset by July 2019 price increases which contributed $23.3
million to net revenues. The reduction in net revenues due to lower ASP was partially offset by higher Clear Aligner volume which increased net revenues
by $16.1 million.

Clear Aligner - International

International net revenues increased by $84.1 million in 2020 as compared to 2019 primarily due to higher Clear Aligner volume which increased net
revenues by $117.2 million partially offset by lower ASP which reduced net revenues by $33.1 million. Lower ASP was the result of higher promotional
discounts that reduced net revenues by $44.3 million, higher net deferrals that reduced net revenues by $19.3 million and a product mix shift towards lower
priced products. These reductions were partially offset by July 2019 price increases across most products along with a benefit from going direct in several
additional  countries  and  therefore  we  now  recognize  direct  sales  at  full  ASP  rather  than  the  discounted  distributor  ASP  which  combined,  increased  net
revenues by $20.9 million and favorable foreign exchange rates increased net revenues by $14.5 million.

Clear Aligner - Non-Case

Non-case net revenues increased by $3.5 million in 2020 compared to 2019 due to increased Vivera volume across all regions.

39

 
 
Systems and Services

Systems and services net revenues decreased by $10.6 million in 2020 as compared to 2019 due to a lower number of scanners recognized which
decreased net revenues by $31.7 million and a lower scanner ASP which decreased net revenues by $21.2 million. The ASP decrease was mostly due to
higher promotional discounts partially offset by product mix shift to higher priced scanners. These decreases were partially offset by higher iTero service
revenues mostly due to a larger scanner install base and the addition of exocad’s CAD/CAM revenues from our acquisition which combined increased net
revenues by $42.3 million.

Cost of net revenues and gross profit (in millions):

Clear Aligner
Cost of net revenues
% of net segment revenues
Gross profit
Gross margin %
Systems and Services
Cost of net revenues
% of net segment revenues
Gross profit
Gross margin %
Total cost of net revenues
% of net revenues
Gross profit
Gross margin %

Year Ended December 31,
2019
2020

Change

Year Ended December 31,
2018
2019

Change

$

$

$

$

$

$

569.3 
27.1 %

1,532.1 

72.9 %

139.4 
37.6 %
231.1 
62.4 %
708.7 
28.7 %

1,763.2 

71.3 %

$

$

$

$

$

$

526.0 
26.0 %

1,499.7 

74.0 %

136.9 
35.9 %
244.2 
64.1 %
662.9 
27.5 %

1,743.9 

72.5 %

$

$

$

$

$

$

43.3  $

526.0 
26.0 %

32.4  $

1,499.7 

2.5  $

(13.1) $

45.8  $

74.0 %

136.9 
35.9 %
244.2 
64.1 %
662.9 
27.5 %

19.3  $

1,743.9 

72.5 %

$

$

$

$

$

$

411.0 
24.3 %

1,280.5 

75.7 %

107.7 
39.1 %
167.4 
60.9 %
518.6 
26.4 %

1,447.9 

73.6 %

$

$

$

$

$

$

115.0 

219.2 

29.2 

76.8 

144.3 

296.0 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Cost of net revenues includes personnel-related costs including payroll and stock-based compensation for staff involved in the production process, the
cost  of  materials,  packaging,  shipping  costs,  depreciation  on  capital  equipment  and  facilities  used  in  the  production  process,  amortization  of  acquired
intangible assets and training costs.

Clear Aligner

The  gross  margin  percentage  decreased  in  2020  compared  to  2019  primarily  due  to  lower  ASP,  higher  manufacturing  spend  partially  driven  by

operational expansion activities and an increase in aligners per case driven by additional aligners which was offset in part by manufacturing efficiencies.

Systems and Services

The  gross  margin  percentage  decreased  in  2020  compared  to  2019  primarily  driven  by  lower  ASP  and  manufacturing  inefficiencies  due  to  lower

volumes which was offset in part by higher service revenues.

Selling, general and administrative (in millions):

Selling, general and administrative
% of net revenues

Year Ended December 31,
2019
2020
1,072.1 
1,200.8 

$

48.6 %

44.5 %

$

Change

$

128.7  $

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Year Ended December 31,
2019
2018
1,072.1 

$

44.5 %

852.4 
43.3 %

Change

$

219.7 

Selling, general and administrative expense includes personnel-related costs including payroll, stock-based compensation and commissions for our

sales force, marketing and advertising expenses including media, clinical education, trade shows and

40

 
 
 
 
 
industry  events,  legal  and  outside  service  costs,  equipment  and  maintenance  costs,  depreciation  and  amortization  expense  and  allocations  of  corporate
overhead expenses including facilities and Information Technology (“IT”).

Selling, general and administrative expense increased in 2020 compared to 2019 primarily due to higher compensation related costs of $86.5 million
mainly from an approximate 21% increase in headcount resulting in higher salaries expense, fringe benefits, commissions and stock-based compensation
partially offset by lower incentive bonuses. Additionally, we also incurred higher expenses on equipment, software and maintenance costs of $30.3 million,
advertising  and  marketing  costs  of  $24.2  million  and  legal  and  outside  service  costs  of  $19.1  million  which  included  transaction  costs  related  to  our
acquisition of exocad. These increases were partially offset by a decrease in travel related costs of $26.7 million due to the impact of COVID-19.

Research and development (in millions):

Research and development
% of net revenues

$

175.3 

$

157.4 

$

17.9  $

157.4 

$

128.9 

$

28.5 

7.1 %

6.5 %

6.5 %

6.6 %

Year Ended December 31,
2019
2020

Change

Year Ended December 31,
2018
2019

Change

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Research  and  development  expense  includes  the  personnel-related  costs  including  payroll  and  stock-based  compensation,  equipment,  material  and
maintenance  costs,  outside  consulting  expenses  associated  with  the  research  and  development  of  new  products  and  enhancements  to  existing  products,
depreciation and amortization expense and allocations of corporate overhead expenses including facilities and IT.

Research and development expense increased in 2020 compared to 2019 primarily due to higher compensation, equipment and material costs. Higher
compensation  costs,  including  fringe  benefits  and  stock-based  compensation,  was  mainly  from  an  approximate  27%  increase  in  headcount  which  was
partially offset by lower incentive bonuses as well as a decrease in travel related costs due to the impact of COVID-19.

Impairments and other charges (gains), net (in millions):

Impairments and other charges (gains), net
% of net revenues

$

$

— 
— %

23.0 

$

1.0 %

Year Ended December 31,
2019
2020

Change

(23.0) $

Year Ended December 31,
2018
2019

23.0 

$

1.0 %

$

— 
— %

Change

23.0 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

In  2019,  we  recorded  impairments  and  other  charges  (gains),  net  of  $23.0  million  which  are  comprised  of  operating  lease  right-of-use  assets
impairments of $14.2 million, store leasehold improvement and other fixed asset impairments of $14.3 million, and employee severance and other expenses
of $1.3 million, partially offset by the Invisalign store lease termination gains of $6.8 million (Refer to Note 9“Impairments and Other Charges (Gains),
net” for more information).

Litigation settlement gain (in millions):

Litigation settlement gain
% of net revenues

Year Ended December 31,
2019
2020

$

$

— 
— %

(51.0)
(2.1)%

$

Change

51.0  $

Year Ended December 31,
2018
2019

(51.0)
(2.1)%

$

$

— 
— %

Change

(51.0)

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

In 2019, we recorded a gain of $51.0 million due to the litigation settlement with Straumann Group.

41

 
 
 
 
 
 
 
 
Income from operations (in millions):

Clear Aligner
Income from operations
Operating margin %
Systems and Services
Income from operations
Operating margin %
1
Total income from operations 
Operating margin %

Year Ended December 31,
2019
2020

Change

Year Ended December 31,
2018
2019

Change

$

$

$

768.0 
36.5 %

96.1 
25.9 %
387.2 
15.7 %

$

$

$

836.0 
41.3 %

137.7 
36.1 %
542.5 
22.5 %

$

$

$

(67.9) $

(41.7) $

(155.3) $

836.0 
41.3 %

137.7 
36.1 %
542.5 
22.5 %

$

$

$

712.4 
42.1 %

99.0 
36.0 %
466.6 
23.7 %

$

$

$

123.6 

38.7 

75.9 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

1
    Refer to Note 18 “Segments and Geographical Information” of the Notes to Consolidated Financial Statements for details on unallocated corporate expenses and

the reconciliation to Consolidated Income from Operations

Clear Aligner

Operating margin percentage decreased in 2020 compared to 2019 primarily due to a $51.0 million gain recognized from the litigation settlement with
Straumann during 2019 as well as a lower gross margin. These decreases were offset in part by a net impairment charge of $23.0 million recognized in
2019 related to the Invisalign store closures.

Systems and Services

Operating  margin  percentage  decreased  in  2020  compared  to  2019  primarily  due  to  higher  operating  expenses,  primarily  from  compensation,

material, equipment, software and maintenance costs, in addition to a lower gross margin.

Interest income (in millions):

Interest income
% of net revenues

Year Ended December 31,
2019
2020

$

$

3.1 
0.1 %

12.5 

$

0.5 %

Change

(9.4) $

Year Ended December 31,
2018
2019

12.5 

$

0.5 %

$

8.6 
0.4 %

Change

3.9 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Interest income includes interest earned on cash, cash equivalents, investment balances and our unsecured promissory note.

Interest income decreased in 2020 compared to 2019 mainly due to the divestiture of our marketable securities portfolio during the first quarter of

2020 and lower interest rates earned on our cash and cash equivalents.

Other income (expense), net (in millions):

Other income (expense), net
% of net revenues

Year Ended December 31,
2019
2020

$

(11.3)
(0.5)%

$

$

7.7 
0.3 %

Change

(19.0) $

Year Ended December 31,
2018
2019

$

7.7 
0.3 %

$

(8.5)
(0.4)%

Change

16.2 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

Other income (expense), net, includes foreign exchange gains and losses, gains and losses on foreign currency forward contracts, interest expense,

gains and losses on equity investments and other miscellaneous charges.

Other  income  (expense),  net,  decreased  in  2020  compared  to  2019 primarily  due  to  a  $15.8  million  gain  from  the  sale  of  our  investment  in  SDC

recorded in 2019 and a $10.2 million loss on a foreign currency forward contract related to the exocad

42

 
 
 
 
 
 
acquisition recorded in 2020. These decreases were partially offset by net foreign exchange gains in 2020 as compared to net foreign exchange losses in
2019.

Equity in losses of investee, net of tax (in millions):

Equity in losses of investee, net of tax
% of net revenues

$

$

— 
— %

$

7.5 
0.3 %

Year Ended December 31,
2019
2020

Change

(7.5) $

Year Ended December 31,
2018
2019

$

7.5 
0.3 %

$

8.7 
0.4 %

Change

(1.2)

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

For 2020, there were no equity in losses of investee, net of tax. After the second quarter of 2019, we no longer incurred equity in losses of investee,
net  of  tax  related  to  SDC  as  we  tendered  our  SDC  equity  interest  on  April  3,  2019  (Refer  to  Note  7  “Equity  Method  Investments”  of  the  Notes  to
Consolidated Financial Statements for details on equity method investments).

Provision for (benefit from) income taxes (in millions):

Provision for (benefit from) income taxes
Effective tax rates

$

Year Ended December 31,
2020
2019
(1,396.9)

$

(368.6)%

112.3 
20.0 %

Change

$

(1,509.3) $

Year Ended December 31,
2018
2019

112.3 
20.0 %

$

$

57.7 
12.4 %

Change

54.6 

Changes and percentages are based on actual values. Certain tables may not sum or recalculate due to rounding.

During 2020, we completed an intra-entity transfer of certain intellectual property rights and fixed assets to our Swiss subsidiary, where our EMEA
regional headquarters is located beginning January 1, 2020. The transfer of intellectual property rights did not result in a taxable gain; however, it did result
in a step-up of the Swiss tax deductible basis in the transferred assets, and accordingly, created a temporary difference between the book basis and the tax
basis of such intellectual property rights. Consequently, this transaction resulted in the recognition of a deferred tax asset and related one-time tax benefit of
approximately $1,493.5 million during the year ended December 31, 2020, which is the net impact of the deferred tax asset recognized as a result of the
additional Swiss tax deductible basis in the transferred assets and certain costs related to the transfer of fixed assets and inventory. The amortization of this
deferred tax asset depends on the profitability of our Swiss headquarters and the recognition of this tax benefit is allowed for a maximum recovery period
of 15 years.     

The decrease in our effective tax rate for the year ended December 31, 2020 compared to the same period in 2019 is primarily attributable to the

recognition of a deferred tax asset related to the intra-entity transfer of certain intellectual property rights during the year ended December 31, 2020.

Liquidity and Capital Resources

We  fund  our  operations  from  product  sales.  As  of  December  31,  2020  and  2019,  we  had  the  following  cash  and  cash  equivalents  and  short-term

marketable securities (in thousands):

Cash and cash equivalents
Marketable securities, short-term
Total

December 31,

2020

2019

$

$

960,843  $
— 
960,843  $

550,425 
318,202 
868,627 

Cash  equivalents  and  marketable  securities  are  comprised  of  money  market  funds  and  highly  liquid  debt  instruments  which  primarily  include

corporate bonds, U.S. government treasury bonds, U.S. government agency bonds, commercial paper and certificates of deposit.

As of December 31, 2020 and 2019, approximately $412.5 million and $278.5 million, respectively, of cash and cash equivalents was held by our
foreign  subsidiaries.  Our  intent  is  to  permanently  reinvest  our  earnings  from  our  international  operations  going  forward,  and  our  current  plans  do  not
require us to repatriate them to fund our U.S. operations as we generate sufficient domestic operating cash flow and have access to external funding under
our revolving line of credit. We believe that

43

 
 
 
 
 
 
our  current  cash  balances  and  the  borrowing  capacity  under  our  credit  facility,  if  necessary,  will  be  sufficient  to  fund  our  business  for  at  least  the  next
12 months.

Our business was materially adversely affected in 2020 by the COVID-19 pandemic and the global and regional efforts by governments to mitigate its
spread. While these impacts lessened in the third and fourth quarters of 2020, we could experience further adverse impacts to our business. In addition, as a
result of the COVID-19 pandemic, we could experience reduced cash flow from operations as a result of decreased revenues and slower collections on our
accounts  receivable. Additional  information  regarding  the  impact  of  COVID-19  on  our  liquidity  and  capital  resources  may  be  found  in  Item  1A  of this
Annual Report on Form 10-K under the heading “Risk Factors”. 

Cash flows (in thousands):

Net cash provided by (used in):

2020

Year Ended December 31,
2019

2018

Operating activities
Investing activities
Financing activities
Effects of foreign exchange rate changes on cash, cash equivalents, and
restricted cash

$

Net increase (decrease) in cash, cash equivalents, and restricted cash $

662,174  $
(231,506)
(30,808)

10,480 
410,340  $

747,270  $
(350,444)
(485,540)

2,282 
(86,432) $

554,681 
6,927 
(369,434)

(4,733)
187,441 

Operating Activities

For the year ended December 31, 2020, cash flows from operations of $662.2 million was primarily comprised of our net income of approximately

$1.8 billion as well as the following:

Significant non-cash activities

• Deferred taxes of $1.5 billion related to the one-time tax benefit associated with the intra-entity sale of certain intellectual property rights;
• Stock-based compensation of $98.4 million related to equity awards granted to employees and directors;
• Depreciation and amortization of $93.5 million related to our investments in property, plant and equipment and intangible assets;
• Non-cash operating lease costs of $22.5 million;
• Allowance for doubtful accounts provisions of $12.1 million related to slower collections and other impacts as a result of COVID-19; and
•

Impairment charges of $5.9 million related to our equity investments in privately held companies.

Significant changes in working capital

•
•
•

Increase of $228.1 million in deferred revenues primarily related to increased case volumes and timing of revenue recognition;
Increase of $139.8 million in accounts receivable which is primarily a result of the increase and timing in our sales; and
Increase of $52.2 million in accounts payable due to timing of certain invoice payments.

For the year ended December 31, 2019, cash flows from operations of $747.3 million was primarily comprised of our net income of approximately

$442.8 million as well as the following:

Significant non-cash activities

• Stock-based compensation of $88.2 million related to equity awards granted to employees and directors;
• Depreciation and amortization of $79.0 million related to our investments in property, plant and equipment and intangible assets;
•

Impairment charges of $28.5 million related to decreases in the fair value of certain assets related to the closure of our Invisalign stores;

44

 
 
• Non-cash operating lease costs of $18.5 million; and
• Gain from the sale of equity method investment of $15.8 million.

Significant changes in working capital

•
•
•

Increase of $189.1 million in deferred revenues corresponding to the increase in case volume;
Increase of $121.0 million in accounts receivable which is primarily a result of the increase in our sales; and
Increase of $60.2 million in accrued and other long-term liabilities due to timing of payment and activities.

Investing Activities

Net  cash  used  in  investing  activities  was  $231.5  million  for  the  year  ended  December  31,  2020,  which  primarily  consisted  of  cash  paid  for  the
acquisition  of  exocad  of  $420.8  million,  net  of  cash  acquired  and  purchases  of  property,  plant  and  equipment  of  $154.9  million.  These  outflows  were
partially offset by maturities and sales of marketable securities of $321.5 million and $26.9 million received from payments on an unsecured promissory
note issued by SDC in exchange for tendering our shares to them.

For  2021,  we  expect  to  invest  approximately  $400.0  million  in  capital  expenditures  related  to  building  construction  and  improvements  as  well  as

additional manufacturing capacity to support our international expansion.

Net cash used in investing activities was $350.4 million for the year ended December 31, 2019, which primarily consisted of purchases of marketable
securities of $693.3 million, purchases of property, plant and equipment of $149.7 million and other investing activities of $14.7 million. These outflows
were partially offset by maturities and sales of marketable securities of $485.4 million and payments of $21.8 million received on an unsecured promissory
note issued by SDC in exchange for tendering our shares to them.

Financing Activities

Net  cash  used  in  financing  activities  was  $30.8  million  for  the  year  ended  December  31,  2020  consisted  of  payroll  taxes  paid  for  equity  awards

through share withholdings of $51.1 million which was partially offset by $20.3 million of proceeds from the issuance of common stock.

Net cash used in financing activities was $485.5 million for the year ended December 31, 2019 primarily consisted of common stock repurchases of
$400.0 million, payroll taxes paid for equity awards through share withholdings of $57.7 million and the purchase of a building that we previously leased
under a finance lease of $45.8 million. These outflows were offset in part by $17.9 million proceeds from the issuance of common stock.

Common Stock Repurchases

Refer  to  Note  13  “Common  Stock  Repurchase  Programs”  of  the  Notes  to  Consolidated  Financial  Statements  for  details  on  our  stock  repurchase

programs.

Credit Facility

On July 21, 2020, we entered into a new credit facility for a $300.0 million unsecured revolving line of credit, with a $50.0 million letter of credit
sublimit, and a maturity date of July 21, 2023 (“2020 Credit Facility”), replacing our previous credit facility which provided for a $200.0 million revolving
line of credit with a $50.0 million letter of credit. As of December 31, 2020, we had no outstanding borrowings under this credit facility (Refer to Note 8
"Credit Facility" of the Notes to Consolidated Financial Statements for details of the credit facility).

45

Contractual Obligations / Off Balance Sheet Arrangements

The impact that our contractual obligations as of December 31, 2020 are expected to have on our liquidity and cash flows in future periods is as

follows (in thousands):

Operating leases obligations
Unconditional purchase obligations
Total contractual cash obligations

Total

100,520  $
704,961 
805,481  $

$

$

Less than
1 Year

Payments Due by Period
4-5
1-3
Years
Years

More than
5 Years

25,358  $
474,204 
499,562  $

34,388  $
203,977 
238,365  $

11,494  $
26,780 
38,274  $

29,280 
— 
29,280 

Our contractual obligations table above excludes approximately $47.5 million of non-current uncertain tax benefits which are included in other long-
term  obligations  and  deferred  tax  assets  on  our  balance  sheet  as  of  December  31,  2020.  We  have  not  included  this  amount  because  we  cannot  make  a
reasonably reliable estimate regarding the timing of settlements with taxing authorities, if any.

As  of  December  31,  2020,  we  had  additional  operating  leases  that  have  not  yet  commenced  with  future  lease  payments  of  $18.1  million.  These

operating leases will commence during 2021 with non-cancelable lease terms of one to seven years.

We had no material off-balance sheet arrangements as defined in Regulation S-K Item 303(a)(4) as of December 31, 2020 other than certain items

disclosed in Note 11 "Commitments and Contingencies" of the Notes to Consolidated Financial Statements.

Indemnification Provisions

In the normal course of business to facilitate transactions in our services and products, we indemnify certain parties: customers, vendors, lessors, and
other parties with respect to certain matters, including, but not limited to, services to be provided by us and intellectual property infringement claims made
by third parties. In addition, we have entered into indemnification agreements with our directors and our executive officers that will require us, among other
things, to indemnify them against certain liabilities that may arise by reason of their status or service as directors or officers. Several of these agreements
limit the time within which an indemnification claim can be made and the amount of the claim.

It is not possible to make a reasonable estimate of the maximum potential amount under these indemnification agreements due to the unique facts and
circumstances involved in each particular agreement. Additionally, we have a limited history of prior indemnification claims and the payments we have
made under such agreements have not had a material adverse effect on our results of operations, cash flows or financial position. However, to the extent
that valid indemnification claims arise in the future, future payments by us could be significant and could have a material adverse effect on our results of
operations  or  cash  flows  in  a  particular  period.  As  of  December  31,  2020,  we  did  not  have  any  material  indemnification  claims  that  were  probable  or
reasonably possible.

Critical Accounting Policies and Estimates

Management’s discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which
have been prepared in accordance with accounting principles generally accepted in the United States of America. The preparation of financial statements
requires management to make estimates and judgments that affect the reported amounts of assets and liabilities, revenues and expenses and disclosures at
the date of the financial statements. We evaluate our estimates on an on-going basis, including those related to revenue recognition, goodwill and finite-
lived  assets  and  related  impairment,  business  combinations  and  income  taxes.  We  use  authoritative  pronouncements,  historical  experience  and  other
assumptions as the basis for making estimates. Actual results could differ from those estimates.

We believe the following critical accounting policies and estimates affect our more significant judgments used in the preparation of our consolidated
financial statements. For further information on all of our significant accounting policies, see Note 1 “Summary of Significant Accounting Policies” of the
Notes to Consolidated Financial Statements under Item 8.

Revenue Recognition

Our revenues are derived primarily from the sale of aligners, scanners, and services from our Clear Aligner and Systems and Services segments. We

enter into sales contracts that may consist of multiple distinct performance obligations where certain

46

 
 
 
performance  obligations  of  the  sales  contract  are  not  delivered  in  one  reporting  period.  We  measure  and  allocate  revenues  according  to  ASC  606-10,
“Revenues from Contracts with Customers.”

We identify a performance obligation as distinct if both of the following criteria are met: the customer can benefit from the good or service either on
its own or together with other resources that are readily available to the customer and the entity’s promise to transfer the good or service to the customer is
separately identifiable from other promises in the contract. Determining the standalone selling price (“SSP”), allocation of consideration from the contract
to  the  individual  performance  obligations  and  the  appropriate  timing  of  revenue  recognition  is  the  result  of  significant  qualitative  and  quantitative
judgments.  While  changes  in  the  allocation  of  the  SSP  between  performance  obligations  will  not  affect  the  amount  of  total  revenues  recognized  for  a
particular contract, any material changes could impact the timing of revenue recognition, which would have a material effect on our financial position and
result of operations. This is because the contract consideration is allocated to each performance obligation, delivered or undelivered, at the inception of the
contract based on the SSP of each distinct performance obligation.

Clear Aligner

We  enter  into  contracts  (“treatment  plan(s)”)  that  involve  multiple  future  performance  obligations.  Invisalign  Comprehensive,  Invisalign  First,
Invisalign Moderate, and Lite and Express Packages include optional additional aligners at no charge for a certain period of time ranging from six months
to five years after initial shipment, and Invisalign Go includes optional additional aligners at no charge for a period of up to two years after initial shipment.

Our treatment plans comprise the following performance obligations that also represent distinct deliverables: initial aligners, additional aligners, case
refinement,  and  replacement  aligners.  We  take  the  practical  expedient  to  consider  shipping  and  handling  costs  as  activities  to  fulfill  the  performance
obligation. We allocate revenues for each treatment plan based on each unit’s SSP. Management considers a variety of factors such as historical sales, costs,
and gross margin, which may vary over time depending upon the unique facts and circumstances related to each performance obligation in making these
estimates. We also consider usage rates, which is the number of times a customer is expected to order additional aligners. Our process for estimating usage
rates  requires  significant  judgment  and  evaluation  of  inputs,  including  historical  usage  data  by  region,  country  and  channel.  We  recognize  the  revenues
upon  shipment,  as  the  customers  obtain  physical  possession  and  we  have  enforceable  rights  to  payment.  As  we  collect  most  consideration  upfront,  we
consider whether a significant financing component exists; however, as the delivery of the performance obligations are at the customer’s discretion, we
conclude that no significant financing component exists.

Systems and Services

We  sell  intraoral  scanners  and  CAD/CAM  services  through  both  our  direct  sales  force  and  distribution  partners.  The  intraoral  scanner  sales  price
includes  one  year  of  warranty  and  unlimited  scanning  services.  The  customer  may  also  select,  for  additional  fees,  extended  warranty  and  unlimited
scanning  services  for  periods  beyond  the  initial  year.  When  intraoral  scanners  are  sold  with  an  unlimited  scanning  service  agreement  and/or  extended
warranty, we allocate revenues based on the respective SSP of the scanner and the subscription service. We estimate the SSP of each element, taking into
consideration historical prices as well as our discounting strategies. Revenues are then recognized over time as the monthly services are rendered and upon
shipment of the scanner, as that is when we deem the customer to have obtained control. CAD/CAM services, where sold separately, include the initial
software  license  and  maintenance  and  support.  We  allocate  revenues  based  upon  the  respective  SSPs  of  the  software  license  and  the  maintenance  and
support. We estimate the SSP of each element using historical prices. Revenues related to the software license are recognized upfront and revenues related
to the maintenance and support are recognized over time. For both scanner and service sales, most consideration is collected upfront and in cases where
there are payment plans, consideration is collected within one year and, therefore, there are no significant financing components.

Volume Discounts

In certain situations, we offer promotions in which the discount will increase depending upon the volume purchased over time. We concluded that in
these  situations,  the  promotions  can  represent  either  variable  consideration  or  options,  depending  upon  the  specifics  of  the  promotion.  In  the  event  the
promotion contains an option, the option is considered a material right and, therefore, included in the accounting for the initial arrangement. We estimate
the average anticipated discount over the lifetime of the promotion or contract, and apply that discount to each unit as it is sold. On a quarterly basis, we
review our estimates and, if needed, updates are made and changes are applied prospectively.

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Unfulfilled Performance Obligations for Clear Aligners and Scanners

Our unfulfilled performance obligations, including deferred revenues and backlog, as of December 31, 2020 and the estimated revenues expected to
be  recognized  in  the  future  related  to  these  performance  obligations  are  $873.4  million.  This  includes  performance  obligations  from  the  Clear  Aligner
segment, primarily the shipment of additional aligners, which are fulfilled over six months to five years. Also included are the performance obligations
from the Systems and Services segment, primarily services and support, which are fulfilled over one to five years, and contracted deliveries of additional
scanners. The estimate includes both product and service unfulfilled performance obligations and the time range reflects our best estimate of when we will
transfer control to the customer and may change based on customer usage patterns, timing of shipments, readiness of customers' facilities for installation,
and manufacturing availability.

Contract Balances

The timing of revenue recognition results in deferred revenues being recognized on our Consolidated Balance Sheet. For both aligners and scanners,
we usually collect the total consideration owed prior to all performance obligations being performed with payment terms generally varying from net 30 to
net 180 days. Contract liabilities are recorded as deferred revenue balances, which are generated based upon timing of invoices and recognition patterns,
not payments. If the revenue recognition exceeds the billing, the exceeded amount is considered unbilled receivable and a contract asset. Conversely, if the
billing occurs prior to the revenue recognition, the amount is considered deferred revenue and a contract liability.

Goodwill and Finite-Lived Acquired Intangible Assets and Long-Lived Assets

Goodwill

Goodwill represents the excess of the purchase price paid over the fair value of tangible and identifiable intangible net assets acquired in business

combinations and is allocated to the respective reporting units based on relative synergies generated.

We evaluate goodwill for impairment at least annually on November 30th or more frequently if indicators are present, an event occurs or changes in
circumstances  suggest  an  impairment  may  exist  and  that  it  would  more  likely  than  not  reduce  the  fair  value  of  a  reporting  unit  below  its  carrying
amount. The allocation of goodwill to the respective reporting unit is based on relative synergies generated as a result of an acquisition.  

We perform an initial assessment of qualitative factors to determine whether the existence of events and circumstances leads to a determination that it
is more likely than not that the fair value of a reporting unit is less than its carrying amount. In performing the qualitative assessment, we identify and
consider the significance of relevant key factors, events, and circumstances that affect the fair value of our reporting units. These factors include external
factors such as macroeconomic, industry, and market conditions, as well as entity-specific factors, such as our actual and planned financial performance.
We also give consideration to the difference between the reporting unit fair value and carrying value as of the most recent date a fair value measurement
was performed. If, after assessing the totality of relevant events and circumstances, we determine that it is more likely than not that the fair value of the
reporting unit exceeds its carrying value and there is no indication of impairment, no further testing is performed; however, if we conclude otherwise, then
we will perform the quantitative impairment test which compares the estimated fair value of the reporting unit to its carrying value, including goodwill. If
the carrying amount of the reporting unit is in excess of its fair value, an impairment loss would be recorded in the Consolidated Statement of Operations.
Refer to Note 6 "Goodwill and Intangible Assets" of Notes to Consolidated Financial Statements for details on goodwill.

Finite-Lived Acquired Intangible Assets and Long-Lived Assets

Our  intangible  assets  primarily  consist  of  intangible  assets  acquired  as  part  of  our  acquisitions.  These  assets  are  amortized  using  the  straight-line
method over their estimated useful lives ranging from one to fifteen years, reflecting the period in which the economic benefits of the assets are expected to
be realized.

We evaluate long-lived assets (including finite-lived intangible assets) for impairment whenever events or changes in circumstances indicate that the
carrying  amount  of  an  asset  group  may  not  be  recoverable. An  asset  or  asset  group  is  considered  impaired  if  its  carrying  amount  exceeds  the  future
undiscounted net cash flows that the asset or asset group is expected to generate. Factors we consider important which could trigger an impairment review
include  significant  negative  industry  or  economic  trends,  significant  loss  of  customers  and  changes  in  the  competitive  environment.  If  an  asset  or  asset
group is considered to be impaired, the impairment to be recognized is calculated as the amount by which the carrying amount of the asset or asset group
exceeds its fair market value. Our estimates of future cash flows attributable to our long-lived assets require significant judgment based on our historical
and  anticipated  results  and  are  subject  to  many  assumptions.  The  estimation  of  fair  value  utilizing  a  discounted  cash  flow  approach  includes  numerous
uncertainties which require our significant judgment when

48

making  assumptions  of  expected  growth  rates  and  the  selection  of  discount  rates,  as  well  as  assumptions  regarding  general  economic  and  business
conditions, and the structure that would yield the highest economic value, among other factors. Refer to Note 6 "Goodwill and Intangible Assets" of Notes
to Consolidated Financial Statements for details on intangible assets.

Business Combination

We  allocate  the  fair  value  of  the  purchase  consideration  to  the  assets  acquired  and  liabilities  assumed  based  on  their  estimated  fair  values  at  the
acquisition  date.  When  determining  the  fair  value  of  assets  acquired  and  liabilities  assumed,  management  is  required  to  make  certain  estimates  and
assumptions, especially with respect to intangible assets. The estimates and assumptions used in valuing intangible assets include, but are not limited to, the
amount and timing of projected future cash flows including forecasted revenues, the discount rate used to determine the present value of these cash flows,
and the determination of the assets’ life cycle. Amounts recorded in a business combination may change during the measurement period, which is a period
not to exceed one year from the date of acquisition, as additional information about conditions existing at the acquisition date becomes available.

Accounting for Income Taxes

We make certain estimates and judgments in determining income tax expense for financial statement purposes. These estimates and judgments occur
in  the  calculation  of  certain  tax  assets  and  liabilities,  which  arise  from  differences  in  the  timing  of  recognition  of  revenues  and  expenses  for  tax  and
financial statement purposes.

As part of the process of preparing our consolidated financial statements, we are required to estimate our income taxes in each of the jurisdictions in
which we operate. This process involves us estimating our current tax exposure under the applicable tax laws and assessing temporary differences resulting
from differing treatment of items for tax and accounting purposes. These differences result in deferred tax assets and liabilities which are included in our
Consolidated Balance Sheet.

We account for uncertainty in income taxes pursuant to authoritative guidance based on a two-step approach to recognize and measure uncertain tax
positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than
not that the tax position will be sustained on audit based on its technical merits, including resolution of any related appeals or litigation processes. The
second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. We adjust reserves for
our uncertain tax positions due to changing facts and circumstances, such as the closing of a tax audit or refinement of estimates due to new information. To
the extent that the final outcome of these matters is different than the amounts recorded, such differences will impact our tax provision in our Consolidated
Statement of Operation in the period in which such determination is made.

We assess the likelihood that we will be able to realize our deferred tax assets. Should there be a change in our ability to realize our deferred tax
assets, our tax provision would increase in the period in which we determine that it is more likely than not that we cannot realize our deferred tax assets.
We consider all available evidence, both positive and negative, including historical levels of income, expectations and risks associated with estimates of
future taxable income and ongoing prudent and feasible tax planning strategies in assessing the need for a valuation allowance. If it is more likely than not
that we will not realize our deferred tax assets, we will increase our provision for taxes by recording a valuation allowance against the deferred tax assets
that we estimate will not ultimately be realizable.

During fiscal 2020, we completed an intra-entity transfer of certain intellectual property rights and fixed assets to our Swiss subsidiary, which resulted
in the recognition of deferred tax assets and related tax benefits. Refer to Note 15 “Income Taxes” of Notes to Consolidated Financial Statements for more
information.  The  establishment  of  deferred  tax  assets  from  the  intra-entity  transfer  of  intangible  assets  required  us  to  make  significant  estimates  and
assumptions to determine the fair value of intellectual property rights transferred which include, but are not limited to, our expectations of growth rates in
revenue, margins, future cash flows, and discount rates. The accuracy of these estimates could be affected by unforeseen events or actual results, and the
sustainability of our future tax benefits is dependent upon the acceptance of these valuation estimates and assumptions by the taxing authorities.

The  U.S.  Tax  Cuts  and  Jobs  Act  includes  provisions  for  certain  foreign-sourced  earnings  referred  to  as  Global  Intangible  Low-Taxed  Income
(“GILTI”) which imposes a tax on foreign income in excess of a deemed return on tangible assets of foreign corporations. We have made the election to
record GILTI tax using the period cost method.

Accounting for Legal Proceedings and Litigations

We  are  involved  in  legal  proceedings  on  an  ongoing  basis.  If  we  believe  that  a  loss  arising  from  such  matters  is  probable  and  can  be  reasonably

estimated, we accrue the estimated loss in our consolidated financial statements. If only a range of

49

estimated losses can be determined, we accrue an amount within the range that, in our judgment, reflects the most likely outcome; if none of the estimates
within that range is a better estimate than any other amount, we accrue the low end of the range.

Estimates of probable losses resulting from litigation are inherently difficult to make, particularly when the matters are in early procedural stages with
incomplete facts and information. The final outcome of legal proceedings is dependent on many variables difficult to predict and, therefore, the ultimate
cost  to  entirely  resolve  such  matters  may  be  materially  different  than  the  amount  of  current  estimates.  Consequently,  new  information  or  changes  in
judgments and estimates could have a material adverse effect on our business, financial condition, and results of operations or cash flows.

Recent Accounting Pronouncements

See Note 1 “Summary  of  Significant  Accounting  Policies”  of  the  Notes  to  Consolidated  Financial  Statements  in  Item 8  for  a  discussion  of  recent
accounting  pronouncements,  including  the  expected  dates  of  adoption  and  estimated  effects  on  results  of  operations  and  financial  condition,  which  is
incorporated herein.

