DENTSPLY SIRONA
Annual Report 2016

Plain-text annual report

THE DENTAL SOLUTIONS COMPANY TM For better, safer, faster dental care 2016 Annual Report D e n t s p l y S i r o n a 2 0 1 6 A n n u a l R e p o r t Pursuing Better, Safer, Faster Care in Each Dental Discipline Across the globe, our employees are coming together as one global team to enhance our value and empower dental professionals. Financial Highlights (in millions, except per share data) Income Statement Data 2016 2015 2014 2013 Net Sales $3,745.3 $2,674.3 $2,922.6 $2,950.8 Net Sales, Excluding Precious Metal Content Earnings Per Common Share —Diluted Adjusted Earnings Per Common Share—Diluted1, 2, 3, 4, 5 Cash Dividends Declared Per Common Share Financial Position Cash and Cash Equivalents Total Debt6 Total Equity $3,681.0 $1.94 $2,581.5 $1.76 $2,792.7 $2.24 $2,771.7 $2.16 $2.78 $2.62 $2.50 $2.35 $0.310 $0.290 $0.265 $0.250 2016 $383.9 $1,532.2 $8,125.9 2015 $284.6 $1,153.1 2014 $151.6 2013 $75.0 $1,261.9 $1,471.6 $2,339.4 $2,322.2 $2,578.0 1 2016 – Excludes pre-tax cost of $162.2 million related to business combinations; pre-tax amortization expense related to purchased intangible assets of $155.3 million; pre-tax restructuring and other costs of $17.0 million; and the pre-tax loss on credit risk and fair value adjustments of $5.8 million. The related net impact to income taxes on these excluded items and other income tax adjustments was $153.1 million. These items had a negative impact of $0.84 on earnings per diluted common share. 2 2015 – Excludes pre-tax cost of $106.2 million related to business combinations and restructuring and other costs; pre-tax amortization expense related to purchased intangible assets of $43.7 million; the pre-tax loss on credit risk and fair value adjustments of $8.3 million; and the pre-tax gain on certain fair value adjustments related to an unconsolidated affiliated company of $2.8 million. The related net impact to income taxes on these excluded items and other income tax adjustments was $33.5 million. These items had a negative impact of $0.86 on earnings per diluted common share. 3 2014 – Excludes pre-tax amortization expense related to purchased intangible assets of $47.9 million; pre-tax cost of $16.0 million related to business combinations and restructuring and other costs; the pre-tax gain on credit risk and fair value adjustments of $0.7 million; and the pre-tax gain on certain fair value adjustments related to an unconsolidated affiliated company of $1.2 million. The related net impact to income taxes on these excluded items and other income tax adjustments was $23.9 million. These items had a negative impact of $0.26 on earnings per diluted common share. 4 2013 – Excludes pre-tax amortization expense related to purchased intangible assets of $46.2 million; pre-tax cost of $22.9 million related to business combinations and restructuring and other costs; the pre-tax loss on credit risk and fair value adjustments of $3.8 million; and the pre-tax gain on certain fair value adjustments related to an unconsolidated affiliated company of $1.2 million. The related net impact to income taxes on these excluded items and other income tax adjustments was $43.7 million. These items had a negative impact of $0.19 on earnings per diluted common share. 5 Adjusted earnings per diluted share is a non-GAAP measure that excludes certain items. For a reconciliation of U.S. GAAP results to this non-GAAP measure, refer to Item 7 of our annual report on Form 10-K. 6 Total debt amounts shown are net of deferred financing costs. Dear Fellow Shareholders, In fiscal 2016, Dentsply Sirona became The Dental Solutions Company™. On February 29, we closed the most significant merger in the history of our industry to create the largest manufacturer of professional dental products, combining two world-class portfolios of technology and consumables that cover all major clinical categories of dentistry. As Dentsply Sirona, we will create long-term value for the profession, the patient, our employees and our shareholders. We will continue to stand for quality, innovation and best-in- class customer service. Beginning on day one, we focused our efforts on uniting under a new mission, vision, and values and a unique Dentsply Sirona brand identity. In our first year, we began delivering on all of the promises of our merger: to accelerate top and bottom line growth, to increase investments in research and development, clinical education and sales and service infrastructure, to deliver cost and revenue synergies, and to utilize our powerful and flexible balance sheet to deploy capital for the benefit of our shareholders. After a year focused heavily on merger-related planning and early integration activities, our Company will transform into an even faster growing and more efficient company which will create significant value for our shareholders. Financial Review In fiscal 2016, we delivered record adjusted earnings per share of $2.78, growing 6% reported, but nearly 9% on a currency-neutral basis. Revenues of $3.7 billion grew 40% compared to the prior year, while sales of our combined businesses1 grew 3.6% excluding the effects of exchange rates. Despite currency headwinds, we were able to benefit from our merger synergies and deliver record adjusted operating margins of 21.8%. We met the high end of our financial guidance range despite slower than expected revenue growth in the face of challenging market conditions. Political instability and lower oil prices impacted emerging market economies like Russia, Brazil and the Middle East. The Brexit vote added uncertainty in Europe. The U.S. Dental Market slowed down unexpectedly from summer until late in the year. Our diversification in both geography and product portfolio is proving to be a competitive advantage. Early cost and revenue synergies enabled us to accelerate top and bottom line growth in fiscal 2016. Mission and Vision Focused on Driving Industry Megatrends Our new Mission, Vision and Values align our objectives to benefit from industry megatrends and drive growth for our Company. Our Mission, to empower dental Bret W. Wise Executive Chairman Jeffrey T. Slovin Chief Executive Officer professionals to provide better, safer, faster dental care, addresses the growing need for dental care in both developed and developing markets. In developed markets, increasing focus on early prevention and an aging population retaining more of their natural teeth are driving increased demand for dental care. In emerging economies, a growing middle class is paying more attention to oral health, driving the need for more dental care. To address these developments, we empower dental professionals with the tools and training to perform both general and specialized procedures to be more efficient and meet increasingly customized patient needs. Around the globe, a trend toward group practices continues to grow, and clinicians are seeking manufacturing and distribution partners to develop consistent and improving workflows for both offices and labs. As a leader in digital technologies and integrated solutions, we are the only company that can offer optimal end-to- end solutions making practitioners most effective. Each day, 600,000 dental professionals use a Dentsply Sirona product on over six million patients, translating into 1 “Sales of our combined businesses” combines the historical consolidated revenues of DENTSPLY and Sirona, giving effect to the merger as if it had been consummated on January 1, 2015. 2016 Annual Report 1 over one billion patients being treated by our products each year. We can leverage our market leadership to transform our industry, empower dental professionals, and advance patient care. All of these trends drive increasing demand for our products and customer support which will in turn accelerate our long-term growth. Our Vision of delivering innovative dental solutions to improve oral health worldwide speaks to our commitment of continuously investing to be at the forefront of innovation, clinical education and customer service and support. We invest over $150 million annually in research and development, significantly more than any of our competitors. We foster the exchange of ideas between thought leaders in the industry and our over 600 leading scientists and engineers at centers of innovation around the globe. These investments have led to the development of technologies like 3D imaging and chairside CAD/CAM which not only provide better diagnoses and treatments, but also have significantly cut down treatment times and made single-visit dentistry a reality. We have the broadest clinical education platform in the industry, with approximately 350,000 professionals attending 10,000 courses conducted annually in more than 80 countries. Through training and education, we are helping move dentistry from a focus on acute care and pain management toward improved access to preventive care and restoration of natural teeth. Our unmatched sales and service infrastructure of more than 4,000 employees reaches all ends of the globe. Driving Enabling Technologies and Procedural Solutions to Elevate Dental Care Standards Every day enabling technologies are revolutionizing the world. From computers to cell phones, offices and homes around the globe have entered a digital age. Dentistry is in the early phase of digital adoption, and the demand for enabling technologies and procedural 2 Dentsply Sirona solutions by dental professionals is rapidly gaining traction. As the leader in enabling technologies, and integrated and procedural solutions, Dentsply Sirona is poised to lead dentistry into a more integrated world by improving workflows and clinical solutions. Over the past twenty years, our enabling technologies have led the conversion of film to digital in dental offices, making digital radiography the standard of care. We have introduced procedural solutions for Class I and Class II restorations, making everyday restorative dentistry more seamless. We have not just pioneered the introduction of CAD/CAM technologies and 3D X-ray in the dental office, but we believe we are on the cusp of making these technologies part of everyday dentistry. Just recently, we have introduced our Root To Crown Solution to provide a full solution for root canals, from diagnosis and treatment planning to the final coronal restoration. Additionally, we have announced opening up our one-of-a-kind CEREC® branded CAD/ CAM ecosystem, making access to this technology easier than ever before. This will enable dental professionals to marry our market-leading technologies with existing technologies in their office, creating a digital network in the office. In time, these clinicians will build out their ecosystem with complete Dentsply Sirona products and solutions and set the stage for fully digitalized dental offices with integrated procedural solutions. In the U.S. we are redefining our go-to-market strategy and expanding our distribution network. Using our direct sales and the support of the strongest distributors, we will reach the entire U.S. market with our leading product portfolios. This will help accelerate adoption of our technologies, and in turn, the demand for integrated solutions in the largest dental market in the world. This will drive near and medium-term demand for our products, and facilitate change in our industry. Global markets will follow suit and demand for digital technologies and integrated solutions will increase around the world. Our technologies and solutions continue to change what is possible within the confines of a dental office. Our innovations will truly change lives—both of patients and practitioners. Dentsply Sirona is uniquely positioned to move our industry forward. Our leadership will fuel our growth for years to come. Integration Efforts Accelerating and On Track Part of the benefit of our transformational merger was to capture synergies over the course of years. In our first year, we made substantial progress integrating the businesses. These efforts put us in a strong position to unlock significant value as we move forward. We remain on time and on track to deliver over $125 million in synergies by the end of year three. We are a much stronger company today than we were a year ago and will continue to improve. We have begun to realize revenue synergies through programs and solutions that we are uniquely positioned to deliver to customers. Commercial strategies such as cross-selling, bundling and loyalty programs began rolling out in mid-2016. We are seeing strong acceptance of these initial efforts and see broader applications as we continue to fine-tune our go-to-market strategies and align them with the sales incentive programs we are establishing across our global team of 4,000 sales professionals. We are confident in our ability to drive increased demand for our products in 2017 and beyond. Early on, we were able to leverage our market-leading CEREC CAD/CAM brand to sell associated consumables needed for chairside restorations. By sharing leads, and leveraging expertise in equipment and consumables, we were able to gain market share in a category that we’ve just recently entered with a sales force dedicated to selling our own CAD/CAM consumables. In August, we hosted SIROWORLD, our one-of-a- kind ultimate dental meeting, where we demonstrated to customers our unique ability to meet their needs across all treatment modalities. These examples, along with other commercial workstreams supported revenue growth in 2016. We have also begun collaborating to develop unique products and integrated solutions. In our first year, we began leveraging our instruments manufacturing expertise and our powerful Midwest brand to introduce a new electric handpiece to the U.S. market. We successfully developed the first 3D Endo CBCT-based software, enabling safer and more efficient planning and delivery of root canal treatments. We have continued to invest in collaborative research and development efforts that will differentiate Dentsply Sirona as the innovator in the industry for years to come. This will raise customer loyalty, enable the cross-selling of our products, and drive our short and long-term growth. We have also implemented cost reduction programs that have begun to pay dividends, and will continue to produce results. We have proposed and initiated plans to reorganize manufacturing, logistics and distribution networks in multiple places, including large regions like Germany and Brazil. Our procurement team is leveraging our size and scope to get better terms from vendors. In many locations we are implementing organizational structures and processes that provide strong product-specific focus and leverage our combined market presence and common As a leader in digital technologies and integrated solutions, we are the only company that can offer optimal end-to-end solutions making practitioners most effective. cost base. As cross-functional teams come together, we will realize the savings of consolidating multiple offices into central locations, leveraging resources and eliminating redundancies. The purpose of all of our synergy activities is to accelerate top and bottom line growth. Revenue synergy programs will drive increasing demand for our products and differentiate us from the competition as the partner of choice to dental practitioners and distributors. Efficiencies created by cost synergies will enable further reinvestment in the business to support growth initiatives, while also delivering savings to our shareholders. Capital Deployment Dentsply Sirona has an attractive financial profile and a strong balance sheet that will be used to support our growth initiatives. Capital deployment is a critical lever in creating value that will be used for the benefit of our shareholders. In our first year as Dentsply Sirona, our Company deployed over one billion dollars in the form of share repurchases, dividends and acquisitions. This three- pronged approach will be used for years to come. Our management team and Board of Directors are committed to returning capital to shareholders through our dividend and buyback programs. During fiscal 2016, we repurchased over thirteen million shares worth over $800 million. 2016 Annual Report 3 Executive Management Team From left to right: James G. Mosch, Maureen MacInnis, Jeffrey T. Slovin, Ulrich Michel, Christopher T. Clark and Rainer Berthan In November, our Board authorized us to repurchase an additional five million shares. For the year, we distributed over $70 million in dividends, increasing our payout rate by 7% versus last year. In February, we announced a double- digit increase in our dividend to provide shareholders additional returns. In September, we closed our acquisition of MIS Implants, a leading player in the value implant market. The value implant market is estimated to be sized around one and a half billion dollars and is growing faster than the overall implant market. MIS represents Dentsply Sirona’s first venture into the value implant market and also a significant growth opportunity. Along with our premium implant offering, MIS will fortify our position as a leading dental implant provider and be a key hinge for growing our worldwide position in this market. From Integration to Transformation: Building a Company for All Environments With less than 20% market share of the global dental market, we have significant growth opportunities ahead of us. In 2016, our ability to accelerate growth in challenging markets demonstrated our potential. As we continue to realize more synergies, we will become a faster growing and more profitable company. We are building our Company for long-term growth to succeed in all business cycles. We are committed to fully integrating our businesses and continuously investing in research and development, sales and service infrastructure and clinical education to maintain and expand our competitive advantages. We are also committed to investing in the talent and career development of our employees to progress their dental knowledge, experience and commitment to our customers. They also represent a diverse group of future leaders whose best ideas will forge our future for the next hundred years. We recognize that delivering long- term targets also requires hitting short and medium-term goals. We make all decisions in the best interest of our future, but with an eye on the present as well. After our first year as Dentsply Sirona, we are even more confident that we have the right leadership and strategy along with talented employees to create significant value for our shareholders. Our commitment to deliver on our promises is unwavering. We want to thank our employees around the world for helping us create The Dental Solutions Company™. We would also like to extend a special thanks to Jim Mosch who has been a significant contributor to our organization for the past 23 years. We wish Jim well in his retirement. Finally, we want to thank you, our shareholders, for your confidence in us as we aim to deliver leading shareholder returns. Our future is bright and our potential is vast. The best is yet to come. Respectfully yours, Jeffrey T. Slovin Chief Executive Officer Bret W. Wise Executive Chairman April 2017 4 Dentsply Sirona UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2016 Commission File Number 0-16211 DENTSPLY SIRONA Inc. (Exact name of registrant as specified in its charter) Delaware (State or other jurisdiction of incorporation or organization) 221 West Philadelphia Street, York, PA (Address of principal executive offices) 39-1434669 (I.R.S. Employer Identification No.) 17401-2991 (Zip Code) Registrant’s telephone number, including area code: (717) 845-7511 Securities registered pursuant to Section 12(b) of the Act: Title of each class Common Stock, par value $.01 per share Name of each exchange on which registered The NASDAQ Stock Market LLC Securities registered pursuant to Section 12(g) of the Act: None Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☒ No ☐ Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒ Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐ Indicate by check mark whether the Registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ☒ No ☐ Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☐ Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one): Large accelerated filer ☒ Accelerated filer ☐ Non-accelerated filer ☐ Smaller reporting company ☐ Indicate by check mark whether the registrant Yes ☐ No ☒ is a shell company (as defined in Rule 12b-2 of the Act) The aggregate market value of the voting common stock held by non-affiliates of the registrant computed by reference to the closing price as of the last business day of the registrants most recently completed second quarter June 30, 2016, was $14,454,589,603. The number of shares of the registrant’s common stock outstanding as of the close of business on February 21, 2017 was 229,680,818. DOCUMENTS INCORPORATED BY REFERENCE Certain portions of the definitive Proxy Statement of DENTSPLY SIRONA Inc. (the “Proxy Statement”) to be used in connection with the 2017 Annual Meeting of Stockholders are incorporated by reference into Part III of this Form 10-K to the extent provided herein. Except as specifically incorporated by reference herein the Proxy Statement is not deemed to be filed as part of this Form 10-K. DENTSPLY SIRONA Inc. Table of Contents PART I Item 1 Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 1A Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 1B Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 2 Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 3 Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 4 Mine Safety Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART II Item 5 Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 6 Selected Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 7 Management’s Discussion and Analysis of Financial Condition and Results of Operations . . Item 7A Quantitative and Qualitative Disclosures About Market Risk . . . . . . . . . . . . . . . . . . . . . . Item 8 Financial Statements and Supplementary Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 9 Changes In and Disagreements With Accountants on Accounting and Financial Disclosure . Item 9A Controls and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 9B Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART III Item 10 Directors, Executive Officers and Corporate Governance . . . . . . . . . . . . . . . . . . . . . . . . Item 11 Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 12 Security Ownership of Certain Beneficial Owners and Management and Related Stock Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 13 Certain Relationships and Related Transactions and Director Independence . . . . . . . . . . . Item 14 Principal Accountant Fees and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART IV Page 1 9 23 24 25 25 26 28 29 50 51 52 52 52 55 55 55 55 55 Item 15 Exhibits and Financial Statement Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 i PART I FORWARD-LOOKING STATEMENTS This report “plan,” “intend,” contains “project,” information that may constitute “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These statements can be identified by the use of forward-looking terminology, including “may,” “believe,” “will,” “expect,” “forecast,” or “anticipate,” other similar words. All statements that address operating performance, events or developments that DENTSPLY SIRONA Inc. (“Dentsply Sirona” or the “Company”) expects or anticipates will occur in the future are forward-looking statements. Statements contained in this report are based on information presently available to the Company and assumptions that the Company believes to be reasonable. These risks and uncertainties include, but are not limited to, those described in Part I, Item 1A (“Risk Factors”) of this Form 10-K and elsewhere in this report and those described from time to time in our future reports filed with the Securities and Exchange Commission. The Company is not assuming any duty to update this information if those facts change or if the assumptions are no longer believed to be reasonable. Investors are cautioned that all such statements involve risks and uncertainties, and important factors could cause actual results to differ materially from those events or statements. indicated forward-looking by Therefore, you should not these forward-looking statements. rely on any of such PART I Item 1. Business History and Overview the Sirona world’s Dentsply largest is manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As The Dental Solutions Company™, Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. Dentsply Sirona’s global headquarters is located in York, Pennsylvania, and the international headquarters is based in Salzburg, Austria. The Company’s shares of common stock are listed in the United States on NASDAQ under the symbol XRAY. innovation in the dental On February 29, 2016 DENTSPLY International Inc. merged with Sirona Dental Systems, Inc. (“Sirona”) in an all-stock transaction and the registrant was named DENTSPLY SIRONA Inc. (the “Merger”). DENTSPLY International Inc. dates its history to 1899, as a designer, developer, manufacturer and marketer of a broad range of consumable dental products for the professional dental market. The Company also manufactures and markets other consumable medical device products. Sirona Dental Systems, Inc. dates its history back to 1882, as a designer, developer, manufacturer and marketer of technologically-advanced dental equipment. Both Companies have long traditions of industry. The Company introduced the first dental electric drill over 130 years ago, the first dental X-ray unit approximately 100 years design/ ago, computer-aided manufacturing (CAD/CAM) system 30 years ago, and numerous other significant innovations including pioneering ultrasonic scaling to increase the speed, effectiveness and comfort of cleaning and revolutionizing both file and apex locater technology to make root canal procedures easier and safer. Dentsply Sirona continues to make significant investments in research and development (“R&D”), and its track record innovative and profitable new products continues of today. Detail of the Merger can be found in Note 4 Business Combinations, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K. computer-aided dental first the stated Unless herein, otherwise reference throughout this Form 10-K to “Dentsply Sirona”, or the and “Company” transactions Inc. to February 29, 2016 and to (“DENTSPLY”) prior financial information and transactions of DENTSPLY SIRONA Inc., thereafter. information International refers of DENTSPLY financial to Dental products and equipment accounted for approximately 92% of Dentsply Sirona’s consolidated net sales and 91% of Dentsply Sirona’s consolidated net sales, excluding precious metal content, for the year ended December 31, 2016. The remaining consolidated net sales, excluding precious metal content, are primarily related to consumable medical device products and the materials sold to the investment casting industry. The presentation of net sales, excluding precious metal content, is considered a measure not calculated in accordance with accounting principles generally accepted in the United States of America (“US GAAP”), and is therefore considered a non-US GAAP measure. This non-US GAAP measure is discussed further “Management’s Discussion and Analysis of Financial Condition and in Item 7, 1 Results of Operations” of this form 10-K and a reconciliation of net sales to net sales, excluding precious metal content, is provided. During the first quarter of 2016, the Company realigned reporting responsibilities as a result of the Merger and changed the management structure. The Company conducts its business through two operating segments, Dental and Healthcare Consumables and Technologies. Prior period segment information has been recast to conform to the 2016 presentation. through its The Company conducts its business in the United States of America (“U.S.”), as well as in over 120 foreign countries, principally foreign subsidiaries. Dentsply Sirona has a long-established presence in the European market, particularly in Germany, Sweden, France, the United Kingdom (“UK”), Switzerland and Italy, as well as in Canada. The Company also has a significant market presence in the countries of the Commonwealth of Independent States (“CIS”), Central and South America, the Middle-East region and the Pacific Rim. Geographic Information For 2016, 2015 and 2014, the Company’s net sales, excluding precious metal content, to customers outside the U.S., including export sales, accounted for approximately 64%, 63% and 66%, respectively, of consolidated net sales, excluding precious metal content. Reference is made to the information about the Company’s U.S. and foreign sales by shipment origin set forth in Note 5, Segment and Geographic Information, to the consolidated financial statements in this Form 10-K. Segment Information Information regarding the Company’s operating segments for the years ended December 31, 2016, 2015 and 2014 can be found in Note 5, Segment and Geographic Information, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K. Principal Products INTEGO, CELTRA, CERAMCO, CERCON, CEREC, CEREC MCX, CITANEST, DAC, DELTON, DENTSPLY, DETREY, DYRACT, ESTHET.X, GALILEOS, INLAB, IN-OVATION, LOFRIC, MAILLEFER, MIDWEST, MTM, NUPRO, OMNICAM, ORAQIX, ORIGO, ORTHOPHOS, OSSEOSPEED, PALODENT PLUS, PEPGEN P-15, PORTRAIT, PRIME & BOND, PROFILE, PROGLIDER, PROTAPER, RECIPROC, RINN, SANI-TIP, SCHICK, SENSE, SENTALLOY, SINIUS, SIROLASER, SIRONA, SLIMLINE, STYLUS, SULTAN, SUREFIL, T1, T2, T3, T4, TENEO, SYSTEMS, TRIODENT MATRIX THERMAFIL, TRUBYTE, VIPI, WAVEONE, WELLSPECT, XENO, XIVE, XYLOCAINE and ZHERMACK. Dental Consumable Products the treatment of patients. Dental consumable products consist of value added dental supplies and small equipment used in dental offices for It also includes specialized treatment products used within the dental office and laboratory settings including products used in the preparation of dental appliances by dental laboratories. Net sales of dental consumable products, excluding precious metal content, accounted for approximately 46%, 60% and 59% of the Company’s consolidated net sales, excluding precious metal content, for the years ended December 31, 2016, 2015 and 2014, respectively. Dentsply dental include supplies Sirona’s endodontic (root canal) instruments and materials, dental anesthetics, prophylaxis paste, dental sealants, impression materials, tooth fluoride. Small equipment whiteners and topical products include dental handpieces, intraoral curing light systems, dental diagnostic systems and ultrasonic scalers and polishers. restorative materials, used dental include products The Company’s dental including laboratories artificial teeth, precious metal dental alloys, dental ceramics and crown and bridge materials. Dental porcelain laboratory furnaces. prosthetics, equipment products include in dental professional The worldwide industry encompasses the diagnosis, treatment and prevention the teeth, gums and of disease and ailments of supporting bone. Dentsply Sirona’s principal dental product categories are dental consumable products, laboratory products, dental specialty products dental the Company’s and dental equipment. Additionally, consumable medical device products provide for urological and surgical applications. These products are produced and internationally and are distributed throughout the world under some of the most well-established brand names and including these ANKYLOS, AQUASIL ULTRA, ARTICADENT, ASTRA TECH, ATLANTIS, CALIBRA, CAULK, CAVITRON, the Company trademarks industries, the U.S. by in in Dental Technology Products Dental technology products consist of basic and high-tech dental equipment such as treatment centers, imaging equipment and computer aided design and machining “CAD/CAM” systems equipment for dental practitioners and laboratories. The product category also includes high-tech state-of-art dental implants and related scanning equipment and treatment software, orthodontic appliances for dental practitioners and specialist and dental laboratories. The Company is the that can fully outfit a dental only manufacturer practitioner’s office with dental equipment. Net sales of dental technology products, excluding precious metal content, accounted for approximately 45%, 28% and 2 28% of the Company’s consolidated net sales, excluding precious metal content, for the years ended December 31, 2016, 2015 and 2014. for dental offices crowns, copings bridges, products designed Treatment centers comprise a broad range of products from basic dentist chairs to sophisticated chair-based units with integrated diagnostic, hygiene and ergonomic functionalities, as well as specialist centers used in preventative treatment and for training purposes. Imaging systems consist of a broad range of diagnostic imaging systems for 2D or 3D, panoramic, and intra-oral applications. Dental CAD/CAM Systems are and laboratories used for dental restorations, which includes several types of restorations, such as inlays, onlays, veneers, bridge frameworks made from ceramic, metal or composite blocks. This product line also includes high-tech CAD/ CAM techniques of CEramic REConstruction, or CEREC, equipment. This equipment allows for in-office application that enables dentists to produce high quality restorations from ceramic material and insert them into the patient’s mouth during a single appointment. CEREC has a number of advantages compared to the traditional out-of-mouth pre-shaped restoration method, require a physical model, as CEREC does not restorations can be created in the dentist’s office and the procedure can be completed in a single visit. The Company estimates that at December 31, 2016 the market penetration for in-office CAD/CAM systems in the U.S. and Germany was approximately 16% to 17%. and Healthcare Consumable Products Healthcare consumable products consist mainly of urology catheters, certain surgical products, medical drills and other non-medical products. Net sales of healthcare consumable products, excluding precious metal content, accounted for approximately 9%, 12% the Company’s consolidated net sales, and 13% of excluding precious metal content, for the years ended December 31, 2016, 2015 and 2014, respectively. Markets, Sales and Distribution The Company believes that for its products will grow over the long-term based on the following factors: the market • • • Increasing worldwide population. Aging population in developed countries requires more dental care and is well positioned to pay for the required procedures since of discretionary income. amounts controls sizable it are teeth Natural being retained teeth are longer — Individuals with natural much more likely to visit a dentist in a given year than those without any natural teeth remaining. • • • • • Earlier preventive care and a growing demand for aesthetic dentistry — Dentistry has evolved from a profession primarily dealing with pain, infections and tooth decay to one with increased emphasis on preventive care and cosmetic dentistry. Increasing demands for patient comfort and ease of product use and handling. Increasing demand for more efficiency and better workflow in the dental office, including digital and integrated solutions. Per capita and discretionary incomes are increasing in emerging markets. As personal continue to rise in emerging incomes economies, dental services, is a growing priority. Many surveys indicate the middle class population will expand significantly within these emerging markets. healthcare, including industries The Company’s business is less susceptible than many other to general downturns in the economies in which it operates. Many of the products the Company offers relate to dental procedures and health conditions that are considered necessary by economic patients regardless products, environment. Dental dental equipment and products that support discretionary dental procedures are the most susceptible economic changes conditions. of the specialty to in Dentsply Sirona employs approximately 5,000 highly trained, product-specific sales and technical staff to provide comprehensive marketing and service tailored to the particular sales and technical support its distributors, dealers and the requirements of end-users. Dental Dentsply Sirona distributes approximately half of its dental consumable and technology products through third-party distributors. Certain highly technical products such as dental technology equipment, dental ceramics, crown and bridge porcelain products, endodontic instruments and materials, orthodontic appliances, dental implants are often sold directly to the dental laboratory or dental professionals in some markets. For the year ended December 31, 2016, two customers, Henry Schein, Inc. and Patterson Companies, Inc., both dental distributors, each accounted for more than ten percent of consolidated net sales. At December 31, 2016, one customer, Patterson Companies, Inc., accounted for more than ten percent of the consolidated the year ended accounts receivable balance. For December 31, 2015, one customer, Henry Schein, Inc., accounted for more than ten percent of consolidated net sales. At December 31, 2015, there were no customers 3 ten percent or more of that accounted for the consolidated accounts receivable balance. For the year ended December 31, 2014, the Company had no single customer represented ten percent or more of consolidated net sales. that and through America, North in approximately 20 additional markets. The Company’s largest markets include the UK, Germany and France. Key