ITEM 7A.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

In the normal course of business, we are exposed to foreign currency exchange rate and interest rate risks that could impact our financial position and
results of operations. In addition, we are subject to the broad market risk that is created by the global market disruptions and uncertainties resulting from
the COVID-19 pandemic. Further discussion of the impact of the COVID-19 pandemic on our business may be found in Item 1A of this Annual Report on
Form 10-K under the heading “Risk Factors” for further discussion of the impact of the COVID-19 pandemic on our business.

Interest Rate Risk

Changes  in  interest  rates  could  impact  our  anticipated  interest  income  on  our  cash  equivalents  and  investments  in  marketable  securities.  Our
investments are fixed-rate short-term and long-term securities. Fixed-rate securities may have their fair market value adversely impacted due to a rise in
interest  rates,  and,  as  a  result,  our  future  investment  income  may  fall  short  of  expectations  due  to  changes  in  interest  rates  or  we  may  suffer  losses  in
principal if forced to sell securities which have declined in market value due to changes in interest rates. As of December 31, 2020, we had no investments
in available-for-sale marketable securities. An immediate 10% change in interest rates would not have a material adverse impact on our future operating
results and cash flows.

We do not enter into investments for trading or speculative purposes and have not used any derivative financial instruments to manage our interest
rate risk exposure. Based on interest bearing liabilities we have as of December 31, 2020, we are not subject to risks from immediate interest rate increases.

Currency Rate Risk

As a result of our international business activities, our financial results could be affected by factors such as changes in foreign currency exchange
rates  or  economic  conditions  in  foreign  markets,  and  there  is  no  assurance  that  exchange  rate  fluctuations  will  not  harm  our  business  in  the  future. We
generally sell our products in the local currency of the respective countries. This provides some natural hedging because most of the subsidiaries’ operating
expenses are generally denominated in their local currencies. Regardless of this natural hedging, our results of operations may be adversely impacted by
exchange rate fluctuations.

We primarily enter into foreign currency forward contracts to minimize the short-term impact of foreign currency exchange rate fluctuations on cash
and certain trade and intercompany receivables and payables. These forward contracts are not designated as hedging instruments and do not subject us to
material balance sheet risk due to fluctuations in foreign currency exchange rates. The gains and losses on these forward contracts are intended to offset the
gains and losses in the underlying foreign currency denominated monetary assets and liabilities being economically hedged. These instruments are marked
to market through earnings every period and generally are one month in original maturity. Prior to the closing of the exocad acquisition on April 1, 2020,
we entered into a Euro foreign currency forward contract with a notional contract amount of €376.0 million. During the year ended December 31, 2020, we
recognized a loss of $10.2 million within other income (expense), net in our Consolidated Statement of Operation. We do not enter into foreign currency
forward contracts for trading or speculative purposes. As our international operations grow, we will continue to reassess our approach to managing the risks
relating to fluctuations in currency rates. It is difficult to predict the impact forward contracts could have on our results of operations.

50

Although we will continue to monitor our exposure to currency fluctuations, and, where appropriate, may use forward contracts to minimize the effect
of these fluctuations, the impact of an aggregate change of 10% in foreign currency exchange rates relative to the U.S. dollar on our results of operations
and financial position could be material.

51

ITEM 8.

CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Report of Management on Internal Control over Financial Reporting
Report of Independent Registered Public Accounting Firm
Consolidated Statements of Operations for the year ended December 31, 2020, 2019 and 2018
Consolidated Statements of Comprehensive Income for the year ended December 31, 2020, 2019 and 2018
Consolidated Balance Sheets as of December 31, 2020 and 2019
Consolidated Statements of Stockholders’ Equity for the year ended December 31, 2020, 2019 and 2018
Consolidated Statements of Cash Flows for the year ended December 31, 2020, 2019 and 2018
Notes to Consolidated Financial Statements

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53
54
57
58
59
60
61
62

 
 
REPORT OF MANAGEMENT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

Management of Align is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f)
and 15d-15(f) under the Securities Exchange Act of 1934. Our internal control over financial reporting is designed by, or under supervision of, our CEO
and CFO, and effected by the board of directors, management and other personnel 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. Internal control
over financial reporting includes those policies and procedures that:

•

•

•

pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of Align;

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 Align are being made only in accordance with authorizations of management
and directors of Align; and

provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of Align’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. In addition, 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.

Management  assessed  the  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2020.  In  making  this  assessment,
management  used  the  criteria  set  forth  in  Internal  Control-Integrated  Framework (2013) issued  by  the  Committee  of  Sponsoring  Organizations  of  the
Treadway Commission ("COSO").

Based on our assessment, management has concluded that, as of December 31, 2020, our internal control over financial reporting was effective based

on criteria in Internal Control - Integrated Framework (2013) issued by the COSO.

The  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2020  has  been  audited  by  PricewaterhouseCoopers  LLP,  an

independent registered public accounting firm, as stated in their report which is included herein.

/S/    JOSEPH M. HOGAN        
Joseph M. Hogan
President and Chief Executive Officer
February 26, 2021

/S/    JOHN F. MORICI 
John F. Morici
Chief Financial Officer and Senior Vice President, Global Finance
February 26, 2021

53

 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of Align Technology, Inc.

Opinions on the Financial Statements and Internal Control over Financial Reporting

We have audited the accompanying consolidated balance sheets of Align Technology, Inc. and its subsidiaries (the “Company”) as of December 31,
2020 and 2019, and the related consolidated statements of operations, comprehensive income, stockholders’ equity and cash flows for each of the three
years in the period ended December 31, 2020, including the related notes and financial statement schedule listed in the index appearing under Item 15 (a)
(2) (collectively referred to as the “consolidated financial statements”). We also have audited the Company's internal control over financial reporting as of
December 31, 2020, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations
of the Treadway Commission (COSO).

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Company as
of December 31, 2020 and 2019, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2020 in
conformity with accounting principles generally accepted in the United States of America. Also in our opinion, the Company maintained, in all material
respects,  effective  internal  control  over  financial  reporting  as  of  December  31,  2020,  based  on  criteria  established  in  Internal  Control  -  Integrated
Framework (2013) issued by the COSO.

Change in Accounting Principle

As discussed in Note 1 to the consolidated financial statements, the Company changed the manner in which it accounts for leases in 2019.

Basis for Opinions

The  Company's  management  is  responsible  for  these  consolidated  financial  statements,  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 Report of Management on
Internal  Control  over  Financial  Reporting.  Our  responsibility  is  to  express  opinions  on  the  Company’s  consolidated  financial  statements  and  on  the
Company's internal control over financial reporting based on our audits. We are a public accounting firm registered with the Public Company Accounting
Oversight Board (United States) (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  audits  to  obtain
reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  of  material  misstatement,  whether  due  to  error  or  fraud,  and  whether
effective internal control over financial reporting was maintained in all material respects.

Our audits of the consolidated financial statements 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. Our
audit of internal control over financial reporting 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 audits also
included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our
opinions.

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  (i)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,
accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) 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

54

company; and (iii) 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.

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial statements that were
communicated or required to be communicated to the audit committee and that (i) relate to accounts or disclosures that are material to the consolidated
financial statements and (ii) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters 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 matters below,
providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.

Revenue Recognition – Determination of Standalone Selling Price of Distinct Performance Obligations in Clear Aligner Contracts

As described in Notes 1 and 18 to the consolidated financial statements, the Company recognized net revenues of $2.1 billion from its Clear Aligner
segment  for  the  year  ended  December  31,  2020.  The  Company  enters  into  contracts  (“treatment  plans”)  that  involve  multiple  future  performance
obligations. Management identifies a performance obligation as distinct if both of the following criteria are met: the customer can benefit from the good or
service either on its own or together with other resources that are readily available to the customer, and the entity’s promise to transfer the good or service
to the customer is separately identifiable from other promises in the contract. Determining the standalone selling price, allocation of consideration from the
contract to the individual performance obligations, and the appropriate timing of revenue recognition is the result of significant qualitative and quantitative
judgments.  Management  considers  a  variety  of  factors  such  as  historical  sales,  costs,  and  gross  margin,  which  may  vary  over  time  depending  upon  the
unique  facts  and  circumstances  related  to  each  performance  obligation  in  making  these  estimates.  Management  also  considers  usage  rates,  which  is  the
number of times a customer is expected to order additional aligners. Management’s process for estimating usage rates requires significant judgment and
evaluation of inputs, including historical usage data by region, country and channel.

The  principal  considerations  for  our  determination  that  performing  procedures  related  to  revenue  recognition  and  the  determination  of  standalone
selling  price  of  distinct  performance  obligations  in  Clear  Aligner  contracts  is  a  critical  audit  matter  are  the  significant  judgment  by  management  in
determining the estimate of standalone selling price, which includes significant assumptions related to usage rates for each distinct performance obligation.
This in turn led to significant auditor judgment, subjectivity, and effort in performing procedures to evaluate management’s determination of the estimates
of standalone selling price and usage rates for each distinct performance obligation.

Addressing  the  matter  involved  performing  procedures  and  evaluating  audit  evidence  in  connection  with  forming  our  overall  opinion  on  the
consolidated financial statements. These procedures included testing the effectiveness of controls relating to revenue recognition, including controls over
the  determination  of  standalone  selling  price  for  each  distinct  performance  obligation  in  the  Company’s  Clear  Aligner  contracts. These  procedures  also
included, among others, (i) testing management’s process for determining the estimate of standalone selling price, which included testing the completeness
and accuracy of inputs used and evaluating the reasonableness of factors considered by management related to historical sales, usage rates, costs, and gross
margin, and (ii) testing management’s process for estimating usage rates, which included evaluating the reasonableness of inputs evaluated by management
related to historical usage data by region, country and channel.

Deferred Tax Asset – Valuation of Intellectual Property Rights

As described in Notes 1 and 15 to the consolidated financial statements, during the year ended December 31, 2020, the Company completed an intra-
entity transfer of certain intellectual property rights to it’s Swiss subsidiary. The transfer of intellectual property rights resulted in a step-up of the Swiss tax
deductible  basis  in  the  transferred  assets,  and  accordingly,  created  a  temporary  difference  between  the  book  basis  and  the  tax  basis  of  such  intellectual
property  rights.  Consequently,  the  transaction  resulted  in  the  recognition  of  a  deferred  tax  asset  and  related  one-time  tax  benefit  of  $1.5  billion.  The
establishment of deferred tax assets from the intra-entity transfer of intangible assets required management to make significant estimates and assumptions
to determine the fair value of intellectual property rights transferred which include, but are not limited to, management’s expectations of growth rates in
revenue, margins, future cash flows, and discount rates.

55

The  principal  considerations  for  our  determination  that  performing  procedures  relating  to  the  deferred  tax  asset,  specifically  the  valuation  of
intellectual property rights, is a critical audit matter are the significant judgment by management when estimating the fair value of the intellectual property
rights intangible assets. This  in  turn  led  to  significant  auditor  judgment,  subjectivity,  and  effort  in  performing  procedures  and  evaluating  management’s
significant assumptions related to the growth rates in revenue, margins and future cash flows. Also, the audit effort involved the use of professionals with
specialized skill and knowledge.

Addressing  the  matter  involved  performing  procedures  and  evaluating  audit  evidence  in  connection  with  forming  our  overall  opinion  on  the
consolidated  financial  statements.  These  procedures  included  testing  the  effectiveness  of  controls  over  management’s  valuation  of  intellectual  property
rights,  including  controls  over  the  development  of  the  growth  rates  in  revenue,  margins  and  future  cash  flows.  These  procedures  also  included,  among
others, (i) reading the intellectual property license agreement, (ii) testing management’s process for estimating the fair value of intellectual property rights
intangible assets transferred, which included evaluating the appropriateness of the valuation method, (iii) testing the completeness, accuracy, and relevance
of data used in the method, and (iv) evaluating the reasonableness of management’s significant assumptions related to growth rates in revenue, margins and
future  cash  flows.  Evaluating  the  reasonableness  of  the  growth  rates  in  revenue,  margins  and  future  cash  flows  involved  considering  current  and  past
performance of the business. Professionals with specialized skill and knowledge were used to assist in the evaluation of the valuation method and the future
cash flows significant assumptions.

Acquisition of exocad Global Holdings GmbH – Valuation of Existing Technology Intangible Asset

As described in Notes 1 and 5 to the consolidated financial statements, the Company completed the acquisition of exocad Global Holdings GmbH for
total purchase consideration of $430 million on April 1, 2020, which resulted in $119 million of intangible assets being recorded on the acquisition date.
Intangible assets recorded by the Company in connection with the acquisition primarily included existing technology of $87 million. Management valued
the existing technology using the multi-period excess earnings method under the income approach. Management is required to make certain estimates and
assumptions with respect to the fair value of intangible assets acquired. The estimates and assumptions used in valuing the existing technology intangible
asset include, but are not limited to, the amount and timing of projected future cash flows including forecasted revenues, the discount rate used to determine
the present value of these cash flows, and the determination of the assets’ life cycle.

The principal  considerations  for  our  determination  that  performing  procedures  relating  to  the  valuation  of  the  existing  technology  intangible  asset
recorded in the acquisition of exocad Global Holdings GmbH is a critical audit matter are the significant judgment by management when estimating the fair
value  of  the  existing  technology  intangible  asset.  This  in  turn  led  to  significant  auditor  judgment,  subjectivity,  and  effort  in  performing  procedures  and
evaluating management’s significant assumptions related to forecasted revenues. Also, the audit effort involved the use of professionals with specialized
skill and knowledge.

Addressing  the  matter  involved  performing  procedures  and  evaluating  audit  evidence  in  connection  with  forming  our  overall  opinion  on  the
consolidated financial statements. These procedures included testing the effectiveness of controls relating to the acquisition accounting, including controls
over management’s valuation of the existing technology intangible asset and controls over development of the significant assumptions related to forecasted
revenues. These procedures also included, among others, (i) reading the purchase agreement and (ii) testing management’s process for estimating the fair
value  of  existing  technology  intangible  asset,  which  included  evaluating  the  appropriateness  of  the  valuation  method,  (iii)  testing  the  completeness  and
accuracy of data provided by management used in the method, and (iv) evaluating the reasonableness of management’s significant assumption related to
forecasted  revenue.  Evaluating  the  reasonableness  of  forecasted  revenues  involved  gaining  an  understanding  of  management’s  plans  to  integrate  the
existing  technology  into  the  Company’s  business,  as  well  as  past  performance  of  the  business  related  to  the  existing  technology.  Professionals  with
specialized skill and knowledge were used to assist in the evaluation of the valuation method and the forecasted revenues significant assumption.

/s/ PricewaterhouseCoopers LLP
San Jose, California
February 26, 2021

We have served as the Company’s auditor since 1997.

56

ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)

Net revenues
Cost of net revenues
Gross profit
Operating expenses:

Selling, general and administrative
Research and development
Impairments and other charges (gains), net
Litigation settlement gain

Total operating expenses

Income from operations
Interest income and other income (expense), net:

Interest income
Other income (expense), net

Total interest income and other income (expense), net

Net income before provision for (benefit from) income taxes and
equity in losses of investee
Provision for (benefit from) income taxes
Equity in losses of investee, net of tax
Net income

Net income per share:

Basic
Diluted

Shares used in computing net income per share:

Basic
Diluted

$

$

$

$

2020

Year Ended December 31,
2019

2,471,941  $
708,706 
1,763,235 

2,406,796  $
662,899 
1,743,897 

2018

1,966,492 
518,625 
1,447,867 

1,200,757 
175,307 
— 
— 
1,376,064 
387,171 

3,125 
(11,347)
(8,222)

378,949 
(1,396,939)
— 

1,775,888  $

22.55  $

22.41  $

78,760 

79,230 

1,072,053 
157,361 
22,990 
(51,000)
1,201,404 
542,493 

12,482 
7,676 
20,158 

562,651 
112,347 
7,528 
442,776  $

5.57  $

5.53  $

79,424 

80,100 

852,404 
128,899 
— 
— 
981,303 
466,564 

8,576 
(8,489)
87 

466,651 
57,723 
8,693 
400,235 

5.00 

4.92 

80,064 

81,357 

The accompanying notes are an integral part of these consolidated financial statements.

57

 
 
 
ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(in thousands)

Net income

Change in foreign currency translation adjustment, net of tax
Change in unrealized gains (losses) on investments, net of tax

Other comprehensive income (loss)
Comprehensive income

2020

Year Ended December 31,
2019

2018

$

$

1,775,888  $
44,383 
(194)
44,189 
1,820,077  $

442,776  $
1,787 
299 
2,086 
444,862  $

400,235 
(3,631)
286 
(3,345)
396,890 

The accompanying notes are an integral part of these consolidated financial statements.

58

 
 
ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in thousands, except per share data)

December 31,

2020

2019

ASSETS
Current assets:

Cash and cash equivalents
Marketable securities, short-term
Accounts receivable, net of allowance for doubtful accounts of $10,239 and $6,756, respectively
Inventories
Prepaid expenses and other current assets
Total current assets
Property, plant and equipment, net
Operating lease right-of-use assets, net
Goodwill
Intangible assets, net
Deferred tax assets
Other assets

Total assets

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:

Accounts payable
Accrued liabilities
Deferred revenues

Total current liabilities

Income tax payable
Operating lease liabilities
Other long-term liabilities

Total liabilities

Commitments and contingencies (Notes 10 and 11)
Stockholders’ equity:

Preferred stock, $0.0001 par value (5,000 shares authorized; none issued)
Common stock, $0.0001 par value (200,000 shares authorized; 78,860 and 78,433 issued and
outstanding, respectively)
Additional paid-in capital
Accumulated other comprehensive income (loss), net
Retained earnings

Total stockholders’ equity
Total liabilities and stockholders’ equity

$

$

$

$

960,843  $
— 
657,704 
139,237 
91,754 
1,849,538 
734,721 
82,553 
444,817 
130,072 
1,552,831 
35,151 
4,829,683  $

142,132  $
405,582 
777,887 
1,325,601 
105,748 
64,445 
100,024 
1,595,818 

— 

8 
974,556 
43,501 
2,215,800 
3,233,865 
4,829,683  $

550,425 
318,202 
550,291 
112,051 
102,450 
1,633,419 
631,730 
56,244 
63,924 
11,768 
64,007 
39,610 
2,500,702 

87,250 
319,958 
563,762 
970,970 
102,794 
43,463 
37,306 
1,154,533 

— 

8 
906,937 
(688)
439,912 
1,346,169 
2,500,702 

The accompanying notes are an integral part of these consolidated financial statements.

59

ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(in thousands)

Balance as of December 31, 2017
Net income
Net change in unrealized gains (losses) from investments
Net change in foreign currency translation adjustment
Issuance of common stock relating to employee equity
compensation plans
Tax withholdings related to net share settlements of
equity awards
Common stock repurchased and retired
Stock-based compensation
Other
Balance as of December 31, 2018
Net income
Net change in unrealized gains (losses) from investments
Net change in foreign currency translation adjustment
Issuance of common stock relating to employee equity
compensation plans
Tax withholdings related to net share settlements of
equity awards
Common stock repurchased and retired
Stock-based compensation
Balance as of December 31, 2019
Net income
Net change in unrealized gains (losses) from investments
Net change in foreign currency translation adjustment
Issuance of common stock relating to employee equity
compensation plans
Tax withholdings related to net share settlements of
equity awards
Stock-based compensation

Balance as of December 31, 2020

Common Stock

Shares
80,040  $
— 
— 
— 

795 

— 
(1,057)
— 
— 
79,778 
— 
— 
— 

542 

— 
(1,887)
— 
78,433 
— 
— 
— 

427 

— 
— 
78,860  $

Amount

8  $

— 
— 
— 

— 

— 
— 
— 
— 
8 
— 
— 
— 

— 

— 
— 
— 
8 
— 
— 
— 

— 

— 
— 

8  $

Additional
Paid-In
Capital
886,435  $
— 
— 
— 

Accumulated
Other
Comprehensive
Income (Loss), Net

Retained
Earnings

571  $
— 
286 
(3,631)

267,274  $
400,235 
— 
— 

Total
1,154,288 
400,235 
286 
(3,631)

16,635 

(86,067)
(10,252)
70,763 
— 
877,514 
— 
— 
— 

17,907 

(57,676)
(18,992)
88,184 
906,937 
— 
— 
— 

20,314 

— 

— 
— 
— 
— 
(2,774)
— 
299 
1,787 

— 

— 
— 
— 
(688)
— 
(194)
44,383 

— 

(51,122)
98,427 
974,556  $

— 
— 
43,501  $

— 

16,635 

— 
(289,750)
— 
384 
378,143 
442,776 
— 
— 

(86,067)
(300,002)
70,763 
384 
1,252,891 
442,776 
299 
1,787 

— 

17,907 

— 
(381,007)
— 
439,912 
1,775,888 
— 
— 

— 

— 
— 

2,215,800  $

(57,676)
(399,999)
88,184 
1,346,169 
1,775,888 
(194)
44,383 

20,314 

(51,122)
98,427 
3,233,865 

The accompanying notes are an integral part of these consolidated financial statements.

60

ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)

CASH FLOWS FROM OPERATING ACTIVITIES:

Net income
Adjustments to reconcile net income to net cash provided by operating activities:

Deferred taxes
Depreciation and amortization
Stock-based compensation
Non-cash operating lease cost
Allowance for doubtful accounts provisions
Impairments on equity investments
Impairments on long-lived assets
Gain on lease terminations
Gain from sale of equity method investment
Equity in losses of investee
Other non-cash operating activities

Changes in assets and liabilities, net of effects of acquisition:

Accounts receivable
Inventories
Prepaid expenses and other assets
Accounts payable
Accrued and other long-term liabilities
Long-term income tax payable
Deferred revenues

                   Net cash provided by operating activities
CASH FLOWS FROM INVESTING ACTIVITIES:

Acquisition, net of cash acquired
Purchase of property, plant and equipment
Purchase of marketable securities
Proceeds from maturities of marketable securities
Proceeds from sales of marketable securities
Repayment on unsecured promissory note
Purchase of investment in privately held company
Loan repayment from equity investee
Other investing activities

                   Net cash (used in) provided by investing activities
CASH FLOWS FROM FINANCING ACTIVITIES:

Proceeds from issuance of common stock
Payroll taxes paid upon the vesting of equity awards
Common stock repurchases
Purchase of finance lease

                    Net cash used in financing activities

Effect of foreign exchange rate changes on cash, cash equivalents, and restricted cash
            Net increase (decrease) in cash, cash equivalents, and restricted cash

                    Cash, cash equivalents, and restricted cash at beginning of year
                    Cash, cash equivalents, and restricted cash at end of year

Year Ended December 31,
2019

2018

2020

$

1,775,888  $

442,776  $

400,235 

(1,491,577)
93,538 
98,427 
22,467 
12,073 
5,887 
— 
— 
— 
— 
15,783 

(139,777)
(29,110)
(21,130)
52,206 
42,168 
(2,802)
228,133 
662,174 

(420,788)
(154,916)
(5,341)
42,641 
278,817 
26,925 
— 
— 
1,156 
(231,506)

307 
78,990 
88,184 
18,475 
5,853 
3,975 
28,498 
(6,792)
(15,769)
7,528 
20,032 

(121,014)
(58,269)
(31,529)
22,099 
60,240 
14,611 
189,075 
747,270 

— 
(149,707)
(693,284)
290,754 
194,677 
21,820 
— 
— 
(14,704)
(350,444)

20,314 
(51,122)
— 
— 
(30,808)
10,480 
410,340 
551,134 
961,474  $

17,907 
(57,675)
(399,999)
(45,773)
(485,540)
2,282 
(86,432)
637,566 
551,134  $

$

(15,680)
54,727 
70,763 
— 
870 
— 
— 
— 
— 
8,693 
16,382 

(109,224)
(24,109)
(9,122)
25,045 
36,250 
(36,548)
136,399 
554,681 

— 
(223,312)
(180,191)
375,105 
9,560 
— 
(5,000)
30,000 
765 
6,927 

16,635 
(86,067)
(300,002)
— 
(369,434)
(4,733)
187,441 
450,125 
637,566 

The accompanying notes are an integral part of these consolidated financial statements.

61

 
 
ALIGN TECHNOLOGY, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Summary of Significant Accounting Policies

Business Description

Align Technology, Inc. (“We”, “Our”, or “Align”) was incorporated in April 1997 in Delaware. Align is a global medical device company engaged in
the design, manufacture and marketing of Invisalign® clear aligners, iTero® intraoral scanners, services for orthodontics, restorative and aesthetic dentistry
and exocad® computer-aided design and computer-aided manufacturing (“CAD/CAM”) software for dental laboratories and dental practitioners. Align’s
products are intended primarily for the treatment of malocclusion or the misalignment of teeth and are designed to help dental professionals achieve the
clinical outcomes that they expect and the results patients desire. Our corporate headquarters is in Tempe, Arizona, which moved from San Jose, California
effective January 1, 2021 and we have offices worldwide. Our Americas regional headquarters is located in Raleigh, North Carolina; our European, Middle
East and Africa (“EMEA”) regional headquarters is located in Rotkreuz, Switzerland; and our Asia Pacific (“APAC”) regional headquarters is located in
Singapore.  We  have  two  operating  segments:  (1)  Clear  Aligner,  known  as  the  Invisalign  System,  and  (2)  Imaging  Systems  and  CAD/CAM  services
(“Systems and Services”), known as the iTero intraoral scanner and CAD/CAM services.

Basis of Presentation and Preparation

The consolidated financial statements include the accounts of Align and our wholly-owned subsidiaries after elimination of intercompany transactions

and balances.  

Out of Period Adjustment

In fiscal 2020, we recorded an out of period correction that resulted in a tax benefit of $12.7 million. We do not believe the out of period adjustment is

material to the interim or annual consolidated financial statements for the fiscal year ended December 31, 2020 or to any prior periods.

Use of Estimates

The preparation of financial statements in conformity with generally accepted accounting principles (“GAAP”) in the United States (“U.S.”) requires
our  management  to  make  estimates  and  assumptions  that  affect  the  amounts  reported  in  the  consolidated  financial  statements  and  accompanying
notes. Actual  results  could  differ  materially  from  those  estimates.  On  an  ongoing  basis,  we  evaluate  our  estimates,  including  those  related  to  revenue
recognition, useful lives of intangible assets and property and equipment, long-lived assets and goodwill, income taxes and contingent liabilities, the fair
values of financial instruments, stock-based compensation, unsecured promissory note receivable, and valuation of investments in privately held companies
among others. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable, the results of which form
the basis for making judgments about the carrying values of assets and liabilities.

Fair Value of Financial Instruments

We  measure  the  fair  value  of  financial  assets  as  the  price  that  would  be  received  from  selling  an  asset  or  paid  to  transfer  a  liability  in  an  orderly
transaction between market participants at the measurement date. We use the GAAP fair value hierarchy that prioritizes the inputs to valuation techniques
used to measure fair value. This hierarchy requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when
measuring fair value. The three levels of inputs that may be used to measure fair value:

Level 1 - Quoted (unadjusted) prices in active markets for identical assets or liabilities.

Level  2  -  Observable  inputs  other  than  quoted  prices  included  in  Level  1,  such  as  quoted  prices  for  similar  assets  or  liabilities  in  active  markets,
quoted  prices  for  identical  or  similar  assets  or  liabilities  in  markets  that  are  not  active,  or  other  inputs  that  are  observable  or  can  be  corroborated  by
observable market data for substantially the full term of the asset or liability. We obtain fair values for our Level 2 investments. Our custody bank and asset
managers  independently  use  professional  pricing  services  to  gather  pricing  data  which  may  include  quoted  market  prices  for  identical  or  comparable
financial  instruments,  or  inputs  other  than  quoted  prices  that  are  observable  either  directly  or  indirectly,  and  we  are  ultimately  responsible  for  these
underlying estimates.

62

    
Level  3  -  Unobservable  inputs  to  the  valuation  methodology  that  are  supported  by  little  or  no  market  activity  and  that  are  significant  to  the
measurement of the fair value of the assets or liabilities. Level 3 assets and liabilities include those whose fair value measurements are determined using
pricing models, discounted cash flow methodologies or similar valuation techniques, as well as significant management judgment or estimation.

Cash and Cash Equivalents

We  consider  currency  on  hand,  demand  deposits,  time  deposits,  and  all  highly  liquid  investments  with  an  original  or  remaining  maturity  of  three
months or less at the date of purchase to be cash and cash equivalents. Cash and cash equivalents are held in various financial institutions in the U.S. and
internationally.

Restricted Cash

The restricted cash primarily consists of funds reserved for legal requirements. Restricted cash balances are primarily included in other assets within

our Consolidated Balance Sheet.

Marketable Securities

Our  marketable  securities  consist  of  marketable  debt  securities  which  are  classified  as  available-for-sale  and  are  carried  at  fair  value.  Marketable
securities  classified  as  current  assets  have  maturities  within  one  year.  Unrealized  gains  or  losses  on  such  securities  are  included  in  accumulated  other
comprehensive  income  (loss),  net  in  stockholders’  equity.  Realized  gains  and  losses  from  maturities  of  all  such  securities  are  reported  in  earnings  and
computed  using  the  specific  identification  cost  method.  Realized  gains  or  losses  and  charges  for  other-than-temporary  declines  in  value,  if  any,  on
available-for-sale securities are reported in other income (expense), net, as incurred. We periodically evaluate these investments for other-than-temporary
impairment.

Variable Interest Entities

We  evaluate  whether  an  entity  in  which  we  have  made  an  investment  is  considered  a  variable  interest  entity  (“VIE”).  If  we  determine  we  are  the
primary beneficiary of a VIE, we would consolidate the VIE into our financial statements. In determining if we are the primary beneficiary, we evaluate
whether we have the power to direct the activities that most significantly impact the VIE’s economic performance and the obligation to absorb losses or the
right to receive benefits of the VIE that could potentially be significant to the VIE. Our evaluation includes identification of significant activities and an
assessment of our ability to direct those activities based on governance provisions and arrangements to provide or receive product and process technology,
product supply, operations services, equity funding, financing, and other applicable agreements and circumstances. Our assessments of whether we are the
primary  beneficiary  of  a  VIE  require  significant  assumptions  and  judgments.  We  have  concluded  that  we  are  not  the  primary  beneficiary  of  our  VIE
investments; therefore, we do not consolidate their results into our consolidated financial statements.

Investments in Privately Held Companies

Investments in privately held companies in which we can exercise significant influence but do not own a majority equity interest or otherwise control
are accounted for under ASC 323, “Investments -Equity Method and Joint Ventures.” We record our share of their operating results within equity in losses
of  investee,  net  of  tax,  in  our  Consolidated  Statement  of  Operations.  Investments  in  privately  held  companies  in  which  we  cannot  exercise  significant
influence and do not own a majority equity interest or otherwise control are accounted for under ASC 321, “Investments -Equity Securities.” The equity
securities without readily determinable fair values are recorded at cost and adjusted for impairments and observable price changes with a same or similar
security from the same issuer (“Measurement Alternative”). Equity  securities  under  ASC  321  are  reported  on  our  Consolidated  Balance  Sheet  as  other
assets,  and  we  record  a  change  in  carrying  value  of  our  equity  securities,  if  any,  in  other  income  (expense),  net  in  our  Consolidated  Statement  of
Operations.

Equity securities are evaluated for impairment as events or circumstances indicate that there is an other-than-temporary loss in value. The decrease in

value is recognized in the period the impairment occurs and recorded in other income (expense), net in the Consolidated Statement of Operations.

Derivative Financial Instruments

We enter into foreign currency forward contracts to minimize the short-term impact of foreign currency exchange rate fluctuations associated with
certain assets and liabilities. These forward contracts are not designated as hedging instruments and do not subject us to material balance sheet risk due to
fluctuations in foreign currency exchange rates. The gains and losses on

63

these forward contracts are intended to offset the gains and losses in the underlying foreign currency denominated monetary assets and liabilities being
economically hedged. We do not enter into foreign currency forward contracts for trading or speculative purposes. The net gain or loss from the settlement
of these foreign currency forward contracts is recorded in other income (expense), net in the Consolidated Statement of Operations.

Foreign Currency

For our international subsidiaries, we analyze on an annual basis or more often if necessary, if a significant change in facts and circumstances indicate
that the functional currency has changed. For international subsidiaries where the local currency is the functional currency, adjustments from translating
financial  statements  from  the  local  currency  to  the  U.S.  dollar  reporting  currency  are  recorded  as  a  separate  component  of  accumulated  other
comprehensive  income  (loss),  net  in  the  stockholders’  equity  section  of  the  Consolidated  Balance  Sheet.  This  foreign  currency  translation  adjustment
reflects the translation of the balance sheet at period end exchange rates, and the income statement at the transaction date or average exchange rate in effect
during the period. The foreign currency revaluation that are derived from monetary assets and liabilities stated in a currency other than functional currency
are included in other income (expense), net. For the year ended December 31, 2020, 2019 and 2018, we had foreign currency net gains (losses) of $6.8
million, $(2.0) million and $(5.6) million, respectively.

Certain Risks and Uncertainties

Our operating results depend to a significant extent on our ability to market and develop our products. The life cycles of our products are difficult to
estimate  due,  in  part,  to  the  effect  of  future  product  enhancements  and  competition.  Our  inability  to  successfully  develop  and  market  our  products  as  a
result of competition or other factors would have a material adverse effect on our business, financial condition and results of operations.

Our  cash  and  investments  are  held  primarily  by  four  financial  institutions.  Financial  instruments  which  potentially  expose  us  to  concentrations  of
credit  risk  consist  primarily  of  cash  equivalents  and  marketable  securities. We  invest  excess  cash  primarily  in  money  market  funds,  commercial  paper,
corporate  bonds,  U.S.  government  agency  bonds,  U.S.  government  treasury  bonds  and  certificates  of  deposits.  If  the  carrying  value  of  our  investments
exceeds the fair value, and the decline in fair value is deemed to be other-than-temporary, we will be required to write down the value of our investments,
which could adversely affect our results of operations and financial condition. Moreover, the performance of certain securities in our investment portfolio
correlates with the credit condition of the U.S. economy. 

We  provide  credit  to  customers  in  the  normal  course  of  business.  Collateral  is  not  required  for  accounts  receivable,  but  ongoing  evaluations  of
customers’ credit worthiness are performed. We maintain reserves for potential credit losses and such losses have been within management’s expectations.
No  individual  customer  accounted  for  10%  or  more  of  our  accounts  receivable  at  December  31,  2020  or  2019,  or  net  revenues  for  the  year  ended
December 31, 2020, 2019 or 2018.

The U.S. Food and Drug Administration (“FDA”) and similar international agencies regulate the design, manufacture, distribution, pre-clinical and
clinical  study,  clearance  and  approval  of  medical  devices.  Products  developed  by  us  may  require  approvals  or  clearances  from  the  FDA  or  other
international regulatory agencies prior to commercialized sales. There can be no assurance that our products will receive any of the required approvals or
clearances. If we were denied approval or clearance or such approval was delayed, it may have a material adverse impact on us.

We have manufacturing facilities located in Juarez, Mexico, where we conduct our aligner fabrication, distribution, repair of our iTero scanners and
perform certain CAD/CAM services and in Ziyang, China, where we fabricate aligners primarily for the China and APAC markets. In addition, we produce
our handheld intraoral scanner wand, perform final scanner assembly and repair our scanners at our facilities in Or Yehuda, Israel and Ziyang, China. Our
digital treatment plans using a sophisticated, internally developed computer-modeling program are located in multiple international locations to support our
customers within the regions. Our reliance on international operations exposes us to related risks and uncertainties, including difficulties in staffing and
managing international operations such as hiring and retaining qualified personnel; controlling production volume and quality of manufacture; political,
social and economic instability; interruptions and limitations in telecommunication services; product and material transportation delays or disruption; trade
restrictions and changes in tariffs; import and export license requirements and restrictions; fluctuations in foreign currency exchange rates; and potential
adverse tax consequences. If any of these risks materialize, our international manufacturing operations, as well as our operating results, may be harmed.

We  purchase  certain  inventory  from  sole  suppliers.  Additionally,  we  rely  on  a  limited  number  of  hardware  manufacturers.  The  inability  of  any

supplier or manufacturer to fulfill our supply requirements could materially and adversely impact our future operating results.