customers include urologists, urology nurses, general practitioners and direct-to-patients. distributors The Company has two exclusive distribution agreements with Patterson for the marketing and sales of certain legacy Sirona products and equipment in the United States and one similar agreement in Canada. In order to maintain exclusivity, certain purchase targets had to be achieved. In the fourth quarter 2016, the decision not to extend the exclusivity beyond September 2017 was announced. The Company’s relationship with Patterson remains strong, and the Company expects to continue to distribute the products and equipment underlying the agreements through the Patterson on a non-exclusive basis. However, disruption caused by the announcement of the termination of exclusivity, as well as a reduction in Patterson sales resources, negatively impacted fourth quarter sales. Additionally, Patterson began to reduce inventories in both the United States and Canada, which further negatively impacted the Company’s reported sales in the fourth quarter by approximately $30 million. These factors are expected to continue in 2017. The Company is evaluating its options for additional channels of distribution for such products, although no firm decisions have been reached as of the date of this filing. The Company anticipates that the continuation could unfavorably impact sales in 2017 by approximately $50 million as Patterson reduces inventory in some periods and as other market channels are brought on-line in the other periods. Notwithstanding the foregoing, Company believes end-user demand for its products continues to be strong. reduction inventory the of “pull this end-user Although many of its dental sales are made to distributors, dealers and importers, Dentsply Sirona focuses much of its marketing efforts on the dentists, dental hygienists, dental assistants, dental laboratories its and dental schools which are the end-users of products. As part of through” marketing approach, the Company conducts extensive distributor, dealer and end-user marketing programs. Additionally, the Company trains laboratory technicians, dental hygienists, dental assistants and dentists in the proper use of its products and introduces them to the latest its educational courses conducted throughout the world. The Company also maintains ongoing consulting and educational relationships with various dental associations and recognized worldwide opinion leaders in the dental field. technological developments at Medical The Company’s urology products are sold directly in approximately 15 countries throughout Europe and 4 reimbursement for levels within Europe Historical have been higher intermittent catheters which explain a greater penetration of single-use catheter products in that market. In the United States, which the Company considers an important growth market, the reimbursement environment has improved since 2008 as the infection control cost benefits of disposable catheters gain acceptance among payers. The Company’s surgery products are sold directly in approximately 13 countries and through distributors in approximately 20 additional markets. The Company’s largest markets include Australia, Norway and the UK. Key customers include surgeons, hospital nurses, physiotherapists, hospital purchasing departments and medical supply distributors. The Company also maintains ongoing consulting and educational relationships with various medical associations and recognized worldwide opinion leaders in this field. Product Development Innovation and successful product development are critical to keeping market leadership position in key product categories and growing market share in other products categories while strengthening the Company’s prominence in the dental and medical markets that it serves. While many of Dentsply Sirona’s existing products undergo brand extensions, the Company also continues to focus efforts on successfully launching innovative products that represent fundamental change. collaborations with New advances in technology are also anticipated to have a significant influence on future products in dentistry and in select areas of healthcare. As a result, the Company pursues research and development this technological development, initiatives to support including research external institutions, dental and medical schools. Through its own internal research centers as well as through its collaborations with external research institutions, dental the Company directly invested and medical schools, $128.5 million, $74.9 million and $80.8 million in 2016, 2015 and 2014, respectively, in connection with the development of new products, improvement of existing The products year-over-year investment for all years was reduced by foreign currency translation, which increased reported expense variations. The continued development of these areas is a critical step in meeting the Company’s strategic goal as a leader in defining the future of dentistry and in select areas in health care. technology. advances and in investment In addition to the direct in product the Company also development and improvement, invests in these activities through acquisitions, by entering into licensing agreements with third parties, and by purchasing technologies developed by third parties. Acquisition Activities implant During September 2016, the Company finalized the acquisitions of MIS Implants Technologies Ltd. systems manufacturer (“MIS”), a dental headquartered in northern Israel, and a small acquisition of a healthcare consumable business. MIS is a growing and profitable manufacturer of dental implant systems. MIS is a leader in the value segment of the market, selling its products under the MIS brand through a wide distribution network that includes a direct sales force, reaching over 65 countries. the and believes Dentsply Sirona that products dental industries technology consumable continue to experience consolidation with respect to both product manufacturing and distribution, although they remain fragmented thereby creating a number of acquisition opportunities. Dentsply Sirona also seeks to expand its position in healthcare consumable products through acquisitions. The Company views acquisitions as a key part of its growth strategy. These acquisition activities are the Company’s core growth intended to supplement its business, and assure ongoing expansion of including products, organizational strength and geographic breadth. new technologies, additional Operating and Technical Expertise to its Dentsply Sirona believes that its manufacturing capabilities are important success. The manufacturing processes of the Company’s products require substantial and varied technical expertise. Complex materials technology and processes are necessary to manufacture the Company’s products. The Company endeavors to automate its global manufacturing operations in order to improve quality and customer service and lower costs. strengths its principal quality, safety and ease of use, as well as price, innovation and acceptance by customer service, technicians and patients. Dentsply Sirona clinicians, believes include its that well-established brand names, its reputation for high its leadership in quality and innovative products, its global product development and manufacturing, line and sales force, its product the breadth of distribution network, to customer satisfaction and support of the Company’s products by dental and medical professionals. its commitment and The size the Company’s number competitors vary by product line and from region to region. There are many companies that produce some, but not all, of the same types of products as those produced by the Company. of Regulation The sale and development, manufacture, distribution of the Company’s products are subject to comprehensive governmental regulation both within and outside the United States. The following sections the significant describe certain, but not all, of regulations that apply to the Company. For a description of the risks related to the regulations that the Company is subject to, please refer to Item 1A. “Risk Factors” of this Form 10-K. and laws, rules, foreign Certain of the Company’s products are classified as medical devices and are subject to restrictions under domestic regulations, self-regulatory codes, circulars and orders, including, but not limited to, the United States Food, Drug, and Cosmetic Act (the “FDCA”), Council Directive 93/42/ EEC on Medical Devices (MDD) in the European Union (and implementing and local measures adopted thereunder) and similar international laws and regulations. The FDCA requires these products, when sold in the United States, to be safe and effective for their intended use and to comply with the regulations administered by the United States Food and Drug Administration (“FDA”). Certain medical device products are also regulated by comparable agencies in non-U.S. countries in which they are produced or sold. (1993) Financing Information about Dentsply Sirona’s working capital, liquidity and capital resources is provided in Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-K. Competition The Company conducts its operations, both domestic and foreign, under highly competitive market conditions. Competition in the dental and healthcare consumable products and dental technology product industries is based primarily upon product performance, regarding Dental and medical devices of the types sold by Dentsply Sirona are generally classified by the FDA into a category that renders them subject only to general including controls that apply to all medical devices, regulations misbranding, alteration, record-keeping and good manufacturing notification, practices. In the European Union, Dentsply Sirona’s products are subject to the medical devices laws of the various member states, which are based on a Directive of the European Commission. Such laws generally regulate the safety of the products in a similar way to the FDA regulations. Dentsply Sirona products in Europe bear the CE mark showing that such products adhere to European regulations. 5 All dental amalgam filling materials, including those manufactured and sold by Dentsply Sirona, contain mercury. Various groups have alleged that dental amalgam containing mercury is harmful to human health and have actively lobbied state, federal and foreign lawmakers and regulators to pass laws or regulatory changes restricting the use, or adopt requiring a warning against alleged potential risks, of dental amalgams. The FDA, the National Institutes of Health and the U.S. Public Health Service have each indicated that there are no demonstrated direct adverse health effects due to exposure to dental amalgam. In response to concerns raised by certain consumer groups regarding dental amalgam, the FDA formed an advisory committee in 2006 to review peer-reviewed scientific literature on the safety of dental amalgam. In July 2009, the FDA concluded its review of dental amalgam, confirming its use as a safe and effective restorative material. Also, as a result of this review, the FDA classified amalgam and its component parts, elemental mercury and powder alloy, as a Class II medical device. Previously there was no classification for encapsulated amalgam, and dental mercury (Class I) and alloy (Class II) were classified separately. This new regulation places encapsulated amalgam in the same class of devices as most other restorative materials, including composite and gold fillings, and makes amalgam subject to special controls by the FDA. In that respect, the FDA recommended that certain information about dental amalgam be provided, which includes information indicating that dental amalgam releases low levels of mercury vapor, and that studies on people ages six and over as well as FDA estimated exposures of children under six, have not indicated any adverse health risk associated with the use of dental amalgam. After the FDA issued this regulation, several petitions were filed asking the FDA to reconsider its position. Another advisory panel was established by the the FDA to consider advisory panel were held in December 2010. The FDA has taken no action indicating a change in its position as of the filing date of this Form 10-K. these petitions. Hearings of In Europe, particularly in Scandinavia and Germany, the contents of mercury in amalgam filling materials have been the subject of public discussion. As a consequence, in 1994 the German health authorities required suppliers of dental amalgam to amend the instructions for use of amalgam filling materials to include a precaution against the use of amalgam for children less than eighteen years of age and to women of childbearing age. Additionally, some groups have asserted that the use of dental amalgam should be prohibited because of concerns about environmental impact from the disposition of mercury within dental amalgam, which has resulted in the sale of mercury containing products being banned in Sweden and severely curtailed in Norway. In the United States, the Environmental Protection Agency proposed in September 2014 certain effluent limitation guidelines and standards under the Clean Water Act to help cut 6 regulations exist discharges of mercury-containing dental amalgam to the environment. The rule would require affected dentists to use best available technology (amalgam separators) and other best management practices to control mercury discharges to publicly-owned treatment works. Similar in Europe and in the European Union adopted a February 2016, ratification package regarding the United Nations Minamata Convention on Mercury, proposing rules restricting the use of dental amalgam to the encapsulated form and requiring the use of separators by dentists. The Company strongly recommends adherence to the American Dental Association’s Best Management Practices for Amalgam Waste and includes this in every package of dental amalgam. sells Dentsply Sirona non-amalgam dental filling materials that do not contain mercury. also manufactures and generally international The Company is also subject to domestic and foreign laws, rules, regulations, self-regulatory codes, circulars and orders regarding anti-bribery and anti-corruption, including, but not limited to, the United States Foreign Corrupt Practices Act (“FCPA”), the U.S. Federal Anti-Kickback Statute, the United Kingdom’s Bribery Act 2010 (c.23), Brazil’s Clean Company Act 2014 (Law No. 12,846) China’s National Health and Family Planning Commission (NHFPC) circulars No. 40 and No. 50, and similar laws and regulations. The United States Foreign Corrupt Practices Act and similar anti-bribery laws applicable in non-United States prohibit jurisdictions companies and their intermediaries from improperly offering or paying anything of value to foreign government officials for the purpose of obtaining or retaining business. Some of our customer relationships are with governmental entities and therefore may be subject to such anti-bribery laws. The U.S. Federal Anti-Kickback Statute and similar anti-corruption laws applicable in non-United States jurisdictions prohibit persons from knowingly and willfully soliciting, offering, or receiving indirectly, the referral of an individual, or the furnishing or arranging for a good or service, for which payment may be made under a health care program, such as, in the United States, Medicare or Medicaid. In the sale, delivery and servicing of our products to other countries, we must also comply with various domestic and foreign export control and trade embargo laws and regulations, including those administered by the Department of Treasury’s Office of Foreign Assets Control (“OFAC”), the Department of Commerce’s Bureau of Industry and Security (“BIS”) and similar international governmental agencies, which may require licenses or other authorizations for transactions relating to certain countries and/or with certain individuals identified by the respective government. Despite our internal compliance program, our policies and procedures may not always protect us from reckless or criminal acts committed by these our employees or agents. Violations of or providing in exchange for or directly to induce either remuneration, requirements are punishable by criminal or civil sanctions, including substantial fines and imprisonment. adopted limited to, thereunder), The Company is subject to domestic and foreign laws, rules, regulations, self-regulatory codes, circulars and orders governing data privacy and transparency, the Health Insurance including, but not Portability and Accountability Act of 1996 (“HIPAA”) as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 (the “HITECH Act”), the Physician Payments Sunshine Provisions of the Patient Protection and Affordable Care Act, the EU Directive 2002/58/EC (and implementing and local measures France’s Data Protection Act of 1978 (rev. 2004) and France’s Loi Bertrand, certain rules issued by Denmark’s Health and Medicines Authority, and similar international laws and regulations. HIPAA, as amended by the HITECH Act, and similar data-privacy laws applicable in non-United States jurisdictions, restrict the use and disclosure of personal health information, mandate the adoption of standards relating to the privacy and security of individually identifiable health information and require us to report certain breaches of unsecured, individually identifiable health information. The Physician Payments the Patient Protection and Sunshine Provisions of Affordable Care Act require the Company to record all transfers of value to physicians and teaching hospitals and to report this data to the Centers for Medicare and for public disclosure. Similar Medicaid Services reporting requirements have also been enacted in several states, and an increasing number of countries worldwide either have adopted or are considering similar laws requiring transparency of interactions with health care professionals. The Company believes in substantial compliance with the laws and regulations that regulate its business. is it Sources and Supply of Raw Materials and Finished Goods The Company manufactures the majority of the products sold by the Company. Most of the raw materials used by the Company in the manufacture of its products are purchased from various suppliers and are typically available from numerous sources. No single supplier accounts for more than 10% of Dentsply Sirona’s supply requirements. Intellectual Property Products manufactured by Dentsply Sirona are sold primarily under its own trademarks and trade names. Dentsply Sirona also owns and maintains more than 3,500 patents throughout the world and is licensed under a number of patents owned by others. Dentsply Sirona’s policy is to protect its products and technology through patents and trademark registrations both in the U.S. and in significant 7 international markets. The Company