64

Due  to  the  COVID-19  pandemic,  we  are  subject  to  a  greater  degree  of  uncertainty  than  normal  in  making  the  judgments  and  estimates  needed  to
apply  our  significant  accounting  policies.  As  the  COVID-19  pandemic  continues  to  be  a  global  issue,  we  may  make  changes  to  these  estimates  and
judgments, which could result in meaningful impacts to our financial statements in future periods. The extent and duration of the impact of the COVID-19
pandemic on our business is highly uncertain and difficult to predict and the response to the pandemic is rapidly evolving. The severity of the impact of the
COVID-19 pandemic on our business will depend on a number of factors, including, but not limited to, the duration and severity of the pandemic and the
extent and severity of the impact on our customers, all of which are uncertain and cannot be predicted. Our future results of operations and liquidity could
be adversely impacted by delays in payments of outstanding receivable amounts beyond normal payment terms, supply chain disruptions or limitations,
changes in manufacturing efficiency and capacity constraints caused by uneven or rapid changes in demand, and the impact of any initiatives or programs
that we may undertake to address financial and operations challenges faced by us or our customers. Additionally, the uncertainty of future results and cash
flows may impact our significant assumptions and estimates including the collectability of accounts and other receivables and realization of our deferred
tax assets. The extent to which the COVID-19 pandemic may continue to materially impact our financial condition, liquidity, or results of operations is
uncertain for all of the foregoing reasons stated above and many others directly and indirectly related to the virus and efforts to contain its spread.

Inventories

Inventories are valued at the lower of cost or net realizable value, with cost computed using standard cost which approximates actual cost on a first-
in-first-out  basis.  Excess  and  obsolete  inventories  are  determined  primarily  based  on  future  demand  forecasts,  and  write-downs  of  excess  and  obsolete
inventories are recorded as a component of cost of net revenues.

Property, Plant and Equipment

Property,  plant  and  equipment  are  stated  at  historical  cost  less  accumulated  depreciation  and  amortization.  Depreciation  and  amortization  are
computed  using  the  straight-line  method  over  the  estimated  useful  lives  of  the  assets.  Construction  in  progress  ("CIP")  is  related  to  the  construction  or
development of property (including land) and equipment that have not yet been placed in service for their intended use. Upon sale or retirement, the asset’s
cost  and  related  accumulated  depreciation  are  removed  from  the  balance  sheet  and  any  related  gains  or  losses  are  reflected  in  income  from
operations.  Maintenance  and  repairs  are  expensed  as  incurred.  Refer  to  Note  3  "Balance  Sheet  Components"  of  the  Notes  of  Consolidated  Financial
Statements for details on estimated useful lives.

Leases

We lease office and retail spaces, vehicles and office equipment with original lease periods of up to 10 years. We determine if an arrangement is a
lease at inception under ASC 842, which we adopted in 2019. Operating lease right-of-use (“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.  ROU  assets  and  liabilities  are  recognized  at
commencement date based on the present value of lease payments over the lease term. If a lease arrangement does not provide an implicit rate, we use our
incremental  borrowing  rate  based  on  the  information  available  at  commencement  date  in  determining  the  present  value  of  lease  payments.  We  use  the
implicit rate when readily determinable. Our lease terms may include options to extend or terminate the lease which we include in our lease term when it is
reasonably certain that we will exercise that option. We have lease agreements with lease and non-lease components which are accounted for as a single
lease  component.  Leases  with  an  initial  term  of  12  months  or  less  are  not  recorded  on  the  balance  sheet.  Payments  under  our  lease  arrangements  are
primarily fixed, however, certain lease agreements contain variable payments, which are expensed as incurred and not included in the operating lease right-
of-use assets and liabilities.

Business Combinations

We  allocate  the  fair  value  of  the  purchase  consideration  to  the  assets  acquired  and  liabilities  assumed  based  on  their  estimated  fair  values  at  the
acquisition  date.  When  determining  the  fair  value  of  assets  acquired  and  liabilities  assumed,  management  is  required  to  make  certain  estimates  and
assumptions, especially with respect to intangible assets. The estimates and assumptions used in valuing intangible assets include, but are not limited to, the
amount and timing of projected future cash flows including forecasted revenues, the discount rate used to determine the present value of these cash flows,
and the determination of the assets’ life cycle. Amounts recorded in a business combination may change during the measurement period, which is a period
not to exceed one year from the date of acquisition, as additional information about conditions existing at the acquisition date becomes available.

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Goodwill and Finite-Lived Acquired Intangible Assets

Goodwill represents the excess of the purchase price paid over the fair value of tangible and identifiable intangible net assets acquired in business

combinations and is allocated to the respective reporting units based on relative synergies generated.

Our  intangible  assets  primarily  consist  of  intangible  assets  acquired  as  part  of  our  acquisitions.  These  assets  are  amortized  using  the  straight-line
method over their estimated useful lives ranging from one to fifteen years reflecting the period in which the economic benefits of the assets are expected to
be realized.

Impairment of Goodwill and Long-Lived Assets

Goodwill

We evaluate goodwill for impairment at least annually on November 30th or more frequently if indicators are present, an event occurs or changes in
circumstances  suggest  an  impairment  may  exist  and  that  it  would  more  likely  than  not  reduce  the  fair  value  of  a  reporting  unit  below  its  carrying
amount. The allocation of goodwill to the respective reporting unit is based on relative synergies generated as a result of an acquisition.  

We perform an initial assessment of qualitative factors to determine whether the existence of events and circumstances leads to a determination that it
is more likely than not that the fair value of a reporting unit is less than its carrying amount. In performing the qualitative assessment, we identify and
consider the significance of relevant key factors, events, and circumstances that affect the fair value of our reporting units. These factors include external
factors such as macroeconomic, industry, and market conditions, as well as entity-specific factors, such as our actual and planned financial performance.
We also give consideration to the difference between the reporting unit fair value and carrying value as of the most recent date a fair value measurement
was performed. If, after assessing the totality of relevant events and circumstances, we determine that it is more likely than not that the fair value of the
reporting unit exceeds its carrying value and there is no indication of impairment, no further testing is performed; however, if we conclude otherwise, then
we will perform the quantitative impairment test which compares the estimated fair value of the reporting unit to its carrying value, including goodwill. If
the carrying amount of the reporting unit is in excess of its fair value, an impairment loss would be recorded in the Consolidated Statement of Operations.

Finite-Lived Intangible Assets and Long-Lived Assets

We evaluate long-lived assets (including finite-lived intangible assets) for impairment whenever events or changes in circumstances indicate that the
carrying  amount  of  an  asset  group  may  not  be  recoverable. An  asset  or  asset  group  is  considered  impaired  if  its  carrying  amount  exceeds  the  future
undiscounted net cash flows that the asset or asset group is expected to generate. Factors we consider important which could trigger an impairment review
include  significant  negative  industry  or  economic  trends,  significant  loss  of  customers  and  changes  in  the  competitive  environment.  If  an  asset  or  asset
group is considered to be impaired, the impairment to be recognized is calculated as the amount by which the carrying amount of the asset or asset group
exceeds its fair market value. Our estimates of future cash flows attributable to our long-lived assets require significant judgment based on our historical
and  anticipated  results  and  are  subject  to  many  assumptions.  The  estimation  of  fair  value  utilizing  a  discounted  cash  flow  approach  includes  numerous
uncertainties  which  require  our  significant  judgment  when  making  assumptions  of  expected  growth  rates  and  the  selection  of  discount  rates,  as  well  as
assumptions regarding general economic and business conditions, and the structure that would yield the highest economic value, among other factors. Refer
to Note 6 "Goodwill and Intangible Assets" of Notes to Consolidated Financial Statements for details on intangible long-lived assets.

Development Costs for Internal Use Software

Internally developed software includes enterprise-level business software that we customize to meet our specific operational needs. Such capitalized
costs include external direct costs utilized in developing or obtaining the applications and payroll and payroll-related costs for employees, who are directly
associated with the development of the applications. There were no significant internally developed software costs capitalized in 2020 or 2019.

The  costs  to  develop  software  that  is  marketed  externally  have  not  been  capitalized  as  we  believe  our  current  software  development  process  is
essentially  completed  concurrent  with  the  establishment  of  technological  feasibility.  As  such,  all  related  software  development  costs  are  expensed  as
incurred and included in research and development expense in our Consolidated Statement of Operations.

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Product Warranty

We offer assurance warranties on our products which provide the customer assurance that the product will function as the parties intended because it
complies  with  agreed-upon  specifications;  therefore,  warranties  are  not  treated  as  a  separate  revenue  performance  obligation  and  are  accounted  for  as
guarantees under GAAP.

Clear Aligner

We warrant our Invisalign products against material defects until the treatment plan is complete except in the case of retainers, which are warranted
up to three months from expected first use. We accrue for warranty costs in cost of net revenues upon shipment of products which is primarily based on
historical experience as to product failures as well as current information on replacement costs.

Systems and Services

We warrant our intraoral scanners for a period of one year, which include materials and labor. We accrue for these warranty costs based on average
historical repair costs. An extended warranty may be purchased for additional fees. We warrant our CAD/CAM software for a one year period to perform in
accordance  with  agreed  product  specifications.  As  we  have  not  historically  incurred  any  material  warranty  costs,  we  do  not  accrue  for  these  software
warranties.

We regularly review our warranty liability and update these balances based on historical warranty cost trends. Actual warranty costs incurred have not

materially differed from those accrued; however future actual warranty costs could differ from the estimated amounts.

Allowance for Doubtful Accounts

We maintain an allowance for doubtful accounts for customers that are not able to make payments. We periodically review these balances, including
an analysis of the customers’ payment history and information regarding the customers’ creditworthiness. Actual write-offs have not materially differed
from the estimated allowances.

Revenue Recognition

Our revenues are derived primarily from the sale of aligners, scanners, and services from our Clear Aligner and Systems and Services segments. We
enter into sales contracts that may consist of multiple distinct performance obligations where certain performance obligations of the sales contract are not
delivered in one reporting period. We measure and allocate revenues according to ASC 606-10, “Revenues from Contracts with Customers.”

We identify a performance obligation as distinct if both of the following criteria are met: the customer can benefit from the good or service either on
its own or together with other resources that are readily available to the customer and the entity’s promise to transfer the good or service to the customer is
separately identifiable from other promises in the contract. Determining the standalone selling price (“SSP”), allocation of consideration from the contract
to  the  individual  performance  obligations  and  the  appropriate  timing  of  revenue  recognition  is  the  result  of  significant  qualitative  and  quantitative
judgments.  While  changes  in  the  allocation  of  the  SSP  between  performance  obligations  will  not  affect  the  amount  of  total  revenues  recognized  for  a
particular contract, any material changes could impact the timing of revenue recognition, which would have a material effect on our financial position and
result of operations. This is because the contract consideration is allocated to each performance obligation, delivered or undelivered, at the inception of the
contract based on the SSP of each distinct performance obligation.

Clear Aligner

We  enter  into  contracts  (“treatment  plan(s)”)  that  involve  multiple  future  performance  obligations.  Invisalign  Comprehensive,  Invisalign  First,
Invisalign Moderate, and Lite and Express Packages include optional additional aligners at no charge for a certain period of time ranging from six months
to five years after initial shipment, and Invisalign Go includes optional additional aligners at no charge for a period of up to two years after initial shipment.

Our treatment plans comprise the following performance obligations that also represent distinct deliverables: initial aligners, additional aligners, case
refinement,  and  replacement  aligners.  We  take  the  practical  expedient  to  consider  shipping  and  handling  costs  as  activities  to  fulfill  the  performance
obligation. We allocate revenues for each treatment plan based on each unit’s SSP. Management considers a variety of factors such as historical sales, costs,
and gross margin, which may vary over time depending upon the unique facts and circumstances related to each performance obligation in making these
estimates.

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We  also  consider  usage  rates,  which  is  the  number  of  times  a  customer  is  expected  to  order  additional  aligners.  Our  process  for  estimating  usage  rates
requires significant judgment and evaluation of inputs, including historical usage data by region, country and channel. We recognize the revenues upon
shipment, as the customers obtain physical possession and we have enforceable rights to payment. As we collect most consideration upfront, we consider
whether a significant financing component exists; however, as the delivery of the performance obligations are at the customer’s discretion, we conclude
that no significant financing component exists.

Systems and Services

We  sell  intraoral  scanners  and  CAD/CAM  services  through  both  our  direct  sales  force  and  distribution  partners.  The  intraoral  scanner  sales  price
includes  one  year  of  warranty  and  unlimited  scanning  services.  The  customer  may  also  select,  for  additional  fees,  extended  warranty  and  unlimited
scanning  services  for  periods  beyond  the  initial  year.  When  intraoral  scanners  are  sold  with  an  unlimited  scanning  service  agreement  and/or  extended
warranty, we allocate revenues based on the respective SSP of the scanner and the subscription service. We estimate the SSP of each element, taking into
consideration historical prices as well as our discounting strategies. Revenues are then recognized over time as the monthly services are rendered and upon
shipment of the scanner, as that is when we deem the customer to have obtained control. CAD/CAM services, where sold separately, include the initial
software  license  and  maintenance  and  support.  We  allocate  revenues  based  upon  the  respective  SSPs  of  the  software  license  and  the  maintenance  and
support. We estimate the SSP of each element using historical prices. Revenues related to the software license are recognized upfront and revenues related
to the maintenance and support are recognized over time. For both scanner and service sales, most consideration is collected upfront and in cases where
there are payment plans, consideration is collected within one year and, therefore, there are no significant financing components.

Volume Discounts

In certain situations, we offer promotions in which the discount will increase depending upon the volume purchased over time. We concluded that in
these  situations,  the  promotions  can  represent  either  variable  consideration  or  options,  depending  upon  the  specifics  of  the  promotion.  In  the  event  the
promotion contains an option, the option is considered a material right and, therefore, included in the accounting for the initial arrangement. We estimate
the average anticipated discount over the lifetime of the promotion or contract, and apply that discount to each unit as it is sold. On a quarterly basis, we
review our estimates and, if needed, updates are made and changes are applied prospectively.

Accrued Sales Return Reserve

We accrue for sales return reserve based on historical sales returns as a percentage of revenues. 

Costs to Obtain a Contract

We offer a variety of commission plans to our salesforce; each plan has multiple components. To match the costs to obtain a contract to the associated
revenues,  we  evaluate  the  individual  components  and  capitalize  the  eligible  components,  recognizing  the  costs  over  the  treatment  period.  The  costs  to
obtain contracts were $22.8 million and $15.1 million as of December 31, 2020 and 2019, respectively, and are included in other assets in our Consolidated
Balance  Sheets.  We  recognized  amortization  on  our  costs  to  obtain  a  contract  of  $10.1  million,  $7.2  million,  and  $5.4  million  during  the  year  ended
December  31,  2020,  2019,  and  2018,  respectively,  which  is  included  in  selling,  general  and  administrative  expenses  in  our  Consolidated  Statements  of
Operations.

Unfulfilled Performance Obligations for Clear Aligners and Scanners

Our unfulfilled performance obligations, including deferred revenues and backlog, as of December 31, 2020 and the estimated revenues expected to
be  recognized  in  the  future  related  to  these  performance  obligations  are  $873.4  million.  This  includes  performance  obligations  from  the  Clear  Aligner
segment, primarily the shipment of additional aligners, which are fulfilled over six months to five years. Also included are the performance obligations
from the Systems and Services segment, primarily services and support, which are fulfilled over one to five years, and contracted deliveries of additional
scanners. The estimate includes both product and service unfulfilled performance obligations and the time range reflects our best estimate of when we will
transfer control to the customer and may change based on customer usage patterns, timing of shipments, readiness of customers' facilities for installation,
and manufacturing availability.

Contract Balances

The timing of revenue recognition results in deferred revenues being recognized on our Consolidated Balance Sheet. For both aligners and scanners,

we usually collect the total consideration owed prior to all performance obligations being performed

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with  payment  terms  generally  varying  from  net  30  to  net  180  days.  Contract  liabilities  are  recorded  as  deferred  revenue  balances,  which  are  generated
based upon timing of invoices and recognition patterns, not payments. If the revenue recognition exceeds the billing, the exceeded amount is considered
unbilled receivable and a contract asset. Conversely, if the billing occurs prior to the revenue recognition, the amount is considered deferred revenue and a
contract liability.

Shipping and Handling Costs

Shipping and handling charges to customers are included in net revenues, and the associated costs incurred are recorded in cost of net revenues.

Legal Proceedings and Litigations

We  are  involved  in  legal  proceedings  on  an  ongoing  basis.  If  we  believe  that  a  loss  arising  from  such  matters  is  probable  and  can  be  reasonably
estimated,  we  accrue  the  estimated  loss  in  our  consolidated  financial  statements.  If  only  a  range  of  estimated  losses  can  be  determined,  we  accrue  an
amount within the range that, in our judgment, reflects the most likely outcome; if none of the estimates within that range is a better estimate than any other
amount, we accrue the low end of the range.

Research and Development

Research and development costs are expensed as incurred and includes the costs associated with the research and development of new products and
enhancements  to  existing  products.  These  costs  primarily  include  personnel-related  costs,  including  payroll  and  stock-based  compensation,  equipment,
material  and  maintenance  costs,  outside  consulting  expenses,  depreciation  and  amortization  expense  and  allocations  of  corporate  overhead  expenses
including facilities and information technology (“IT”).

Advertising Costs

The cost of advertising and media is expensed as incurred. For the year ended December 31, 2020, 2019 and 2018, we incurred advertising costs of

$161.0 million, $119.1 million and $88.4 million, respectively.

Common Stock Repurchase

We repurchase our own common stock from time to time under stock repurchase programs approved by our Board of Directors. We account for these
repurchases under the accounting guidance for equity where we allocate the total repurchase value that is in excess over par value between additional paid-
in capital and retained earnings. All shares repurchased are retired.

Income Taxes

We make certain estimates and judgments in determining income tax expense for financial statement purposes. These estimates and judgments occur
in  the  calculation  of  certain  tax  assets  and  liabilities,  which  arise  from  differences  in  the  timing  of  recognition  of  revenues  and  expenses  for  tax  and
financial statement purposes.

As part of the process of preparing our consolidated financial statements, we are required to estimate our income taxes in each of the jurisdictions in
which we operate. This process involves us estimating our current tax exposure under the applicable tax laws and assessing temporary differences resulting
from differing treatment of items for tax and accounting purposes. These differences result in deferred tax assets and liabilities which are included in our
Consolidated Balance Sheet.

We account for uncertainty in income taxes pursuant to authoritative guidance based on a two-step approach to recognize and measure uncertain tax
positions taken or expected to be taken in a tax return. The first step is to determine if the weight of available evidence indicates that it is more likely than
not that the tax position will be sustained on audit based on its technical merits, including resolution of any related appeals or litigation processes. The
second step is to measure the tax benefit as the largest amount that is more than 50% likely to be realized upon ultimate settlement. We adjust reserves for
our uncertain tax positions due to changing facts and circumstances, such as the closing of a tax audit or refinement of estimates due to new information. To
the extent that the final outcome of these matters is different than the amounts recorded, such differences will impact our tax provision in our Consolidated
Statement of Operation in the period in which such determination is made.

We assess the likelihood that we will be able to realize our deferred tax assets. Should there be a change in our ability to realize our deferred tax

assets, our tax provision would increase in the period in which we determine that it is more likely than

69

not that we cannot realize our deferred tax assets. We consider all available evidence, both positive and negative, including historical levels of income,
expectations and risks associated with estimates of future taxable income and ongoing prudent and feasible tax planning strategies in assessing the need for
a valuation allowance. If it is more likely than not that we will not realize our deferred tax assets, we will increase our provision for taxes by recording a
valuation allowance against the deferred tax assets that we estimate will not ultimately be realizable.

During fiscal 2020, we completed an intra-entity transfer of certain intellectual property rights and fixed assets to our Swiss subsidiary, which resulted
in the recognition of deferred tax assets and related tax benefits. Refer to Note 15 “Income Taxes” of Notes to Consolidated Financial Statements for more
information.  The  establishment  of  deferred  tax  assets  from  the  intra-entity  transfer  of  intangible  assets  required  us  to  make  significant  estimates  and
assumptions to determine the fair value of intellectual property rights transferred which include, but are not limited to, our expectations of growth rates in
revenue, margins, future cash flows, and discount rates. The accuracy of these estimates could be affected by unforeseen events or actual results, and the
sustainability of our future tax benefits is dependent upon the acceptance of these valuation estimates and assumptions by the taxing authorities.

The  U.S.  Tax  Cuts  and  Jobs  Act  includes  provisions  for  certain  foreign-sourced  earnings  referred  to  as  Global  Intangible  Low-Taxed  Income
(“GILTI”) which imposes a tax on foreign income in excess of a deemed return on tangible assets of foreign corporations. We have made the election to
record GILTI tax using the period cost method.

Stock-Based Compensation

We recognize stock-based compensation cost for shares expected to vest on a straight-line basis over the requisite service period of the award, net of
estimated forfeitures. We use the Black-Scholes option pricing model to determine the fair value of stock awards and employee stock purchase plan shares.
We use a Monte Carlo simulation model to estimate the fair value of market-performance based restricted stock units ("MSUs") which requires the input of
assumptions, including expected term, stock price volatility and the risk-free rate of return. In addition, judgment is also required in estimating the number
of  stock-based  awards  that  are  expected  to  be  forfeited.  Forfeitures  are  estimated  based  on  historical  experience  at  the  time  of  grant  and  revised,  if
necessary, in subsequent periods if actual forfeitures differ from those estimates. The assumptions used in calculating the fair value of share-based payment
awards  represent  management’s  best  estimates,  but  these  estimates  involve  inherent  uncertainties  and  the  application  of  management’s  judgment. As  a
result, if factors change and we use different assumptions, our stock-based compensation expense could be materially different in the future.

Comprehensive Income

Comprehensive income includes all changes in equity during a period from non-owner sources including unrealized gains and losses on investments

and foreign currency translation adjustments, net of their related tax effect.

Recent Accounting Pronouncements

(i) New Accounting Updates Recently Adopted

In  June  2016,  the  Financial  Accounting  Standards  Board  (“FASB”)  issued  ASU  2016-13,  “Financial  Instruments  -  Credit  Losses”  (Topic  326)  to
provide financial statement users with more decision-useful information about the expected credit losses on financial instruments and other commitments to
extend credit held by a reporting entity at each reporting date. The amendments in this update replace the existing guidance of incurred loss impairment
methodology with an approach that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information
to  inform  credit  loss  estimates.  In  November  2018,  the  FASB  issued ASU  2018-19,  “Codification  Improvements  to  Topic  326,  Financial  Instruments  -
Credit Losses” which clarifies the scope of guidance in the ASU 2016-13. The updated guidance is effective for annual periods beginning after December
15, 2019, including interim periods within those fiscal years. We adopted this standard in the first quarter of fiscal year 2020 which did not have a material
impact on our consolidated financial statements and related disclosures.

In January 2017, the FASB issued ASU 2017-04, “Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment,” to
simplify the subsequent measurement of goodwill by eliminating step two from the goodwill impairment test. Under the amendments in this update, an
entity will recognize an impairment charge for the amount by which the carrying value exceeds the fair value. The updated guidance is effective for fiscal
years and interim periods within those years beginning after December 15, 2019 on a prospective basis. We adopted this standard in the first quarter of
fiscal year 2020 which did not have any impact on our consolidated financial statements and related disclosures.

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In  August  2018,  the  FASB  issued  ASU  2018-13,  “Fair  Value  Measurement  (Topic  820):  Disclosure  Framework—Changes  to  the  Disclosure
Requirements for Fair Value Measurement,” to modify the disclosure requirements on fair value measurements in Topic 820, Fair Value Measurement. The
updated guidance is effective for fiscal years and interim periods within those years beginning after December 15, 2019 on a prospective basis. We adopted
this standard in the first quarter of fiscal year 2020 which did not have any impact on our consolidated financial statements and related disclosures.

In  August  2018,  the  FASB  issued  ASU  2018-15,  “Intangibles—Goodwill  and  Other—Internal-Use  Software  (Subtopic  350-40)  Customer’s
Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract,” to clarify the guidance on the costs of
implementing a cloud computing hosting arrangement that is a service contract. Under the amendments in this update, the entity is required to follow the
guidance in Subtopic 350-40, Internal-Use Software, to determine which implementation costs under the service contract to be capitalized as an asset and
which costs to expense. The updated guidance is effective for fiscal years and interim periods within those years beginning after December 15, 2019 either
on a retrospective or prospective basis. We  adopted  this  standard  in  the  first  quarter  of  fiscal  year  2020  on  a  prospective  basis  which  did  not  have  any
impact on our consolidated financial statements and related disclosures.

(ii) Recent Accounting Updates Not Yet Effective

In  December  2019,  the  FASB  issued  ASU  2019-12,  “Income  Taxes  (Topic  740)  Simplifying  the  Accounting  for  Income  Taxes,”  to  enhance  and
simplify various aspects of the income tax accounting guidance. The amendment removes certain exceptions to the general principles in Topic 740 and also
clarifies and amends existing guidance to improve consistent application. The amendments are effective for fiscal years and interim periods within those
fiscal years beginning after December 15, 2020. We will adopt this standard in the first quarter of fiscal year 2021 and do not expect the adoption of this
standard to have a material impact on our consolidated financial statements and related disclosures.

Note 2. Investments and Fair Value Measurements

Marketable Securities 

We have no short-term or long-term marketable securities as of December 31, 2020.

As  of  December  31,  2019,  the  carrying  value  which  approximates  the  estimated  fair  value  of  our  short-term  marketable  securities,  classified  as

available for sale, are as follows (in thousands):

December 31, 2019
Corporate bonds
U.S. government treasury bonds
U.S. government agency bonds
Commercial paper
Certificates of deposit
Total marketable securities, short-term

Amortized
Cost
210,891  $
70,587 
22,085 
14,426 
19 
318,008  $

$

$

Gross
Unrealized
Gains

Gross
Unrealized
Losses

Fair Value

142  $
65 
17 
— 
— 
224  $

(27) $
(2)
(1)
— 
— 
(30) $

211,006 
70,650 
22,101 
14,426 
19 
318,202 

We had no long-term marketable securities as of December 31, 2019.

Cash  equivalents  are  not  included  in  the  table  above  as  the  gross  unrealized  gains  and  losses  are  not  material.  We  had  no  short-term  marketable
securities that have been in a continuous material unrealized loss position for greater than twelve months as of December 31, 2019. Amounts reclassified to
earnings from accumulated other comprehensive income (loss), net related to unrealized gains or losses were not material in 2020, 2019 and 2018. For the
year ended December 31, 2020, 2019 and 2018, realized gains or losses were not material.

Our fixed-income securities investment portfolio allows for investments with a maximum effective maturity of up to 40 months on any individual
security. The securities that we invest in are generally deemed to be low risk based on their credit ratings from the major rating agencies. The longer the
duration of these securities, the more susceptible they are to changes in market interest rates and bond yields. As interest rates increase, those securities
purchased at a lower yield show a mark-to-market unrealized loss which are primarily due to changes in interest rates and credit spreads. We realized the
full value of all these investments upon maturity or sale. The weighted average remaining duration of these securities was approximately seven months as
of December 31, 2019.

71

Fair Value Measurements

The following tables summarize our financial assets measured at fair value on a recurring basis as of December 31, 2020 and 2019 (in thousands):

Description
Cash equivalents:

Money market funds

Prepaid expenses and other current assets:

Israeli funds
Current unsecured promissory note

Description
Cash equivalents:

Money market funds
Short-term investments:
Corporate bonds
Commercial paper
U.S. government treasury bonds
U.S. government agency bonds
Certificates of deposit

Prepaid expenses and other current assets:

Israeli funds
Current unsecured promissory note

Other Assets:

Long-term unsecured promissory note

Balance as of December
31, 2020

Level 1

Level 2

Level 3

$

$

519,228  $

519,228  $

—  $

3,500 
5,408 
528,136  $

— 
— 
519,228  $

3,500 
— 
3,500  $

— 

— 
5,408 
5,408 

Balance as of December
31, 2019

Level 1

Level 2

Level 3

$

236,923  $

236,923  $

—  $

211,006 
14,426 
70,650 
22,101 
19 

3,226 
25,005 

— 
— 
70,650 
— 
— 

— 
— 

211,006 
14,426 
— 
22,101 
19 

3,226 
— 

$

7,328 
590,684  $

— 
307,573  $

— 
250,778  $

— 

— 
— 
— 
— 
— 

— 
25,005 

7,328 
32,333 

The unsecured promissory note that was entered into in 2019 with SmileDirectClub, LLC (“SDC”) is classified as Level 3 in our fair value hierarchy
as financial information of third parties may not be timely available and consequently we estimate the fair value based on the best available information at
the measurement date. The original amount of the note was $54.2 million which has decreased due to payments received. Refer to Note 7 “Equity Method
Investments” of the Notes to Consolidated Financial Statements for more information.

Investments in Privately Held Companies

As of December 31, 2020, we had fully impaired our investments in equity securities of privately held companies without readily determinable fair
value. As of December 31, 2019, our investments in equity securities of privately held companies without readily determinable fair value were $5.9 million
and are reported as nonrecurring investments within other assets in our Consolidated Balance Sheet. Our investments in equity securities were considered
Level 3 in the fair value hierarchy since the investments were in private companies without quoted market prices and we adjust the carrying value based on
observable  price  changes.  During  the  year  ended  December  31,  2020  and  2019,  we  recorded  impairment  losses  of  $5.9  million  and  $4.0  million,
respectively, resulting from observable price changes.

Derivatives Not Designated as Hedging Instruments

Recurring foreign currency forward contracts

We enter into foreign currency forward contracts to minimize the short-term impact of foreign currency exchange rate fluctuations on certain trade
and intercompany receivables and payables. These forward contracts are classified within Level 2 of the fair value hierarchy. As a result of the settlement
of foreign currency forward contracts, during the year ended December 31, 2020, 2019 and 2018, we recognized a net loss of $22.1 million, a net gain of
$3.2 million, and a net gain of

72

$9.9 million, respectively. As of December 31, 2020 and 2019, the fair value of foreign exchange forward contracts outstanding was not material.

The following table presents the gross notional value of all our foreign exchange forward contracts outstanding as of December 31, 2020 and 2019 (in

thousands):

Euro
Chinese Yuan
Canadian Dollar
British Pound
Japanese Yen
Brazilian Real
Israeli Shekel
Mexican Peso
Australian Dollar
Swiss Franc

Euro
Chinese Yuan
Canadian Dollar
British Pound
Brazilian Real
Japanese Yen
Israeli Shekel
Mexican Peso
Australian Dollar

December 31, 2020

Local Currency
Amount

Notional Contract
Amount (USD)

€126,300 $
¥936,000
C$65,000
£32,300
¥4,249,000
R$142,000
ILS74,000 
M$140,000
A$5,800
CHF3,700

$

155,125 
143,393 
50,791 
43,879 
41,222 
27,264 
23,094 
7,002 
4,447 
4,191 
500,408 

December 31, 2019

Local Currency
Amount

Notional Contract
Amount (USD)

€97,000 $
¥431,000
C$52,000
£28,000
R$130,000
¥3,000,000
ILS63,700 
M$140,000
A$3,000

$

108,870 
60,702 
39,802 
36,770 
32,185 
27,604 
18,439 
7,398 
2,101 
333,871 

Other foreign currency forward contract

Prior to the closing of the exocad Global Holdings GmbH (“exocad”) acquisition on April 1, 2020, we entered into a Euro foreign currency forward
contract with a notional contract amount of €376.0 million. As a result of this contract, during the year ended December 31, 2020, we recognized a $10.2
million loss within other income (expense), net in our Consolidated Statement of Operations.

Note 3. Balance Sheet Components

Inventories consist of the following (in thousands): 

Raw materials
Work in progress
Finished goods
Total inventories

December 31,

2020

2019

$

$

76,404  $
31,393 
31,440 
139,237  $

54,947 
30,974 
26,130 
112,051 

73

Prepaid expenses and other current assets consist of the following (in thousands):

Tax related receivables
Prepaid property tax and insurance
Prepaid software and maintenance
1
Current unsecured promissory note 
Others
Total prepaid expenses and other current assets

December 31,

2020

2019

45,243  $
14,047 
6,070 
5,408 
20,986 
91,754  $

41,252 
4,648 
7,128 
25,005 
24,417 
102,450 

$

$

    Refer to Note 7“Equity Method Investments” of the Notes to Consolidated Financial Statements for more information
1

Property, plant and equipment consist of the following (in thousands):

Clinical and manufacturing equipment
Building
Leasehold improvements
Computer software
Furniture and fixtures
Computer hardware
Land
CIP
Total
Less: Accumulated depreciation and impairment charges
Total property, plant and equipment, net

Generally Used Estimated
Useful Life
Up to 10 years
20 years
1
Lease term 
3 years
5 years
3 years
—
—

December 31,

2020

2019

$

$

372,077  $
244,166 
63,541 
62,466 
50,031 
45,602 
34,598 
163,492 
1,035,973 
(301,252)
734,721  $

309,809 
209,643 
53,327 
61,722 
44,373 
39,199 
26,422 
116,751 
861,246 
(229,516)
631,730 

    Shorter of the remaining lease term or the estimated useful lives of the assets
1

Depreciation  was  $80.1  million,  $73.1  million  and  $48.7  million  for  the  year  ended  December  31,  2020,  2019  and  2018,  respectively.  In  the  first
quarter of 2019, we recorded impairment losses of $14.3 million related to leasehold improvements and other fixed assets. Refer to Note 9 “Impairments
and Other Charges (Gains), net” of the Notes to Consolidated Financial Statements for more information.

Accrued liabilities consist of the following (in thousands): 

Accrued payroll and benefits
Accrued expenses
Accrued income taxes
Accrued property, plant and equipment
Current operating lease liabilities
Others

Total accrued liabilities

74

December 31,

2020

2019

$

$

170,106  $
77,024 
30,130 
27,692 
21,735 
78,895 
405,582  $

162,486 
55,529 
14,130 
9,167 
15,737 
62,909 
319,958 

 
 
Accrued warranty as of December 31, 2020 and 2019, which is included in the “Others” category of the accrued liabilities table above, consists of the

following activity (in thousands):

Accrued warranty as of December 31, 2018

Charged to cost of net revenues
Actual warranty expenditures

Accrued warranty as of December 31, 2019

Charged to cost of net revenues
Actual warranty expenditures

Accrued warranty as of December 31, 2020

Deferred revenues consist of the following (in thousands):

Deferred revenues - current
Deferred revenues - long-term 
1

    Included in Other long-term liabilities within our Consolidated Balance Sheet
1

$

$

8,551 
12,421 
(9,767)
11,205 
12,581 
(11,171)
12,615 

December 31,

2020

2019

$

777,887  $
62,551 

563,762 
35,503 

During  the  year  ended  December  31,  2020  and  2019,  we  recognized  $2.5  billion  and  $2.4  billion  of  net  revenues,  respectively,  of  which  $341.9

million and $262.7 million was included in the deferred revenues balance at December 31, 2019 and December 31, 2018, respectively.

Note 4. Leases

Lessee

We  have  operating  leases  for  office  and  retail  spaces,  vehicles  and  office  equipment.  The  components  of  lease  expenses  consist  of  following  (in

thousands):

Lease Cost
1
Operating lease cost 
Variable lease cost

Total lease cost

1     

Includes short-term lease expense which is not material

The following table provides a summary of our operating lease terms and discount rates:

Remaining Lease Term and Discount Rate
Weighted average remaining lease term (in years)
Weighted average discount rate

75

Year Ended December 31,

2020

2019

$

$

27,825  $
1,429 
29,254  $

22,778 
1,899 
24,677 

December 31,

2020

2019

7.4
4.2 %

5.7
4.1 %

As of December 31, 2020, the future payments related to our operating lease liabilities are as follows (in thousands):

Fiscal Year Ending December 31,
2021
2022
2023
2024
2025
Thereafter

Total lease payments
Less: Imputed interest

Total lease liabilities

Operating Leases

25,358 
19,705 
14,683 
6,550 
4,944 
29,280 
100,520 
(14,340)
86,180 

$

$

As  of  December  31,  2020,  we  had  additional  operating  leases  that  have  not  yet  commenced  with  future  lease  payments  of  $18.1  million,  which
includes a lease for office space in Tempe, Arizona which was designated as our new corporate headquarters effective January 1, 2021. These operating
leases will commence during 2021 with non-cancelable lease terms of one to seven years.

Lessor

In 2019, as part of the $56.0 million purchase of a building located in Raleigh, North Carolina, we assumed an existing lease with a third-party for
one floor of the building which is classified as an operating lease. The lease has annual escalating payments and expires in August 2029 in accordance with
the terms and conditions of the existing agreement.

Lease payments due to Align as of December 31, 2020 are as follows (in thousands):

Fiscal Year Ending December 31,
2021
2022
2023
2024
2025
Thereafter
Total minimum lease payments

Operating Lease

1,145 
1,199 
1,229 
1,259 
1,291 
4,891 
11,014 

$

$

For the year ended December 31, 2020 and 2019, operating lease income was not material.

Note 5. Business Combination

On April 1, 2020 (the “acquisition date”), we completed the acquisition of privately-held exocad for a total purchase consideration of $430.0 million
and exocad became a wholly-owned subsidiary. exocad is a German dental CAD/CAM software company that offers fully integrated workflows to dental
labs  and  dental  practices.  We  believe  the  synergies  from  the  acquisition  will  strengthen  our  digital  platform  by  adding  exocad’s  expertise  in  restorative
dentistry, implantology, guided surgery, and smile design to extend our digital solutions and pave the way for new, seamless cross-discipline dentistry in the
lab and at chairside.

The total purchase consideration consisted of the following (in thousands):

Cash paid to exocad stockholders
Cash paid to settle exocad’s bank debt

Total purchase consideration paid

$

$

412,287 
17,691 
429,978 

76

The preliminary allocation of purchase price to assets acquired and liabilities assumed which is subject to change within the measurement period is as

follows (in thousands):

Goodwill
Identified intangible assets
Cash and cash equivalents
Deferred tax liabilities
Other assets (liabilities), net

Total

$

$

340,181 
118,700 
9,190 
(35,419)
(2,674)
429,978 

Goodwill  represents  the  excess  of  the  purchase  price  over  the  fair  value  of  the  underlying  net  tangible  and  identifiable  intangible  assets,  and
represents the expected synergies of the transaction and the knowledge and experience of the workforce in place. None of this goodwill is deductible for tax
purposes.  Under  the  applicable  accounting  guidance,  goodwill  will  not  be  amortized  but  will  be  tested  for  impairment  on  an  annual  basis  or  more
frequently if certain indicators are present. We allocated approximately $296.7 million of goodwill to our Systems and Services reporting unit (formerly the
“Scanner  and  Services”  reporting  unit  prior  to  its  renaming  during  the  second  quarter  of  2020)  and  approximately  $43.5  million  of  the  goodwill  to  our
Clear Aligner reporting unit (Refer to Note 6“Goodwill and Intangible Assets” of the Notes to Consolidated Financial Statements for additional details).
Our  reporting  units  are  the  same  as  our  operating  segments.  Acquisition  related  costs  are  recognized  separately  from  the  business  combination  and
expensed as incurred.

The following table presents details of the identified intangible assets acquired (in thousands, except years):

Intangible assets subject to amortization:

  Existing technology
  Customer relationships
  Tradenames

Intangible assets not subject to amortization:

  In-process Research and Development (“IPR&D”)

Total intangible assets

Weighted Average
Amortization Period (in
years)

Fair Value

10 $
10
7

N/A

$

87,000 
21,500 
9,800 

400 
118,700 

We  believe  the  amount  of  purchased  intangible  assets  recorded  above  represent  the  fair  values  and  approximate  the  amount  a  market  participant

would pay for these intangible assets as of the acquisition date.

Existing technology represents the estimated fair value of exocad’s core technology that has reached technological feasibility. We valued the existing
technology using the multi-period excess earnings method under the income approach. The economic useful life of existing technology was determined by
considering the life cycle of the technology and related cash flows.

Customer relationships represent the fair value of future projected revenue that will be derived from sales of products to existing customers. Customer
relationships were valued using the with-and-without method under the income approach. The economic useful life for customer relationships was based on
historical customer attrition rates.

Tradenames  relates  to  the  exocad  tradenames  that  are  recognized  within  the  industry.  The  fair  value  was  determined  using  the  relief-from-royalty
method under the income approach. The economic useful life of tradenames was determined by benchmarking against similar transactions entered into by
peer companies.

IPR&D refers to the fair value of projects that are not yet completed but have potential value to the company.

Deferred  tax  liabilities  were  recorded  for  significant  basis  differences  primarily  to  reflect  the  tax  effect  of  fair  value  adjustments  made  to  the
beginning balance of the intangible assets and deferred revenue as of the acquisition date (Refer to Note 15 “Accounting for Income Taxes” of the Notes to
Consolidated Financial Statements for additional details).

77

Our consolidated financial statements include the operating results of exocad from the acquisition date. Separate post-acquisition operating results

and pro forma results of operations for this acquisition have not been presented as the effect is not material to our financial results.

Note 6. Goodwill and Intangible Assets

Goodwill

The change in the carrying value of goodwill for the year ended December 31, 2020 and 2019, categorized by reportable segments, is as follows (in

thousands):

Balance as of December 31, 2018

Adjustments 
2

Balance as of December 31, 2019

1
Additions from exocad acquisition 
Adjustments 
2

Balance as of December 31, 2020

Clear Aligner

Systems and Services

Total

$

$

64,029  $
(105)
63,924 
43,500 
5,267 
112,691  $

—  $
— 
— 
296,681 
35,445 
332,126  $

64,029 
(105)
63,924 
340,181 
40,712 
444,817 

1       

Includes  goodwill  adjustments  within  the  measurement  period  (up  to  one  year  from  acquisition  date).  Refer  to  Note  5  "Business  Combination"  of  the  Notes  to

Consolidated Financial Statements for additional details.

2     

Adjustments related to foreign currency translation within the measurement period

We completed our annual goodwill impairment assessments in 2020 and 2019 and determined there were no impairments.

Intangible Long-Lived Assets

We amortize our intangible assets over their estimated useful lives. We evaluate long-lived assets, which includes property, plant and equipment and
intangible assets, for impairment whenever events or changes in circumstances indicate the carrying value of an asset may not be recoverable. The carrying
value is not recoverable if it exceeds the undiscounted cash flows resulting from the use of the asset and its eventual disposition. Our estimates of future
cash flows attributable to our long-lived assets require significant judgment based on our historical and anticipated results and are subject to many factors.
Factors  we  consider  important  which  could  trigger  an  impairment  review  include  significant  negative  industry  or  economic  trends,  significant  loss  of
customers and changes in the competitive environment.

There were no triggering events in 2020 or 2019 that would cause impairments of our intangible long-lived assets.

Acquired intangible long-lived assets were as follows, excluding intangibles that were fully amortized (in thousands):

Existing technology
Customer relationships
Trademarks and tradenames
Patents and other

Foreign currency translation
1
Total intangible assets 

Weighted Average
Amortization Period (in
years)
10
11
10
8

Gross Carrying Amount
as of
December 31, 2020

Accumulated
Amortization

Accumulated
Impairment Loss

Net Carrying
Value as of
December 31, 2020

$

$

99,400  $
55,000 
16,600 
6,610 
177,610  $

(12,719) $
(21,879)
(2,934)
(3,785)
(41,317) $

(4,328) $
(10,751)
(4,179)
— 
(19,258)

$

82,353 
22,370 
9,487 
2,825 

117,035 
13,037 
130,072 

1    

Refer to Note 5 "Business Combination" of the Notes to Consolidated Financial Statements for additional details on intangible assets from our exocad acquisition

78

Trademarks
Existing technology
Customer relationships
Reacquired rights
Patents and other
Total intangible assets

Weighted Average
Amortization Period (in
years)
15
13
11
3
8

$

$

Gross Carrying
Amount as of
December 31, 2019

Accumulated
2
Amortization 

Accumulated
Impairment Loss

Net Carrying
Value as of
December 31, 2019

6,800  $

12,400 
33,500 
7,500 
6,770 
66,970  $

(1,745) $
(5,631)
(18,405)
(7,059)
(3,104)
(35,944) $

(4,179) $
(4,328)
(10,751)
— 
— 
(19,258) $

876 
2,441 
4,344 
441 
3,666 
11,768 

2    

Includes foreign currency translation which is immaterial

The total estimated annual future amortization expense for these acquired intangible assets as of December 31, 2020 is as follows (in thousands):

Fiscal Year
2021
2022
2023
2024
2025
Thereafter
Total

Amortization

15,622 
14,366 
13,745 
12,805 
12,428 
48,069 
117,035 

$

$

Amortization expense was $13.4 million, $5.9 million and $6.0 million for the year ended December 31, 2020, 2019 and 2018, respectively.

Note 7. Equity Method Investments

On July 25, 2016, we acquired a 17% equity interest, on a fully diluted basis, in SDC for $46.7 million. Concurrently with the investment, we also
entered into a supply agreement to manufacture clear aligners for SDC, which expired on December 31, 2019. The sale of aligners to SDC and the income
from the supply agreement are reported in our Clear Aligner business segment. On July 24, 2017, we purchased an additional 2% equity interest in SDC for
$12.8  million.  The  investment  was  accounted  for  as  an  equity  method  investment  and  recorded  in  our  Consolidated  Balance  Sheet.  We  recorded  our
proportional share of SDC’s losses within equity in losses of investee, net of tax, in our Consolidated Statement of Operations within our Clear Aligner
reportable segment.

As a result of the arbitrator’s decision regarding SDC announced on March 5, 2019, we were ordered to tender our SDC equity interest by April 3,
2019 for a purchase price equal to the “capital account” balance as of October 31, 2017 under the terms of the investment. In April 2019, based on the
“capital account” value provided by SDC, we entered into an unsecured promissory note with SDC to receive $54.2 million through February 1, 2021 in
exchange for the tender of our membership interests. As a result, we derecognized the equity method investment balance of $38.4 million in exchange for
an unsecured promissory note of $54.2 million and we recorded the difference of $15.8 million as a gain in the second quarter of 2019 in other income in
our Consolidated Statement of Operations. Although we tendered our membership interests pursuant to the arbitrator’s decision, the parties did not agree on
the amount of the “capital account” balance as of October 31, 2017 or the appropriate repurchase price for the membership units. On July 3, 2019, we filed
a demand for arbitration regarding SDC’s calculation of the “capital account” balance. Refer to Note 10 “Legal Proceedings” of the Notes to Consolidated
Financial Statements for SDC legal proceedings discussion. As of December 31, 2020, the unsecured promissory note had a remaining current balance of
$5.4 million.

Note 8. Credit Facility

On July 21, 2020 we entered into a credit facility for a $300.0 million unsecured revolving line of credit, with a $50.0 million letter of credit sublimit,
and a maturity date of July 21, 2023 (“2020 Credit Facility”), replacing our previous credit facility which provided for a $200.0 million revolving line of
credit with a $50.0 million letter of credit. The 2020 Credit Facility requires us to comply with specific financial conditions and performance requirements.
Loans under the 2020 Credit Facility bear interest, at our option, at either a rate based on the reserve adjusted LIBOR for the applicable interest period or a

79

base rate, in each case plus a margin. The base rate is the highest of the credit facility’s publicly announced prime rate, the federal funds rate plus 0.50%
and one-month LIBOR plus 1.0%. The margin ranges from 1.50% to 2.25% for LIBOR loans and 0.50% to 1.25% for base rate loans. Interest on the loans
is payable quarterly in arrears with respect to base rate loans and at the end of an interest period (and at three month intervals if the interest period exceeds
three  months)  in  the  case  of  LIBOR  loans.  The  outstanding  principal,  together  with  accrued  and  unpaid  interest,  is  due  on  the  maturity  date.  As  of
December  31,  2020,  we  had  no  outstanding  borrowings  under  the  2020  Credit  Facility  and  were  in  compliance  with  the  conditions  and  performance
requirements.

Note 9. Impairments and Other Charges (Gains), net

On March 5, 2019, we announced the outcome of the arbitration regarding SDC (Refer to Note 10 “Legal Proceedings” of the Notes to Consolidated
Financial Statements for SDC legal proceedings discussion) which required Align to close its Invisalign stores and tender Align’s equity interest in SDC by
April  3,  2019.  Accordingly,  Align  evaluated  the  ongoing  value  of  the  Invisalign  stores’  operating  lease  right-of-use  assets  and  related  leasehold
improvements  and  other  fixed  assets  in  accordance  with  ASC  360,  Property, Plant and Equipment.  Based  on  the  evaluation,  Align  determined  that  the
carrying value of these assets were not recoverable. Align evaluated the fair value of these assets in accordance with ASC 820, Fair Value Measurement,
and we considered the market participant’s ability to generate economic benefits by using these assets in its highest and best use or by selling it to another
market participant that would use the asset in its highest and best use. As a result, in the first quarter of 2019, we recorded impairment losses of $14.2
million  for  operating  lease  right-of-use  assets  and  $14.3  million  of  leasehold  improvements  and  other  fixed  assets.  In  addition,  we  also  recorded  $1.3
million of employee severance costs and other charges. During the third quarter of 2019, we negotiated early termination of our Invisalign store leases and
recorded lease termination gains of $6.8 million.

Note 10. Legal Proceedings

2018 Securities Class Action Lawsuit

On November 5, 2018, a class action lawsuit against Align and three of our executive officers was filed in the U.S. District Court for the Northern
District of California on behalf of a purported class of purchasers of our common stock. The complaint generally alleged claims under the federal securities
laws and sought monetary damages in an unspecified amount and costs and expenses incurred in the litigation. On December 12, 2018, a similar lawsuit
was filed in the same court on behalf of a purported class of purchasers of our common stock. On November 29, 2019, the lead plaintiff filed an amended
consolidated complaint against Align and two of our executive officers alleging similar claims as the initial complaints on behalf of a purported class of
purchasers  of  our  common  stock  from  May  23,  2018  and  October  24,  2018.  On  September  9,  2020,  Defendants’  motion  to  dismiss  the  amended
consolidated complaint was granted in part and denied in part. Trial is scheduled for October 3, 2022. Align believes the claims that remain in the case are
without merit and intends to vigorously defend itself. Align is currently unable to predict the outcome of the lawsuit and therefore cannot determine the
likelihood of loss nor estimate a range of possible loss.

2019 Shareholder Derivative Lawsuit

In January 2019, three derivative lawsuits were filed in the U.S. District Court for the Northern District of California which were later consolidated,
purportedly on behalf of Align, naming as defendants the members of our Board of Directors along with certain of our executive officers. The allegations in
the  complaints  are  similar  to  those  asserted  in  the  2018  Securities  Class  Action  Lawsuit,  but  the  complaints  assert  various  state  law  causes  of  action,
including for breaches of fiduciary duty, insider trading, and unjust enrichment. The complaints seek unspecified monetary damages on behalf of Align,
which is named solely as a nominal defendant against whom no recovery is sought, as well as disgorgement and the costs and expenses associated with the
litigation, including attorneys’ fees. The consolidated action has been stayed pending final disposition of the 2018 Securities Class Action Lawsuit.

On April 12, 2019, a derivative lawsuit was also filed in California Superior Court for Santa Clara County, purportedly on behalf of Align, naming as
defendants the members of our Board of Directors along with certain of our executive officers. The allegations in the complaint are similar to those in the
derivative suits described above. The matter has been similarly stayed pending final disposition of the 2018 Securities Class Action Lawsuit.

Align  is  currently  unable  to  predict  the  outcome  of  these  lawsuits  and  therefore  cannot  determine  the  likelihood  of  loss  nor  estimate  a  range  of

possible loss.

80

    
2020 Securities Class Action Lawsuit

On March 2, 2020, a class action lawsuit against Align and two of our executive officers was filed in the U.S. District Court for the Southern District
of New York (later transferred to the U.S. District Court for the Northern District of California) on behalf of a purported class of purchasers of our common
stock.  The  complaint  alleged  claims  under  the  federal  securities  laws  and  sought  monetary  damages  in  an  unspecified  amount  and  costs  and  expenses
incurred in the litigation. The lead plaintiff filed an amended complaint on August 4, 2020 against Align and three of our executive officers alleging similar
claims as in the initial complaint on behalf of a purported class of purchasers of our common stock from April 25, 2019 to July 24, 2019. A motion to
dismiss the amended complaint was filed on September 18, 2020. Align believes these claims are without merit and intends to vigorously defend itself.
Align is currently unable to predict the outcome of this lawsuit and therefore cannot determine the likelihood of loss nor estimate a range of possible loss.

2020 Shareholder Derivative Lawsuit

On  May  4,  2020,  a  derivative  lawsuit  was  filed  in  the  U.S.  District  Court  for  the  Northern  District  of  California,  purportedly  on  behalf  of  Align,
naming as defendants the members of our Board of Directors along with certain of our executive officers. The allegations in the complaint are similar to
those presented in the 2020 Securities Class Action Lawsuit, but this complaint asserts state law claims for breach of fiduciary duty and insider trading. The
complaint seeks unspecified monetary damages on behalf of Align, which is named solely as a nominal defendant against whom no recovery is sought, as
well as disgorgement and the costs and expenses associated with the litigation, including attorneys’ fees. This action has been stayed pending a decision on
the motion to dismiss in the 2020 Securities Class Action Lawsuit. Align is currently unable to predict the outcome of this lawsuit and therefore cannot
determine the likelihood of loss nor estimate a range of possible loss.

3Shape Litigation

On  November  14,  2017,  Align  filed  several  patent  infringement  lawsuits  asserting  patents  against  3Shape,  a  Danish  corporation,  and  a

related U.S. corporate entity, asserting that 3Shape’s Trios intraoral scanning system and Dental System software infringe Align patents.

These lawsuits were filed in the U.S. District Court for the District of Delaware alleging patent infringement by 3Shape’s Trios intraoral scanning
system  and  Dental  System  software.  Three  of  the  cases  are  active  and  3Shape  has  filed  counterclaims  for  breach  of  contract  and  business  torts  in  two.
Those counterclaims are the subject of pending motions to dismiss.

In 2018, 3Shape filed two separate complaints in the U.S. District Court for the District of Delaware alleging patent infringement by Align’s iTero
Element  scanner  of  3Shape  patents.  On  August  19,  2019,  the  Court  consolidated  the  two  actions,  and  on  August  30,  2019,  3Shape  filed  an  amended
complaint.

On December 10, 2018, Align filed a Section 337 complaint with the ITC alleging that 3Shape violated U.S. trade laws by selling for importation and
importing the infringing TRIOS intraoral scanning system, Trios Lab Scanners and TRIOS software, TRIOS Module software, Dental System software,
and Ortho System Software. On April 30, 2020, an Administrative Law Judge (“ALJ”) issued an initial determination that found a violation of Section 337
stemming from 3Shape’s infringement of 4 claims in 2 of Align’s asserted patents. The Commissioners at the ITC affirmed in part and reversed in part,
resulting in no finding of infringement of valid patent claims and a finding of no violation of Section 337.

On December 11, 2018, Align filed two additional complaints in the U.S. District Court for the District of Delaware alleging patent infringement by
3Shape’s Trios intraoral scanning system, Lab Scanners and Dental and Ortho System Software. One of those cases was voluntarily dismissed. 3Shape has
filed business tort counterclaims, which are the subject of a motion to dismiss.

On October 19, 2020, Align filed a complaint in the U.S. District Court for the Western District of Texas alleging patent infringement by 3Shape’s
intraoral  scanners  and  associated  software  products.  In  response,  3Shape  filed  a  motion  to  dismiss  as  well  as  business  tort  and  patent  infringement
counterclaims. Align has moved to dismiss the business tort counterclaims.

Each  of  3Shape  and  Align’s  District  Court  patent  infringement  complaints  and  all  of  3Shape’s  counterclaims  seek  monetary  damages  and/or
injunctive relief. One of Align’s Delaware District Court cases against 3Shape was scheduled to proceed to jury trial on April 12, 2021; that jury trial has
been rescheduled for July 26, 2021. The case pending in the Western District of Texas has been given an estimated trial date of October 3, 2022. No trial
dates have been set in the remaining cases.

On August 28, 2018, 3Shape filed a complaint against Align in the U.S. District Court for the District of Delaware alleging antitrust violations and

seeking monetary damages and injunctive relief relating to Align’s alleged market activities,

81

including Align’s assertion of its patent portfolio, in alleged clear aligner and intraoral scanning markets. After the Court dismissed 3Shape’s complaint,
3Shape filed an amended complaint on October 28, 2019. The Court denied Align’s motion to dismiss the amended complaint on November 25, 2020. No
trial date has been set.

Align is currently unable to predict the outcome of these lawsuits and therefore cannot determine the likelihood of loss, if any, nor estimate a range of

possible loss.

Simon & Simon

On June 5, 2020, a dental practice named Simon and Simon, PC d/b/a City Smiles brought an antitrust action in the United States District Court for
the Northern District of California on behalf of itself and a putative class of similarly situated practices seeking monetary damages and injunctive relief
relating to Align’s alleged market activities in alleged clear aligner and intraoral scanning markets. Prior to filing in the Northern District of California,
Plaintiff had voluntarily dismissed a similar action in the U.S. District Court for the District of Delaware. Plaintiff filed an amended complaint and added
VIP Dental Spas as a plaintiff on August 14, 2020. On September 9, 2020, Align moved to dismiss Plaintiffs’ amended complaint. The District Court Judge
heard argument regarding Align’s motion to dismiss on December 10, 2020. Align’s motion to dismiss remains pending before the court. The court has not
entered a schedule or set a trial date. Align believes the plaintiffs’ claims are without merit and intends to vigorously defend itself. Align is currently unable
to predict the outcome of this lawsuit and therefore cannot determine the likelihood of loss, if any, nor estimate a range of possible loss.

SDC Dispute

In April 2018, SDC Financial LLC, SmileDirectClub LLC, and the Members of SDC Financial LLC other than the Company (collectively, the “SDC
Entities”) initiated confidential arbitration proceedings against Align. In an award dated March 4, 2019, (“Award”) an arbitrator found that Align breached
a restrictive covenant and that Align misused the SDC Entities’ confidential information and violated fiduciary duties to SDC Financial LLC. As part of the
Award,  Align  was  enjoined  from  opening  new  Invisalign  stores  or  providing  certain  services  in  physical  retail  establishments  in  connection  with  the
marketing and sale of clear aligners in the United States, and enjoined from using the SDC Entities’ confidential information. The arbitrator extended the
expiration  date  of  specified  aspects  of  the  restrictive  covenant  to  August  18,  2022.  The  arbitrator  also  ordered  Align  to  tender  its  SDC  Financial  LLC
membership  interests  to  the  SDC  Entities  for  a  purchase  price  equal  to  the  “capital  account”  balance  as  of  October  31,  2017,  to  be  determined  in
accordance with the applicable provisions of the SDC Operating Agreements. No financial damages were awarded to the SDC Entities. The Circuit Court
for Cook County, Illinois confirmed the Award on April 29, 2019.

As  required  by  the  Award,  Align  tendered  its  membership  interests  for  a  purchase  price  that  SDC  claims  to  be  Align’s  “capital  account”  balance.
Align disputes that the SDC Entities properly determined the value of Align’s “capital account” balance as of October 31, 2017. Consequently, on July 3,
2019, Align filed a confidential demand for arbitration challenging the propriety of the SDC Entities’ determination. The arbitration hearing occurred in
December 2020 and issuance of the arbitrator’s award remains pending. Relatedly, the SDC Entities filed a contempt petition with the Illinois court which
confirmed the Award, asserting that Align had no right to contest the “capital account” determination as made by the SDC Entities. On September 4, 2019,
the Illinois court denied in its entirety the contempt petition filed by the SDC Entities. The SDC Entities appealed and, on February 9, 2021, the Illinois
Appellate Court affirmed the denial of the contempt petition.

On  August  19,  2019,  the  SDC  Entities  filed  a  separate  confidential  arbitration  proceeding  alleging  that  Align  had  violated  a  restrictive  covenant
applicable to the members of the SDC Entities by virtue of Align’s alleged dealings with a third-party claimed to be a competitor of the SDC Entities. On
April  27,  2020,  the  SDC  Entities  filed  an  amended  arbitration  demand,  which  additionally  asserted  that  Align’s  alleged  dealings  with  a  third-party
constituted  contempt  of  the  Award.  On  February  5,  2021,  pursuant  to  SDC’s  unopposed  notice  of  voluntary  dismissal,  the  arbitrator  dismissed  the
arbitration with prejudice.

On August 27, 2020, Align initiated a confidential arbitration proceeding against the SDC entities before the American Arbitration Association in San
Jose, California. This arbitration relates to the Strategic Supply Agreement (“Supply Agreement”) entered into between the parties in 2016. The complaint
states that the SDC Entities breached the Supply Agreement’s terms, causing damages to Align in an amount to be determined. On January 19, 2021, SDC
filed a counterclaim to Align’s suit alleging that Align breached the Supply Agreement. Align denies the SDC Entities’ allegations in this arbitration and
will vigorously defend itself against them. This arbitration hearing is scheduled for September 27, 2021.

Align is currently unable to predict the outcome of these disputes and therefore cannot determine the likelihood of loss or success nor estimate a range

of possible loss or success, if any.

82

In addition to the above, in the course of Align’s operations, Align is involved in a variety of claims, suits, investigations, and proceedings, including
actions  with  respect  to  intellectual  property  claims,  patent  infringement  claims,  government  investigations,  labor  and  employment  claims,  breach  of
contract claims, tax, and other matters. Regardless of the outcome, these proceedings can have an adverse impact on us because of defense costs, diversion
of management resources, and other factors. Although the results of complex legal proceedings are difficult to predict and Align’s view of these matters
may change in the future as litigation and events related thereto unfold; Align currently does not believe that these matters, individually or in the aggregate,
will materially affect Align’s financial position, results of operations or cash flows.

Note 11. Commitments and Contingencies

On  November  27,  2017,  we  entered  into  a  Purchase  Agreement  with  one  of  our  existing  single  source  suppliers.  Under  the  terms  of  the  original
agreement, we are required to purchase a minimum of approximately $305.2 million of aligner materials over the next four years. On May 29, 2018, we
entered into an amendment to the Purchase Agreement with the existing single source supplier to increase the original term of the agreement to five years
and total minimum purchase amount to approximately $425.9 million.

On October 3, 2019, we entered into a Promotional Rights Agreement with NFL Properties LLC for $36.0 million which includes certain advertising

and media coverage. As of December 31, 2020, we had a remaining commitment of $27.9 million which is expected to be paid through 2023.

On  October  30,  2020,  we  entered  into  a  non-cancelable  Addendum  to  the  Master  Subscription  Agreement  with  a  software  company  to  renew  our

software license subscription for the total price of $95.2 million over the next four years starting on January 1, 2021.

Off-Balance Sheet Arrangements

As of December 31, 2020, we had no material off-balance sheet arrangements that have, or are reasonably likely to have, a current or future material
effect on our consolidated financial condition, results of operations, liquidity, capital expenditures or capital resources other than certain items disclosed in
the Commitments and Contingencies section above.

Indemnification Provisions

In the normal course of business to facilitate transactions in our services and products, we indemnify certain parties: customers, vendors, lessors, and
other parties with respect to certain matters, including, but not limited to, services to be provided by us and intellectual property infringement claims made
by third parties. In addition, we have entered into indemnification agreements with our directors and our executive officers that will require us, among other
things, to indemnify them against certain liabilities that may arise by reason of their status or service as directors or officers. Several of these agreements
limit the time within which an indemnification claim can be made and the amount of the claim.

It is not possible to make a reasonable estimate of the maximum potential amount under these indemnification agreements due to the unique facts and
circumstances involved in each particular agreement. Additionally, we have a limited history of prior indemnification claims and the payments we have
made under such agreements have not had a material adverse effect on our results of operations, cash flows or financial position. However, to the extent
that valid indemnification claims arise in the future, future payments by us could be significant and could have a material adverse effect on our results of
operations  or  cash  flows  in  a  particular  period.  As  of  December  31,  2020,  we  did  not  have  any  material  indemnification  claims  that  were  probable  or
reasonably possible.

Note 12. Stockholders’ Equity

Common Stock

The  holders  of  common  stock  are  entitled  to  receive  dividends  whenever  funds  are  legally  available  and  when  and  if  declared  by  the  Board  of

Directors. We have never declared or paid dividends on our common stock.

Stock-Based Compensation Plans

Our  2005  Incentive  Plan,  as  amended,  provides  for  the  granting  of  incentive  stock  options,  non-statutory  stock  options,  restricted  stock  units
(“RSUs”), market-performance based restricted stock units (“MSUs”), stock appreciation rights, performance units and performance shares to employees,
non-employee directors and consultants. Shares granted on or after May 16, 2013 as an award of restricted stock, restricted stock unit, market-performance
based restricted stock units,

83

performance  share  or  performance  unit  (“full  value  awards”)  are  counted  against  the  authorized  share  reserve  as  one  and  nine-tenths  (1 9/10)  shares  for
every one (1) share subject to the award, and any shares canceled that were counted as one and nine-tenths against the plan reserve will be returned at the
same ratio. 

As of December 31, 2020, the 2005 Incentive Plan, as amended, has a total reserve of 27,783,379 shares for issuance of which 4,624,704 shares are
available for issuance. We issue new shares from our pool of authorized but unissued shares to satisfy the exercise and vesting obligations of our stock-
based compensation plans.

Stock-Based Compensation

Stock-based  compensation  is  based  on  the  estimated  fair  value  of  awards,  net  of  estimated  forfeitures,  and  recognized  over  the  requisite  service
period.  Estimated  forfeitures  are  based  on  historical  experience  at  the  time  of  grant  and  may  be  revised,  if  necessary,  in  subsequent  periods  if  actual
forfeitures differ from those estimates. The stock-based compensation related to all of our stock-based awards and employee stock purchase plan for the
year ended December 31, 2020, 2019 and 2018 is as follows (in thousands):

Cost of net revenues
Selling, general and administrative
Research and development
Total stock-based compensation

Stock Options

2020

Year Ended December 31,
2019

2018

$

$

4,719  $

78,500 
15,208 
98,427  $

5,154  $

69,817 
13,213 
88,184  $

3,695 
56,422 
10,646 
70,763 

We  have  not  granted  options  since  2011  and  all  outstanding  options  were  fully  vested  and  associated  stock-based  compensation  expense  was
recognized as of December 31, 2015. During the year ended December 31, 2020, no stock options were exercised and as of December 31, 2020, there were
no options outstanding and exercisable.

The aggregate intrinsic value represents the total pre-tax intrinsic value (the difference between our closing stock price on the last trading day of the
fiscal year and the exercise price, multiplied by the number of in-the-money options) that would have been received by the option holders had all option
holders exercised their options on the last trading day of the fiscal year. This amount will fluctuate based on the fair market value of our stock. The total
intrinsic value of stock options exercised for the year ended December 31, 2019 and 2018 was $2.0 million and $17.6 million, respectively. 

Restricted Stock Units

The fair value of RSUs is based on our closing stock price on the date of grant. RSUs granted generally vest over a period of four years. A summary

for the year ended December 31, 2020, is as follows:

Unvested as of December 31, 2019

Granted
Vested and released
Forfeited

Unvested as of December 31, 2020

Weighted Average
Remaining
Contractual Term
(in years)

Aggregate
Intrinsic Value
(in thousands)

Number of Shares
Underlying RSUs
(in thousands)

Weighted Average
Grant Date Fair Value
190.60 
267.24 
152.51 
236.90 

696  $
300 
(324)
(40)
632  $

243.55 

1.2 $

337,677 

The aggregate intrinsic value in the table above represents the total pre-tax intrinsic value (calculated by multiplying our closing stock price on the
last trading day of 2020 by the number of unvested RSUs) that would have been received by the unit holders had all RSUs been vested and released as of
the last trading day of 2020. This amount will fluctuate based on the fair market value of our stock. During 2020, of the 323,633 shares vested and released,
103,065 shares were withheld for employee statutory tax obligations, resulting in a net issuance of 220,568 shares.

84

 
 
 
The total fair value of RSUs vested as of their respective vesting dates during 2020, 2019 and 2018 was $89.6 million, $112.4 million and $146.7
million,  respectively.  The  weighted  average  grant  date  fair  value  of  RSUs  granted  during  2020,  2019  and  2018  was  $267.24,  $255.42  and  $262.58,
respectively. As of December 31, 2020, there was $100.2 million of total unamortized compensation costs, net of estimated forfeitures, related to RSUs and
these costs are expected to be recognized over a weighted average period of 2.2 years.

Market-Performance Based Restricted Stock Units

We grant MSUs to our executive officers. Each MSU represents the right to one share of Align’s common stock. The actual number of MSUs which
will be eligible to vest will be based on the performance of Align’s stock price relative to the performance of a stock market index over the vesting period,
and certain MSU grants are also based on Align’s stock price at the end of the performance period. The maximum number of MSUs which will be eligible
to vest range from 250% to 300% of the MSUs initially granted and the vesting period is three years.

The following table summarizes the MSU performance for the year ended December 31, 2020:

Unvested as of December 31, 2019

Granted
Vested and released

Unvested as of December 31, 2020

Weighted Average
Remaining
Contractual Term
(in years)

Aggregate
Intrinsic Value
(in thousands)

Number of Shares
Underlying MSUs
(in thousands)

Weighted Average
Grant Date Fair Value
331.35 
242.04 
120.39 

244  $
156 
173 
227  $

430.50 

1.1 $

121,435 

The aggregate intrinsic value in the table above represents the total pre-tax intrinsic value (calculated by multiplying our closing stock price on the
last trading day of 2020 by the number of unvested MSUs) that would have been received by the unit holders had all MSUs been vested and released as of
the last trading day of 2020. This amount will fluctuate based on the fair market value of our stock. During 2020, of the 173,000 shares vested and released,
82,591 shares were withheld for employee statutory tax obligations, resulting in a net issuance of 90,409 shares.

The  total  fair  value  of  MSUs  vested  as  of  their  respective  vesting  dates  during  2020,  2019  and  2018  was  $47.1  million,  $47.7  million  and  $92.7
million, respectively. As of December 31, 2020, there was $31.7 million of total unamortized compensation costs, net of estimated forfeitures, related to
MSUs and these costs are expected to be recognized over a weighted average period of 1.1 years.

The  fair  value  of  MSUs  is  estimated  at  the  grant  date  using  a  Monte  Carlo  simulation  that  includes  factors  for  market  conditions.  The  weighted

average assumptions used in the Monte Carlo simulation were as follows: 

Expected term (in years)
Expected volatility
Risk-free interest rate
Expected dividends
Weighted average fair value per share at grant date

Employee Stock Purchase Plan (“ESPP”)

2020

Year Ended December 31,
2019

2018

3.0
44.4 %
1.4 %
— 
392.67 

$

3.0
37.3 %
2.5 %
— 
392.03 

$

3.0
31.9 %
2.5 %
— 
470.75 

$

In  May  2010,  our  stockholders  approved  the  2010  Employee  Stock  Purchase  Plan  (the  “2010  Purchase  Plan”),  which  consists  of  consecutive
overlapping twenty-four month offering periods with four six-month purchase periods in each offering period. Employees purchase shares at 85% of the
lower of the fair market value of the common stock at either the beginning of the offering period or the end of the purchase period. The 2010 Purchase Plan
will continue until terminated by either the Board of Directors or its administrator. The maximum number of shares available for purchase under the 2010
Purchase Plan is 2.4 million shares. In June 2019, the 2010 Purchase Plan was amended to include a non-Code Section 423 component to grant purchase
rights to employees outside the U.S. and Canada with six-month offering periods and purchase periods.

85

 
 
 
The following table summarizes the ESPP shares issued:

Number of shares issued (in thousands)
Weighted average price

As of December 31, 2020, 325,665 shares remain available for future issuance.

2020

Year Ended December 31,
2019

2018

$

116 
175.69  $

130 
136.73  $

164 
96.95 

The  fair  value  of  the  option  component  of  the  2010  Purchase  Plan  shares  was  estimated  at  the  grant  date  using  the  Black-Scholes  option  pricing

model with the following weighted average assumptions:

Expected term (in years)
Expected volatility
Risk-free interest rate
Expected dividends
Weighted average fair value at grant date

Year Ended December 31,

2020

2019

2018

1.0
55.0 %
0.9 %
— 
96.94 

$

1.4
50.0 %
2.2 %
— 
86.02 

$

1.3
35.2 %
2.2 %
— 
94.71 

$

We recognized stock-based compensation related to our employee stock purchase plan of $10.5 million, $12.1 million and $5.6 million for the year
ended December 31, 2020, 2019 and 2018, respectively. As of December 31, 2020, there was $2.6 million of total unamortized compensation costs related
to future employee stock purchases which are expected to be recognized over a weighted average period of 0.3 year.

Note 13. Common Stock Repurchase Programs

April 2016 Repurchase Program

In April 2016, we announced that our Board of Directors had authorized a plan to repurchase up to $300.0 million of our common stock (“April 2016

Repurchase Program”).