carefully monitors trademark use worldwide and promotes enforcement of its patents and trademarks in a manner that is designed to balance the cost of such protection against obtaining the greatest value for the Company. Dentsply Sirona believes its patents and trademark properties are important and contribute to the Company’s marketing position but it does not consider its overall business to be materially dependent upon any individual patent or trademark. Additional information regarding certain risks related to our intellectual property is included in Part I, Item 1A “Risk Factors” of this Form 10-K and is incorporated herein by reference. Employees employed approximately At December 31, 2016, the Company and its subsidiaries 15,700 employees. Of these employees, approximately 3,800 were employed in the United States and 11,900 in countries outside of the United States. Less than 5% of employees in the United States are covered by collective bargaining agreements. Some employees outside of the United States are covered by collective type bargaining, union contract or other similar programs. The Company believes that it generally has a positive relationship with its employees. Environmental Matters in all material Dentsply Sirona believes that its operations respects with applicable comply environmental laws and regulations. Maintaining this level of compliance has not had, and is not expected to have, a material effect on the Company’s capital expenditures or on its business. Other Factors Affecting the Business Approximately two-thirds of the Company’s sales are located in regions outside the U.S., and the Company’s consolidated net sales can be impacted negatively by the strengthening or positively by the weakening of the U.S. dollar. Additionally, movements in certain foreign exchange rates may unfavorably or favorably impact the Company’s results of operations, financial condition and liquidity as a number of the Company’s manufacturing and distribution operations are located outside of the U.S. The Company’s business is subject to quarterly fluctuations of consolidated net sales and net income. The Company typically implements most of its price changes in the beginning of the first or fourth quarter. Price changes, other marketing and promotional programs as well as the management of inventory levels by distributors and the implementation of strategic initiatives, may impact sales levels in a given period. Sales for the industry and the Company are generally strongest in the second and fourth calendar quarters and weaker in the first and third calendar quarters, due to the effects of the items noted above and due to the impact of holidays and vacations, particularly throughout Europe. The Company tries to maintain short lead times the backlog on to the financial within its manufacturing, as such, products is generally not material statements. Securities Exchange Act Reports The U.S. Securities and Exchange Commission (“SEC”) maintains a website that contains reports, proxy and information statements, and other information regarding issuers, file electronically with the SEC. The public can obtain any the Company files with the SEC at documents that http://www.sec.gov. The Company files annual reports, quarterly other the Securities documents with the SEC under including the Company, statements reports, proxy and that Exchange Act of 1934, as amended (“Exchange Act”). The public may read and copy any materials the Company files with the SEC at its Public Reference Room at the following address: The Securities and Exchange Commission 100 F Street, NE Washington, D.C. 20549 The public may obtain information on the operation of this Public Reference Room by calling the SEC at 1-800-SEC-0330. Dentsply Sirona also makes available free of charge through its website at www.dentsplysirona.com its annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and furnished amendments to these reports filed or pursuant to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after such materials are filed with or furnished to the SEC. 8 Item 1A. Risk Factors The following are the significant risk factors that could materially impact Dentsply Sirona’s business, financial condition or future results. The order in which these factors appear should not be construed to indicate their relative importance or priority. • Dentsply Sirona may be unable to integrate successfully DENTSPLY’s and Sirona’s businesses and realize the anticipated benefits of the Merger. businesses must The success of the Merger will depend, in large part, on the ability of Dentsply Sirona to realize the anticipated benefits, including revenue and cost synergies, from combining DENTSPLY and Sirona’s businesses. To realize these anticipated benefits, DENTSPLY and Sirona’s be successfully integrated. This integration will be complex integrate and successfully the to manage challenges presented by the integration process may result fully achieving the anticipated benefits of the Merger. Potential difficulties Dentsply Sirona may encounter as part of the integration process include, but are not limited to, the following: to successfully in Dentsply Sirona not consuming. The failure time and • • • • • • • to inability successfully the combine DENTSPLY and Sirona’s businesses in a that permits Dentsply Sirona to manner achieve the full revenue and cost synergies anticipated to result from the Merger; including complexities associated with managing the the combined businesses, challenge of integrating complex systems, technology, networks and other assets of each of the companies in a seamless manner that minimizes any adverse impact on customers, suppliers, employees and other constituencies; coordinating organizations, systems and facilities; geographically separated addressing possible differences in business backgrounds, and corporate management philosophies; cultures the workforces two integrating companies while maintaining on providing consistent, high quality customer service; the focus of potential unknown liabilities and unforeseen increased or new expenses, delays or regulatory conditions associated with the Merger; Dentsply Sirona’s current and prospective employees may experience uncertainty about 9 their roles within Dentsply Sirona following the Merger, which may have an adverseeffect on the ability of Dentsply Sirona to attract or retain key management and other key personnel; and personnel the No assurance can be given that Dentsply Sirona will be able to attract or retain key key management employees that DENTSPLY and Sirona have previously been able to attract or retain employees, which could have a negative impact on their respective businesses. other extent same and to In addition, given that DENTSPLY and Sirona the operated independently until Merger, it is possible that the integration process could result in: the completion of • • • diversion of the attention of Dentsply Sirona’s management; disruption of existing relationships with distributors, other manufacturers in the industry that drive a substantial amount of revenues to Dentsply Sirona; and suppliers and in standards, the disruption of, or the loss of momentum in, Dentsply Sirona’s ongoing businesses or inconsistencies controls, procedures and policies, any of which could adversely affect Dentsply Sirona’s ability to maintain customers, other suppliers, constituencies, Dentsply Sirona’s ability to achieve the anticipated benefits of the Merger, or which could reduce Dentsply Sirona’s earnings or otherwise adversely affect the business and financial results of Dentsply Sirona. relationships with employees and The future results of Dentsply Sirona will suffer if Dentsply Sirona does not effectively manage its expanded operations following the Merger. The size of the business of the Dentsply Sirona will increase significantly beyond the size of either DENTSPLY or Sirona’s business prior to the Merger. Dentsply Sirona’s future success depends, in part, upon its ability to manage this expanded business, which will pose substantial challenges for management, including challenges related to the management and monitoring of new operations and associated increased costs and complexity. There can be no assurances that Dentsply Sirona will be successful or that it will realize the expected operating efficiencies, cost savings, revenue enhancements and other benefits currently anticipated from the Merger. The success of our business depends in part on achieving our strategic objectives, including through acquisitions and dispositions. With respect to acquisitions and dispositions of assets and businesses, the Company may not achieve expected returns and other benefits associated with business combinations as a result of various factors, including integration and collaboration challenges, such as personnel and technology. In addition, the Company may not achieve anticipated synergies from related integration activities. However, the Company continues to evaluate the potential disposition of assets and businesses that may no longer help the Company achieve its strategic objectives, and to view acquisitions as a key part of its growth strategy. If the attention from normal business operations. it may incur debt, Company makes acquisitions, assume contingent liabilities and/or additional risks, or create additional expenses, any of which might adversely affect its financial results. Any financing that the Company might need for acquisitions may only be its business or that available on terms that restrict impose additional costs that reduce its operating results. Recent healthcare reform legislation and other changes in the healthcare industry and in healthcare spending could adversely affect our business, financial condition or results of operations. risks associated perspective, After reaching an agreement with a buyer or seller for the acquisition or disposition of a business, the transaction may remain subject to necessary regulatory and governmental approvals on acceptable terms as well as the satisfaction of pre-closing conditions, which may prevent the Company from completing the transaction in a timely manner, or at all. From a workforce with acquisitions and dispositions include, among others, delays in anticipated workforce reductions, additional unexpected costs, changes in restructuring plans that increase or decrease the number of employees affected, the Company’s relationship with labor unions, adverse effects on employee morale, and the failure to meet operational targets due to the loss of employees, any of which may impair the Company’s ability to achieve anticipated cost reductions or may otherwise harm its business, and could have a material adverse effect on its competitive position, results of operations, cash flows or financial condition. negative impacts on of its strategic accomplishment When the Company decides to sell assets or a business, the Company may encounter difficulty in finding buyers or executing alternative exit strategies on acceptable terms in a timely manner, which could delay the objectives. Alternatively, the Company may dispose of a business at a price or on terms that are less than the Company had anticipated, or with the exclusion of assets that must be divested or run off separately. Dispositions involvement in a may also involve continued financial divested business, such as through continuing equity ownership, transition service agreements, guarantees, indemnities or other current or contingent financial obligations. Under these arrangements, performance by the acquired or divested business, or other conditions outside the Company’s control, could affect its future financial results. In the context of acquisitions, there can be no assurance that the Company will achieve any of the benefits that it might anticipate from such an acquisition and the attention and effort devoted to the integration of an acquired business could divert management’s 10 Our results of operations and financial condition could be affected by changes in healthcare spending to and policy. The healthcare industry is subject changing political, regulatory and other influences. It has undergone, and is in the process of undergoing, significant changes driven by efforts to reduce costs. These changes include legislative healthcare reform, the reduction of spending budgets by government and private insurance programs, such as Medicare, Medicaid and corporate health insurance plans; trends toward managed care; consolidation of healthcare distribution companies; consolidation of healthcare manufacturers; collective purchasing arrangements and healthcare consolidation practitioners; and changes in reimbursements to customers. Some of these potential changes may cause a decrease in demand for and/or reduce the prices of Dentsply Sirona’s products. These changes could adversely affect Dentsply Sirona’s revenues and profitability. In addition, similar legislative efforts in the future could adversely impact Dentsply Sirona’s business. office-based among by The Patient Protection and Affordable Care Act as amended and Education the Health Care Reconciliation Act, each enacted in March 2010, (the “Health Care Reform Law”), made major changes to the way health care is financed by both governmental and private payors. Certain provisions of the Health Care Reform Law (and rules issued thereunder) could affect us adversely by increasing provider costs, shrinking the pool of covered persons, or restricting coverage of related services. The Health Care Reform Law contains many provisions designed to generate the revenues necessary to fund the coverage expansions and to reduce costs of Medicare and Medicaid. One such provision that began in 2013 imposed a 2.3% excise tax on domestic sales of many medical devices by manufacturers and importers. This adversely affected sales and cost of goods sold through December 31, 2015. This provision was temporarily suspended through December 31, 2017, which may adversely affect sales and cost of goods sold thereafter if not repealed. The Health Care Reform Law may also adversely affect payors by increasing their medical cost this impact trends, which could have an effect on the industry and potentially impact our business and revenue as payors these increases by reducing costs in seek to offset is other areas, although the extent of currently unknown. Additionally, federal and state proposals for health care reform are likely as a result of the U.S. elections in November 2016, and the Health Care Reform Law may be invalidated, in whole or in part, or it may be repealed. We cannot predict what further reform proposals, if any, will be adopted, when they may be adopted, or what impact they may have on us. further In certain international markets, particularly in European Union member countries and other countries by marketplaces whose government-administered programs, government and regulatory programs have a more significant impact than in other markets. Changes to these programs could have a negative impact on the Company’s results. are healthcare dominated Inadequate levels of reimbursement from governmental or other third-party payors for procedures using Dentsply Sirona’s products may cause Dentsply Sirona’s revenue to decline. Third-party Third-party payors, including government health administration authorities, private health care insurers and other organizations regulate the reimbursement of fees related to certain diagnostic procedures or medical treatments. increasingly challenging the price and cost-effectiveness of medical products and services. While Dentsply Sirona cannot predict what effect the policies of government entities and other third-party payors will have on future sales of our products, there can be no assurance that such policies would not cause Dentsply Sirona’s revenue to decline. payors are Negative changes in the dental or medical device markets or prolonged negative economic conditions in domestic and global markets in which the Company operates may adversely affect the Company’s financial condition or results of operations. the success of Notwithstanding that the Company believes that its business is less susceptible than many other industries the to general economic downturns, Company is dependent upon the continued strength of the dental and medical device markets and is also somewhat dependent upon the general economic the regions in which it operates. environments of Negative changes to these markets and economies could materially impact the Company’s results of operations and financial condition. In many markets, dental reimbursement is largely out of pocket for the vary consumer significantly depending on economic growth. For the utilization of dental instance, data suggests that utilization rates thus and can services by working age adults in the U.S. may have the last several years. Prolonged declined over negative changes in domestic and global economic conditions or disruptions of either or both of the financial and credit markets may affect the Company’s supply chain and the customers and consumers of the Company’s products and may have a material adverse effect on the Company’s results of operations, financial condition and liquidity. The June 2016 U.K. referendum in which voters approved an exit from the European Union (“Brexit”) and the likely withdrawal of the U.K. from the European Union as a result may create further global economic uncertainty, which may cause our current and future customers to closely monitor their costs and reduce their spending on our products and services. Given the lack of comparable precedent, it is unclear how Brexit may negatively the economies of the U.K., the European Union and other nations. However, any of these effects of Brexit, among others, could adversely affect our financial position, results of operation or cash flows. impact Due to the Company’s international operations, the Company is exposed to the risk of changes in foreign exchange rates. two-thirds of Due to the international nature of Dentsply Sirona’s business, movements in foreign exchange the consolidated statements of rates may impact operations. With approximately the Company’s sales located in regions outside the U.S., the Company’s consolidated net sales are impacted negatively by the strengthening or positively by the weakening of the U.S. dollar. Additionally, movements in certain foreign exchange rates may unfavorably or favorably impact the Company’s results of operations, financial condition and liquidity as a number of the Company’s manufacturing and distribution operations are located outside of the U.S. Changes in exchange rates may have a negative effect on the Company’s customers’ access to credit as well as on the underlying strength of particular economies and dental markets. Although the Company may use certain financial instruments to attempt to mitigate market fluctuations in foreign exchange rates, there can be no assurance that such measures will be effective or that they will not create additional financial obligations on the Company. Additionally, as a result of Brexit, global markets and In foreign currencies may be adversely impacted. particular, the value of the British pound has declined as compared to the U.S. dollar and other currencies. This volatility in foreign currencies is expected to continue as the U.K. negotiates and executes its exit from the European Union, but it is uncertain over what time period this will occur. A significantly weaker British pound compared to the U.S. dollar could have a negative effect on our business, financial condition and results of operations. Further, policy changes resulting from the November 2016 U.S. elections could also affect foreign exchange markets. 