In 2017, we entered into an accelerated share repurchase agreement (“ASR”) to repurchase $50.0 million of our common stock which was completed
in August 2017. We received a total of approximately 0.4 million shares for an average share price of $146.48. During 2017, we repurchased on the open
market approximately 0.2 million shares of our common stock at an average price of $243.40 per share, including commissions, for an aggregate purchase
price of approximately $50.0 million.

In  2018,  we  repurchased  on  the  open  market  approximately  0.7  million  shares  of  our  common  stock  at  an  average  price  of  $293.21  per  share,

including commissions, for an aggregate purchase price of approximately $200.0 million, completing the April 2016 Repurchase Program.

May 2018 Repurchase Program

In May 2018, we announced that our Board of Directors had authorized a plan to repurchase up to $600.0 million of our common stock (“May 2018

Repurchase Program”).

In  2018,  we  repurchased  on  the  open  market  approximately  0.1  million  shares  of  our  common  stock  at  an  average  price  of  $356.54  per  share,
including commissions, for an aggregate purchase price of approximately $50.0 million. In 2018, we entered into an ASR to repurchase $50.0 million of
our common stock which was completed in December 2018. We received a total of approximately 0.2 million shares for an average share price of $213.18.

In  2019,  we  repurchased  on  the  open  market  approximately  0.8  million  shares  of  our  common  stock  at  an  average  price  of  $264.93  per  share,
including commissions, for an aggregate purchase price of $200.0 million. We also entered into an ASR to repurchase $200.0 million of our common stock
which was completed in September 2019. We received a total of 1.1 million shares for an average share price of $176.61.

As of December 31, 2020, we have $100.0 million available for repurchase under the May 2018 Repurchase Program.

86

 
  
Note 14. Employee Benefit Plans

We have defined contribution retirement plan under Section 401(k) of the Internal Revenue Code for our U.S. employees which covers substantially
all U.S. employees who meet minimum age and service requirements and allows participants to defer a portion of their annual compensation on a pre-tax
basis. We match 50% of our employee’s salary deferral contributions up to 6% of the employee’s eligible compensation. We contributed approximately
$6.9 million, $6.2 million and $5.2 million to the 401(k) plan during the year ended December 31, 2020, 2019 and 2018, respectively. We also have defined
contribution  retirement  plans  outside  of  the  U.S.  to  which  we  contributed  $28.9  million  $25.4  million,  and  $18.0  million  during  the  year  ended
December 31, 2020, 2019 and 2018, respectively.

Note 15. Income Taxes

Net income before provision for (benefit from) income taxes and equity in losses of investee consists of the following (in thousands):

Domestic
Foreign
Net income before provision for (benefit from) income taxes and equity in losses of
investee

$

$

2020

Year Ended December 31,
2019

2018

173,099  $
205,850 

184,956  $
377,695 

378,949  $

562,651  $

171,658 
294,993 

466,651 

The provision for (benefit from) income taxes consists of the following (in thousands):

Federal

Current
Deferred

State

Current
Deferred

Foreign

Current
Deferred

Provision for (benefit from) income taxes

87

2020

Year Ended December 31,
2019

2018

$

$

55,291  $
(11,749)
43,542 

8,862 
(2,121)
6,741 

29,399 
(1,476,621)
(1,447,222)
(1,396,939) $

76,528  $
1,235 
77,763 

9,169 
209 
9,378 

28,364 
(3,158)
25,206 
112,347  $

35,788 
(5,989)
29,799 

9,568 
(3,274)
6,294 

22,753 
(1,123)
21,630 
57,723 

 
 
 
 
The differences between income taxes using the federal statutory income tax rate for 2020, 2019 and 2018 and our effective tax rates are as follows: 

U.S. federal statutory income tax rate
State income taxes, net of federal tax benefit
Impact of intra-entity intellectual property rights transfer
Impact of differences in foreign tax rates
Stock-based compensation
U.S. tax on foreign earnings
Settlement on audits
Impact of U.S. Tax Cuts and Jobs Act (“TCJA”)
Impact of expiration of statute of limitations
Other items not individually material
Effective tax rate

Year Ended December 31,

2020

2019

2018

21.0 %
1.8 
(395.6)
5.6 
1.1 
— 
(1.4)
(0.5)
(0.3)
(0.3)
(368.6)%

21.0 %
1.7 
— 
(5.1)
(0.3)
1.9 
— 
— 
— 
0.8 
20.0 %

21.0 %
1.3 
— 
(6.7)
(2.8)
4.1 
— 
2.1 
(6.2)
(0.4)
12.4 %

The TCJA was enacted into law on December 22, 2017 and made significant changes to the Internal Revenue Code, including, but not limited to, a
corporate tax rate decrease from 35% to 21% effective for tax years beginning after December 31, 2017, the transition of U.S. international taxation from a
worldwide  tax  system  to  a  territorial  system,  and  a  one-time  transition  tax  on  the  mandatory  deemed  repatriation  of  cumulative  foreign  earnings  as  of
December 31, 2017.

As of December 31, 2020, undistributed earnings of our foreign subsidiaries totaled $638.8 million and substantially all of the earnings previously
determined  to  be  not  indefinitely  reinvested  have  been  repatriated.  U.S.  income  taxes  have  already  been  provided  on  the  $638.8  million  undistributed
earnings  that  is  indefinitely  reinvested  in  our  international  operations,  therefore,  the  tax  impact  upon  distribution  is  limited  to  mainly  state  income  and
withholding taxes and is not significant.

During the year ended December 31, 2020, we completed an intra-entity transfer of certain intellectual property rights and fixed assets to our new
Swiss subsidiary, where our EMEA regional headquarters is located beginning January 1, 2020. The transfer of intellectual property rights did not result in
a taxable gain; however, it did result in a step-up of the Swiss tax deductible basis in the transferred assets, and accordingly, created a temporary difference
between the book basis and the tax basis of such intellectual property rights. Consequently, this transaction resulted in the recognition of a deferred tax
asset and related one-time tax benefit of approximately $1,493.5 million during the year ended December 31, 2020, which is the net impact of the deferred
tax asset recognized as a result of the additional Swiss tax deductible basis in the transferred assets and certain costs related to the transfer of fixed assets
and inventory.

88

 
 
As of December 31, 2020 and 2019, the significant components of our deferred tax assets and liabilities are (in thousands):

Deferred tax assets:

Net operating loss and capital loss carryforwards
Reserves and accruals
Stock-based compensation
Deferred revenue
Amortizable tax basis in intangibles
Net translation losses
Credit carryforwards

Deferred tax liabilities:

Depreciation and amortization
Acquisition-related intangibles
Prepaid expenses

Net deferred tax assets before valuation allowance

Valuation allowance

Net deferred tax assets

December 31,

2020

2019

$

$

20,728  $
34,469 
10,842 
32,562 
1,468,159 
2,939 
905 
1,570,604 

14,730 
35,689 
1,720 
52,139 
1,518,465 
(1,325)
1,517,140  $

18,182 
39,264 
8,416 
20,909 
— 
1,589 
1,801 
90,161 

23,817 
— 
1,341 
25,158 
65,003 
(1,086)
63,917 

The available positive evidence at December 31, 2020 included historical operating profits and a projection of future income sufficient to realize most
of our remaining deferred tax assets. As of December 31, 2020, it was considered more likely than not that our deferred tax assets would be realized with
the exception of certain capital loss carryovers as we are unable to forecast sufficient future profits to realize the deferred tax assets.

The total valuation allowance as of December 31, 2020 as well as the increase during the year ended December 31, 2020 was not material to our

financial statements.

As  of  December  31,  2020,  we  have  foreign  net  operating  loss  carryforwards  of  approximately  $90.7  million,  attributed  mainly  to  losses  in  Israel
which can be carried forward indefinitely. The majority of the remaining foreign net operating loss carryforwards is related to losses in China which, if not
utilized, will expire beginning after 2025.

The changes in the balance of gross unrecognized tax benefits, which exclude interest and penalties, for the year ended December 31, 2020, 2019 and

2018, are as follows (in thousands):

Gross unrecognized tax benefits at January 1,
Increases related to tax positions taken during the current year
Increases related to tax positions taken during a prior year
Decreases related to tax positions taken during a prior year
Decreases related to expiration of statute of limitations
Decreases related to settlement with tax authorities
Gross unrecognized tax benefits at December 31,

2020

Year Ended December 31,
2019

2018

$

$

46,650  $
20,592 
10,201 
(29,977)
— 
(1,146)
46,320  $

33,262  $
19,012 
143 
(3,783)
(1,984)
— 
46,650  $

47,656 
14,519 
80 
— 
(28,993)
— 
33,262 

The total amount of gross unrecognized tax benefits as of December 31, 2020 was $46.3 million, of which $43.8 million would impact our effective

tax rate if recognized.

We  file  U.S.  federal,  U.S.  state,  and  non-U.S.  income  tax  returns.  Our  major  tax  jurisdictions  include  U.S.  federal,  the  State  of  California  and

Switzerland. For U.S. federal and state tax returns, we are no longer subject to tax examinations for

89

 
 
years before 2017 and 2016, respectively. With few exceptions, we are no longer subject to examination by foreign tax authorities for years before 2013.

We  have  elected  to  recognize  interest  and  penalties  related  to  unrecognized  tax  benefits  as  a  component  of  income  taxes.  Interest  and  penalties
included in tax expense for the year ended December 31, 2020 and 2019 as well as accrued as of December 31, 2020 and 2019 were not material to our
financials. The timing and resolution of income tax examinations is uncertain, and the amounts ultimately paid, if any, upon resolution of issues raised by
the taxing authorities may differ materially from the amounts accrued for each year. We do not expect any material changes to the amount of unrecognized
tax benefits within the next twelve months.

Note 16. Net Income per Share

Basic net income per share is computed using the weighted average number of shares of common stock outstanding during the period. Diluted net
income  per  share  is  computed  using  the  weighted  average  number  of  shares  of  common  stock,  adjusted  for  any  dilutive  effect  of  potential  common
stock. Potential common stock, computed using the treasury stock method, includes RSUs, MSUs and our ESPP.

The following table sets forth the computation of basic and diluted net income per share attributable to common stock (in thousands, except per share

amounts): 

Numerator:

Net income

Denominator:

Weighted average common shares outstanding, basic
Dilutive effect of potential common stock

Total shares, diluted

Net income per share, basic
Net income per share, diluted

Anti-dilutive potential common shares 
1

$

$

$

2020

Year Ended December 31,
2019

2018

1,775,888  $

442,776  $

400,235 

78,760 
470 
79,230 

22.55  $

22.41  $

280 

79,424 
676 
80,100 

5.57  $

5.53  $

79 

80,064 
1,293 
81,357 

5.00 

4.92 

58 

    Represents RSUs and MSUs not included in the calculation of diluted net income per share as the effect would have been anti-dilutive.
1

90

 
 
Note 17. Supplemental Cash Flow Information

The supplemental cash flow information consists of the following (in thousands): 

Taxes paid
Non-cash investing and financing activities:

Fixed assets acquired with accounts payable or accrued liabilities
Conversion of convertible notes receivable into equity securities
Issuance of promissory note in exchange for sale of equity method
investment

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases
(1)
Investing cash flows from finance leases 
Financing cash flows from finance leases

Right-of-use assets obtained in exchange for lease obligations:

Operating leases
Finance leases

2020

Year Ended December 31,
2019

2018

76,332  $

71,746  $

114,601 

37,267  $
—  $

16,488  $
—  $

15,069 
4,862 

—  $

54,154  $

26,022  $
—  $
—  $

47,981  $
—  $

26,337  $
10,896  $
45,773  $

32,723  $
51,064  $

— 

— 
— 
— 

— 
— 

$

$
$

$

$
$
$

$
$

    A portion of finance lease purchase payment relates to leasing a part of the building to a third party as a lessor. This amount is included in Other Investing Activities
1

in our Consolidated Statements of Cash Flows.

Note 18. Segments and Geographical Information

Segment Information

Operating segments are defined as components of an enterprise for which separate financial information is available that is evaluated regularly by the
Chief Operating Decision Maker (“CODM”), or decision-making group, in deciding how to allocate resources and in assessing performance. Our CODM is
our  Chief  Executive  Officer.  We  report  segment  information  based  on  the  management  approach.  The  management  approach  designates  the  internal
reporting  used  by  CODM  for  decision  making  and  performance  assessment  as  the  basis  for  determining  our  reportable  segments.  The  performance
measures of our reportable segments include net revenues, gross profit and income from operations. Income from operations for each segment includes all
geographic revenues, related cost of net revenues and operating expenses directly attributable to the segment. Certain operating expenses are attributable to
operating  segments  and  each  allocation  is  measured  differently  based  on  the  specific  facts  and  circumstances  of  the  costs  being  allocated.  Costs  not
specifically  allocated  to  segment  income  from  operations  include  various  corporate  expenses  such  as  stock-based  compensation  and  costs  related  to  IT,
facilities,  human  resources,  accounting  and  finance,  legal  and  regulatory,  and  other  separately  managed  general  and  administrative  costs  outside  the
operating segments.

We  group  our  operations  into  two  reportable  segments:  Clear  Aligner  segment  and  Imaging  Systems  and  CAD/CAM  services  (“Systems  and
Services”) segment. The Systems and Services segment was formerly known as the Scanner and Services segment prior to our acquisition of exocad on
April 1, 2020 (Refer to Note 5 “Business Combination” of the Notes to Consolidated Financial Statements for additional details on the exocad acquisition).

• Our Clear Aligner segment consists of Comprehensive Products, Non-Comprehensive Products and Non-Case revenues as defined below:

• Comprehensive Products include, but are not limited to, Invisalign Comprehensive and Invisalign First.

• Non-Comprehensive Products include, but are not limited to, Invisalign Moderate, Lite and Express packages and Invisalign Go.

• Non-Case includes, but not limited to, Vivera retainers along with our training and ancillary products for treating malocclusion. 

91

 
 
 
• Our Systems and Services segment consists of our iTero intraoral scanning systems, which includes a single hardware platform and restorative or
orthodontic  software  options,  OrthoCAD  services  and  ancillary  products,  as  well  as  exocad’s  CAD/CAM  software  solution  that  integrates
workflows to dental labs and dental practices.

These  reportable  operating  segments  are  based  on  how  our  CODM  views  and  evaluates  our  operations  as  well  as  allocation  of  resources.  The

following information relates to these segments (in thousands):

Net revenues
    Clear Aligner
    Systems and Services
          Total net revenues

Gross profit
    Clear Aligner
    Systems and Services
        Total gross profit

Income from operations
    Clear Aligner
    Systems and Services
    Unallocated corporate expenses
         Total income from operations

Stock-based compensation

Clear Aligner
Systems and Services
Unallocated corporate expenses

Total stock-based compensation

Depreciation and amortization
    Clear Aligner
    Systems and Services
    Unallocated corporate expenses
         Total depreciation and amortization

Impairments and other charges (gains), net
    Clear Aligner
         Total impairments and other charges (gains), net

Litigation settlement gain

Clear Aligner

Total litigation settlement gain

2020

For the Year Ended December 31,
2019

2018

2,101,459  $
370,482 
2,471,941  $

1,532,130  $
231,105 
1,763,235  $

768,045  $
96,052 
(476,926)
387,171  $

8,975  $
734 
88,718 
98,427  $

41,371  $
16,798 
35,369 
93,538  $

—  $
—  $

—  $
—  $

2,025,750  $
381,046 
2,406,796  $

1,499,713  $
244,184 
1,743,897  $

835,957  $
137,720 
(431,184)
542,493  $

9,220  $
255 
78,709 
88,184  $

38,979  $
7,441 
32,570 
78,990  $

22,990  $
22,990  $

(51,000) $
(51,000) $

1,691,467 
275,025 
1,966,492 

1,280,495 
167,372 
1,447,867 

712,439 
98,998 
(344,873)
466,564 

6,839 
190 
63,734 
70,763 

29,001 
4,965 
20,761 
54,727 

— 
— 

— 
— 

$

$

$

$

$

$

$

$

$

$

$
$

$
$

92

 
 
 
The following table reconciles total segment income from operations in the table above to net income before provision for (benefit from) income

taxes and equity in losses of investee (in thousands):

Total segment income from operations
Unallocated corporate expenses
   Total income from operations
Interest income
Other income (expense), net
Net income before provision for (benefit from) income taxes and equity in
losses of investee

Geographical Information

Net revenues are presented below by geographic area (in thousands): 

Net revenues :
 1

United States
2
Switzerland 
2
The Netherlands
China
Other International

Total net revenues

2020

For the Year Ended December 31,
2019

2018

864,097  $
(476,926)
387,171 
3,125 
(11,347)

973,677  $
(431,184)
542,493 
12,482 
7,676 

378,949  $

562,651  $

811,437 
(344,873)
466,564 
8,576 
(8,489)

466,651 

2020

For the Year Ended December 31,
2019

2018

1,099,564  $
809,080 
— 
199,851 
363,446 
2,471,941  $

1,161,959  $

— 
760,444 
196,733 
287,660 
2,406,796  $

1,023,559 
— 
610,039 
155,790 
177,104 
1,966,492 

$

$

$

$

    Net revenues are attributed to countries based on the location of where revenues are recognized by our legal entities.
1
2         

During  the  first  quarter  of  2020,  we  implemented  a  new  international  corporate  structure.  This  changed  the  structure  of  international  procurement  and  sales
operations from the Netherlands to Switzerland.

Tangible  long-lived  assets,  which  includes  Property,  plant  and  equipment,  net,  and  Operating  lease  right-of-use  assets,  net  are  presented  below  by

geographic area (in thousands):

Long-lived assets  :
1
2
Switzerland 
United States
China
Costa Rica
2
The Netherlands 
Other International
Total long-lived assets

As of December 31,

2020

2019

$

$

257,337  $
180,539 
113,918 
97,804 
965 
166,711 
817,274  $

7,755 
164,451 
73,174 
82,083 
226,286 
134,225 
687,974 

1
    Long-lived assets are attributed to countries based on the location of our entity that owns or leases the assets.
2     

As a result of the new international corporate structure changes, most of the long-lived assets were transferred from our Netherlands entity to our Switzerland entity

during the first quarter of 2020.

ITEM 9.

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None

93

 
 
 
 
 
ITEM 9A.

CONTROLS AND PROCEDURES

Evaluation of disclosure controls and procedures.

Under the supervision and with the participation of our management, including our Chief Executive Officer and our Chief Financial Officer, we have
evaluated the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the
Exchange Act). Based upon that evaluation, our Chief Executive Officer and our Chief Financial Officer have concluded that our disclosure controls and
procedures are effective as of December 31, 2020 to provide reasonable assurance that information required to be disclosed by us in the reports that we file
or submit under the Exchange Act is accumulated and communicated to our management, including our Chief Executive Officer and our Chief Financial
Officer, as appropriate, to allow timely decisions regarding required disclosure, and that such information is recorded, processed, summarized and reported
within the time periods specified in the Securities and Exchange Commission rules and forms.

Management's annual report on internal control over financial reporting.

See “Report of Management on Internal Control over Financial Reporting” of this Annual Report on Form 10-K.

Changes in internal control over financial reporting.

There have been no changes in our internal control over financial reporting during the quarter ended December 31, 2020 that have materially affected,

or are reasonably likely to materially affect, our internal control over financial reporting.

ITEM 9B.

OTHER INFORMATION

None.

PART III

Certain information required by Part III is omitted from this Form 10-K because we intend to file a definitive Proxy Statement for our 2020 Annual
Meeting of Stockholders (the “Proxy Statement”) not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and
certain information to be included therein is incorporated herein by reference.

ITEM 10.

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The  information  required  by  Item  401  of  Regulation  S-K  concerning  our  directors  is  incorporated  by  reference  to  the  Proxy  Statement  under  the
section captioned “Election of Directors.” The information required by Item 401 of Regulation S-K concerning our executive officers is set forth in Item 1
— “Business” of this Annual Report on Form 10-K. The information required by Item 405 of Regulation S-K is incorporated by reference to the section
entitled  “Delinquent  Section  16(a)  Reports”  contained  in  the  Proxy  Statement. The  information  required  by  Item  407(c)(3),  407(d)(4)  and  407(d)(5)  of
Regulation S-K is incorporated by reference to the Proxy Statement under the section entitled “Corporate Governance”.

Code of Ethics

We  have  a  code  of  ethics  that  applies  to  all  of  our  employees,  including  our  principal  executive  officer,  principal  financial  officer  and  principal
accounting officer. This code of ethics is posted on our Internet website. The Internet address for our website is www.aligntech.com, and the code of ethics
may be found on the “Corporate Governance” section of our “Investors” webpage.

We intend to satisfy the disclosure requirement under Item 5.05 of Form 8-K regarding an amendment to, or waiver from, a provision of this code of

ethics by posting such information on our website, at the address and location specified above, or as otherwise required by the NASDAQ Global Market.

ITEM 11.

EXECUTIVE COMPENSATION

The information required by Item 402 of Regulation S-K is incorporated by reference to the Proxy Statement under the section captioned “Executive
Compensation.” The information required by Items 407(e)(4) and (e)(5) is incorporated by reference to the Proxy Statement under the section captioned
“Corporate  Governance—Compensation  Committee  Interlocks  and  Insider  Participation”  and  “Compensation  Committee  of  the  Board  Report,”
respectively.

94

ITEM 12.
MATTERS

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER

The information required by Item 403 of Regulation S-K is incorporated by reference to the Proxy Statement under the section captioned “Principal

Stockholders”.

Equity Compensation Plan Information

The following table provides information as of December 31, 2020 about our common stock that may be issued upon the exercise of options and
awards granted to employees, consultants or members of our Board of Directors under all existing equity compensation plans, including the 2005 Incentive
Plan and the Employee Stock Purchase Plan ("ESPP"), each as amended, and certain individual arrangements (Refer to Note 12 "Stockholders’ Equity” of
the Notes to Consolidated Financial Statements for a description of our equity compensation plans).

Plan Category
Equity compensation plans approved by
security holders
Equity compensation plans not approved by
security holders
Total

Number of securities
to be issued upon 
exercise of outstanding options and
restricted stock units (a)

Weighted average
exercise price of
outstanding
options (b)

Number of securities remaining
available for future issuance under
equity compensation plans (excluding
securities reflected in column(a))

859,149 

1

— 
859,149 

$

$

— 

— 
— 

4,950,369 

2, 3

— 
4,950,369 

1
    Includes 631,905 RSUs and 227,244 MSUs at target, which have an exercise price of zero
2
    Includes 325,665 shares available for issuance under our ESPP. We are unable to ascertain with specificity the number of securities to be issued upon exercise of

outstanding rights or the weighted average exercise price of outstanding rights under the ESPP.

3
    Includes 688,590 of potentially issuable MSUs if performance targets are achieved at maximum payout

ITEM 13.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The  information  required  by  Item  404  and  Item  407  of  Regulation  S-K  is  incorporated  by  reference  to  the  Proxy  Statement  under  the  sections

captioned “Certain Relationships and Related Party Transactions” and “Corporate Governance—Director Independence,” respectively.

ITEM 14.

PRINCIPAL ACCOUNTING FEES AND SERVICES

The  information  required  by  Item  9(e)  of  Schedule  14A  of  the  Securities  Act  of  1934,  as  amended,  is  incorporated  by  reference  to  the  Proxy

Statement under the section captioned “Ratification of Appointment of Independent Registered Public Accountants.”

95

  
ITEM 15.

EXHIBITS, FINANCIAL STATEMENT SCHEDULES

PART IV

(a)

Financial Statements

1.

Consolidated financial statements

The following documents are filed as part of this Annual Report on Form 10-K:

Report of Independent Registered Public Accounting Firm
Consolidated Statements of Operations for the year ended December 31, 2020, 2019 and 2018
Consolidated Statements of Comprehensive Income for the year ended December 31, 2020, 2019 and 2018
Consolidated Balance Sheets as of December 31, 2020 and 2019
Consolidated Statements of Stockholders’ Equity for the year ended December 31, 2020, 2019 and 2018
Consolidated Statements of Cash Flows for the year ended December 31, 2020, 2019 and 2018
Notes to Consolidated Financial Statements

54
57
58
59
60
61
62

2.

The following financial statement schedule is filed as part of this Annual Report on Form 10-K:

Schedule II—Valuation and Qualifying Accounts and Reserves for the year ended December 31, 2020, 2019 and 2018

All other schedules have been omitted as they are not required, not applicable, or the required information is otherwise included.

SCHEDULE II: VALUATION AND QUALIFYING ACCOUNTS AND RESERVES

Balance at
Beginning
of Period

Additions
(Reductions)
to Costs and
Expenses

Write
Offs

Balance at
End of Period

Allowance for doubtful accounts:

1
Year Ended December 31, 2018 
 1
Year Ended December 31, 2019
Year Ended December 31, 2020

Valuation allowance for deferred tax assets:

Year Ended December 31, 2018
Year Ended December 31, 2019
Year Ended December 31, 2020

$
$
$

$
$
$

5,814  $
2,378  $
6,756  $

278  $
251  $
1,086  $

1
    Certain prior period information has been recast to conform to current year presentation.

(in thousands)

870  $
5,853  $
12,073  $

(27) $
835  $
239  $

(4,306) $
(1,475) $
(8,590) $

—  $
—  $
—  $

2,378 
6,756 
10,239 

251 
1,086 
1,325 

96

 
 
 
 
 
Exhibit
Number
Incorporated
by Reference
herein
3.1

Filed
herewith

(b)

The following Exhibits are included in this Annual Report on Form 10-K:

Exhibit
Number
3.1

Amended and Restated Certificate of Incorporation of registrant

Description

3.1A

3.2
4.1

4.2
10.1†
10.2†
10.3†

10.3A†

10.4†
10.5†

10.6†
10.7†
10.8†

10.8A†

10.9†

10.9A†

10.10†
10.11†
10.12†

10.13†

10.14†

10.15†

10.16†
10.17†

10.18

Certificate of Amendment to the Amended and Restated Certificate of
Incorporation
Amended and Restated Bylaws of registrant
Form of Specimen Common Stock Certificate

Description of the Capital Stock of registrant
Registrant's 2010 Employee Stock Purchase Plan
Registrant's 2005 Incentive Plan (as amended May 2016)
Form of RSU agreement under Registrant's 2005 Incentive Plan (Officer Form
for officers appointed after September 2016)
Form of RSU agreement under Registrant's 2005 Incentive Plan (Officer Form
for officers appointed prior to September 2016)
Form of RSU agreement (CEO)
Form of RSU agreement under Registrant's 2005 Incentive Plan (Non-employee
Director Form)
Align 2019 Global RSU Agreement
Form of option award agreement under registrant’s 2005 Incentive Plan
Form of Market Stock Unit Agreement under Registrant's 2005 Incentive Plan
(Officer Form for MSU awards granted in 2018, 2019 and 2020 to officers
appointed after September 2016)
Form of Market Stock Unit Agreement under Registrant's 2005 Incentive Plan
(Officer Form for MSU awards granted in 2018, 2019 and 2020 to officers
appointed prior to September 2016)
Form of Market Stock Unit Agreement under Registrant's 2005 Incentive Plan
(Officer Form for MSU awards granted in 2021 to officers appointed after
September 2016)
Form of Market Stock Unit Agreement under Registrant's 2005 Incentive Plan
(Officer Form for MSU awards granted in 2021 to officers appointed prior to
September 2016)
Form of Market Stock Unit Agreement for CEO (Focal grants)
Form of Market Stock Unit Agreement for CEO Special MSU Award June 2018
Form of Employment Agreement entered into by and between registrant and
each executive officer (other than CEO for executives appointed prior to
September 2016)
Form of Employment Agreement entered into by and between registrant and
each executive officer (other than CEO for executives appointed after
September 2016)
Amended and Restated Chief Executive Officer Employment Agreement
between Align Technology, Inc. and Joseph Hogan
Employment Agreement between registrant and John F. Morici (Chief Financial
Officer)
Form of Executive Officer Relocation Reimbursement Agreement
Form of Indemnification Agreement by and between registrant and its Board of
Directors and its executive officers
Sale and Purchase Agreement between CETP III Ivory S.a.r.l., and Align
Technology, Inc. and its indirect wholly owned German subsidiary, mertus
602.GmbH, dated March 3, 2020

97

Form
S-1, as amended (File
No. 333-49932)
8-K

8-K
S-1, as amended (File
No. 333-49932)
10-K
8-K

10-K

10-K

10-K
10-K

10-K
10-Q
10-K

10-K

10-K
8-K
10-Q

10-K

10-Q

10-Q

Date
12/28/2000

5/20/2016

2/29/2012
1/17/2001

2/28/2020
5/25/2010

2/28/2020

2/28/2020

2/28/2020
2/28/2020

2/28/2019
8/4/2005
2/28/2020

2/28/2020
6/25/2018
5/8/2008

2/28/2017

5/1/2015

11/8/2016

S-1 as amended (File
No. 333-49932)
10-Q

1/17/2001

5/5/2020

3.01

3.2
4.1

4.2
10.02

10.3

10.3A

10.4
10.5

10.6
10.4
10.8

10.9
10.1
10.3

10.8

10.3

10.2

10.15

10.1

2/28/2020

10.8A

*

*

*

*

Exhibit
Number
10.19
10.20

10.21

21.1
23.1

31.1

31.2

32t

101.INS

Description

Class C Non-Incentive Unit Purchase Agreement dated July 25, 2016
Membership Interest Purchase Agreement dated July 24, 2017 between Align
Technology, Inc. and SmileDirectClub, LLC.
Credit Agreement between Align Technology, Inc. and the lenders party thereto
from time to time and Citibank, N.A., as administrative agent, dated July 21,
2020
Subsidiaries of Align Technology, Inc.
Consent of PricewaterhouseCoopers LLP, Independent Registered Public
Accounting Firm
Certifications of Chief Executive Officer pursuant to Exchange Act Rules 13a-
14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley
Act of 2003
Certifications of Chief Financial Officer pursuant to Exchange Act Rules 13a-
14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley
Act of 2003
Certification of Chief Executive Officer and Chief Financial Officer pursuant to
18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-
Oxley Act of 2003
Inline XBRL Instance Document (the instance document does not appear in the
Interactive Data File because its XBRL tags are embedded within the Inline
XBRL document).

101.SCH Inline XBRL Taxonomy Extension Schema Document
101.CAL
101.DEF
101.LAB
101.PRE
104

Inline XBRL Taxonomy Extension Calculation Linkbase Document
Inline XBRL Taxonomy Extension Definition Linkbase Document
Inline XBRL Taxonomy Extension Label Linkbase Document
Inline XBRL Taxonomy Extension Presentation Linkbase Document
Cover Page Interactive Data File (formatted as inline XBRL and contained in
Exhibit 101)

Exhibit
Number
Incorporated
by Reference
herein
10.1
10.2

Date
7/28/2016
7/27/2017

10/30/2020

10.1

Form
8-K
8-K

10-Q

Filed
herewith

*
*

*

*

*

*

*
*
*
*
*
*

__________________________________ 
†
t

Management contract or compensatory plan or arrangement filed as an Exhibit to this form pursuant to Items 14(a) and 14(c) of Form 10-K.
Furnished herewith

ITEM 16.

FORM 10-K SUMMARY

Not applicable.

98

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.

SIGNATURES

ALIGN TECHNOLOGY, INC.

By:

Date:

/S/    JOSEPH M. HOGAN        
Joseph M. Hogan
President and Chief Executive Officer

February 26, 2021

Each person whose signature appears below constitutes and appoints Joseph M. Hogan or John F. Morici, his or her attorney-in-fact, with the power
of substitution, for him or her in any and all capacities, to sign any amendments to this Report on Form 10-K and to file the same, with exhibits thereto and
other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-in-
fact, or his or her substitute or substitutes, may do or cause to be done by virtue hereof.

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

Title

/S/    JOSEPH M. HOGAN

Joseph M. Hogan

/S/    JOHN F. MORICI

John F. Morici

/S/    KEVIN J. DALLAS

Kevin J. Dallas

/S/    JOSEPH LACOB 

Joseph Lacob

/S/    C. RAYMOND LARKIN, JR.     

C. Raymond Larkin, Jr.

/S/    GEORGE J. MORROW    

George J. Morrow

/S/    ANNE M. MYONG      

Anne M. Myong

/S/    THOMAS M. PRESCOTT

Thomas M. Prescott

/S/    ANDREA L. SAIA

Andrea L. Saia

/S/    GREG J. SANTORA

Greg J. Santora

/S/    SUSAN E. SIEGEL 

Susan E. Siegel

/S/ WARREN S. THALER

Warren S. Thaler

President and Chief Executive Officer (Principal Executive
Officer)

Chief Financial Officer and Senior Vice President, Global
Finance (Principal Financial Officer and Principal
Accounting Officer)

Director

Director

Director

Director

Director

Director

Director

Director

Director

Director

99

Date

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

February 26, 2021

 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
Exhibit 10.2

ALIGN TECHNOLOGY, INC.

2005 INCENTIVE PLAN

(as amended and restated May 16, 2016)

1.

Purposes of the Plan. The purposes of this Plan are:

•

•

•

to attract and retain the best available personnel for positions of substantial responsibility,

to provide incentives to individuals who perform services to the Company, and

to promote the success of the Company’s business.

The  Plan  permits  the  grant  of  Incentive  Stock  Options,  Nonstatutory  Stock  Options,  Restricted  Stock,  SARs,
Restricted  Stock  Units,  Performance  Units,  Performance  Shares  and  other  stock  or  cash  awards  as  the  Administrator  may
determine.

2.

Definitions. As used herein, the following definitions will apply:

accordance with Section 4 of the Plan.

(a)        “Administrator”  means  the  Board  or  any  of  its  Committees  as  will  be  administering  the  Plan,  in

ventures) controlling, controlled by, or under common control with the Company.

(b)    “Affiliate” means any corporation or any other entity (including, but not limited to, partnerships and joint

(c)    “Applicable Laws” means the legal and regulatory requirements relating to the administration of equity-
based awards, including but not limited to U.S. federal and state corporate laws, U.S. federal and state securities laws, the Code,
any stock exchange or quotation system on which the Common Stock is listed or quoted and the applicable laws of any non-U.S.
country or jurisdiction where Awards are, or will be, granted under the Plan.

(d)    “Award” means, individually or collectively, a grant under the Plan of Options, Restricted Stock, SARs,
Restricted  Stock  Units,  Performance  Units,  Performance  Shares  and  other  stock  or  cash  awards  as  the  Administrator  may
determine.

applicable to each Award granted under the Plan. The Award Agreement is subject to the terms and conditions of the Plan.

(e)        “Award Agreement”  means  the  written  or  electronic  agreement  setting  forth  the  terms  and  provisions

(f)    “Board” means the Board of Directors of the Company.

(g)    “Change in Control” means the occurrence of any of the following events:

        
(i)    A change in the ownership of the Company which occurs on the date that any one person, or
more than one person acting as a group (“Person”), acquires ownership of the stock of the Company that, together with the stock
held by such Person, constitutes more than fifty percent (50%) of the total voting power of the stock of the Company; provided,
however, that for purposes of this subsection (i), the acquisition of additional stock by any one Person, who is considered to own
more than fifty percent (50%) of the total voting power of the stock of the Company will not be considered a Change in Control.
Further, if the shareholders of the Company immediately before such change in ownership continue to retain immediately after
the  change  in  ownership,  in  substantially  the  same  proportions  as  their  ownership  of  shares  of  the  Company’s  voting  stock
immediately prior to the change in ownership, direct or indirect beneficial ownership of fifty percent (50%) or more of the total
voting power of the stock of the Company or of the ultimate parent entity of the Company, such event shall not be considered a
Change in Control under this subsection (i). For this purpose, indirect beneficial ownership shall include, without limitation, an
interest resulting from ownership of the voting securities of one or more corporations or other business entities which own the
Company, as the case may be, either directly or through one or more subsidiary corporations or other business entities; or

(ii)    A change in the effective control of the Company which occurs on the date that a majority of
members  of  the  Board  is  replaced  during  any  twelve  (12)-month  period  by  Directors  whose  appointment  or  election  is  not
endorsed  by  a  majority  of  the  members  of  the  Board  prior  to  the  date  of  the  appointment  or  election.  For  purposes  of  this
subsection (ii), if any Person is considered to be in effective control of the Company, the acquisition of additional control of the
Company by the same Person will not be considered a Change in Control; or

(iii)    A change in the ownership of a substantial portion of the Company’s assets which occurs on
the  date  that  any  Person  acquires  (or  has  acquired  during  the  twelve  (12)month  period  ending  on  the  date  of  the  most  recent
acquisition by such person or persons) assets from the Company that have a total gross fair market value equal to or more than
fifty percent (50%) of the total gross fair market value of all of the assets of the Company immediately prior to such acquisition
or  acquisitions;  provided,  however,  that  for  purposes  of  this  subsection  (iii),  the  following  will  not  constitute  a  change  in  the
ownership  of  a  substantial  portion  of  the  Company’s  assets:  (A)  a  transfer  to  an  entity  that  is  controlled  by  the  Company’s
shareholders  immediately  after  the  transfer,  or  (B)  a  transfer  of  assets  by  the  Company  to:  (1)  a  shareholder  of  the  Company
(immediately  before  the  asset  transfer)  in  exchange  for  or  with  respect  to  the  Company’s  stock,  (2)  an  entity,  fifty  percent
(50%) or more of the total value or voting power of which is owned, directly or indirectly, by the Company, (3) a Person, that
owns,  directly  or  indirectly,  fifty  percent  (50%)  or  more  of  the  total  value  or  voting  power  of  all  the  outstanding  stock  of  the
Company, or (4) an entity, at least fifty percent (50%) of the total value or voting power of which is owned, directly or indirectly,
by a Person described in this subsection (iii)(B)(3). For purposes of this subsection (iii), gross fair market value means the value
of the assets of the Company, or the value of the assets being disposed of, determined without regard to any liabilities associated
with such assets.