11 Dentsply Sirona hedging and cash management transactions may expose Dentsply Sirona to loss or limit Dentsply Sirona’s potential gains. As part of Dentsply Sirona’s risk management program, we use foreign currency exchange forward contracts. While intended to reduce the effects of exchange rate fluctuations, these transactions may limit Dentsply Sirona’s potential gains or expose Dentsply Sirona to loss. Should Dentsply Sirona’s counterparties to such transactions or the sponsors of the exchanges to through which these transactions are offered fail honor their obligations due to financial distress or otherwise, we would be exposed to potential losses or the inability to recover anticipated gains from these transactions. for and although We enter into foreign currency exchange forward contracts as economic hedges of trade commitments or anticipated commitments denominated in currencies other than the functional currency to mitigate the effects of changes in currency rates. Although we do not enter trading purposes or into these instruments speculation, Sirona’s management believes all of these instruments are economically effective as hedges of underlying physical transactions, these foreign exchange commitments are dependent on timely performance by Dentsply Sirona’s counterparties. Their failure to perform could result in Dentsply Sirona having to close these hedges without the anticipated underlying transaction and could result in losses if foreign currency exchange rates have changed. Dentsply Company. The Company relies on multiple financial institutions to provide funding pursuant to existing and/ or future credit agreements, and those institutions may not be able to provide funding in a timely manner, or at all, when required by the Company. The cost of or lack of available credit could impact the Company’s ability to liquidity to maintain or grow the develop sufficient Company, which in turn may adversely affect the Company’s businesses and results of operations, financial condition and liquidity. The Company also manages cash and cash equivalents and short-term investments through various institutions. There may be a risk of loss on investments based on the volatility of the underlying instruments that would not allow the Company to recover the full principal of its investments. The Company may not be able to access or renew its precious metal consignment facilities resulting in a liquidity constraint equal to the fair market value of the precious metal value of inventory and would subject the Company to inventory valuation risk as the value of the precious metal inventory fluctuates resulting in greater volatility to reported earnings. The Company’s quarterly operating results and market price for the Company’s common stock may be volatile. Dentsply Sirona in quarterly sales and earnings due to a number of factors, many of which are substantially outside of the Company’s control, including but not limited to: experiences fluctuations We enter into interest rate swap agreements from time to time to manage some of Dentsply Sirona’s exposure to interest rate volatility. These swap agreements involve risks, such as the risk that counterparties may fail to honor their obligations under these arrangements. In addition, these arrangements may not be effective in reducing Dentsply Sirona’s exposure to changes in interest rates. If such events occur, Dentsply Sirona’s results of operations may be adversely affected. Most of Dentsply Sirona’s cash deposited with banks is not insured and would be subject to the risk of liquidity also bank failure. Dentsply Sirona’s total depends in part on the availability of funds under Dentsply Sirona’s multi-currency revolving credit facility. The failure of any bank in which we deposit Dentsply Sirona’s funds or is part of Dentsply Sirona’s multi-currency revolving credit facility could reduce the amount of cash we have available for operations and additional investments in Dentsply Sirona’s business. that Volatility in the capital markets or investment vehicles could limit the Company’s ability to access capital or could raise the cost of capital. Although the Company continues to have positive operating cash flow, a disruption in the credit markets liquidity available to the may reduce sources of • • • • • • • • • • the timing of new product Dentsply Sirona and its competitors; introductions by timing of industry trade shows; changes in customer inventory levels; developments in government reimbursement policies; changes in product mix; customer preferences and the Company’s ability to supply products to meet customer demand; fluctuations in manufacturing costs; changes in income tax laws and incentives which tax create could consequences; adverse fluctuations in currency exchange rates; and general economic conditions, as well as those specific to the healthcare and related industries. As a result, the Company may fail to meet the expectations of securities analysts and investors, which could cause its stock price to decline. Quarterly fluctuations generally result in net sales and operating 12 profits historically being higher in the second and fourth quarters. The Company typically implements most of its price changes early in the fourth quarter or beginning of the year. These price changes, other marketing and promotional programs, which are offered to customers from time to time in the ordinary course of business, the management of inventory levels by distributors and the implementation of strategic initiatives, may impact sales levels in a given period. Net sales and operating profits generally have been lower in the first and third quarters, primarily due not only to increased sales in the quarters preceding these quarters, but also due to the impact of holidays and vacations, particularly throughout Europe. In addition to fluctuations in quarterly earnings, a variety of other factors may have a significant impact on the market price of Dentsply Sirona’s common stock causing volatility. These factors include, but are not limited to, the publication of earnings estimates or other reports and speculation in the press or investment community; changes in the Company’s industry and competitors; the Company’s financial condition and cash flows; any future issuances of Dentsply Sirona’s common stock, which may include primary offerings for cash, stock splits, issuances in connection with business acquisitions, restricted stock and the grant or exercise of stock options from time to time; general market and economic conditions; and any outbreak or escalation of hostilities in geographical areas in which the Company does business. Also, the NASDAQ National Market (“NASDAQ”) can experience extreme price and volume fluctuations that can be unrelated or disproportionate to the operating performance of the companies listed on the NASDAQ. Broad market and industry factors may the Company’s negatively affect the market price of common operating stock, performance. In the past, following periods of volatility in the market price of a company’s securities, securities class action litigation has often been instituted against companies. This type of litigation, if instituted, could result costs and a diversion of management’s attention and resources, which could harm the Company’s business. in substantial regardless actual of The dental and medical device supplies markets are highly competitive and there is no guarantee that the Company can compete successfully. The worldwide markets for dental and medical products are highly competitive. There can be no assurance that the Company will successfully identify new product opportunities and develop and market new products successfully, or that new products and technologies introduced by competitors will not render the Company’s products obsolete or noncompetitive. Additionally, the size and number of the Company’s competitors vary by product line and from region to region. There are many companies that produce some, but not all, of the same types of products as those produced by the Company. Certain of Dentsply Sirona’s 13 competitors may have greater resources than the Company. In addition, the Company is exposed to the risk that its competitors or its customers may introduce private label, generic, or low cost products that compete with the Company’s products at lower price points. If these competitors’ products capture significant market share or result in a decrease in market prices overall, this could have a negative impact on the Company’s results of operations and financial condition. The Company may be unable to develop innovative products or obtain regulatory approval for new products. The market for Dentsply Sirona’s products is characterized by rapid and significant technological change, new intellectual property associated with that technological change, evolving industry standards, and new product introductions. Additionally, Dentsply Sirona’s patent portfolio continues to change with patents expiring through the normal course of their life. There can be no assurance that Dentsply Sirona’s products will not lose their competitive advantage or become noncompetitive or obsolete as a result of such that we will be able to generate any factors, or in economic return on the Company’s investment product development. the Company’s products or technologies lose their competitive advantage or become noncompetitive or obsolete, Dentsply Sirona’s business could be negatively affected. If Dentsply Sirona has identified new products as an important part of its growth opportunities. There can be no assurance that Dentsply Sirona will be able to continue to develop innovative products and that regulatory approval of any new products will be international obtained from applicable U.S. government or regulatory authorities, or that if such approvals are obtained, such products will be favorably accepted in the marketplace. Additionally, there is no assurance that entirely new technology or approaches to dental treatment or competitors’ new products will not be introduced that could render the Company’s products obsolete. or Dentsply Sirona’s business is subject to extensive, complex and changing domestic and foreign laws, rules, regulations, self-regulatory codes, directives, circulars and orders that failure to comply with could subject us to civil or criminal penalties or other liabilities. rules, Dentsply Sirona is subject to extensive domestic regulations, self-regulatory and foreign laws, codes, circulars and orders which are administered by federal and state governmental various international, authorities, the Office of Foreign Assets Control of the United States Department of the Treasury (“OFAC”), the Bureau of Industry and Security of the United States Department of Commerce (“BIS”), the United States Federal Trade Commission, the United States Department of Justice, including, among others, the FDA, thereunder), “FCPA”), and the Environmental Protection Agency (“EPA”), and other similar domestic and foreign authorities. These laws, rules, regulations, self-regulatory codes, circulars and orders include, but are not limited to, the United States Food, Drug and Cosmetic Act, the European Council Directive 93/42/EEC on Medical Devices (MDD) (1993) (and implementing and local measures the U.S. Foreign Corrupt adopted the U.S. Federal (the Practices Act Anti-Kickback international similar Statute anti-bribery and anti-corruption laws, the Physician Payments Sunshine Act, regulations concerning the supply of conflict minerals, various environmental regulations such as the Federal Water Pollution Control Act (the “Clean Water Act”), and regulations relating to import and export controls and economic trade, sanctions. Such laws, rules, regulations, self-regulatory codes, circulars and orders may be complex and are subject to change. For example, since a significant proportion of the regulatory framework in the United Kingdom is derived from EU directives and regulations, Brexit could materially affect the regulatory regime applicable to our operations and customers with operations connected to the United Kingdom. Any such changes to the regulatory regime could have a material adverse effect on our ability to adjust our solutions to comply with such changes. rules, Compliance with the numerous applicable existing and new laws, rules, regulations, self-regulatory codes, circulars and orders could require us to incur substantial regulatory compliance costs. Although the Company has implemented policies and procedures to comply with applicable laws, regulations, self-regulatory codes, circulars and orders, there can be no assurance that governmental authorities will not raise compliance concerns or perform audits to confirm compliance with regulations, self-regulatory codes, circulars and orders. Failure to comply with applicable laws, regulations, self-regulatory codes, circulars or orders could result in a range of governmental enforcement actions, including fines or penalties, injunctions and/or criminal or other in civil proceedings. Any such actions could result higher than anticipated costs or lower than anticipated revenue and could have a material adverse effect on the Company’s reputation, business, financial condition and results of operations. rules, rules, laws, such In 2012, the Company received subpoenas from the United States Attorney’s Office for the Southern District of Indiana (the “USAO”) and from OFAC requesting documents and information related to economic compliance with sanctions regulations by certain of its subsidiaries. The Company also voluntarily contacted OFAC and BIS regarding and economic sanctions regulations by certain other compliance with controls controls export export and 14 business units of the Company identified in an ongoing review by the Company. The Company is internal cooperating with the USAO, OFAC and BIS with respect to these matters. Dentsply Sirona may be exposed to liabilities under the Foreign Corrupt Practices Act, and any determination that Dentsply Sirona violated the Foreign Corrupt Practices Act could have a material adverse effect on Dentsply Sirona’s business. To the extent that Dentsply Sirona operates outside the United States, Dentsply Sirona is subject to the FCPA which generally prohibits U.S. companies and their intermediaries from bribing foreign officials for the purpose of obtaining or keeping business or otherwise obtaining favorable treatment. In particular, Dentsply Sirona may be held liable for actions taken by Dentsply Sirona’s strategic or local partners even though such partners are foreign companies that are to the FCPA. Any determination that not subject Dentsply Sirona violated the FCPA could result in sanctions that could have a material adverse effect on Dentsply Sirona’s business. If we fail to comply with laws and regulations relating to health care fraud, we could suffer penalties or be required to make significant changes to Dentsply Sirona’s operations, which could adversely affect Dentsply Sirona’s business. rules, Dentsply Sirona is subject to federal, state, local and foreign laws, regulations, self-regulatory codes, circulars and orders relating to health care fraud, including, but not the U.S. Federal limited to, Anti-Kickback Statute, the United Kingdom’s Bribery Act 2010 (c.23), Brazil’s Clean Company Act 2014 (Law No. 12,846) and China’s National Health and Family Planning Commission (NHFPC) circulars No. 49 and No. 50. Some of these laws, referred to as “false claims the laws,” submission for or reimbursement to federal, state and other health care referred to as payors and programs. Other offering, prohibit “anti-kickback receiving or paying remuneration in order to induce the referral of a patient or ordering, purchasing, leasing or arranging for or recommending ordering, purchasing or leasing, of items or services that are paid for by federal, state and other health care payors and programs. causing claims prohibit of the false submission fraudulent soliciting, laws,” laws, or The government has expressed concerns about financial relationships between suppliers on the one hand and physicians and dentists on the other. As a result, we regularly review and revise Dentsply Sirona’s marketing facilitate compliance. the reporting and the Physician Payment disclosure obligations of rules, Sunshine Act In addition, under necessary practices foreign similar laws, and as to regulations, self-regulatory codes, circulars and orders, such as France’s Loi Bertrand and rules issued by Denmark’s Health and Medicines Authority, the general public and government officials will be provided with new access to detailed information with regard to transfers of value to certain payments or other and practitioners teaching hospitals) by applicable drug and device manufacturers subject to such reporting and disclosure obligations, which includes us. This information may lead to greater in modifications to established practices and additional costs. scrutiny, which may physicians, (including dentists result Failure to comply with health care fraud laws, rules, regulations, self-regulatory codes, circulars and orders could result in significant civil and criminal penalties and costs, including the loss of licenses and the ability to participate in federal and state health care programs, and could have a material adverse impact on Dentsply Sirona’s business. Also, these laws may be interpreted or applied by a prosecutorial, regulatory or judicial authority in a manner that could require Dentsply Sirona to make changes in Dentsply Sirona’s operations or incur substantial defense and settlement expenses. Even unsuccessful challenges by regulatory authorities or private relators could result in reputational harm and the incurring of substantial costs. In addition, many of these laws are vague or indefinite and have not been interpreted by the courts, and have been subject varied frequent modification interpretation by prosecutorial, regulatory authorities, increasing compliance risks. and to the and and laws thereunder, While we believe that we are substantially compliant with rules, foregoing regulations, self-regulatory codes, circulars and orders promulgated adequate compliance programs and controls in place to ensure substantial compliance, we cannot predict whether regulations, changes self-regulatory codes, circulars and orders, or the interpretation thereof, or changes in Dentsply Sirona’s services or marketing practices in response, could adversely affect Dentsply Sirona’s business. applicable rules, laws, have in If we fail to comply with domestic and foreign laws, rules, regulations, self-regulatory codes, circulars and orders relating to the confidentiality of sensitive personal information or standards in electronic health data transmissions, we could be required to make significant changes to Dentsply Sirona’s products, or incur penalties or other liabilities. the and limit laws rules, information, Federal Health Insurance Portability things, the implementation of various recordkeeping, operational, notice and other practices intended to safeguard that its use to allowed purposes, and notify individuals in the event of privacy and security breaches. Such laws include, but are not limited to, the Federal Health Information Technology for Economic and Clinical Health Act (“HITECH Act”), the and Accountability Act of 1996 (“HIPAA”), France’s Data Protection Act of 1978 (rev. 2004) and similar international regulations, self-regulatory codes, circulars and orders promulgated thereunder. Failure to comply with these laws, rules, regulations, self-regulatory codes, circulars and orders can result in substantial penalties and other liabilities. As a result of the HITECH Act, which was passed in 2009, some of Dentsply Sirona’s businesses that were previously only indirectly subject to HIPAA privacy and to such rules security rules became directly subject because “business as associates” of HIPAA covered entities, such as health care providers. On January 17, 2013, the Office for Civil Rights of the Department of Health and Human Services released a final rule implementing the HITECH Act and making certain other changes to HIPAA privacy and security requirements. Compliance with the rule was required by September 23, 2013, and increases the requirements applicable to some of Dentsply Sirona’s businesses. businesses serve such pertaining identifiable information to domestic and foreign laws, In addition, Dentsply Sirona’s affiliates handle personally to Dentsply Sirona’s members and paying subscribers. Both Dentsply Sirona and Dentsply Sirona’s affiliates rules, are subject regulations, self-regulatory codes, circulars and orders related to Internet communications (including the CAN-SPAM Act of 2003, EU Directive 2002/58/EC and laws and regulations), consumer similar international protection Telephone Consumer the Protection Act and similar state and international laws and regulations), advertising, privacy, security and data protection, including the HITECH Act, HIPAA, France’s Data Protection Act of 1978 (rev. 2004), and similar international If Dentsply Sirona or Dentsply Sirona’s affiliates are found to be in violation of these laws, rules, regulations, self-regulatory codes, circulars or orders, Dentsply Sirona may become subject to administrative fines or litigation, which could materially increase Dentsply Sirona’s expenses. laws regulations. (including Regulations related to conflict minerals could adversely impact Dentsply Sirona’s business. Certain of Dentsply Sirona’s businesses involve access to personal health, medical, financial and other information of individuals, and are accordingly directly or indirectly subject to numerous federal, state, local and foreign laws, regulations, self-regulatory codes, circulars and orders that protect the privacy and security of such information, and require, among other rules, The Dodd-Frank Wall Street Reform and Consumer Protection Act and similar international regulations including consumer protection rules issued by Germany’s Ministry for Consumer Protection, Food and Agriculture contains provisions designed to improve transparency and accountability concerning the supply of certain minerals, known as conflict 15 minerals, originating from the Democratic Republic of Congo (DRC) and adjoining countries. As a result, in August 2012 the SEC adopted annual disclosure and reporting requirements for those companies who use conflict minerals mined from the DRC and adjoining countries in their products. There are additional costs associated with complying with these disclosure requirements, including for diligence to determine the sources of conflict minerals used in Dentsply Sirona’s products and other potential changes to products, processes or sources of supply as a consequence of such verification activities. The implementation of these rules could adversely affect the sourcing, supply, and pricing of materials used in Dentsply Sirona’s products. As there may be only a limited number of suppliers offering conflict-free minerals, we cannot be sure that we will be able to obtain necessary conflict minerals from such suppliers in sufficient quantities or at competitive prices. Also, we may face reputational challenges if we determine that certain of Dentsply Sirona’s products contain minerals not determined to be conflict free or if we are unable to sufficiently verify the origins for all conflict minerals used in Dentsply Sirona’s products through the procedures we may implement. The Company may be unable to obtain a supply for certain finished goods purchased from third parties. A significant portion of the Company’s injectable anesthetic products, orthodontic products, certain dental cutting instruments, catheters, nickel titanium products and certain other products and raw materials are purchased from a limited number of suppliers and in certain cases single source suppliers, some of which may also compete with the Company. As there are a limited number of suppliers for these products, there can be no assurance that the Company will be able to obtain an adequate supply of these products and raw materials in the future. Any delays in delivery of or shortages in these products could interrupt and delay manufacturing of the Company’s products and result in In the cancellation of orders for these products. could addition, the suppliers these discontinue these products to the manufacture or supply of Company at any to supply products time or competitors. Dentsply Sirona may not be able to identify and integrate alternative sources of supply in a timely fashion or at all. Any transition to alternate suppliers may result in delays in shipment and increased expenses and may limit the Company’s ability to deliver products to customers. If the Company is unable to develop reasonably priced alternative sources in a timely manner, or if the Company encounters delays or other difficulties in the supply or manufacturing of such products and other materials internally or from third parties, the Company’s business and results of operations may be harmed. 16 Dentsply Sirona may be unable to obtain necessary product approvals and marketing clearances. from, regulate agencies clearances Dentsply Sirona must obtain certain approvals by, governmental and marketing authorities, including the FDA and similar health authorities in foreign countries to market and sell Dentsply Sirona’s products in those countries. These regulatory the marketing, manufacturing, labeling, packaging, advertising, sale and distribution of medical devices. The FDA enforces regulations regarding the safety of X-ray additional emitting devices. Dentsply Sirona’s products are currently regulated by such authorities and certain of Dentsply Sirona’s new products will require approval by, or marketing clearance from, various governmental authorities, including the FDA. Various states also impose similar regulations. be typically or PMA, may The FDA review process requires extended proceedings pertaining to the safety and efficacy of new products. A 510(k) application is required in order to market a new or modified medical device. If specifically required by the FDA, a pre-market approval, necessary. Such to proceedings, which must be completed prior marketing a new medical device, are potentially expensive and time consuming. They may delay or hinder a product’s timely entry into the marketplace. Moreover, there can be no assurance that the review or approval process for these products by the FDA or any other applicable governmental authority will occur in a timely fashion, if at all, or that additional regulations will not be adopted or current regulations amended in such a manner as will adversely affect us. The FDA also oversees the content of advertising and marketing materials relating to medical devices which have received FDA clearance. Failure to comply with the in the FDA’s advertising guidelines may imposition of penalties. result We are also subject to other federal, state and local laws, regulations and recommendations relating to safe working conditions, laboratory and manufacturing practices. The extent of government regulation that might result from any future legislation or administrative action cannot be accurately predicted. Failure to comply with regulatory requirements could have a material adverse effect on Dentsply Sirona’s business. typically requires extended Similar to the FDA review process, the EU review process proceedings pertaining to the safety and efficacy of new products. Such proceedings, which must be completed prior to marketing a new medical device, are potentially expensive and time consuming and may delay or prevent a product’s entry into the marketplace. Inventories maintained by the Company’s customers may fluctuate from time to time. The Company relies in part on its dealer and customer relationships and predictions of dealer and customer inventory levels in projecting future demand levels and financial results. These inventory levels may from the Company’s fluctuate, and may differ predictions, resulting in the Company’s projections of future results being different than expected. These changes may be influenced by changing relationships with the dealers and customers, economic conditions and customer preference for particular products. There can be no assurance that the Company’s dealers and customers will maintain in accordance with the Company’s predictions or past history, or that the timing of customers’ inventory build or liquidation will be in accordance with the Company’s predictions or past history. inventory levels of that the Company the exclusive provisions of During the fourth quarter of 2016, upon the the announcement agreement would expire by its terms, Patterson began to reduce inventories in both the United States and Canada, which negatively impacted the Company’s reported sales in the fourth quarter. The reduction of inventory by Patterson is expected to continue in 2017 as a non-exclusive arrangement. The Company is evaluating its options for additional channels of distribution for as subject October 2017, although no firm decisions have been reached as of the date of this filing. As a result of the above, the Company’s sales will likely fluctuate in 2017 on a quarter by quarter basis, as Patterson reduces inventory in some periods and as other market channels are brought on line in other periods. and Patterson move commencing products early as to Changes in or interpretations of tax rules, operating structures, country profitability mix and regulations may adversely affect the Company’s effective tax rates. The Company is a U.S. based multinational company subject to tax in multiple U.S. and foreign tax jurisdictions. Unanticipated changes in the Company’s tax rates could affect its future results of operations. The Company’s future effective tax rates could be unfavorably affected by factors such as changes in, or tax rules and regulations in the interpretation of, jurisdictions in which the Company does business, by structural changes in the Company’s businesses, by unanticipated decreases in the amount of revenue or earnings in countries with low statutory tax rates, or by changes in the valuation of the Company’s deferred tax assets and liabilities. Challenges may be asserted against the Company’s products due to real or perceived quality, health or environmental issues. The Company manufactures and sells a wide portfolio of dental and medical device products. While impact of regulations exist the United States, the EPA proposed the Company endeavors to ensure that its products are there can be no assurance that safe and effective, there may not be challenges from time to time regarding the real or perceived quality, health or the Company’s products or environmental certain raw material components of the Company’s products. All dental amalgam filling materials, including those manufactured and sold by Dentsply Sirona, contain mercury. Some groups have asserted that amalgam should be discontinued because of its mercury content and/or that disposal of mercury containing products may be harmful to the environment. In in September 2014 certain effluent limitation guidelines and standards under the Clean Water Act to help cut discharges of mercury-containing dental amalgam to the environment. The rule would require affected dentists to use best available technology (amalgam separators) and other best management practices to control mercury discharges to publicly-owned treatment in Europe and in works. Similar February 2016, the European Union adopted a ratification package regarding the United Nations Minamata Convention on Mercury, proposing rules restricting the use of dental amalgam to the encapsulated form and requiring the use of separators by dentists. If governmental authorities elect to place restrictions or significant regulations on the sale and/or disposal of dental amalgam, that could have an adverse impact on the Company’s sales of dental amalgam. Dentsply Sirona sells non-amalgam dental filling materials that do not contain mercury but that may contain bisphenol-A, commonly called BPA. BPA is found in many everyday items, such as plastic bottles, foods, detergents and toys, and may be found in certain dental composite materials or sealants either as a by-product of other ingredients that have degraded, or as a trace material left over from the ingredients used in such manufacture of other composites or sealants. The FDA currently allows the use of BPA in dental materials, medical devices, and food packaging. Nevertheless, public reports and concerns regarding the potential hazards of dental amalgam or of BPA could contribute to a perceived safety risk for the Company’s products that contain mercury or BPA. Adverse publicity about the quality or safety of our products, whether or not ultimately based on fact, may have an adverse effect on our brand, reputation and operating results and legal and regulatory developments in this area may lead to litigation and/or product limitations or discontinuation. also manufactures and Issues related to the quality and safety of the Company’s products, ingredients or packaging could cause a product recall or discontinuation resulting in harm to the Company’s reputation and negatively impacting the Company’s operating results. The Company’s products generally maintain a good reputation with customers and end-users. Issues related to quality and safety of products, ingredients or 17 the Company’s products or packaging, could jeopardize the Company’s image and reputation. Negative publicity related to these types of concerns, whether valid or not, might negatively impact demand for cause production and delivery disruptions. The Company may need to recall or discontinue products if they become unfit for use. In addition, the Company could potentially to litigation or government action, which be subject could result fines or damages. Cost associated with these potential actions could negatively affect financial condition and liquidity. the Company’s operating results, in payment of Product warranty claims exposure could be significant. Dentsply Sirona generally warrants each of Dentsply Sirona’s products against defects in materials and workmanship for a period of one year from the date of shipment plus any extended warranty period purchased by the customer. The future costs associated with providing product warranties could be material. A successful warranty claim brought against Dentsply Sirona could reduce Dentsply Sirona’s profits and/or financial condition, and damage impair our Dentsply Sirona’s reputation. The Company’s Orthodontics business is subject to risk. The Company sources a substantial portion of its orthodontic products from a Japanese supplier under an agreement that is subject to periodic renewal. The Company also has established alternative sources of supply. The market for orthodontic products is highly competitive and subject to significant negative price pressure. Changes in or interpretations of, accounting principles could result in unfavorable charges to operations. The Company prepares its consolidated financial statements in accordance with US GAAP. These principles are subject to interpretation by the SEC and various bodies formed to interpret and create appropriate accounting principles. Market conditions have prompted accounting standard setters to issue new guidance which further interprets or seeks to revise accounting pronouncements related to financial instruments, structures or transactions as well as to is issue new standards expanding disclosures. possible that future accounting standards the Company would be required to adopt could change the current accounting treatment applied to the Company’s consolidated financial statements and such changes could have a material adverse effect on the Company’s business, results of operations, financial condition and liquidity. It If the Company’s goodwill or intangible assets become impaired, the Company may be required to record a significant charge to earnings. Under US GAAP, the Company reviews its goodwill and intangible assets for impairment when 18 events or changes in circumstances indicate the carrying value may not be recoverable. Additionally, goodwill and indefinite-lived intangible assets are required to be tested for impairment at least annually. The valuation models used to determine the fair values of goodwill or intangible assets are dependent upon various assumptions and reflect management’s best estimates. Net sales growth, discount rates, earnings multiples and future cash flow projections are critical assumptions used to determine these fair values. The Company has made disclosures about the fair values of certain reporting units and indefinite-lived intangible assets approximating the book values within Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” under “Critical Accounting Judgments and Policies.” Specifically included in the disclosures is one reporting unit within the Technologies segment as well as the four reporting units (three within the Technologies segment and one within the Dental and Healthcare Consumables segment) and the related indefinite-lived intangible assets created as a result of the Merger. Given the limited time since the Merger date, the indefinite-lived assets and reporting units’ fair values approximate the book values of the indefinite-lived assets and reporting units. Slower net sales growth rates in the dental or medical device industries, an increase in discount rates, unfavorable changes in earnings multiples or a decline in future cash flow projections, among other factors, may cause a change in circumstances indicating that the carrying value of the indefinite-lived assets and goodwill in these five reporting units may not be recoverable. The Company may be required to record a in the financial significant statements during the period in which any impairment of is these indefinite-lived assets and goodwill determined. charge to earnings The Company faces the inherent risk of litigation and claims. liability and other types of The Company’s business involves a risk of legal actions or product claims, including possible recall actions affecting the Company’s products. The primary risks to which the Company is exposed are related to those products manufactured by the Company. The Company has insurance policies, including product liability insurance, covering these risks in amounts that are considered adequate; however, the Company cannot provide assurance that the maintained coverage is sufficient to cover the coverage will be that available in adequate amounts or at a reasonable cost. Also, other the Company may not be covered by insurance. A successful claim brought against the Company in excess of available insurance, or another type of claim which is uninsured or that results in significant adverse publicity against the Company, could harm its business and overall cash flows of the Company. types of claims asserted against future claims or Various parties, including the Company, own and maintain patents and other intellectual property rights applicable to the dental and medical device fields. Although the Company believes it operates in a manner that does not infringe upon any third party intellectual property rights, it is possible that a party could assert that one or more of the Company’s products infringe upon such party’s intellectual property and force the Company to pay damages and/or discontinue the sale of certain products. Dentsply Sirona’s failure to obtain issued patents and, consequently, to protect Dentsply Sirona’s proprietary technology could hurt Dentsply Sirona’s competitive position. Dentsply Sirona’s success will depend in part on Dentsply Sirona’s ability to obtain and enforce claims in our patents directed to Dentsply Sirona’s products, technologies and processes, both in the United States and in other countries. Risks and uncertainties that Dentsply Sirona faces with respect to Dentsply Sirona’s patents and patent applications include the following: • • • • • • • the pending patent applications that Dentsply Sirona has filed, or to which Dentsply Sirona has exclusive rights, may not result in issued patents or may take longer than Dentsply Sirona expects to result in issued patents; the allowed claims of any patents that are issued may provide meaningful protection; not Dentsply Sirona may be unable to develop additional proprietary technologies that are patentable; the patents licensed or issued to Dentsply Sirona may not provide a competitive advantage; other companies may challenge patents licensed or issued to Dentsply Sirona; disputes may arise regarding inventions and corresponding ownership rights in inventions and know-how resulting from the joint creation or use of intellectual property by Dentsply Sirona and Dentsply Sirona’s respective licensors; and other companies may design around the technologies patented by Dentsply Sirona. Dentsply Sirona’s profitability could suffer if third parties infringe upon Dentsply Sirona’s proprietary technology. Dentsply Sirona’s profitability could suffer if third parties infringe upon Dentsply Sirona’s intellectual property rights or misappropriate Dentsply Sirona’s technologies and trademarks for their own businesses. To protect Dentsply Sirona’s rights to Dentsply Sirona’s intellectual property, Dentsply Sirona relies on a combination of patent and trademark law, trade secret protection, confidentiality agreements and contractual arrangements with Dentsply Sirona’s employees, strategic partners and others. Dentsply Sirona cannot assure you that any of Dentsply Sirona’s patents, any of the patents of which Dentsply Sirona are a licensee or any patents which may be issued to Dentsply Sirona or which we may license in the future, will provide Dentsply Sirona with a competitive advantage or afford Dentsply Sirona protection against infringement by others, or that the patents will not be successfully challenged or circumvented by third parties, including Dentsply Sirona’s competitors. The protective steps we have deter misappropriation of Dentsply Sirona’s proprietary information. Dentsply Sirona may be unable to detect the unauthorized use of, or take appropriate steps to enforce, Dentsply Sirona’s intellectual property rights. Effective patent, trademark and trade secret protection may not be available in every country in which Dentsply Sirona will offer, or intend to offer, Dentsply Sirona’s products. Any failure to adequately protect Dentsply Sirona’s intellectual property could devalue Dentsply Sirona’s proprietary content and impair Dentsply effectively. Further, compete Sirona’s defending Dentsply Sirona’s intellectual property rights could result in the expenditure of significant financial and managerial resources. taken may inadequate ability be to to Dentsply Sirona’s profitability may suffer if Dentsply Sirona’s products are found to infringe the intellectual property rights of others. Litigation may be necessary to enforce Dentsply Sirona’s patents or to defend against any claims of infringement of patents owned by third parties that are asserted against Dentsply Sirona. In addition, Dentsply Sirona may have to participate in one or more interference proceedings declared by the United States the European Patent Patent and Trademark Office, Office or other foreign patent governing authorities, to determine the priority of inventions, which could result in substantial costs. If Dentsply Sirona becomes involved in litigation or interference proceedings, Dentsply Sirona may incur substantial expense, and the proceedings may divert the attention of Dentsply Sirona’s technical and management personnel, even if Dentsply Sirona ultimately prevails. An adverse determination in proceedings of this type could subject us to significant liabilities, allow Dentsply Sirona’s competitors to market competitive products without obtaining a license from from Dentsply Sirona, marketing Dentsply Sirona’s products or require us to seek licenses from third parties that may not be available on commercially reasonable terms, if at all. If Dentsply Sirona cannot obtain such licenses, Dentsply from Sirona may commercializing Dentsply Sirona’s products. prohibit Dentsply Sirona prevented restricted be or The enforcement, defense and prosecution of intellectual property rights, including the United States 19 Patent and Trademark Office’s, the European Patent interference Office’s and other foreign patent offices’ proceedings, and related legal and administrative proceedings in the United States and elsewhere, involve complex legal and factual questions. As a result, and time-consuming, and their outcome is uncertain. Litigation may be necessary to: proceedings costly these are • • • • assert against others or defend Dentsply Sirona against claims of infringement; enforce patents owned by, or Dentsply Sirona from, another party; licensed to protect Dentsply Sirona’s trade secrets or know-how; or determine the enforceability, scope and validity of Dentsply Sirona’s proprietary rights or the proprietary rights of others. Due to the international nature of our business, including increasing exposure to markets outside of the U.S. and Europe, political or economic changes or other factors could harm our business and financial performance. Approximately two-thirds of the Company’s sales are located in regions outside the United States. In addition, we anticipate that sales outside of the U.S. and Europe will continue to expand and account for a significant portion of Dentsply Sirona’s revenue. Operating internationally is subject to a number of uncertainties, including, but not limited to, the following: • • • • • • • • • • Economic and political instability; Import or export licensing requirements; Additional compliance-related risks; Trade restrictions and tariffs; Product registration requirements; Longer payment cycles; Changes in regulatory requirements and tariffs; Fluctuations in currency exchange rates; Potentially adverse tax consequences; and Potentially weak protection of property rights. intellectual Certain of these risks may be heightened as a result of changing political climates, for example as a result of Brexit or the results of the November 2016 U.S. elections, both of which may lead to changes in areas such as trade restrictions and tariffs, regulatory requirements and exchange rate fluctuations, which may adversely affect our business and financial performance. 20 The Company’s success is dependent upon its management and employees. The Company’s success is dependent upon its management and employees. The loss of senior management employees or failure to recruit and train needed managerial, sales and technical personnel, could have a material adverse effect on the Company. The Company may be unable to sustain the operational and technical expertise that is key to its success. to its Dentsply Sirona believes that its manufacturing success. The capabilities are important manufacture of the Company’s products requires substantial and varied technical expertise. Complex materials, technology and processes are necessary to manufacture the Company’s products. There can be no assurance that the Company will be able to maintain the necessary operational and technical expertise that is key to its success. A large number of the Company’s products are manufactured in single manufacturing facilities. Although the Company maintains multiple manufacturing facilities, a large number of the products manufactured by the Company are manufactured in facilities that are the sole source of such products. As there are a limited number of alternative suppliers for these products, any disruption at a particular Company manufacturing facility could lead to delays, increased expenses, and may damage the Company’s business and results of operations. The Company relies heavily on information and technology to operate its business networks, and any cyber-attacks or other disruption to its technology infrastructure or the Internet could harm the Company’s operations. server- technology infrastructure, Dentsply Sirona operates many aspects of its reporting and customer business including financial relationship management and through web-based technologies, and stores various types of data on such servers or with third-parties who may in turn store it on servers or in the “cloud”. Any disruption to the Internet or to the Company’s or its service providers’ global including malware, insecure coding, “Acts of God,” cyber-attacks and other attempts to penetrate networks, data leakage and human error, could pose a threat to the Company’s operations. Our network and storage applications may to unauthorized access by hackers or be subject breached due to operator error, malfeasance or other system disruptions and the Company may be the victim of cyber-attacks, financial assets, information of sensitive individuals information. In some cases, it is difficult to anticipate or immediately detect such incidents and the damage caused thereby. These data breaches and any targeted at intellectual property, personal the theft of customers, other and or key and information unauthorized access or disclosure of our information could compromise our intellectual property and expose sensitive business information. Cyber-attacks could also cause us to incur significant remediation costs, disrupt key business operations and divert attention of management technology resources. These incidents could also subject us to liability, expose us to significant expense, or cause significant harm to our reputation, which could result in lost revenues. While Dentsply Sirona has invested and in information technology risk continues to invest these recovery plans, management and disaster measures cannot fully insulate the Company from cyber-attacks, technology disruptions or data loss and the resulting adverse effect on the Company’s operations and financial results. The Company may not generate sufficient cash flow to service its debt, pay its contractual obligations and operate the business. Dentsply Sirona’s ability to make payments on its indebtedness and contractual obligations, and to fund its operations depends on its future performance and financial results, which, to a certain extent, are subject to general economic, financial, competitive, regulatory and other factors and the interest rate environment that are beyond its control. Although senior management believes that the Company has and will continue to have sufficient liquidity, there can be no assurance that Dentsply Sirona’s business will generate sufficient cash flow from operations in the future to service its debt, pay its contractual obligations and operate its business. The Company may not be able to repay its outstanding debt in the event that cross default provisions are triggered due to a breach of loan covenants. income existing Sirona’s Dentsply borrowing documentation contains a number of covenants and is required to satisfy. Any financial ratios, which it breach of any such covenants or restrictions, the most restrictive of which pertain to asset dispositions, maintenance of certain levels of net worth, and prescribed ratios of indebtedness to total capital and and operating excluding amortization of in a default under the existing borrowing documentation that would permit the lenders to declare all borrowings under such documentation to be immediately due and payable and, through cross default provisions, would entitle Dentsply Sirona’s other lenders to accelerate their loans. Dentsply Sirona may not be able to meet its obligations under its outstanding indebtedness in the event that any cross default provisions are triggered. depreciation interest expense, would result Dentsply Sirona has a significant amount of indebtedness. A breach of the covenants under Dentsply Sirona’s debt instruments outstanding from time to time could result in an event of default under the applicable agreement. The Company has debt securities outstanding of approximately $1.5 billion. Dentsply Sirona also has the 21 indebtedness the Revolving Credit Facility and may incur ability to incur up to $500.0 million of under significantly more indebtedness in the future. Dentsply Sirona’s level of indebtedness and related debt service obligations could have negative consequences including: • • • making it more difficult for the Company to satisfy its obligations with respect to its indebtedness; to requiring Dentsply Sirona dedicate significant cash flow from operations to the payment of principal and interest on its indebtedness, which would reduce the funds the Company has available for other including working capital, capital purposes, expenditures and acquisitions; and reducing Dentsply Sirona’s in planning for or reacting to changes in its business and market conditions. flexibility Dentsply Sirona’s current debt agreements contain a number of covenants and financial ratios, which the Company is required to satisfy. Under the Note Purchase Agreement dated December 11, 2015, the Company will be required to maintain ratios of debt outstanding to total capital not to exceed the ratio of 0.6 to 1.0, and operating income excluding depreciation and amortization to interest expense of not less than the Company’s outstanding debt 3.0 times. All of agreements have been amended to reflect these covenants. The Company may need to reduce the amount of its indebtedness outstanding from time to time in order to comply with such ratios, though no assurance can be given that Dentsply Sirona will be able to do so. Dentsply Sirona’s failure to maintain such ratios or a breach of the other covenants under its debt agreements outstanding from time to time could result in an event of default under the applicable agreement. Such a default may allow the creditors to accelerate the related indebtedness and may result in the acceleration of any other indebtedness to which a cross-acceleration or cross-default provision applies. Changes in our credit ratings or macroeconomic impacts on credit markets may increase our cost of capital and limit financing options. We utilize the short and long-term debt markets to obtain capital from time to time. Adverse changes in our credit ratings may result in increased borrowing costs future long-term debt or short-term borrowing for facilities which may in turn limit financing options, including our access to the unsecured borrowing market. We may also be subject to additional restrictive covenants that would reduce our flexibility. In addition, macroeconomic conditions, such as continued or increased volatility or disruption in the credit markets, would adversely affect our ability to refinance existing debt or obtain additional financing to support operations or to fund new acquisitions or capital-intensive internal initiatives. Certain provisions in the Company’s governing documents, and of Delaware law, may make it more difficult for a third party to acquire Dentsply Sirona. Certain provisions of Dentsply Sirona’s Certificate of Incorporation and By-laws and of Delaware law could have the effect of making it difficult for a third party to acquire control of Dentsply Sirona. Such provisions include, among others, a provision allowing the Board of Directors to issue preferred stock having rights senior to those of the common stock and certain procedural requirements which make it difficult for stockholders to them amend Dentsply Sirona’s By-laws and prevent from calling special meetings of stockholders. In addition, members of Dentsply Sirona’s management and participants in its Employee Stock Ownership Plan the (“ESOP”) collectively own approximately 2% of outstanding common stock of Dentsply Sirona. Delaware law imposes some