For purposes of this definition, persons will be considered to be acting as a group if they are owners of a
corporation  that  enters  into  a  merger,  consolidation,  purchase  or  acquisition  of  stock,  or  similar  business  transaction  with  the
Company.

    -2-

Notwithstanding the foregoing, a transaction will not be deemed a Change in Control unless the transaction
qualifies as a change in control event within the meaning of Code Section 409A, as it has been and may be amended from time to
time, and any proposed or final Treasury Regulations and Internal Revenue Service guidance that has been promulgated or may
be promulgated thereunder from time to time.

Further and for the avoidance of doubt, a transaction will not constitute a Change in Control if: (i) its sole
purpose is to change the state of the Company’s incorporation, or (ii) its sole purpose is to create a holding company that will be
owned  in  substantially  the  same  proportions  by  the  persons  who  held  the  Company’s  securities  immediately  before  such
transaction.

(h)    “Code” means the Internal Revenue Code of 1986, as amended. Any reference to a section of the Code or
Treasury  Regulation  promulgated  thereunder  shall  include  such  section  or  regulation,  any  valid  regulation  promulgated  under
such section, and any comparable provision of any future legislation or regulation amending, supplementing or superseding such
section or regulation.

appointed by the Board in accordance with Section 4 hereof.

(i)        “Committee”  means  a  committee  of  Directors  or  of  other  individuals  satisfying  Applicable  Laws

(j)    “Common Stock” means the common stock of the Company.

(k)    “Company” means Align Technology, Inc., a Delaware corporation, or any successor thereto.

(l)        “Consultant”  means  any  natural  person,  including  an  advisor,  engaged  by  the  Company  or  a  Parent,
Subsidiary or Affiliate to render bona fide services to such entity, provided the services (i) are not in connection with the offer or
sale  of  securities  in  a  capital-raising  transaction,  and  (ii)  do  not  directly  promote  or  maintain  a  market  for  the  Company’s
securities,  in  each  case,  within  the  meaning  of  Form  S-8  promulgated  under  the  Securities  Act,  and  provided,  further,  that  a
Consultant will include only those persons to whom the issuance of Shares may be registered under Form S-8 promulgated under
the Securities Act.

Award granted under the Plan as “performance-based compensation” under Section 162(m) of the Code.

(m)        “Determination  Date”  means  the  latest  possible  date  that  will  not  jeopardize  the  qualification  of  an

(n)    “Director” means a member of the Board.

(o)    “Disability” means total and permanent disability as defined in Section 22(e)(3) of the Code, provided
that  in  the  case  of  Awards  other  than  Incentive  Stock  Options,  the  Administrator  in  its  discretion  may  determine  whether  a
permanent and total disability exists in accordance with uniform and non-discriminatory standards adopted by the Administrator
from time to time.

(p)        “Employee”  means  any  person,  including  Officers  and  Directors,  employed  by  the  Company  or  its
Affiliates.  Neither  service  as  a  Director  nor  payment  of  a  director’s  fee  by  the  Company  will  be  sufficient  to  constitute
“employment” by the Company.

    -3-

(q)    “Exchange Act” means the Securities Exchange Act of 1934, as amended.

(r)    “Exchange Program” means a program under which (i) outstanding Awards are surrendered or cancelled
in  exchange  for  awards  of  the  same  type  (which  may  have  higher  or  lower  exercise  prices  and  different  terms),  Awards  of  a
different  type,  and/or  cash,  (ii)  Participants  would  have  the  opportunity  to  transfer  any  outstanding  Awards  to  a  financial
institution  or  other  person  or  entity  selected  by  the  Administrator,  and/or  (iii)  the  exercise  price  of  an  outstanding  Award  is
increased or reduced.

(s)        “Fair  Market  Value”  means,  as  of  any  date,  the  value  of  Common  Stock  as  the  Administrator  may
determine in good faith by reference to the price of such stock on any established stock exchange or a national market system on
the day of determination if the Common Stock is so listed on any established stock exchange or a national market system. If the
Common Stock is not listed on any established stock exchange or a national market system, the value of the Common Stock as
the Administrator may determine in good faith.

(t)    “Fiscal Year” means the fiscal year of the Company.

as an incentive stock option within the meaning of Section 422 of the Code and the regulations promulgated thereunder.

(u)    “Incentive Stock Option” means an Option that by its terms qualifies and is otherwise intended to qualify

(v)    “Inside Director” means a Director who is an Employee.

(w)    “Misconduct” means the commission of any act of fraud, embezzlement or dishonesty by the Participant,
any unauthorized use or disclosure by such person of confidential information or trade secrets of the Company or its Affiliates, or
any other intentional misconduct by such person adversely affecting the business or affairs of the Company or its Affiliates in a
material manner. The foregoing definition will not in any way preclude or restrict the right of the Company or its Affiliates to
discharge  or  dismiss  any  Participant  for  any  other  acts  or  omissions,  but  such  other  acts  or  omissions  will  not  be  deemed,  for
purposes of the Plan, to constitute grounds for termination for Misconduct.

qualify as an Incentive Stock Option.

(x)    “Nonstatutory Stock Option” means an Option that by its terms does not qualify or is not intended to

Exchange Act and the rules and regulations promulgated thereunder.

(y)    “Officer”  means  a  person  who  is  an  officer  of  the  Company  within  the  meaning  of  Section  16  of  the

(z)    “Option” means a stock option granted pursuant to the Plan.

(aa)    “Outside Director” means a Director who is not an Employee.

of the Code.

(bb)    “Parent” means a “parent corporation,” whether now or hereafter existing, as defined in Section 424(e)

(cc)    “Participant” means the holder of an outstanding Award.

(dd)    “Performance Goals” will have the meaning set forth in Section 12 of the Plan.

    -4-

Administrator in its sole discretion.

(ee)    “Performance Period” means any Fiscal Year of the Company or such other period as determined by the

upon attainment of performance goals or other vesting criteria as the Administrator may determine pursuant to Section 10.

(ff)    “Performance Share” means an Award denominated in Shares which may be earned in whole or in part

(gg)        “Performance  Unit”  means  an  Award  which  may  be  earned  in  whole  or  in  part  upon  attainment  of
performance  goals  or  other  vesting  criteria  as  the  Administrator  may  determine  and  which  may  be  settled  for  cash,  Shares  or
other securities or a combination of the foregoing pursuant to Section 10.

(hh)    “Period of Restriction” means the period during which the transfer of Shares of Restricted Stock are
subject to restrictions and therefore, the Shares are subject to a substantial risk of forfeiture. Such restrictions may be based on
the  passage  of  time,  continued  service,  the  achievement  of  target  levels  of  performance,  or  the  occurrence  of  other  events  as
determined by the Administrator.

(ii)    “Plan” means this 2005 Incentive Plan, as may be amended from time to time.

or issued pursuant to the early exercise of an Option.

(jj)    “Restricted Stock” means Shares issued pursuant to a Restricted Stock award under Section 7 of the Plan,

(kk)    “Restricted Stock Unit” means a bookkeeping entry representing an amount equal to the Fair Market
Value of one Share, granted pursuant to Section 9. Each Restricted Stock Unit represents an unfunded and unsecured obligation
of the Company.

discretion is being exercised with respect to the Plan.

(ll)    “Rule 16b-3” means Rule 16b-3 of the Exchange Act or any successor to Rule 16b-3, as in effect when

(mm)    “Securities Act” means the Securities Act of 1933, as amended.

(nn)    “Section 16(b)” means Section 16(b) of the Exchange Act.

promulgated thereunder, as may be amended from time to time.

(oo)        “Section  409A”  means  Section  409A  of  the  Code  and  the  final  regulations  and  any  guidance

(pp)    “Service Provider” means an Employee, Director or Consultant.

(qq)    “Share” means a share of the Common Stock, as adjusted in accordance with Section 18 of the Plan.

that pursuant to Section 8 is designated as a SAR.

(rr)    “Stock Appreciation Right” or “SAR” means an Award, granted alone or in connection with an Option,

Section 424(f) of the Code.

(ss)        “Subsidiary”  means  a  “subsidiary  corporation,”  whether  now  or  hereafter  existing,  as  defined  in

    -5-

3.

Stock Subject to the Plan.

(a)    Stock Subject to the Plan. Subject to the provisions of Section 18 of the Plan, the maximum aggregate
number  of  Shares  that  may  be  awarded  and  sold  under  the  Plan  is  30,168,895  Shares.  The  Shares  may  be  authorized,  but
unissued, or reacquired Common Stock.

(b)    Full Value Awards. Any Shares subject to Options or SARs will be counted against the numerical limits
of this Section 3 as one Share for every Share subject thereto. Any Shares subject to Restricted Stock, Restricted Stock Units,
Performance Shares or Performance Units with a per Share or unit purchase price lower than 100% of Fair Market Value on the
date of grant that were granted prior to May 16, 2013, will be counted against the numerical limits of this Section 3 as one and
one-half (1 ½) Shares for every one (1) Share subject thereto. To the extent that a Share that was subject to an Award that counted
as one and one-half (1 ½) Shares against the Plan Share reserve pursuant to the preceding sentence is recycled back into the Plan
under Section 3(c) below, the Plan will be credited with one and one-half (1 ½) Shares.

Any Shares subject to Restricted Stock, Restricted Stock Units, Performance Shares or Performance Units with a
per Share or unit purchase price lower than 100% of Fair Market Value on the date of grant that were granted on or after May 16,
2013, will be counted against the numerical limits of this Section 3 as one and nine-tenths (1.9) Shares for every one (1) Share
subject thereto. To the extent that a Share that was subject to an Award that counted as one and nine-tenths (1.9) Shares against
the Plan Share reserve pursuant to the preceding sentence is recycled back into the Plan under Section 3(c) below, the Plan will be
credited with one and nine-tenths (1.9) Shares.

(c)    Lapsed Awards. If an Award expires or becomes unexercisable without having been exercised in full or,
with  respect  to  an  Award  of  Restricted  Stock  Units,  Performance  Units  or  Performance  Shares,  is  terminated  due  to  failure  to
vest, the unpurchased Shares (or for Awards other than Options or SARs, the unissued Shares) which were subject thereto will
become available for future grant or sale under the Plan (unless the Plan has terminated). Upon the exercise of a SAR settled in
Shares, the gross number of Shares covered by the portion of the Award so exercised (i.e., Shares actually issued pursuant to a
SAR,  as  well  as  the  Shares  that  represent  payment  of  the  exercise  price  and  any  applicable  tax  withholdings)  will  cease  to  be
available under the Plan. Shares that have actually been issued under the Plan under any Award will not be returned to the Plan
and will not become available for future distribution under the Plan; provided, however, that if Shares issued pursuant to Awards
of Restricted Stock, Restricted Stock Units, Performance Shares or Performance Units are repurchased by the Company or are
forfeited to the Company due to failure to vest, such Shares will become available for future grant under the Plan. Shares used to
pay  the  exercise  or  purchase  price  of  an  Award  and/or  to  satisfy  the  tax  withholding  obligations  related  to  an  Award  will  not
become available for future grant or sale under the Plan. To the extent an Award under the Plan is paid out in cash rather than
Shares,  such  cash  payment  will  not  result  in  reducing  the  number  of  Shares  available  for  issuance  under  the  Plan.
Notwithstanding the foregoing and, subject to adjustment as provided in Section 18, the maximum number of Shares that may be
issued upon the exercise of Incentive Stock Options will equal the aggregate Share number stated in Section 3(a), plus, to the
extent allowable under Section 422 of the Code and the Treasury Regulations promulgated thereunder, any Shares that become
available for issuance under the Plan under this Section 3(c).

    -6-

such number of Shares as will be sufficient to satisfy the requirements of the Plan.

(d)    Share Reserve. The Company, during the term of this Plan, will at all times reserve and keep available

(e)    Outside Director Award Limitations. No Outside Director may be granted in any Fiscal Year Awards that
exceed the lesser of (i) Awards covering 100,000 Shares or (ii) Awards with a grant date fair value (determined in accordance
with GAAP) of greater than $1,000,000. Any Awards granted to an individual while he or she was an Employee, or while he or
she was a Consultant but not an Outside Director, shall not count for purposes of this limitation. The foregoing limitation will be
adjusted proportionately in connection with any change in the Company’s capitalization as described in Section 18.

4.

Administration of the Plan.

(a)    Procedure.

Service Providers may administer the Plan.

(i)        Multiple  Administrative  Bodies.  Different  Committees  with  respect  to  different  groups  of

(ii)    Section 162(m). To the extent that the Administrator determines it to be desirable to qualify
Awards  granted  hereunder  as  “performance-based  compensation”  within  the  meaning  of  Section  162(m)  of  the  Code,  the  Plan
will be administered by a Committee of two or more “outside directors” within the meaning of Section 162(m) of the Code.

16b-3, the transactions contemplated hereunder will be structured to satisfy the requirements for exemption under Rule 16b-3.

(iii)    Rule 16b-3. To the extent desirable to qualify transactions hereunder as exempt under Rule

Board or (B) a Committee, which committee will be constituted to satisfy Applicable Laws.

(iv)    Other Administration. Other than as provided above, the Plan will be administered by (A) the

(b)        Powers  of  the  Administrator.  Subject  to  the  provisions  of  the  Plan,  and  in  the  case  of  a  Committee,
subject  to  the  specific  duties  delegated  by  the  Board  to  such  Committee,  the  Administrator  will  have  the  authority,  in  its
discretion:

(i)    to determine the Fair Market Value;

(ii)    to select the Service Providers to whom Awards may be granted hereunder;

(iii)    to determine the number of Shares to be covered by each Award granted hereunder;

(iv)    to approve forms of Award Agreements for use under the Plan;

Award granted hereunder. Such terms and conditions include, but are not limited to, the

(v)        to  determine  the  terms  and  conditions,  not  inconsistent  with  the  terms  of  the  Plan,  of  any

    -7-

exercise  price,  the  time  or  times  when  Awards  may  be  exercised  (which  may  be  based  on  performance  criteria),  any  vesting
acceleration  or  waiver  of  forfeiture  restrictions,  and  any  restriction  or  limitation  regarding  any  Award  or  the  Shares  relating
thereto, based in each case on such factors as the Administrator will determine;

(vi)    to construe and interpret the terms of the Plan and Awards granted pursuant to the Plan;

(vii)    to prescribe, amend and rescind rules and regulations relating to the Plan, including rules and
regulations relating to sub-plans established for the purpose of satisfying applicable foreign laws or for qualifying for favorable
tax treatment under applicable foreign laws;

(viii)    to modify or amend each Award (subject to Section 23(c) of the Plan) including, without
limitation,  the  discretionary  authority  to  extend  the  posttermination  exercisability  period  of  Awards  longer  than  is  otherwise
provided for in the Plan. Notwithstanding the previous sentence, the Administrator shall not institute an Exchange Program;

Section 19;

(ix)    to allow Participants to satisfy withholding tax obligations in such manner as prescribed in

the grant of an Award previously granted by the Administrator;

(x)    to authorize any person to execute on behalf of the Company any instrument required to effect

would otherwise be due to such Participant under an Award pursuant to such procedures as the Administrator may determine;

(xi)    to allow a Participant to defer the receipt of the payment of cash or the delivery of Shares that

(xii)    to grant in addition to the incentives described in Sections 6, 7, 8, 9, and 10 below, other
incentives payable in cash or Shares under the Plan as determined by the Administrator to be in the best interests of the Company
and subject to any terms and conditions the Administrator deems advisable; and

(xiii)    to make all other determinations deemed necessary or advisable for administering the Plan.

(c)        Effect  of  Administrator’s  Decision.  The  Administrator’s  decisions,  determinations  and  interpretations
will be final and binding on all Participants and any other holders of Awards and will be given the maximum deference permitted
by Applicable Laws.

(d)    No Liability. Under no circumstances will the Company, its Affiliates, the Administrator, or the Board
incur liability for any indirect, incidental, consequential or special damages (including lost profits) of any form incurred by any
person, whether or not foreseeable and regardless of the form of the act in which such a claim may be brought, with respect to the
Plan or the Company’s, its Affiliates’, the Administrator’s or the Board’s roles in connection with the Plan.

5.

Eligibility.  Nonstatutory  Stock  Options,  Restricted  Stock,  Stock  Appreciation  Rights,  Restricted  Stock  Units,

Performance Units, Performance Shares and such other cash or stock awards

    -8-

as the Administrator determines may be granted to Service Providers. Incentive Stock Options may be granted only to Employees
of the Company or any Parent or Subsidiary of the Company.

6.

Stock Options. Subject to the terms and conditions of the Plan, an Option may be granted to Service Providers at

any time and from time to time as will be determined by the Administrator, in its sole discretion.

(a)    Limitations.

(i)    Each Option will be designated in the Award Agreement as either an Incentive Stock Option or
a Nonstatutory Stock Option. However, notwithstanding such designation, to the extent that the aggregate fair market value of the
Shares with respect to which Incentive Stock Options are exercisable for the first time by the Participant during any calendar year
(under all plans of the Company and any Parent or Subsidiary) exceeds $100,000, the portion of the Options falling within such
limit will be Incentive Stock Options and the excess Options will be treated as Nonstatutory Stock Options. For purposes of this
Section 6(a), Incentive Stock Options will be taken into account in the order in which they were granted. The fair market value of
the Shares will be determined as of the time the Option with respect to such Shares is granted.

(ii)    Subject to Section 3(e), the following limitations will apply to grants of Options:

(1)

No Service Provider will be granted, in any Fiscal Year, Options or SARs to purchase more

than 1,000,000 Shares.

In connection with his or her initial service, a Service Provider may be granted Options or
SARs  to  purchase  an  aggregate  of  up  to  an  additional  1,000,000  Shares,  which  will  not  count  against  the  limit  set  forth  in
Section 6(a)(ii)(1) above.

(2)

the Company’s capitalization as described in Section 18.

(3)

The foregoing limitations will be adjusted proportionately in connection with any change in

(4)

If an Option or SAR is cancelled in the same Fiscal Year in which it was granted (other than
in connection with a transaction described in Section 18), the cancelled Option or SAR, as applicable, will be counted against the
limits  set  forth  in  subsections  (1)  and  (2)  above.  For  this  purpose,  if  the  exercise  price  of  an  Option  or  SAR  is  reduced,  the
transaction  will  be  treated  as  a  cancellation  of  the  Option  or  SAR,  as  applicable,  and  the  grant  of  a  new  Option  or  SAR,  as
applicable.

(b)    Term of Option. The term of each Option will be seven (7) years from the date of grant or such shorter
term as may be provided in the Award Agreement as determined by the Administrator in its sole discretion. Moreover, in the case
of  an  Incentive  Stock  Option  granted  to  a  Participant  who,  at  the  time  the  Incentive  Stock  Option  is  granted,  owns  stock
representing  more  than  ten  percent  (10%)  of  the  total  combined  voting  power  of  all  classes  of  stock  of  the  Company  or  any
Parent or Subsidiary, the term of the Incentive Stock Option will be five (5) years from the date of grant or such shorter term as
may be provided in the Award Agreement.

    -9-

(c)    Option Exercise Price and Consideration.

an Option will be determined by the Administrator, subject to the following:

(i)    Exercise Price. The per Share exercise price for the Shares to be issued pursuant to exercise of

(1)    In the case of an Incentive Stock Option

(A)    granted to an Employee who, at the time the Incentive Stock Option is granted,
owns stock representing more than ten percent (10%) of the voting power of all classes of stock of the Company or any Parent or
Subsidiary, the per Share exercise price will be no less than 110% of the Fair Market Value per Share on the date of grant.

(B)        granted  to  any  Employee  other  than  an  Employee  described  in  paragraph  (1)
immediately  above,  the  per  Share  exercise  price  will  be  no  less  than  100%  of  the  Fair  Market  Value  per  Share  on  the  date  of
grant.

determined by the Administrator, but will be no less than 100% of the Fair Market Value per Share on the date of grant.

(2)        In  the  case  of  a  Nonstatutory  Stock  Option,  the  per  Share  exercise  price  will  be

(3)    Notwithstanding the foregoing, Options may be granted with a per Share exercise price of
less than 100% of the Fair Market Value per Share on the date of grant pursuant to a transaction described in, and in a manner
consistent with, Section 424(a) of the Code.

(ii)    Waiting Period and Exercise Dates. At the time an Option is granted, the Administrator will
fix  the  period  within  which  the  Option  may  be  exercised  and  will  determine  any  conditions  that  must  be  satisfied  before  the
Option may be exercised.

(iii)    Option Agreement. Each Option grant will be evidenced by an Award Agreement that will
specify  the  exercise  price,  the  term  of  the  Option,  the  acceptable  forms  of  consideration  for  exercise  (which  may  include  any
form  of  consideration  permitted  by  Section  6(c)(iv),  the  conditions  of  exercise,  and  such  other  terms  and  conditions  as  the
Administrator, in its sole discretion, will determine.

(iv)        Form  of  Consideration.  The  Administrator  will  determine  the  acceptable  form(s)  of
consideration for exercising an Option, including the method of payment, to the extent permitted by Applicable Laws. In the case
of an Incentive Stock Option, the Administrator will determine the acceptable form of consideration at the time of grant.

(d)    Exercise of Option.

(i)        Procedure  for  Exercise;  Rights  as  a  Stockholder.  Any  Option  granted  hereunder  will  be
exercisable according to the terms of the Plan and at such times and under such conditions as determined by the Administrator
and set forth in the Award Agreement. An Option may not be exercised for a fraction of a Share.

the Administrator specifies from time to time) from the person entitled to

An Option will be deemed exercised when the Company receives: (i) notice of exercise (in such form as

    -10-

exercise the Option, and (ii) full payment for the Shares with respect to which the Option is exercised (together with applicable
tax withholdings). Full payment may consist of any consideration and method of payment authorized by the Administrator and
permitted by the Award Agreement and the Plan. No adjustment will be made for a dividend or other right for which the record
date is prior to the date the Shares are issued, except as provided in Section 18 of the Plan.

(ii)    Termination of Relationship as a Service Provider other than Death, Disability or Misconduct.
If a Participant ceases to be a Service Provider, other than upon the Participant’s termination as a result of the Participant’s death,
Disability or Misconduct, the Participant may exercise his or her Option within such period of time as is specified in the Award
Agreement to the extent that the Option is vested on the date of termination (but in no event later than the expiration of the term
of such Option as set forth in the Award Agreement). In the absence of a specified time in the Award Agreement, the Option will
remain exercisable for three (3) months following the Participant’s termination (but in no event later than the expiration of the
term  of  such  Option  as  set  forth  in  the  Award  Agreement).  Unless  otherwise  provided  by  the  Administrator,  if  on  the  date  of
termination the Participant is not vested as to his or her entire Option, the Shares covered by the unvested portion of the Option
will revert to the Plan. If after termination the Participant does not exercise his or her Option within the time specified by the
Administrator, the Option will terminate, and the Shares covered by such Option will revert to the Plan.

(iii)    Disability of Participant. If  a  Participant  ceases  to  be  a  Service  Provider  as  a  result  of  the
Participant’s Disability, the Participant may exercise his or her Option within such period of time as is specified in the Award
Agreement to the extent the Option is vested on the date of termination (but in no event later than the expiration of the term of
such Option as set forth in the Award Agreement). In the absence of a specified time in the Award Agreement, the Option will
remain exercisable for twelve (12) months following the Participant’s termination (but in no event later than the expiration of the
term  of  such  Option  as  set  forth  in  the  Award  Agreement).  Unless  otherwise  provided  by  the  Administrator,  if  on  the  date  of
termination the Participant is not vested as to his or her entire Option, the Shares covered by the unvested portion of the Option
will revert to the Plan. If after termination the Participant does not exercise his or her Option within the time specified herein, the
Option will terminate, and the Shares covered by such Option will revert to the Plan.

(iv)        Death  of  Participant.  If  a  Participant  dies  while  a  Service  Provider,  the  Option  may  be
exercised following the Participant’s death within such period of time as is specified in the Award Agreement to the extent that
the Option is vested on the date of death (but in no event may the Option be exercised later than the expiration of the term of such
Option  as  set  forth  in  the  Award  Agreement),  by  the  Participant’s  designated  beneficiary,  provided  such  beneficiary  has  been
designated prior to Participant’s death in a form acceptable to the Administrator. If no such beneficiary has been designated by
the Participant, then such Option may be exercised by the personal representative of the Participant’s estate or by the person(s) to
whom the Option is transferred pursuant to the Participant’s will or in accordance with the laws of descent and distribution. In the
absence  of  a  specified  time  in  the  Award  Agreement,  the  Option  will  remain  exercisable  for  twelve  (12)  months  following
Participant’s death (but in no event later than the expiration of the term of such Option as set forth in the Award Agreement).
Unless otherwise provided by the Administrator, if at the time of death Participant is not vested as to his or her entire Option, the
Shares covered by the unvested portion of the Option will immediately revert to the Plan.

    -11-

If  the  Option  is  not  so  exercised  within  the  time  specified  herein,  the  Option  will  terminate,  and  the  Shares  covered  by  such
Option will revert to the Plan.

7.

Restricted Stock.

(a)    Grant of Restricted Stock. Subject to the terms and provisions of the Plan, the Administrator, at any time
and from time to time, may grant Shares of Restricted Stock to Service Providers in such amounts as the Administrator, in its sole
discretion, will determine.

(b)    Restricted Stock Agreement. Each Award of Restricted Stock will be evidenced by an Award Agreement
that  will  specify  the  Period  of  Restriction,  the  number  of  Shares  granted,  and  such  other  terms  and  conditions  as  the
Administrator,  in  its  sole  discretion,  will  determine.  Notwithstanding  the  foregoing  sentence,  for  Restricted  Stock  intended  to
qualify  as  “performance-based  compensation”  within  the  meaning  of  Section  162(m)  of  the  Code,  during  any  Fiscal  Year  no
Participant will receive more than an aggregate of 500,000 Shares of Restricted Stock; provided, however, that in connection with
a  Participant’s  initial  service  as  an  Employee,  for  Restricted  Stock  intended  to  qualify  as  “performance-based  compensation”
within the meaning of Section 162(m) of the Code, an Employee may be granted an aggregate of up to an additional 500,000
Shares  of  Restricted  Stock.  The  foregoing  limitations  will  be  adjusted  proportionately  in  connection  with  any  change  in  the
Company’s capitalization as described in Section 18. Unless the Administrator determines otherwise, Shares of Restricted Stock
will be held by the Company as escrow agent until the restrictions on such Shares have lapsed.

transferred, pledged, assigned, or otherwise alienated or hypothecated until the end of the applicable Period of Restriction.

(c)        Transferability.  Except  as  provided  in  this  Section  7,  Shares  of  Restricted  Stock  may  not  be  sold,

of Restricted Stock as it may deem advisable or appropriate.

(d)    Other Restrictions. The Administrator, in its sole discretion, may impose such other restrictions on Shares

(e)        Removal  of  Restrictions.  Except  as  otherwise  provided  in  this  Section  7,  Shares  of  Restricted  Stock
covered by each Restricted Stock grant made under the Plan will be released from escrow as soon as practicable after the last day
of the Period of Restriction or at such other time as the Administrator may determine. The Administrator, in its sole discretion,
may accelerate the time at which any restrictions will lapse or be removed.

granted hereunder may exercise full voting rights with respect to those Shares, unless the Administrator determines otherwise.

(f)        Voting Rights. During  the  Period  of  Restriction,  Service  Providers  holding  Shares  of  Restricted  Stock

(g)    Dividends and Other Distributions. During the Period of Restriction, Service Providers holding Shares of
Restricted  Stock  will  be  entitled  to  receive  all  dividends  and  other  distributions  paid  with  respect  to  such  Shares  unless  the
Administrator provides otherwise. If any such dividends or distributions are paid in Shares, the Shares will be subject to the same
restrictions on transferability and forfeitability as the Shares of Restricted Stock with respect to which they were paid.

    -12-

(h)    Return of Restricted Stock to Company. On the date set forth in the Award Agreement, the Restricted
Stock for which restrictions have not lapsed will revert to the Company and again will become available for grant under the Plan.

(i)        Section  162(m)  Performance  Restrictions.  For  purposes  of  qualifying  grants  of  Restricted  Stock  as
“performance-based compensation” under Section 162(m) of the Code, the Administrator, in its discretion, may set restrictions
based  upon  the  achievement  of  Performance  Goals.  The  Performance  Goals  will  be  set  by  the  Administrator  on  or  before  the
Determination Date. In granting Restricted Stock that is intended to qualify under Section 162(m) of the Code, the Administrator
will follow any procedures determined by it from time to time to be necessary or appropriate to ensure qualification of the Award
under Section 162(m) of the Code (e.g., in determining the Performance Goals).

8.

Stock Appreciation Rights.

Providers at any time and from time to time as will be determined by the Administrator, in its sole discretion.

(a)        Grant  of  SARs.  Subject  to  the  terms  and  conditions  of  the  Plan,  a  SAR  may  be  granted  to  Service

(b)    Number of Shares. Subject to Section 3(e), the Administrator will have complete discretion to determine
the  number  of  SARs  granted  to  any  Participant,  provided  that  during  any  Fiscal  Year,  no  Participant  will  be  granted  SARs  or
Options  covering  more  than  1,000,000  Shares.  Notwithstanding  the  foregoing  limitation,  and  subject  to  Section  3(e),  in
connection  with  a  Participant’s  initial  service  as  an  Employee,  an  Employee  may  be  granted  SARs  or  Options  covering  an
aggregate of up to an additional 1,000,000 Shares. The foregoing limitations will be adjusted proportionately in connection with
any change in the Company’s capitalization as described in Section 18.

(c)        Exercise  Price  and  Other  Terms.  The  Administrator,  subject  to  the  provisions  of  the  Plan,  will  have
complete discretion to determine the terms and conditions of SARs granted under the Plan, provided, however, that the exercise
price will be not less than one hundred percent (100%) of the Fair Market Value of a Share on the date of grant. Notwithstanding
the foregoing provisions of this Section 8(c), Stock Appreciation Rights may be granted with a per Share exercise price of less
than one hundred percent (100%) of the Fair Market Value per Share on the date of grant pursuant to a transaction described in,
and in a manner consistent with, Section 424(a) of the Code and the Treasury Regulations thereunder.

(d)        SAR  Agreement.  Each  SAR  grant  will  be  evidenced  by  an  Award  Agreement  that  will  specify  the
exercise price, the term of the SAR, the conditions of exercise, and such other terms and conditions as the Administrator, in its
sole discretion, will determine.

(e)        Expiration  of  SARs.  A  SAR  granted  under  the  Plan  will  expire  upon  the  date  determined  by  the
Administrator, in its sole discretion, and set forth in the Award Agreement; provided, however, that the term will be no more than
seven (7) years from the date of grant thereof. Notwithstanding the foregoing, the rules of Section 6(d) also will apply to SARs.

the Company in an amount determined by multiplying:

(f)    Payment of SAR Amount. Upon exercise of a SAR, a Participant will be entitled to receive payment from

    -13-

exercise price; times

(i)        The  difference  between  the  Fair  Market  Value  of  a  Share  on  the  date  of  exercise  over  the

(ii)    The number of Shares with respect to which the SAR is exercised.

At the discretion of the Administrator, the payment upon SAR exercise may be in cash, in Shares of equivalent value, or in some
combination thereof.

9.

Restricted Stock Units.

(a)    Grant. Subject to the terms of the Plan, Restricted Stock Units may be granted at any time and from time
to time as determined by the Administrator. After the Administrator determines that it will grant Restricted Stock Units under the
Plan, it will advise the Participant in an Award Agreement of the terms, conditions, and restrictions related to the grant, including
the number of Restricted Stock Units. Notwithstanding anything to the contrary in this subsection (a), for Restricted Stock Units
intended to qualify as “performance-based compensation” within the meaning of Section 162(m) of the Code, during any Fiscal
Year of the Company, no Participant will receive more than an aggregate of 500,000 Restricted Stock Units. Notwithstanding the
limitation in the previous sentence, for Restricted Stock Units intended to qualify as “performance-based compensation” within
the meaning of Section 162(m) of the Code, in connection with his or her initial service as an Employee, an Employee may be
granted  an  aggregate  of  up  to  an  additional  500,000  Restricted  Stock  Units.  The  foregoing  limitations  will  be  adjusted
proportionately in connection with any change in the Company’s capitalization as described in Section 18.

(b)    Vesting  Criteria  and  Other  Terms. Subject  to  the  terms  of  the  Plan,  the  Administrator  will  set  vesting
criteria in its discretion, which, depending on the extent to which the criteria are met, will determine the number of Restricted
Stock Units that will be paid out to the Participant. The Administrator may set vesting criteria based upon the achievement of
Company-wide, divisional, business unit, or individual goals (including, but not limited to, continued employment or service),
applicable federal or state securities laws, or any other basis determined by the Administrator in its discretion.

(c)        Earning  Restricted  Stock  Units.  Upon  meeting  the  applicable  vesting  criteria,  the  Participant  will  be
entitled  to  receive  a  payout  as  determined  by  the  Administrator.  Notwithstanding  the  foregoing,  at  any  time  after  the  grant  of
Restricted  Stock  Units,  the  Administrator,  in  its  sole  discretion,  may  reduce  or  waive  any  vesting  criteria  that  must  be  met  to
receive a payout and may accelerate the time at which any restrictions will lapse or be removed.

(d)        Form  and  Timing  of  Payment.  Payment  of  earned  Restricted  Stock  Units  will  be  made  as  soon  as
practicable after the date(s) determined by the Administrator and set forth in the Award Agreement or as otherwise provided in
the applicable Award Agreement or as required by Applicable Laws. The Administrator, in its sole discretion, may pay earned
Restricted Stock Units in cash, Shares, or a combination thereof. Shares represented by Restricted Stock Units that are fully paid
in cash again will not reduce the number of Shares available for grant under the Plan.

forfeited to the Company and become available for grant under the Plan.

(e)    Cancellation. On the date set forth in the Award Agreement, all unearned Restricted Stock Units will be

    -14-

(f)    Section 162(m) Performance Restrictions. For purposes of qualifying grants of Restricted Stock Units as
“performance-based compensation” under Section 162(m) of the Code, the Administrator, in its discretion, may set restrictions
based  upon  the  achievement  of  Performance  Goals.  The  Performance  Goals  will  be  set  by  the  Administrator  on  or  before  the
Determination  Date.  In  granting  Restricted  Stock  Units  which  are  intended  to  qualify  under  Section  162(m)  of  the  Code,  the
Administrator  will  follow  any  procedures  determined  by  it  from  time  to  time  to  be  necessary  or  appropriate  to  ensure
qualification of the Award under Section 162(m) of the Code (e.g., in determining the Performance Goals).

10.

Performance Units and Performance Shares.

(a)    Grant of Performance Units/Shares. Subject to the terms of the Plan, Performance Units and Performance
Shares may be granted to Service Providers at any time and from time to time, as will be determined by the Administrator, in its
sole discretion. The Administrator will have complete discretion in determining the number of Performance Units/Shares granted
to each Participant provided that during any Fiscal Year, for Performance Units/Shares intended to qualify as “performance-based
compensation” within the meaning of Section 162(m) of the Code, (i) no Participant will receive Performance Units having an
initial value greater than $5,000,000, and (ii) no Participant will receive more than 500,000 Performance Shares. Notwithstanding
the  foregoing  limitation,  for  Performance  Units/Shares  intended  to  qualify  as  “performance-based  compensation”  within  the
meaning of Section 162(m) of the Code, in connection with a Participant’s initial service as an Employee, an Employee may be
granted  an  aggregate  of  up  to  an  additional  500,000  Performance  Shares.  The  foregoing  limitations  will  be  adjusted
proportionately in connection with any change in the Company’s capitalization as described in Section 18.

(b)    Value of Performance Units/Shares. Each Performance Unit will have an initial value that is established
by the Administrator on or before the date of grant. Each Performance Share will have an initial value equal to the Fair Market
Value of a Share on the date of grant.

(c)    Performance Objectives and Other Terms. Subject  to  the  terms  of  the  Plan,  the  Administrator  will  set
performance objectives or other vesting provisions (including, without limitation, continued status as a Service Provider) in its
discretion  which,  depending  on  the  extent  to  which  they  are  met,  will  determine  the  number  or  value  of  Performance
Units/Shares that will be paid out to the Service Providers. Each  Award  of  Performance  Units/Shares  will  be  evidenced  by  an
Award Agreement that will specify the Performance Period, and such other terms and conditions as the Administrator, in its sole
discretion,  will  determine.  The  Administrator  may  set  performance  objectives  based  on  the  achievement  of  Company-wide,
divisional, business unit, or individual goals (including, but not limited to, continued employment or service), applicable federal
or state securities laws, or any other basis determined by the Administrator in its discretion.

(d)    Earning of Performance Units/Shares. After the applicable Performance Period has ended, the holder of
Performance  Units/Shares  will  be  entitled  to  receive  a  payout  of  the  number  of  Performance  Units/Shares  earned  by  the
Participant over the Performance Period, to be determined as a function of the extent to which the corresponding performance
objectives or other vesting provisions have been achieved. After the grant of a Performance Unit/Share, the Administrator, in its
sole discretion, may reduce or waive any performance objectives or other vesting provisions for such Performance Unit/Share.

    -15-

(e)    Form and Timing of Payment of Performance Units/Shares. Payment of earned Performance Units/Shares
will  be made as soon  as  practicable  after  the  expiration  of  the  applicable  Performance Period, or as otherwise provided in the
applicable  Award  Agreement  or  as  required  by  Applicable  Laws.  The  Administrator,  in  its  sole  discretion,  may  pay  earned
Performance Units/Shares in the form of cash, in Shares (which have an aggregate Fair Market Value equal to the value of the
earned Performance Units/Shares at the close of the applicable Performance Period) or in a combination thereof.

unvested Performance Units/Shares will be forfeited to the Company, and again will be available for grant under the Plan.

(f)    Cancellation of Performance Units/Shares. On the date set forth in the Award Agreement, all unearned or

(g)    Section 162(m) Performance Restrictions. For purposes of qualifying grants of Performance Units/Shares
as “performance-based compensation” under Section 162(m) of the Code, the Administrator, in its discretion, may set restrictions
based  upon  the  achievement  of  Performance  Goals.  The  Performance  Goals  will  be  set  by  the  Administrator  on  or  before  the
Determination Date. In granting Performance Units/Shares which are intended to qualify under Section 162(m) of the Code, the
Administrator  will  follow  any  procedures  determined  by  it  from  time  to  time  to  be  necessary  or  appropriate  to  ensure
qualification of the Award under Section 162(m) of the Code (e.g., in determining the Performance Goals).

11.

Other Cash or Stock Awards. In addition to the incentives described in Sections 6 through 10 above, and subject to
the terms of the Plan, the Administrator may grant other incentives payable in cash or Shares under the Plan as it determines to be
in the best interests of the Company and subject to such other terms and conditions as it deems appropriate, provided that in any
Fiscal Year, a Participant will not receive a cash Award under this Section in excess of $5,000,000.

12.

Performance-Based Compensation Under Code Section 162(m).

(a)        General.  If  the  Administrator,  in  its  discretion,  decides  to  grant  an  Award  intended  to  qualify  as
“performance-based compensation” under Section 162(m) of the Code, the provisions of this Section 12 will control over any
contrary provision in the Plan; provided, however, that the Administrator may in its discretion grant Awards that are not intended
to  qualify  as  “performance-based  compensation”  under  Section  162(m)  of  the  Code  to  such  Participants  that  are  based  on
Performance Goals or other specific criteria or goals but that do not satisfy the requirements of this Section 12.

(b)    Performance Goals. The granting and/or vesting of Awards of Restricted Stock, Restricted Stock Units,
Performance  Shares  and  Performance  Units  and  other  incentives  under  the  Plan  may  be  made  subject  to  the  attainment  of
performance goals relating to one or more business criteria within the meaning of Section 162(m) of the Code and may provide
for a targeted level or levels of achievement (“Performance Goals”) including cash flow; cash position; earnings before interest
and  taxes;  earnings  before  interest,  taxes,  depreciation  and  amortization;  earnings  per  Share;  economic  profit;  economic  value
added; equity or stockholder’s equity; market share; net income; net profit; net sales; operating earnings; operating income; profit
before tax; ratio of debt to debt plus equity; ratio of operating earnings to capital spending; return on net assets; revenue; sales
growth;  Share  price;  or  total  return  to  stockholders.  Any  Performance  Goals  may  be  used  to  measure  the  performance  of  the
Company as a whole or, except with respect to shareholder return metrics, to a business unit or other segment of the Company, or
one or more

    -16-

product lines or specific markets, and may be measured either on a growth basis or relative basis to a peer group or index. The
Performance  Goals  may  differ  from  Participant  to  Participant  and  from  Award  to  Award.  Prior  to  the  Determination  Date,  the
Administrator will determine whether to make any adjustments to the calculation of any Performance Goal with respect to any
Participant for any significant or extraordinary events affecting the Company. In all other respects, Performance Goals will be
calculated  in  accordance  with  the  Company’s  financial  statements,  generally  accepted  accounting  principles,  or  under  a
methodology established by the Administrator prior to or at the time of the issuance of an Award, which is consistently applied
with  respect  to  a  Performance  Goal  in  the  relevant  Performance  Period.  In  addition,  the  Administrator  will  adjust  any
performance criteria, Performance Goal or other feature of an Award that relates to or is wholly or partially based on the number
of, or the value of, any stock of the Company, to reflect any change in the Company’s capitalization as described in Section 18.

(c)    Procedures. To the extent necessary to comply with the performance-based compensation provisions of
Section  162(m)  of  the  Code,  with  respect  to  any  Award  granted  subject  to  Performance  Goals  and  intended  to  qualify  as
“performance-based compensation” under Section 162(m) of the Code, on or before the Determination Date (i.e., within the first
twenty-five percent (25%) of the Performance Period, but in no event more than ninety (90) days following the commencement
of any Performance Period or such other time as may be required or permitted by Section 162(m) of the Code), the Administrator
will,  in  writing,  (i)  designate  one  or  more  Participants  to  whom  an  Award  will  be  made,  (ii)  select  the  Performance  Goals
applicable to the Performance Period, (iii) establish the Performance Goals, and amounts of such Awards, as applicable, which
may  be  earned  for  such  Performance  Period,  and  (iv)  specify  the  relationship  between  Performance  Goals  and  the  amounts  of
such Awards, as applicable, to be earned by each Participant for such Performance Period.

(d)    Additional Limitations. Notwithstanding any other provision of the Plan, any Award which is granted to a
Participant  and  is  intended  to  constitute  qualified  performance-based  compensation  under  Section  162(m)  of  the  Code  will  be
subject to any additional limitations set forth in the Code (including any amendment to Section 162(m)) or any regulations and
ruling  issued  thereunder  that  are  requirements  for  qualification  as  qualified  performance-based  compensation  as  described  in
Section 162(m) of the Code, and the Plan will be deemed amended to the extent necessary to conform to such requirements.

(e)        Determination  of  Amounts  Earned.  Following  the  completion  of  each  Performance  Period,  the
Administrator will certify in writing whether the applicable Performance Goals have been achieved for such Performance Period.
A Participant will be eligible to receive payment pursuant to an Award intended to qualify as “performance-based compensation”
under  Section  162(m)  of  the  Code  for  a  Performance  Period  only  if  the  Performance  Goals  for  such  period  are  achieved.  In
determining  the  amounts  earned  by  a  Participant  pursuant  to  an  Award  intended  to  qualified  as  “performance-based
compensation”  under  Section  162(m)  of  the  Code,  the  Administrator  will  have  the  right  to  (i)  reduce  or  eliminate  (but  not  to
increase) the amount payable at a given level of performance to take into account additional factors that the Administrator may
deem relevant to the assessment of individual or corporate performance for the Performance Period, (ii) determine what actual
Award, if any, will be paid in the event of a termination of employment as the result of a Participant’s death or disability or upon
a  Change  in  Control  or  in  the  event  of  a  termination  of  employment  following  a  Change  in  Control  prior  to  the  end  of  the
Performance Period, and (iii) determine what actual Award, if any, will be paid in the event of a termination of employment other
than as the result of a Participant’s death or disability prior to a Change in Control and

    -17-

prior to the end of the Performance Period to the extent an actual Award would have otherwise been achieved had the Participant
remained employed through the end of the Performance Period.

13.

Compliance With Code Section 409A. Awards will be designed and operated in such a manner that they are either
exempt from the application of, or comply with, the requirements of Code Section 409A such that the grant, payment, settlement
or deferral of Awards will not be subject to the additional tax or interest applicable under Code Section 409A, except as otherwise
determined in the sole discretion of the Administrator. The Plan and each Award Agreement under the Plan is intended to meet
the requirements of Code Section 409A and will be construed and interpreted in accordance with such intent, except as otherwise
determined  in  the  sole  discretion  of  the  Administrator.  To  the  extent  that  an  Award  or  payment,  or  the  settlement  or  deferral
thereof,  is  subject  to  Code  Section  409A,  the  Award  will  be  granted,  paid,  settled  or  deferred  in  a  manner  that  will  meet  the
requirements of Code Section 409A, such that the grant, payment, settlement or deferral will not be subject to the additional tax
or interest applicable under Code Section 409A.

14.

Leaves  of  Absence/Transfer  Between  Locations.  Unless  the  Administrator  provides  otherwise  and  except  as
required  by  Applicable  Laws,  vesting  of  Awards  granted  hereunder  will  be  suspended  during  any  unpaid  leave  of  absence.  A
Service  Provider  will  not  cease  to  be  an  Employee  in  the  case  of  (i)  any  leave  of  absence  approved  by  the  Company  or
(ii) transfers between locations of the Company or between the Company, its Parent, or any Subsidiary. For purposes of Incentive
Stock Options, no such leave may exceed three (3) months, unless reemployment upon expiration of such leave is guaranteed by
statute or contract. If reemployment upon expiration of a leave of absence approved by the Company is not so guaranteed, then
six  (6)  months  following  the  first  (1 )  day  of  such  leave,  any  Incentive  Stock  Option  held  by  the  Participant  will  cease  to  be
treated as an Incentive Stock Option and will be treated for tax purposes as a Nonstatutory Stock Option.

st

15.

Transferability of Awards. Unless determined otherwise by the Administrator, an Award may not be sold, pledged,
assigned, hypothecated, transferred, or disposed of in any manner other than by will or by the laws of descent or distribution and
may  be  exercised,  during  the  lifetime  of  the  Participant,  only  by  the  Participant.  If  the  Administrator  makes  an  Award
transferable,  such  Award  will  contain  such  additional  terms  and  conditions  as  the  Administrator  deems  appropriate.
Notwithstanding anything to the contrary, an Award may not be transferred to a financial institution for value.

16.

Termination  of  Relationship  as  a  Service  Provider  due  to  Misconduct.  If  a  Participant  ceases  to  be  a  Service
Provider due to his or her Misconduct or should a Participant engage in Misconduct while holding an outstanding Award, then all
Awards that the Participant then holds will immediately terminate and the Participant will have no further rights with respect to
such Awards. Upon such a termination, the Shares covered by the Awards that so terminate will revert to the Plan.

17. Minimum Vesting Requirements.

(a)    General. Except as specified otherwise in Section 17(b), no portion of an Award will vest earlier than the
1-year anniversary of the Award’s date of grant, unless the vesting of the Award is accelerated pursuant to a Change in Control,
certain terminations of a Participant’s status as a Service

    -18-

Provider on or after a Change in Control, a Participant’s death, or a Participant’s Disability (each, an “Acceleration Event”).

(b)    Exception to Minimum Vesting Requirements. Awards that result in issuing up to 5% of the maximum
aggregate  number  of  Shares  authorized  for  issuance  under  the  Plan  (the  “5%  Limit”)  may  be  granted  to  any  one  or  more
Employees or Outside Directors without respect to the minimum vesting requirements set forth in Section 17(a). All Awards that
have  their  vesting  discretionarily  accelerated  (except  if  accelerated  pursuant  to  an  Acceleration  Event)  are  subject  to  the  5%
Limit.  For  purposes  of  clarification,  the  Administrator  may  accelerate  the  vesting  of  any  Award  pursuant  to  an  Acceleration
Event without such vesting acceleration counting toward the 5% Limit. The 5% Limit applies in the aggregate to Awards that do
not satisfy the minimum vesting requirements set forth in Section 17(a) and to the discretionary vesting acceleration of Awards as
specified in this Section 17(b).

18.

Adjustments; Dissolution or Liquidation; Merger or Change in Control.

(a)    Adjustments. In the event that any dividend or other distribution (whether in the form of cash, Shares,
other securities, or other property), recapitalization, stock split, reverse stock split, reorganization, merger, consolidation, split-up,
spin-off,  combination,  repurchase,  or  exchange  of  Shares  or  other  securities  of  the  Company,  or  other  change  in  the  corporate
structure  of  the  Company  affecting  the  Shares  occurs,  the  Administrator,  in  order  to  prevent  diminution  or  enlargement  of  the
benefits or potential benefits intended to be made available under the Plan, will adjust the number and class of Shares that may be
delivered under the Plan and/or the number, class, and price of Shares covered by each outstanding Award, and the numerical
Share and unit limits set forth in Sections 3, 6, 7, 8, 9, and 10.

(b)    Dissolution or Liquidation. In the event of the proposed dissolution or liquidation of the Company, the
Administrator will notify each Participant as soon as practicable prior to the effective date of such proposed transaction. To the
extent it has not been previously exercised, an Award will terminate immediately prior to the consummation of such proposed
action.

(c)    Change in Control. In the event of a merger of the Company with or into another corporation or other
entity,  or  Change  in  Control,  each  outstanding  Award  will  be  treated  as  the  Administrator  determines,  including,  without
limitation, that each Award be assumed or an equivalent option or right substituted by the successor corporation or a Parent or
Subsidiary of the successor corporation. The Administrator will not be required to treat all Awards similarly in the transaction.

In the event that the successor corporation does not assume or substitute for the Award (or portion thereof), (and
for the avoidance of doubt, notwithstanding the vesting limitations under Section 17) the Participant will fully vest in and have
the right to exercise all of his or her outstanding Options and Stock Appreciation Rights that are not assumed or substituted for,
including  Shares  as  to  which  such  Awards  would  not  otherwise  be  vested  or  exercisable,  all  restrictions  on  Restricted  Stock,
Restricted Stock Units, and Performance Shares/Units not assumed or substituted for will lapse, and, with respect to Awards with
performance-based vesting not assumed or substituted for, all performance goals or other vesting criteria will be deemed achieved
at one hundred percent (100%) of target levels (unless specifically provided otherwise under the applicable Award Agreement or
other  written  agreement  between  the  Participant  and  the  Company)  and  all  other  terms  and  conditions  met.  In  addition,  if  an
Option or Stock Appreciation Right is not assumed

    -19-

or substituted for in the event of a Change in Control, the Administrator will notify the Participant in writing or electronically that
the Option or Stock Appreciation Right will be fully vested and exercisable for a period of time determined by the Administrator
in its sole discretion, and the Option or Stock Appreciation Right will terminate upon the expiration of such period.

With  respect  to  Awards  granted  to  Outside  Directors  that  are  assumed  or  substituted  for,  if  on  the  date  of  or
following  such  assumption  or  substitution  the  Participant’s  status  as  a  Director  or  a  director  of  the  successor  corporation,  as
applicable,  is  terminated  other  than  upon  a  voluntary  resignation  by  the  Participant,  then  the  Participant  will  fully  vest  in  and
have the right to exercise Options and/or Stock Appreciation Rights as to all of the Shares subject thereto, including Shares as to
which  such  Awards  would  not  otherwise  be  vested  or  exercisable,  all  restrictions  on  Restricted  Stock,  Restricted  Stock  Units,
Performance  Shares  and  Performance  Units  will  lapse,  and,  with  respect  to  Awards  with  performance-based  vesting,  all
performance goals or other vesting criteria will be deemed achieved at one hundred percent (100%) of target levels and all other
terms and conditions met.

For the purposes of this subsection (c), an Award will be considered assumed if, following the Change in Control,
the  Award  confers  the  right  to  purchase  or  receive,  for  each  Share  subject  to  the  Award  immediately  prior  to  the  Change  in
Control, the consideration (whether stock, cash, or other securities or property) or, in the case of a Stock Appreciation Right upon
the exercise of which the Administrator determines to pay cash or a Restricted Stock Unit, Performance Share or Performance
Unit which the Administrator can determine to pay in cash, the fair market value of the consideration received in the merger or
Change in Control by holders of Common Stock for each Share held on the effective date of the transaction (and if holders were
offered  a  choice  of  consideration,  the  type  of  consideration  chosen  by  the  holders  of  a  majority  of  the  outstanding  Shares);
provided,  however,  that  if  such  consideration  received  in  the  Change  in  Control  is  not  solely  common  stock  of  the  successor
corporation or its Parent, the Administrator may, with the consent of the successor corporation, provide for the consideration to
be  received  upon  the  exercise  of  an  Option  or  Stock  Appreciation  Right  or  upon  the  payout  of  a  Restricted  Stock  Unit,
Performance Share or Performance Unit, for each Share subject to such Award (or in the case of an Award settled in cash, the
number of implied shares determined by dividing the value of the Award by the per share consideration received by holders of
Common  Stock  in  the  Change  in  Control),  to  be  solely  common  stock  of  the  successor  corporation  or  its  Parent  equal  in  fair
market value to the per share consideration received by holders of Common Stock in the Change in Control.

Notwithstanding anything in this Section 18(c) to the contrary, an Award that vests, is earned or paid-out upon the
satisfaction  of  one  or  more  performance  objectives  (including  any  Performance  Goals)  will  not  be  considered  assumed  if  the
Company or its successor modifies any of such performance objectives without the Participant’s consent; provided, however, a
modification  to  such  performance  objectives  only  to  reflect  the  successor  corporation’s  post-Change  in  Control  corporate
structure will not be deemed to invalidate an otherwise valid Award assumption.

Notwithstanding anything in this Section 18(c) to the contrary, if a payment under an Award Agreement is subject
to Section 409A of the Code and if the change in control definition contained in the Award Agreement or other agreement related
to the Award does not comply with

    -20-

the  definition  of  “change  in  control”  for  purposes  of  a  distribution  under  Section  409A  of  the  Code,  then  any  payment  of  an
amount  that  is  otherwise  accelerated  under  this  Section  will  be  delayed  until  the  earliest  time  that  such  payment  would  be
permissible under Section 409A of the Code without triggering any penalties applicable under Section 409A of the Code.

19.

Tax Withholding

(a)    Withholding Requirements. Prior to the delivery of any Shares or cash pursuant to an Award (or exercise
thereof)  or  such  earlier  time  as  any  tax  withholdings  are  due,  the  Company  will  have  the  power  and  the  right  to  deduct  or
withhold, or require a Participant to remit to the Company, an amount sufficient to satisfy federal, state, local, foreign or other
taxes (including the Participant’s FICA obligation) required to be withheld with respect to such Award (or exercise thereof).

(b)    Withholding Arrangements. The Administrator, in its sole discretion and pursuant to such procedures as
it  may  specify  from  time  to  time,  may  permit  a  Participant  to  satisfy  such  tax  withholding  obligation,  in  whole  or  in  part  by
(without limitation) (i) paying cash, (ii) electing to have the Company withhold otherwise deliverable cash or Shares having a fair
market  value  equal  to  the  minimum  statutory  amount  required  to  be  withheld,  (iii)  delivering  to  the  Company  already-owned
Shares having a fair market value equal to the minimum statutory amount required to be withheld, provided the delivery of such
Shares will not result in any adverse accounting consequences as the Administrator determines in its sole discretion, (iv) selling a
sufficient number of Shares otherwise deliverable to the Participant through such means as the Administrator may determine in
its  sole  discretion  (whether  through  a  broker  or  otherwise)  equal  to  the  amount  required  to  be  withheld  or  (v)  retaining  from
salary or other amounts payable to the Participant cash having a sufficient value to satisfy the amount required to be withheld.
The  amount  of  the  withholding  requirement  will  be  deemed  to  include  any  amount  which  the  Administrator  agrees  may  be
withheld  at  the  time  the  election  is  made,  not  to  exceed  the  amount  determined  by  using  the  maximum  federal,  state  or  local
marginal income tax rates applicable to the Participant with respect to the Award on the date that the amount of tax to be withheld
is to be determined. The fair market value of the Shares to be withheld or delivered will be determined as of the date that the
taxes are required to be withheld.

20.

No  Effect on Employment  or  Service. Neither  the  Plan  nor  any  Award  will  confer  upon  a  Participant  any  right
with  respect  to  continuing  the  Participant’s  relationship  as  a  Service  Provider,  nor  will  they  interfere  in  any  way  with  the
Participant’s right or the right of the Company, or Parent or Subsidiary, as applicable, to terminate such relationship at any time,
with or without cause, to the extent permitted by Applicable Laws.

21.

Date of Grant. The date of grant of an Award will be, for all purposes, the date on which the Administrator makes
the  determination  granting  such  Award,  or  such  other  later  date  as  is  determined  by  the  Administrator.  Notice  of  the
determination will be provided to each Participant within a reasonable time after the date of such grant.

22.

Term of Plan. Subject  to  Section  26 of  the  Plan,  this  Plan  as  adopted  by  the  Board  in  its  amended  and  restated

form will become effective as of the date of the Company’s 2016 Annual

    -21-

Meeting of Stockholders and will continue in effect for a term ending on the ten (10) year anniversary of such meeting, unless
terminated earlier under Section 23 of the Plan.

23.

Amendment and Termination of the Plan.

Plan.

(a)    Amendment and Termination. The Administrator may at any time amend, alter, suspend or terminate the

(b)    Stockholder Approval. The  Company  will  obtain  stockholder  approval  of  any  Plan  amendment  to  the
extent necessary and desirable to comply with Applicable Laws. Without limiting the foregoing sentence, the number of Shares
available  under  the  Plan  pursuant  to  Section  3  herein  may  not  be  increased  without  approval  of  the  Company’s  stockholders,
except as provided in Section 3.

(c)    Effect of Amendment or Termination. No amendment, alteration, suspension or termination of the Plan
will impair the rights of any Participant, unless mutually agreed otherwise between the Participant and the Administrator, which
agreement  must  be  in  writing  and  signed  by  the  Participant  and  the  Company.  Termination  of  the  Plan  will  not  affect  the
Administrator’s ability to exercise the powers granted to it hereunder with respect to Awards granted under the Plan prior to the
date of such termination.

24.

Conditions Upon Issuance of Shares.

(a)    Legal Compliance. Shares will not be issued pursuant to the exercise of an Award unless the exercise of
such Award and the issuance and delivery of such Shares will comply with Applicable Laws and will be further subject to the
approval of counsel for the Company with respect to such compliance.

(b)    Investment Representations. As a condition to the exercise of an Award, the Company may require the
person exercising such Award to represent and warrant at the time of any such exercise that the Shares are being purchased only
for investment and without any present intention to sell or distribute such Shares if, in the opinion of counsel for the Company,
such a representation is required.

25.

Inability to Obtain Authority. The inability of the Company to obtain authority from any regulatory body having
jurisdiction  or  to  complete  or  comply  with  the  requirements  of  any  registration  or  other  qualification  of  the  Shares  under  any
state, federal or foreign law or under the rules and regulations of the Securities and Exchange Commission, the stock exchange on
which  Shares  of  the  same  class  are  then  listed,  or  any  other  governmental  or  regulatory  body,  which  authority,  registration,
qualification or rule compliance is deemed by the Company’s counsel to be necessary to or advisable for the lawful issuance and
sale of any Shares hereunder, will relieve the Company of any liability in respect of the failure to issue or sell such Shares as to
which such requisite authority, registration, qualification or rule compliance will not have been obtained.

26.

Stockholder Approval. The  Plan  will  be  subject  to  approval  by  the  stockholders  of  the  Company  within  twelve
(12)  months  after  the  date  the  Plan  is  adopted.  Such  stockholder  approval  will  be  obtained  in  the  manner  and  to  the  degree
required under Applicable Laws.

    -22-

27.

Forfeiture Events. The Administrator may specify in an Award Agreement that the Participant’s rights, payments,
and benefits with respect to an Award will be subject to reduction, cancellation, forfeiture, or recoupment upon the occurrence of
certain specified events, in addition to any otherwise applicable vesting or performance conditions of an Award. Notwithstanding
any provisions to the contrary under this Plan, an Award shall be subject to the Company’s clawback policy as may be established
and/or  amended  from  time  to  time  (the  “Clawback  Policy”).  The  Administrator  may  require  a  Participant  to  forfeit,  return  or
reimburse the Company all or a portion of the Award and any amounts paid thereunder pursuant to the terms of the Clawback
Policy or as necessary or appropriate to comply with Applicable Laws.

    -23-

Exhibit 10.9

ALIGN TECHNOLOGY, INC.
AMENDED AND RESTATED 2005 INCENTIVE PLAN
NOTICE OF GRANT OF MARKET STOCK UNITS

Unless otherwise defined herein, the terms defined in the Amended and Restated 2005 Incentive Plan (the “Plan”) will have the same

defined meanings in this Notice of Grant of Market Stock Units (the “Notice of Grant”).

Participant:    

Address:

You (the “Participant”) have been granted an award (“Award”) of market-performance based Restricted Stock Units (“Market Stock

Units”), subject to the terms and conditions of the Plan, this Notice of Grant and the Market Stock Unit Agreement attached hereto as
Exhibit A (the “Agreement”) as follows:

Date of Grant:
Target Number of Market Stock Units:
Maximum Number of Market Stock Units:

Performance Period:
Performance Matrix:

Vesting Schedule:

[_____]
[_____] (the “Target Number of Market Stock Units”)

250% of the Target Number of Market Stock Units (the “Maximum
Number of Market Stock Units”)
[_____] to [_____] (the “Performance Period”), subject to Section 4 of Exhibit A

The number of Market Stock Units in which Participant may vest in
accordance with the Vesting Schedule will depend upon the Relative TSR
(as defined below) and will be determined in accordance with Section 1 of
Exhibit A.
Subject to Sections 4 and 5 of Exhibit A and the terms of the Plan,
Participant will vest in his or her Eligible Market Stock Units (as defined
below) on the date the Relative TSR is determined by the Administrator
(the “Vesting Date”).

By accepting this agreement online, you and the Company agree that this Award is granted under and governed by the terms

and conditions of the Plan and the Agreement, each of which are made a part of this document. You further agree to accept,
acknowledge, and execute this Agreement as a condition to receiving any Market Stock Units under this Award.

Nothing in this Notice of Grant or in the attached Agreement or in the Plan shall confer upon Participant any right to
continue in service for any period of specific duration or interfere with or otherwise restrict in any way the rights of the Company (or
any Parent or Subsidiary employing or retaining Participant) or of Participant, which rights are hereby expressly reserved by each,
to terminate Participant’s service at any time for any reason, with or without cause.

EXHIBIT A

MARKET STOCK UNIT AGREEMENT

1.

Grant.

(a)

The Company hereby grants to Participant under the Plan an Award of Market Stock Units, subject to all of the terms

and conditions in the Notice of Grant, this Agreement, and the Plan.

(b)

The number of Market Stock Units in which Participant may vest in accordance with the Vesting Schedule set forth

in the Notice of Grant (“Eligible Market Stock Units”) will depend upon the total stockholder return (“TSR”) of the Company during the
Performance Period (the “Company TSR”) relative to the TSRs of the Indexed Companies during the Performance Period (each, an “Indexed
Company TSR”). The “Index” means the Nasdaq Composite Index or any successor index thereto. “Indexed Companies” means the
companies that are in the Index as of the beginning of the Performance Period and remain in the Index through the end of the Performance
Period (or if the Index ceases to exist prior to the end of the Performance Period, then the companies that were in the Index immediately
before the Index ceased to exist and whose securities are actively traded on a nationally recognized stock exchange as of the end of the
Performance Period). The actual number of Market Stock Units that will vest on the Vesting Date will be determined as follows:

as follows:

(i)

Relative TSR Calculation. Except as provided under Section 4 below, the Relative TSR will be determined

1.

Step 1: Calculate the beginning price with respect to the Company and each Indexed Company by

determining the average of the closing market prices of such company’s common stock on the principal exchange on which such stock is
traded for the last thirty (30) market trading days prior to the commencement of the Performance Period (each, a “Beginning Price”). For the
purpose of determining Beginning Price, the value of dividends and other distributions (the ex-dividend date for which occurs during the
thirty (30)-market-trading-day measurement period) will be determined by treating them as reinvested in additional shares of stock at the
closing market price on the ex-dividend date.

2.

Step 2: Calculate the ending price with respect to the Company and each Indexed Company by
determining the average of the closing market prices of such company’s common stock on the principal exchange on which such stock is
traded for the thirty (30) consecutive market trading days ending on the last trading day of the Performance Period (each, an “Ending Price”).
For the purpose of determining Ending Price, the value of dividends and other distributions (the ex-dividend date for which occurs during the
Performance Period) will be determined by treating them as reinvested in additional shares of stock at the closing market price on the ex-
dividend date.

formula: (Ending Price/Beginning Price)-1. The Company TSR and each Indexed Company TSR will each be expressed as a percent of
increase (i.e., a positive percent) or decrease (i.e., a negative percent) rounded to two decimal places (applying standard rounding principles).

3.

Step 3: Calculate the Company TSR and each Indexed Company TSR by applying the following

“Relative TSR”) by ranking the Company TSR and the Indexed Company TSRs from highest (highest positive percentage) to lowest (highest
negative percentage).

4.

Step 4: Calculate the Company TSR’s percentile ranking among the Indexed Company TSRs (the

2

Eligible Market Stock Unit Calculation. Based on the Relative TSR, the number of Eligible Market Stock
Units will be the product of (x) the Applicable Percentage (in the table below) multiplied by (y) the Target Number of Market Stock Units,
with the number of resulting Shares rounded to the nearest whole Share (applying standard rounding principles).

(ii)

The Applicable Percentage will be determined as follows:

Relative TSR
th
Below 25  percentile

th

25  percentile

th

50  percentile

th

90  percentile

Applicable Percentage

0%

50%

100%

250%

If the Company TSR ranks among the Indexed Company TSRs at a percentile that falls between the percentile thresholds set forth
above, the Applicable Percentage will be determined based on a linear interpolation between the corresponding Applicable Percentages for
such thresholds. Notwithstanding the foregoing, the Applicable Percentage may not exceed 100% if the Company TSR is less than zero.

All determinations regarding the Beginning Price, the Ending Price, the Company TSR, the Indexed Company TSRs, the Relative

TSR, and the Applicable Percentage will be made by the Committee in its sole discretion and all such determinations will be final and
binding on all parties.

(iii)

Examples (for illustration purposes only). If (i) the Company TSR ranks among the Indexed Company TSRs

at the 70th percentile and (ii) the Company TSR is greater than or equal to zero, then 175% of the Target Number of Market Stock Units
would be Eligible Market Stock Units and would vest on the Vesting Date.

2.

Company’s Obligation to Pay. Each Market Stock Unit represents a value equal to the Fair Market Value of a Share on the

date it is granted. Unless and until the Market Stock Units will have vested in the manner set forth in Sections 3, 4 and 5, Participant will
have no right to payment of any such Market Stock Units. Prior to actual payment of any vested Market Stock Units, such Market Stock Unit
will represent an unsecured obligation of the Company, payable (if at all) only from the general assets of the Company. Payment of any
vested Market Stock Units will be made in whole Shares only and any fractional Shares will be forfeited at the time of payment.

3.

Vesting Schedule. Subject to Sections 4 and 5, the Market Stock Units awarded by this Agreement will vest in Participant

according to the Vesting Schedule set forth on the attached Notice of Grant, subject to Participant continuing to be a Service Provider through
each such date.

4.

Change in Control. In the event of a Change in Control, the Performance Period shall be deemed to end upon the closing of

the Change in Control for purposes of determining the Ending Price for the Company and each Indexed Company, the Company TSR, the
Indexed Company TSRs, and the Relative TSR (such shortened Performance Period, the “Adjusted Performance Period”), and any references
to the “Performance Period” under Section 1(b) will refer to the “Adjusted Performance Period.” The number of Market Stock Units that are
Eligible Market Stock Units will be determined in accordance with Section 1(b)(ii). Participant shall vest in 100% of the number of Eligible
Market Stock Units on the last day of the originally scheduled Performance Period set forth in the Notice of Grant, subject to Participant
continuing to be a Service Provider through such date. The Administrator shall not

3

be entitled to eliminate or reduce the number of Eligible Market Stock Units determined in accordance with this Section 4 following a
Change in Control.

5.

Termination in Connection With a Change in Control. In the event Participant’s employment with the Company is terminated

in connection with a Change in Control that occurs prior to the end of the Performance Period, the Market Stock Units that become Eligible
Market Stock Units pursuant to Section 4 will be subject to any vesting acceleration provisions set forth in any agreement that, prior to and
effective as of the date of this Agreement, has been entered into between Participant and the Company or any Subsidiary that includes any
provisions applicable to such Eligible Market Stock Units.

6.

Forfeiture upon Termination of Status as a Service Provider. Subject to the provisions of Section 5, if Participant ceases to be

a Service Provider for any or no reason, the then-unvested Market Stock Units awarded by this Agreement will thereupon be forfeited at no
cost to the Company and Participant will have no further rights thereunder.

7.

Payment after Vesting. Any Market Stock Units that vest in accordance with Sections 3, 4 and 5 will be paid to Participant
(or in the event of Participant’s death, to his or her estate) in whole Shares, subject to Participant satisfying any applicable tax withholding
obligations as set forth in Section 9. Subject to the provisions of Section 21, any Shares will be issued to Participant as soon as practicable
after the relevant vesting date, but in any event, within the period ending on the later to occur of the date that is two-and-one-half months
from the end of (a) Participant’s tax year that includes the vesting date, or (b) the Company’s tax year that includes the vesting date.

8.

Payments after Death. Any distribution or delivery to be made to Participant under this Agreement will, if Participant is then

deceased, be made to Participant’s designated beneficiary, or if no beneficiary survives Participant, the administrator or executor of
Participant’s estate. Any such transferee must furnish the Company with (a) written notice of his or her status as transferee, and (b) evidence
satisfactory to the Company to establish the validity of the transfer and compliance with any laws or regulations pertaining to said transfer.

9.

Withholding of Taxes.

(a)

Generally. Participant is ultimately liable and responsible for all taxes owed in connection with the Market Stock

Units, regardless of any action the Company or any of its Subsidiaries takes with respect to any tax withholding obligations that arise in
connection with the Market Stock Units. Neither the Company nor any of its Subsidiaries makes any representation or undertaking regarding
the treatment of any tax withholding in connection with the grant or vesting of the Market Stock Units or the subsequent sale of Shares
issuable pursuant to the Market Stock Units. The Company and its Subsidiaries do not commit and are under no obligation to structure the
Market Stock Units to reduce or eliminate Participant’s tax liability.

(b)

Payment of Withholding Taxes. Notwithstanding any contrary provision of this Agreement, no Shares will be issued

to Participant, unless and until satisfactory arrangements (as determined by the Administrator) will have been made by Participant with
respect to the payment of any taxes which the Company determines must be withheld with respect to the Market Stock Units. The
Administrator, in its sole discretion and pursuant to such procedures as it may specify from time to time, may satisfy such tax withholding
obligations, in whole or in part, by withholding otherwise deliverable Shares having an aggregate fair market value equal to the amount
required to be withheld or such greater

4

amount as the Administrator may determine if such amount would not have adverse accounting consequences, as the Administrator
determines in its sole discretion. In addition and to the maximum extent permitted by law, the Company has the right to retain without notice
from salary or other amounts payable to Participant, cash having a value sufficient to satisfy any tax withholding obligations that cannot be
satisfied by the withholding of otherwise deliverable Shares.

10.

Rights as Stockholder. Neither Participant nor any person claiming under or through Participant will have any of the rights or

privileges of a stockholder of the Company in respect of any Shares deliverable hereunder, unless and until certificates representing such
Shares will have been issued, recorded on the records of the Company or its transfer agents or registrars, and delivered to Participant.

11.

No Effect on Service. Participant acknowledges and agrees that the vesting of the Market Stock Units pursuant to Sections 3,
4 or 5 hereof is earned only by Participant continuing to be a Service Provider through the applicable vesting dates (and not through the act of
being hired or acquiring Shares hereunder). Participant further acknowledges and agrees that this Agreement, the transactions contemplated
hereunder and the vesting schedule set forth herein do not constitute an express or implied promise of Participant continuing to be a Service
Provider for the vesting period, for any period, or at all, and will not interfere with Participant’s right or the right of the Company (or the
Affiliate employing or retaining Participant) to terminate Participant as a Service Provider at any time, with or without cause.

12.

Address for Notices. Any notice to be given to the Company under the terms of this Agreement will be addressed to the

Company, in care of Stock Administrator at Align Technology, Inc., 2560 Orchard Parkway, San Jose, CA 95131, or at such other address as
the Company may hereafter designate in writing.

13.

Grant is Not Transferable. Except to the limited extent provided in Section 8, this grant and the rights and privileges

conferred hereby will not be transferred, assigned, pledged or hypothecated in any way (whether by operation of law or otherwise) and will
not be subject to sale under execution, attachment or similar process. Upon any attempt to transfer, assign, pledge, hypothecate or otherwise
dispose of this grant, or any right or privilege conferred hereby, or upon any attempted sale under any execution, attachment or similar
process, this grant and the rights and privileges conferred hereby immediately will become null and void.

14.

Binding Agreement. Subject to the limitation on the transferability of this grant contained herein, this Agreement will be

binding upon and inure to the benefit of the heirs, legatees, legal representatives, successors and assigns of the parties hereto.

15.

Additional Conditions to Issuance of Stock. If at any time the Company will determine, in its discretion, that the listing,

registration or qualification of the Shares upon any securities exchange or under any state or federal law, or the consent or approval of any
governmental regulatory authority is necessary or desirable as a condition to the issuance of shares to Participant (or his estate), such issuance
will not occur unless and until such listing, registration, qualification, consent or approval will have been effected or obtained free of any
conditions not acceptable to the Company. Where the Company determines that the delivery of the payment of any Shares will violate federal
securities laws or other applicable laws, the Company will defer delivery until the earliest date at which the Company reasonably anticipates
that the delivery of Shares will no longer cause such violation. The Company will make all reasonable efforts to meet the requirements of any
such state or federal law or securities exchange and to obtain any such consent or approval of any such governmental authority.

5

16.

Plan Governs. This Agreement is subject to all terms and provisions of the Plan. In the event of a conflict between one or

more provisions of this Agreement and one or more provisions of the Plan, the provisions of the Plan will govern.

17.

Administrator Authority. The Administrator will have the power to interpret the Plan and this Agreement and to adopt such

rules for the administration, interpretation and application of the Plan as are consistent therewith and to interpret or revoke any such rules
(including, but not limited to, the determination of whether or not any Market Stock Units have vested). All actions taken and all
interpretations and determinations made by the Administrator in good faith will be final and binding upon Participant, the Company and all
other interested persons. No member of the Administrator will be personally liable for any action, determination, or interpretation made in
good faith with respect to the Plan or this Agreement.

18.

Electronic Delivery. The Company may, in its sole discretion, decide to deliver any documents related to Market Stock Units

awarded under the Plan or future Market Stock Units that may be awarded under the Plan by electronic means or request Participant’s
consent to participate in the Plan by electronic means. Participant hereby consents to receive such documents by electronic delivery and
agrees to participate in the Plan through an on-line or electronic system established and maintained by the Company or another third party
designated by the Company.

19.
of this Agreement.

Captions. Captions provided herein are for convenience only and are not to serve as a basis for interpretation or construction

20.

Agreement Severable. In the event that any provision in this Agreement will be held invalid or unenforceable, such provision

will be severable from, and such invalidity or unenforceability will not be construed to have any effect on, the remaining provisions of this
Agreement.

21.

Section 409A. Notwithstanding anything in the Plan or this Agreement to the contrary, if the vesting of the balance, or some

lesser portion of the balance, of the Market Stock Units is accelerated in connection with Participant’s termination as a Service Provider
(provided that such termination is a “separation from service” within the meaning of Section 409A, as determined by the Company), other
than due to death, and if (x) Participant is a “specified employee” within the meaning of Section 409A at the time of such termination as a
Service Provider and (y) the payment of such accelerated Market Stock Units will result in the imposition of additional tax under
Section 409A if paid to Participant on or within the six (6) month period following Participant’s termination as a Service Provider, then the
payment of such accelerated Market Stock Units will not be made until the date six (6) months and one (1) day following the date of
Participant’s termination as a Service Provider, unless Participant dies following his or her termination as a Service Provider, in which case,
the Market Stock Units will be paid in Shares to Participant’s estate as soon as practicable following his or her death. It is the intent of this
Agreement to comply with the requirements of Section 409A so that none of the Market Stock Units provided under this Agreement or
Shares issuable thereunder will be subject to the additional tax imposed under Section 409A, and any ambiguities herein will be interpreted to
so comply. For purposes of this Agreement, “Section 409A” means Section 409A of the Code, and any proposed, temporary, or final
Treasury Regulations and Internal Revenue Service guidance thereunder, as each may be amended from time to time.

22.

Governing Law. This Agreement shall be governed by the laws of the State of California, without giving effect to the

conflict of law principles thereof. For purposes of litigating any dispute that arises under this Award of Market Stock Units or this
Agreement, the parties hereby submit

6

to and consent to the jurisdiction of the State of California, and agree that such litigation shall be conducted in the courts of Santa Clara
County, California, or the federal courts for the United States for the Northern District of California, and no other courts, where this Award of
Market Stock Units is made and/or to be performed.

[Remainder of Page Intentionally Left Blank]

7

By Participant’s acceptance of this Agreement, Participant represents that he or she is familiar with the terms and provisions

of the Plan, and hereby accepts this Agreement subject to all of the terms and provisions thereof. Participant has reviewed the Plan
and this Agreement in their entirety, has had an opportunity to obtain the advice of counsel prior to executing this Agreement, and
fully understands all provisions of this Agreement. Participant agrees to accept as binding, conclusive, and final all decisions or
interpretations of the Administrator upon any questions arising under the Plan or this Agreement. Participant further agrees to
notify the Company upon any change in the residence indicated in the Notice of Grant of Market Stock Units.

8

Exhibit 10.9A

ALIGN TECHNOLOGY, INC.
AMENDED AND RESTATED 2005 INCENTIVE PLAN
NOTICE OF GRANT OF MARKET STOCK UNITS

Unless otherwise defined herein, the terms defined in the Amended and Restated 2005 Incentive Plan (the “Plan”) will have the same

defined meanings in this Notice of Grant of Market Stock Units (the “Notice of Grant”).

Participant:    

Address:

You (the “Participant”) have been granted an award (“Award”) of market-performance based Restricted Stock Units (“Market Stock

Units”), subject to the terms and conditions of the Plan, this Notice of Grant and the Market Stock Unit Agreement attached hereto as
Exhibit A (the “Agreement”) as follows:

Date of Grant:
Target Number of Market Stock Units:
Maximum Number of Market Stock Units:

Performance Period:

Performance Matrix:

Vesting Schedule:

[_____]
[_____] (the “Target Number of Market Stock Units”)

250% of the Target Number of Market Stock Units (the “Maximum
Number of Market Stock Units”)
[_____] to [_____] (the “Performance Period”), subject to Sections 4 and 5 of
Exhibit A
The number of Market Stock Units in which Participant may vest in
accordance with the Vesting Schedule will depend upon the Relative TSR
(as defined below) and will be determined in accordance with Section 1 of
Exhibit A.
Subject to Sections 4 and 5 of Exhibit A and the terms of the Plan,
Participant will vest in his or her Eligible Market Stock Units (as defined
below) on the date the Relative TSR is determined by the Administrator
(the “Vesting Date”).

By accepting this agreement online, you and the Company agree that this Award is granted under and governed by the terms

and conditions of the Plan and the Agreement, each of which are made a part of this document. You further agree to accept,
acknowledge, and execute this Agreement as a condition to receiving any Market Stock Units under this Award.

Nothing in this Notice of Grant or in the attached Agreement or in the Plan shall confer upon Participant any right to
continue in service for any period of specific duration or interfere with or otherwise restrict in any way the rights of the Company (or
any Parent or Subsidiary employing or retaining Participant) or of Participant, which rights are hereby expressly reserved by each,
to terminate Participant’s service at any time for any reason, with or without cause.

EXHIBIT A

MARKET STOCK UNIT AGREEMENT

1.

Grant.

(a)

The Company hereby grants to Participant under the Plan an Award of Market Stock Units, subject to all of the terms

and conditions in the Notice of Grant, this Agreement, and the Plan.

(b)

The number of Market Stock Units in which Participant may vest in accordance with the Vesting Schedule set forth

in the Notice of Grant (“Eligible Market Stock Units”) will depend upon the total stockholder return (“TSR”) of the Company during the
Performance Period (the “Company TSR”) relative to the TSRs of the Indexed Companies during the Performance Period (each, an “Indexed
Company TSR”). The “Index” means the Nasdaq Composite Index or any successor index thereto. “Indexed Companies” means the
companies that are in the Index as of the beginning of the Performance Period and remain in the Index through the end of the Performance
Period (or if the Index ceases to exist prior to the end of the Performance Period, then the companies that were in the Index immediately
before the Index ceased to exist and whose securities are actively traded on a nationally recognized stock exchange as of the end of the
Performance Period). The actual number of Market Stock Units that will vest on the Vesting Date will be determined as follows:

determined as follows:

(i)

Relative TSR Calculation. Except as provided under Sections 4 and 5 below, the Relative TSR will be

1.

Step 1: Calculate the beginning price with respect to the Company and each Indexed Company by

determining the average of the closing market prices of such company’s common stock on the principal exchange on which such stock is
traded for the last thirty (30) market trading days prior to the commencement of the Performance Period (each, a “Beginning Price”). For the
purpose of determining Beginning Price, the value of dividends and other distributions (the ex-dividend date for which occurs during the
thirty (30)-market-trading-day measurement period) will be determined by treating them as reinvested in additional shares of stock at the
closing market price on the ex-dividend date.

2.

Step 2: Calculate the ending price with respect to the Company and each Indexed Company by
determining the average of the closing market prices of such company’s common stock on the principal exchange on which such stock is
traded for the thirty (30) consecutive market trading days ending on the last trading day of the Performance Period (each, an “Ending Price”).
For the purpose of determining Ending Price, the value of dividends and other distributions (the ex-dividend date for which occurs during the
Performance Period) will be determined by treating them as reinvested in additional shares of stock at the closing market price on the ex-
dividend date.

formula: (Ending Price/Beginning Price)-1. The Company TSR and each Indexed Company TSR will each be expressed as a percent of
increase (i.e., a positive percent) or decrease (i.e., a negative percent) rounded to two decimal places (applying standard rounding principles).

3.

Step 3: Calculate the Company TSR and each Indexed Company TSR by applying the following

“Relative TSR”) by ranking the Company TSR and the Indexed Company TSRs from highest (highest positive percentage) to lowest (highest
negative percentage).

4.

Step 4: Calculate the Company TSR’s percentile ranking among the Indexed Company TSRs (the

2

Eligible Market Stock Unit Calculation. Based on the Relative TSR, the number of Eligible Market Stock
Units will be the product of (x) the Applicable Percentage (in the table below) multiplied by (y) the Target Number of Market Stock Units,
with the number of resulting Shares rounded to the nearest whole Share (applying standard rounding principles).

(ii)

The Applicable Percentage will be determined as follows:

Relative TSR
th
Below 25  percentile

th

25  percentile

th

50  percentile

th

90  percentile

Applicable Percentage

0%

50%

100%

250%

If the Company TSR ranks among the Indexed Company TSRs at a percentile that falls between the percentile thresholds set forth
above, the Applicable Percentage will be determined based on a linear interpolation between the corresponding Applicable Percentages for
such thresholds. Notwithstanding the foregoing, the Applicable Percentage may not exceed 100% if the Company TSR is less than zero.

All determinations regarding the Beginning Price, the Ending Price, the Company TSR, the Indexed Company TSRs, the Relative

TSR, and the Applicable Percentage will be made by the Committee in its sole discretion and all such determinations will be final and
binding on all parties.

(iii)

Examples (for illustration purposes only). If (i) the Company TSR ranks among the Indexed Company TSRs

at the 70th percentile and (ii) the Company TSR is greater than or equal to zero, then 175% of the Target Number of Market Stock Units
would be Eligible Market Stock Units and would vest on the Vesting Date.

2.

Company’s Obligation to Pay. Each Market Stock Unit represents a value equal to the Fair Market Value of a Share on the

date it is granted. Unless and until the Market Stock Units will have vested in the manner set forth in Sections 3, 4 and 5, Participant will
have no right to payment of any such Market Stock Units. Prior to actual payment of any vested Market Stock Units, such Market Stock Unit
will represent an unsecured obligation of the Company, payable (if at all) only from the general assets of the Company. Payment of any
vested Market Stock Units will be made in whole Shares only and any fractional Shares will be forfeited at the time of payment.

3.

Vesting Schedule. Subject to Sections 4 and 5, the Market Stock Units awarded by this Agreement will vest in Participant

according to the Vesting Schedule set forth on the attached Notice of Grant, subject to Participant continuing to be a Service Provider through
each such date. For the avoidance of doubt, notwithstanding anything in Participant’s individual employment agreement with the Company
(the “Employment Agreement”) to the contrary, the vesting acceleration provisions in Sections 4 and 5 are in lieu of any vesting acceleration
provisions in the Employment Agreement, and any vesting acceleration provisions in the Employment Agreement will not apply to the
Market Stock Units awarded by this Agreement.

4.

Change in Control. In the event of a Change in Control, the Performance Period shall be deemed to end upon the closing of

the Change in Control for purposes of determining the Ending Price for the Company and each Indexed Company, the Company TSR, the
Indexed Company TSRs, and the Relative TSR (such shortened Performance Period, the “CIC-Adjusted Performance Period”), and any
references to the “Performance Period” under Section 1(b) will refer to the “CIC-Adjusted Performance

3

Period.” The number of Market Stock Units that are Eligible Market Stock Units will be determined in accordance with Section 1(b)(ii).
Participant shall vest in 100% of the number of Eligible Market Stock Units on the last day of the originally scheduled Performance Period
set forth in the Notice of Grant, subject to Participant continuing to be a Service Provider through such date. If Participant’s employment is
terminated without Cause or for Good Reason (as such terms are defined in the Employment Agreement) within 12 months following the
occurrence of a Change in Control, then 100% of his or her unvested Eligible Market Stock Units will fully vest, provided Participant
executes and does not revoke a release of claims as provided for in the Employment Agreement (as a necessary condition to the receipt of
severance thereunder). The Administrator shall not be entitled to eliminate or reduce the number of Eligible Market Stock Units determined
in accordance with this Section 4 following a Change in Control.

5.

Termination Not in Connection With a Change in Control. This Section 5 shall apply in the event Participant’s employment

with the Company is terminated without Cause or if Participant terminates his or her employment for Good Reason (as such terms are
defined in the Employment Agreement) and such termination does not occur on or within 12 months following a Change in Control.

(a)

If the Performance Period has not already ended, the Performance Period shall be deemed to end upon the

Participant’s employment termination date for purposes of determining the Ending Price for the Company and each Indexed Company, the
Company TSR, the Indexed Company TSRs, and the Relative TSR (such shortened Performance Period, the “Termination-Adjusted
Performance Period”), and any references to the “Performance Period” under Section 1(b) will refer to the “Termination-Adjusted
Performance Period.” The number of Market Stock Units that are Eligible Market Stock Units will be determined in accordance with
Section 1(b)(ii).

(b)

Subject to Participant executing and not revoking a release of claims as provided for in the Employment Agreement
(as a necessary condition to the receipt of severance thereunder), Participant shall vest in that number of Eligible Market Stock Units equal to
(i) (A) the number of months (including any partial month, expressed as a fraction) that have elapsed from the commencement of the
Performance Period through the date of the termination of employment, (B) divided by 36, multiplied by (ii) the number of Eligible Market
Stock Units, with the result rounded down to the nearest whole Eligible Market Stock Unit. For the avoidance of doubt, no more than 100%
of the Eligible Market Stock Units shall vest pursuant to the previous sentence. The remaining unvested Eligible Market Stock Units will be
forfeited at no cost to the Company and Participant will have no further rights thereunder.

6.

Forfeiture upon Termination of Status as a Service Provider. Subject to the provisions of Sections 4 and 5, if Participant
ceases to be a Service Provider for any or no reason, the then-unvested Market Stock Units awarded by this Agreement will thereupon be
forfeited at no cost to the Company and Participant will have no further rights thereunder.

7.

Payment after Vesting. Any Market Stock Units that vest in accordance with Sections 3, 4 and 5 will be paid to Participant
(or in the event of Participant’s death, to his or her estate) in whole Shares, subject to Participant satisfying any applicable tax withholding
obligations as set forth in Section 9. Subject to the provisions of Section 21, any Shares will be issued to Participant as soon as practicable
after the relevant vesting date, but in any event, within the period ending on the later to occur of the date that is two-and-one-half months
from the end of (a) Participant’s tax year that includes the vesting date, or (b) the Company’s tax year that includes the vesting date.

8.

Payments after Death. Any distribution or delivery to be made to Participant under this Agreement will, if Participant is then

deceased, be made to Participant’s designated beneficiary, or if no

4

beneficiary survives Participant, the administrator or executor of Participant’s estate. Any such transferee must furnish the Company with
(a) written notice of his or her status as transferee, and (b) evidence satisfactory to the Company to establish the validity of the transfer and
compliance with any laws or regulations pertaining to said transfer.

9.

Withholding of Taxes.

(a)

Generally. Participant is ultimately liable and responsible for all taxes owed in connection with the Market Stock

Units, regardless of any action the Company or any of its Subsidiaries takes with respect to any tax withholding obligations that arise in
connection with the Market Stock Units. Neither the Company nor any of its Subsidiaries makes any representation or undertaking regarding
the treatment of any tax withholding in connection with the grant or vesting of the Market Stock Units or the subsequent sale of Shares
issuable pursuant to the Market Stock Units. The Company and its Subsidiaries do not commit and are under no obligation to structure the
Market Stock Units to reduce or eliminate Participant’s tax liability.

(b)

Payment of Withholding Taxes. Notwithstanding any contrary provision of this Agreement, no Shares will be issued

to Participant, unless and until satisfactory arrangements (as determined by the Administrator) will have been made by Participant with
respect to the payment of any taxes which the Company determines must be withheld with respect to the Market Stock Units. The
Administrator, in its sole discretion and pursuant to such procedures as it may specify from time to time, may satisfy such tax withholding
obligations, in whole or in part, by withholding otherwise deliverable Shares having an aggregate fair market value equal to the amount
required to be withheld or such greater amount as the Administrator may determine if such amount would not have adverse accounting
consequences, as the Administrator determines in its sole discretion. In addition and to the maximum extent permitted by law, the Company
has the right to retain without notice from salary or other amounts payable to Participant, cash having a value sufficient to satisfy any tax
withholding obligations that cannot be satisfied by the withholding of otherwise deliverable Shares.

10.

Rights as Stockholder. Neither Participant nor any person claiming under or through Participant will have any of the rights or

privileges of a stockholder of the Company in respect of any Shares deliverable hereunder, unless and until certificates representing such
Shares will have been issued, recorded on the records of the Company or its transfer agents or registrars, and delivered to Participant.

11.

No Effect on Service. Participant acknowledges and agrees that the vesting of the Market Stock Units pursuant to Sections 3,
4 or 5 hereof is earned only by Participant continuing to be a Service Provider through the applicable vesting dates (and not through the act of
being hired or acquiring Shares hereunder). Participant further acknowledges and agrees that this Agreement, the transactions contemplated
hereunder and the vesting schedule set forth herein do not constitute an express or implied promise of Participant continuing to be a Service
Provider for the vesting period, for any period, or at all, and will not interfere with Participant’s right or the right of the Company (or the
Affiliate employing or retaining Participant) to terminate Participant as a Service Provider at any time, with or without cause.

12.

Address for Notices. Any notice to be given to the Company under the terms of this Agreement will be addressed to the

Company, in care of Stock Administrator at Align Technology, Inc., 2560 Orchard Parkway, San Jose, CA 95131, or at such other address as
the Company may hereafter designate in writing.

5

13.

Grant is Not Transferable. Except to the limited extent provided in Section 8, this grant and the rights and privileges

conferred hereby will not be transferred, assigned, pledged or hypothecated in any way (whether by operation of law or otherwise) and will
not be subject to sale under execution, attachment or similar process. Upon any attempt to transfer, assign, pledge, hypothecate or otherwise
dispose of this grant, or any right or privilege conferred hereby, or upon any attempted sale under any execution, attachment or similar
process, this grant and the rights and privileges conferred hereby immediately will become null and void.

14.

Binding Agreement. Subject to the limitation on the transferability of this grant contained herein, this Agreement will be

binding upon and inure to the benefit of the heirs, legatees, legal representatives, successors and assigns of the parties hereto.

15.

Additional Conditions to Issuance of Stock. If at any time the Company will determine, in its discretion, that the listing,

registration or qualification of the Shares upon any securities exchange or under any state or federal law, or the consent or approval of any
governmental regulatory authority is necessary or desirable as a condition to the issuance of shares to Participant (or his estate), such issuance
will not occur unless and until such listing, registration, qualification, consent or approval will have been effected or obtained free of any
conditions not acceptable to the Company. Where the Company determines that the delivery of the payment of any Shares will violate federal
securities laws or other applicable laws, the Company will defer delivery until the earliest date at which the Company reasonably anticipates
that the delivery of Shares will no longer cause such violation. The Company will make all reasonable efforts to meet the requirements of any
such state or federal law or securities exchange and to obtain any such consent or approval of any such governmental authority.

16.

Plan Governs. This Agreement is subject to all terms and provisions of the Plan. In the event of a conflict between one or

more provisions of this Agreement and one or more provisions of the Plan, the provisions of the Plan will govern.

17.

Administrator Authority. The Administrator will have the power to interpret the Plan and this Agreement and to adopt such

rules for the administration, interpretation and application of the Plan as are consistent therewith and to interpret or revoke any such rules
(including, but not limited to, the determination of whether or not any Market Stock Units have vested). All actions taken and all
interpretations and determinations made by the Administrator in good faith will be final and binding upon Participant, the Company and all
other interested persons. No member of the Administrator will be personally liable for any action, determination, or interpretation made in
good faith with respect to the Plan or this Agreement.

18.

Electronic Delivery. The Company may, in its sole discretion, decide to deliver any documents related to Market Stock Units

awarded under the Plan or future Market Stock Units that may be awarded under the Plan by electronic means or request Participant’s
consent to participate in the Plan by electronic means. Participant hereby consents to receive such documents by electronic delivery and
agrees to participate in the Plan through an on-line or electronic system established and maintained by the Company or another third party
designated by the Company.

19.
of this Agreement.

Captions. Captions provided herein are for convenience only and are not to serve as a basis for interpretation or construction

6

20.

Agreement Severable. In the event that any provision in this Agreement will be held invalid or unenforceable, such provision

will be severable from, and such invalidity or unenforceability will not be construed to have any effect on, the remaining provisions of this
Agreement.

21.

Section 409A. Notwithstanding anything in the Plan or this Agreement to the contrary, if the vesting of the balance, or some

lesser portion of the balance, of the Market Stock Units is accelerated in connection with Participant’s termination as a Service Provider
(provided that such termination is a “separation from service” within the meaning of Section 409A, as determined by the Company), other
than due to death, and if (x) Participant is a “specified employee” within the meaning of Section 409A at the time of such termination as a
Service Provider and (y) the payment of such accelerated Market Stock Units will result in the imposition of additional tax under
Section 409A if paid to Participant on or within the six (6) month period following Participant’s termination as a Service Provider, then the
payment of such accelerated Market Stock Units will not be made until the date six (6) months and one (1) day following the date of
Participant’s termination as a Service Provider, unless Participant dies following his or her termination as a Service Provider, in which case,
the Market Stock Units will be paid in Shares to Participant’s estate as soon as practicable following his or her death. It is the intent of this
Agreement to comply with the requirements of Section 409A so that none of the Market Stock Units provided under this Agreement or
Shares issuable thereunder will be subject to the additional tax imposed under Section 409A, and any ambiguities herein will be interpreted to
so comply. For purposes of this Agreement, “Section 409A” means Section 409A of the Code, and any proposed, temporary, or final
Treasury Regulations and Internal Revenue Service guidance thereunder, as each may be amended from time to time.

22.

Governing Law. This Agreement shall be governed by the laws of the State of California, without giving effect to the

conflict of law principles thereof. For purposes of litigating any dispute that arises under this Award of Market Stock Units or this
Agreement, the parties hereby submit to and consent to the jurisdiction of the State of California, and agree that such litigation shall be
conducted in the courts of Santa Clara County, California, or the federal courts for the United States for the Northern District of California,
and no other courts, where this Award of Market Stock Units is made and/or to be performed.

[Remainder of Page Intentionally Left Blank]

7

By Participant’s acceptance of this Agreement, Participant represents that he or she is familiar with the terms and provisions

of the Plan, and hereby accepts this Agreement subject to all of the terms and provisions thereof. Participant has reviewed the Plan
and this Agreement in their entirety, has had an opportunity to obtain the advice of counsel prior to executing this Agreement, and
fully understands all provisions of this Agreement. Participant agrees to accept as binding, conclusive, and final all decisions or
interpretations of the Administrator upon any questions arising under the Plan or this Agreement. Participant further agrees to
notify the Company upon any change in the residence indicated in the Notice of Grant of Market Stock Units.

8

Exhibit 10.16

ALIGN TECHNOLOGY, INC.
EXECUTIVE OFFICER RELOCATION AGREEMENT

Effective  as  of  December  31,  2020,  and  as  a  condition  to  receive  the  relocation  benefits  promised  in  this  agreement
(“Agreement”)  by  Align  Technology,  Inc.  (“Align”  or  the  “Company”),  I,  [Name],  hereby  agree  to  the  following  terms  and
conditions with respect to the relocation package offered below.

A. Relocation Costs and Benefits.

1. Align  agrees  to  advance,  provide  and/or  reimburse  specified  costs  and  expenses  associated  with  the  movement  of  my
household  and  household  goods  as  well  as  to  provide  and/or  reimburse  the  costs  and  expenses  associated  with  certain
destination services and benefits intended to ease my relocation. Specifically, Align will advance, pay and/or reimburse me
for the following services, expenses, and costs, which may be, at the Company’s option, through Aires, Align’s current third-
party vendor:

Household Goods Shipment

En Route
Trip

Home Finding
Trip

Temporary
Living

Departure Home
Sale Assistance

Destination
Home Purchase Assistance

Rental
Assistance

Miscellaneous Allowance

• Packing, loading, transporting, and insurance
• Two vehicles, if over 500 miles
• Renter: 30 days of storage
• Homeowner: 60 days of storage

• One-way economy airfare OR
• Mileage for two cars at current rate, (based on 400 miles/day)
• Reasonable meals and lodging

1 trip (7 days/6 nights)

•
• Employee and spouse/domestic partner
• Roundtrip economy airfare or mileage for one car at IRS rate
• Meals, lodging and rental car

• Furnished apartment or extended-stay hotel
• Up to 60 days
• No meals or incidentals

• Marketing assistance
• Guaranteed Buy Out (GBO)
• Must use Aires agent unless otherwise agreed in writing

• Home finding assistance
• Must have been homeowner previously
• Normal and customary closing costs (no points/pre-paids)
• Up to 2% of the purchase price
• Must use Aires Agent unless otherwise agreed in writing

• One day professional rental tour
•
• Application fee, credit report fee, and finder’s fee

Lease termination up to 2 month’s rent

• One month’s base salary capped at $20,000
• Payroll taxes deducted

2.

In addition, Align agrees to reimburse me for any expenses actually incurred for tax advice from an accountant, attorney or
other qualified tax advisor regarding the personal tax implications of the relocation, up to a maximum of $1,000.

3. Align also agrees to make an make an additional cash payment on my behalf (or, if Align otherwise determines, to me) to
assist  in  offsetting  the  amount  of  any  federal  and  state  taxes  I  will  owe  as  a  result  of  the  Company’s  reimbursement  or
payment of the relocation benefits described above. 

    
4. The scope of the services, expenses, and costs which are to be advanced, paid or reimbursed pursuant to this agreement shall
be in accordance with the customary practice of the Company, or Aires, the Company’s third-party vendor, as applicable. The
Compensation Committee of the Board of Directors of the Company shall have the authority to interpret the scope of such
services, expenses and costs to the extent there is any ambiguity or disagreement among the parties with respect thereto, and
the Compensation Committee’s decision shall be final and binding on the parties.

B. Terms and Conditions

1.

I understand and agree that if I terminate my employment for any reason, or if the Company terminates my employment for
Cause (as defined in the [INSERT APPLICABLE EMPLOYMENT AGREEMENT NAME], dated [INSERT DATE], by and
between  myself  and  the  Company  (the  “Employment  Agreement”))  within  one  year  from  (i)  the  date  of  my  relocation
(which will be the day that I begin work in the new location regardless of whether my household goods and/or accompanying
family  members  (if  any)  have  arrived,  as  determined  by  the  Company,  in  its  sole  discretion,  based  on  its  objective
determination of when I began work in the new location); or (ii) the date of the first expense incurred by the Company on my
behalf hereunder, whichever is later (the later of such dates, the “Start Date”), I agree to repay the Company all relocation
expenses and costs incurred by the Company above, whether reimbursed or provided to me directly by the Company, paid on
my behalf, or paid through or to a third party on the Company’s behalf, including amounts paid to federal or state tax agencies
as  withholding  or  other  credit  against  taxes,  and  any  tax  gross-up  or  offset  payments  (collectively,  the  “Expenses”).  My
obligation to repay the Expenses shall be limited as follows:

a. Align  will  forgive  1/12  of  the  Expenses  for  each  full  month  of  full-time  employment  after  the  Start  Date.  Any
unforgiven Expenses which remain at the time of my resignation or termination for Cause will be due and payable to
the Company no later than thirty (30) calendar days after my last day of employment.

b.

If the Company terminates my employment other than for Cause within one year from the Start Date, I will have no
obligations under this agreement to reimburse the Company for any portion of the Expenses.

2. As a condition to receiving the benefits provided under this agreement, I hereby acknowledge and agree that the movement of
my principal office location to the Tempe, Arizona area does not constitute “Good Reason” under [Section] the Employment
Agreement or under the terms of any of the equity awards granted to me by the Company.

The  Company  and  I  further  agree  that  hereafter  for  purposes  of  the  Employment  Agreement,  including  Section  [INSERT
APPLICABLE SECTION] my principal place of employment shall be 410 North Scottsdale Road, Tempe, Arizona 85281.

3. The Internal Revenue Service requires that some reimbursements to me or payments to third parties for relocation expenses
be reported as income. Further, some or all reimbursed moving and resettlement expenses may be subject to State and Federal
withholding taxes. If

I incur any expenses not reimbursed by the Company, I will consult with my own tax advisor.

4.

I  understand  that  I  cannot  and  have  not  relied  on  the  Company  or  any  officer  or  employee  of  the  Company  for  advice
regarding  the  proper  tax  treatment  of  my  relocation  expenses,  and  that  I  am  responsible  for  obtaining  independent  advice
from my own personal tax advisor.

5. To the extent permitted by applicable law, if so permitted, I authorize the Company to deduct from monies otherwise due to
me by the Company, any amounts or Expenses I am obligated hereunder to repay. I understand that if such monies are not
sufficient to repay the full amount that I owe, I will remain obligated to immediately pay the remaining amounts owing to the
Company under this Agreement within thirty (30) calendar days of my last day of employment. If I fail to repay the amounts
due  within  that  time  frame,  I  will  also  pay  the  Company  interest  at  an  annual  rate  of  one  (1%)  percent  over  prime  on  all
amounts that remain unpaid after the end of such thirty (30) day period. Further, if I breach this Agreement, or default on my
obligation to repay all of the Expenses owed, I agree to pay the Company’s cost (including reasonable attorneys’ fees and
court costs) of collecting any amounts payable under this Agreement.

6. This  Agreement  contains  the  entire  agreement  between  the  Company  and  I  concerning  the  subject  matter  hereof  and
supersedes all prior agreements, understandings, discussions, negotiations and undertakings, whether written or oral, between
the  Company  and  I  with  respect  thereto;  provided,  however,  that  this  Agreement  is  in  addition  to,  and  does  not  replace  or
supersede, any other repayment agreement I have entered into with the Company and/or its affiliated entities or subsidiaries.

7.

I understand and agree that nothing in this Agreement alters the length of my employment, guarantees employment for any
period,  alters  my  status  as  an  at-will  employee  of  Align,  or,  except  as  expressly  provided  herein,  modifies,  amends,  or
supersedes the Employment Agreement. This Agreement does not constitute a contract of employment for a fixed duration or
a guarantee of employment for twelve months or otherwise, which means either I or Align may terminate my employment at
any time and for any reason not otherwise unlawful and in accordance with the terms set forth in the Employment Agreement.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

EXECUTIVE:

Name:

ALIGN TECHNOLOGY, INC.

By:

Name:
Title:

The registrant’s principal subsidiaries as of December 31, 2020, are as follows:

Subsidiaries of Align Technology, Inc.

Exhibit 21.1

Entity
Align Technology Switzerland GmbH, Switzerland
exocad Global Holdings GmbH, Germany

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We  hereby  consent  to  the  incorporation  by  reference  in  the  Registration  Statements  on  Form  S-8  (No.  333-214493,  No.  333-190351,  No.  333-143319,
No. 333-134477, No. 333-125586, No. 333-161054, No. 333-176134, No. 333-168548, No. 333-116912, No. 333-82874) of Align Technology, Inc. of our
report dated February 26, 2021 relating to the financial statements and financial statement schedule and the effectiveness of internal control over financial
reporting, which appears in this Form 10-K.

Exhibit 23.1

/s/ PricewaterhouseCoopers LLP

San Jose, California
February 26, 2021

Exhibit 31.1

I, Joseph M. Hogan, certify that:

1.

I have reviewed this annual report on Form 10-K of Align Technology, Inc.;

CERTIFICATION

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(s) 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(s) 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.

Date: February 26, 2021

/S/    JOSEPH M. HOGAN
Joseph M. Hogan
President and Chief Executive Officer

 
Exhibit 31.2

I, John F. Morici, certify that:

CERTIFICATION

1.

I have reviewed this annual report on Form 10-K of Align Technology, Inc.;

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(s) 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(s) 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.

Date: February 26, 2021

/S/    JOHN F. MORICI     
John F. Morici
Chief Financial Officer and Senior Vice President, Global Finance

 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32

In connection with the Annual Report of Align Technology, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2020 as filed with the
Securities  and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  I  certify,  pursuant  to  18  U.S.C.  §  1350,  as  adopted  pursuant  to  §  906  of  the
Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

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

Date:

February 26, 2021

By:

Name:

Title:

/S/    JOSEPH M. HOGAN
Joseph M. Hogan

President and Chief Executive Officer

In connection with the Annual Report of Align Technology, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2020 as filed with the
Securities  and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  I  certify,  pursuant  to  18  U.S.C.  §  1350,  as  adopted  pursuant  to  §  906  of  the
Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

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

Date:

February 26, 2021

By:

Name:

Title:

/S/    JOHN F. MORICI   
John F. Morici

Chief Financial Officer and Senior Vice President, Global Finance