restrictions on mergers the and between the Company and any holder of 15% or more of Company’s outstanding common stock. combinations business other The Company’s results could be negatively impacted by a natural disaster or similar event. The Company operates in more than 120 countries and its and its suppliers’ manufacturing facilities are located in multiple locations around the world. Any natural or other disaster in such a location could result in serious harm to the Company’s business and consolidated results of operations. Any insurance maintained by the Company may not be adequate to cover our losses resulting from such disasters or other business interruptions, and our emergency response plans may not be effective in preventing or minimizing losses in the future. Dentsply Sirona is dependent upon a limited number of distributors for a significant portion of Dentsply Sirona’s revenue, and loss of these key distributors could result in a loss of a significant amount of Dentsply Sirona’s revenue. It each accounted Historically, a substantial portion of Dentsply Sirona’s revenue has come from a limited number of distributors. For example, Patterson Companies, Inc. and Henry Schein, for Inc. approximately 12% of the annual revenue of Dentsply is anticipated that Patterson Sirona in 2016. Companies, Inc. and Henry Schein, Inc. will continue to be the largest contributors to Dentsply Sirona’s revenue for the foreseeable future. There can be no assurance that Patterson Companies, Inc. and Henry Schein, Inc. will purchase any specified minimum quantity of products from Dentsply Sirona or that they will continue If Patterson to purchase any products at all. Companies, Inc. ceases to purchase a significant volume of products from Dentsply Sirona, it could have a material adverse effect on Dentsply Sirona’s results of operations and financial that condition. This risk is increased by the fact Inc. or Henry Schein, 22 arrangement has with the Company exclusive to certain Inc. with respect Patterson Companies, products in the U.S. and Canada will terminate subsequent to September 2017. We cannot assure you that this cessation of exclusivity will not adversely affect our results of operations. As we transition from a single for our distributor model CEREC CAD/CAM products, our sales could be adversely affected as we incorporate new distributors into our network. to a multi-distributor model Work stoppages and other labor relations matters may make it substantially more difficult or expensive for us to produce Dentsply Sirona’s products, which could result in decreased sales or increased costs, either of which would negatively impact Dentsply Sirona’s financial condition and results of operations. employees A significant part of our foreign employees are subject to collective bargaining agreements, and some unionized; of Dentsply Sirona’s therefore, Dentsply Sirona is subject to the risk of work stoppages and other relations matters. Any labor prolonged work stoppage or strike at any one of Dentsply Sirona’s principal facilities could have a negative impact on Dentsply Sirona’s business, financial condition, or results of operations. are Dentsply Sirona has developed and must continue to maintain internal controls. of or on the over fraud. control internal prevent possibility reporting may Effective internal controls are necessary for us to to Dentsply Sirona’s provide assurance with respect financial reports and to effectively prevent If Dentsply Sirona cannot provide reasonable assurance with respect to Dentsply Sirona’s financial reports and effectively prevent fraud, Dentsply Sirona’s operating results could be harmed. The Sarbanes-Oxley Act of 2002 requires Dentsply Sirona to furnish a report by financial management reporting, including managements’ assessment of the Internal control over effectiveness of such control. financial detect not its certain limitations, misstatements because of the including circumvention or overriding of controls, or fraud. As a result, even effective internal controls may not provide reasonable assurances with respect to the preparation and presentation of financial statements. In addition, projections of any evaluation of effectiveness of internal control over financial reporting to future periods are subject to the risk that the control may become either obsolete or inadequate as a result of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. If Dentsply Sirona fails to maintain adequate internal controls, including any failure to implement required new or improved controls, or if Dentsply Sirona experiences difficulties in implementing new or revised controls, Dentsply Sirona’s business and operating results could be harmed and Dentsply Sirona could fail to meet Dentsply Sirona’s reporting obligations. human error, Dentsply Sirona is subject to payments-related risks. Dentsply Sirona accepts payments using a variety of methods, including credit card, debit card, credit accounts, direct debit from a customer’s bank account, consumer invoicing, physical bank check, and payment upon delivery. For existing and future payment options Dentsply Sirona offers to Dentsply Sirona’s customers, we may become subject to additional regulations and compliance requirements (including obligations to implement enhanced authentication processes that could result in significant costs and reduce the ease of use of our payments products), as well as fraud. For certain payment methods, including credit and debit cards, Dentsply Sirona pays interchange and other fees, which may increase over time and raise Dentsply Sirona’s operating costs and lower profitability. Dentsply Sirona relies on third parties to provide certain payment methods and payment processing services, including the processing of credit cards, debit cards, electronic checks, and promotional financing. In each it could disrupt Dentsply Sirona’s business if case, these companies become unwilling or unable to provide these services to Dentsply Sirona. We are also subject to payment card association operating rules, including data security rules, certification requirements, and rules governing electronic funds transfers, which could change or be reinterpreted to make it difficult or impossible for us to comply. If Dentsply Sirona fails to comply with these rules or requirements, or if Dentsply Sirona’s data security systems are breached or compromised, Dentsply Sirona may be liable for card issuing banks’ costs, subject to fines and higher transaction fees, and lose Dentsply Sirona’s ability to accept credit and debit card payments from Dentsply Sirona’s customers, process electronic funds transfers, or types of online payments, and Dentsply Sirona’s business and operating results could be adversely affected. facilitate other Item 1B. Unresolved Staff Comments None. 23 Item 2. Properties The following is a listing of Dentsply Sirona’s principal manufacturing and distribution locations at December 31, 2016: Location United States: Milford, Delaware(1) Sarasota, Florida(2) Des Plaines, Illinois(1) Waltham, Massachusetts(2) Long Island City, New York(2) Charlotte, North Carolina(2) Maumee, Ohio(1) Lancaster, Pennsylvania(3) York, Pennsylvania(1) York, Pennsylvania(1) Johnson City, Tennessee(1) Foreign: Hasselt, Belgium(1) Petropolis, Brazil(1) Pirassununga, Brazil(1) Tianjin, China(1) Bensheim, Germany(2) Hanau, Germany(1) Konstanz, Germany(1) Mannheim, Germany(2) Munich, Germany(1) Radolfzell, Germany(3) Rosbach, Germany(1) Bar Lev Industrial Park, Israel(2) Badia Polesine, Italy(1) Otawara, Japan(1) (2) Mexicali, Mexico(2) Venlo, Netherlands(3) Katikati, New Zealand(1) Warsaw, Poland(1) Las Piedras, Puerto Rico(1) Mölndal, Sweden(1) (2) Ballaigues, Switzerland(1) Function Leased or Owned Manufacture of dental consumable products Manufacture of orthodontic accessory products Manufacture and assembly of dental handpieces Manufacture and distribution of dental implant products Manufacture of dental technology products Distribution of dental technology products Manufacture and distribution of investment casting products Distribution of dental products Manufacture and distribution of artificial teeth and other dental consumable products Manufacture of small dental equipment, bone grafting products, and preventive dental products Manufacture and distribution of endodontic instruments and materials Manufacture and distribution of dental products Manufacture and distribution of artificial teeth, dental consumable products and endodontic material Owned Owned Leased Leased Leased Leased Owned Leased Owned Owned Leased Owned Owned Manufacture and distribution of artificial teeth Owned/Leased Manufacture and distribution of dental products Manufacture and distribution of dental equipment Manufacture and distribution of precious metal dental alloys, dental ceramics and dental implant products Manufacture and distribution of dental consumable products Leased Owned Owned Owned Manufacture and distribution of dental implant products Owned/Leased Manufacture and distribution of endodontic instruments and materials Distribution of dental products Manufacture and distribution of dental ceramics Manufacture and distribution of dental implant products Manufacture and distribution of dental consumable products Manufacture and distribution of precious metal dental alloys, dental consumable products and orthodontic products Manufacture and distribution of orthodontic products and materials Distribution of dental consumable products Manufacture of dental consumable products Manufacture and distribution of dental consumable products Manufacture of crown and bridge materials Manufacture and distribution of dental implant products and healthcare consumable products Manufacture and distribution of endodontic instruments, plastic components and packaging material Owned Leased Owned Owned/Leased Owned/Leased Owned Leased Leased Leased Owned Owned Owned Owned Ankara, Turkey(1) Manufacture and distribution of healthcare consumable products Owned (1) These properties are included in the Dental and Healthcare Consumables segment. (2) These properties are included in the Technologies segment. (3) This property is a distribution warehouse not managed by named segments. 24 Item 3. Legal Proceedings Incorporated by reference to Part II, Item 8, and Note 19, Commitments and Contingencies, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K. Item 4. Mine Safety Disclosure Not Applicable In addition, the Company maintains sales and distribution offices at certain of its foreign and domestic manufacturing facilities, as well as at various other U.S. and international locations. The Company maintains offices in Toronto, Mexico City, Paris, Rome, Weybridge, Mölndal, Hong Kong and Melbourne and other international locations. Most of these sites around the world that are used exclusively for sales and distribution are leased. The Company corporate also headquarters located in York, Pennsylvania and leases its international headquarters in Salzburg, Austria. owns its Dentsply Sirona believes that its properties and facilities are well maintained and are generally suitable and adequate for the purposes for which they are used. 25 PART II Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities DENTSPLY SIRONA INC. AND SUBSIDIARIES Quarterly Stock Market and Dividend Information The Company’s common stock is traded on the NASDAQ National Market under the symbol “XRAY.” The following table shows, for the periods indicated, the high, low, closing sale prices and cash dividends declared of the Company’s common stock as reported on the NASDAQ National Market: Market Range of Common Stock High Low Period-end Closing Price 2016 First Quarter . . . . . . . . . . . . . . . . . . . . . . Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Third Quarter . . . . . . . . . . . . . . . . . . . . Fourth Quarter 2015 First Quarter . . . . . . . . . . . . . . . . . . . . . . Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Third Quarter . . . . . . . . . . . . . . . . . . . . Fourth Quarter $63.68 65.83 65.16 62.92 $53.85 53.72 57.61 63.45 $53.43 58.84 58.57 55.01 $49.42 49.81 50.09 49.48 $61.63 62.04 59.43 57.73 $50.89 51.55 50.57 60.85 Cash Dividend Declared $0.0775 0.0775 0.0775 0.0775 $0.0725 0.0725 0.0725 0.0725 Approximately 123,579 holders of the Company’s common stock are “street name” or beneficial holders, whose shares are held of record by banks, brokers and other financial institutions. In addition, the Company estimates, based on information supplied by its transfer agent, that there are 298 holders of record of the Company’s common stock. Stock Repurchase Program At December 31, 2016, the Company had authorization to maintain up to 39.0 million shares of treasury stock under the stock repurchase program as approved by the Board of Directors on September 21, 2016. The table below contains certain information with respect to the repurchase of shares of the Company’s common stock during the quarter ended December 31, 2016: Period (in millions, except per share amounts) October 1, 2016 to October 31, 2016 . . . . . . . . . November 1, 2016 to November 30, 2016 . . . . . . December 1, 2016 to December 31, 2016 . . . . . . Total Number of Shares Purchased Average Price Paid Per Share Total Cost of Shares Purchased Number of Shares that May Yet be Purchased Under the Stock Repurchase Program 0.9 0.7 0.4 2.0 $58.28 59.97 57.90 $58.81 $ 51.4 42.2 21.9 $115.5 5.3 4.8 4.6 Stock Authorized for Issuance Under Equity Compensation Plans The following table provides information about the Company’s common stock that may be issued under equity compensation plans at December 31, 2016: Plan Category (in millions, except share price) Equity compensation plans approved by security holders 26 Securities to Be Issued Upon Exercise of Outstanding Options Weighted Average Exercise Price per Share Securities Available for Future Issuance 10.3 $41.08 36.4 Performance Graph The graph below compares DENTSPLY SIRONA Inc.’s cumulative 5-Year total shareholder return on common stock with the cumulative total returns of the NASDAQ Composite index, the S&P 500 index, and the S&P Health Care index. The graph tracks the performance of a $100 investment in DENTSPLY SIRONA’s common stock and in each index (with the reinvestment of all dividends) from 12/31/2011 to 12/31/2016. COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN* Among DENTSPLY SIRONA Inc., the NASDAQ Composite Index, the S&P 500 Index and the S&P Health Care Index $250 $230 $210 $190 $170 $150 $130 $110 $90 $70 $50 12/11 12/12 12/13 12/14 12/15 12/16 DENTSPLY SIRONA Inc. NASDAQ Composite S&P 500 S&P Health Care *$100 invested on 12/31/11 in stock or index, including reinvestment of dividends. Fiscal year ending December 31. DENTSPLY SIRONA Inc. . . . . NASDAQ Composite . . . . . . . S&P 500 . . . . . . . . . . . . . . . S&P Health Care . . . . . . . . . 12/11 100.00 100.00 100.00 100.00 12/12 113.85 116.41 116.00 117.89 12/13 140.15 165.47 153.58 166.76 12/14 154.85 188.69 174.60 209.02 12/15 177.84 200.32 177.01 223.42 12/16 169.58 216.54 198.18 217.41 27 Item 6. Selected Financial Data DENTSPLY SIRONA INC. AND SUBSIDIARIES SELECTED FINANCIAL DATA The following selected financial data is qualified by reference to, and should be read in conjunction with, the Consolidated Financial Statements, including the notes thereto, and Management’s Discussion and Analysis of Financial Condition and Results of Operations included elsewhere in this Form 10-K. (in millions, except per share amounts, days and percentages) Statement of Operations Data: 2016(a) Year ended December 31, 2014 2015 2013 Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net sales, excluding precious metal content(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross profit Restructuring and other costs . . . . . . . . . . . . . . . Operating income . . . . . . . . . . . . . . . . . . . . . . Income before income taxes . . . . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to Dentsply Sirona . . . . . . $ 3,745.3 3,681.0 2,000.9 23.2 454.7 440.9 431.4 429.9 $ $2,674.3 2,581.5 1,517.2 64.7 375.2 329.7 251.1 $ 251.2 $2,922.6 2,792.7 1,599.8 11.1 445.6 404.4 322.9 $ 322.9 $2,950.8 2,771.7 1,577.4 13.4 419.2 369.3 318.2 $ 313.2 2012 $2,928.4 2,714.7 1,556.4 25.7 381.9 330.7 318.5 $ 314.2 Earnings per common share: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.97 1.94 1.79 1.76 2.28 2.24 2.20 2.16 2.22 2.18 Cash dividends declared per common share . . . . . . 0.310 0.290 0.265 0.250 0.220 Weighted Average Common Shares Outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218.0 221.6 140.0 142.5 141.7 144.2 142.7 145.0 141.9 143.9 Balance Sheet Data: Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment, net . . . . . . . . . . . Goodwill and other intangibles, net Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . Total debt, current and long-term portions(c) . . . . . Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Return on average equity . . . . . . . . . . . . . . . . . Total net debt to total capitalization(d) . . . . . . . . . . 383.9 799.8 8,909.6 11,656.1 1,532.2 8,125.9 284.6 558.8 2,588.3 4,402.9 1,153.1 2,339.4 151.6 588.8 2,760.1 4,646.5 1,261.9 2,322.2 75.0 637.2 3,076.9 5,073.6 1,471.6 2,578.0 80.1 614.7 3,041.6 4,966.8 1,515.5 2,249.4 8.2% 12.4% 10.8% 27.1% 13.2% 32.3% 13.0% 35.1% 15.2% 39.0% Other Data: Depreciation and amortization . . . . . . . . . . . . . . Cash flows from operating activities . . . . . . . . . . . Capital expenditures . . . . . . . . . . . . . . . . . . . . . Interest expense (income), net . . . . . . . . . . . . . . Inventory days . . . . . . . . . . . . . . . . . . . . . . . . Receivable days . . . . . . . . . . . . . . . . . . . . . . . Effective tax rate . . . . . . . . . . . . . . . . . . . . . . . $ 271.7 563.4 125.0 33.9 113 58 2.2% $ 122.9 497.4 72.0 53.7 110 54 23.4% $ 129.1 560.4 99.6 41.3 113 55 20.1% $ 127.9 417.8 100.3 41.5 114 56 14.1% $ 129.2 369.7 92.1 48.1 106 53 2.7% (a) Includes the results of the Sirona merger from February 29, 2016 through December 31, 2016. Information prior to February 29, 2016 refers to DENTSPLY International Inc only. (b) The presentation of net sales, excluding precious metal content, is considered a measure not calculated in accordance with US GAAP, and is therefore considered a non-US GAAP measure. (c) Total debt amounts shown are net of deferred financing costs. (d) The Company defines net debt as total debt, including current and long-term portions less deferred financing costs, less cash and cash equivalents and total capitalization as the sum of net debt plus equity. 28 Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OVERVIEW The following Management’s Discussion and Analysis of Financial Conditions and Results of Operations (“MD&A”) is intended to help the reader understand the Company’s operations and business environment. MD&A is provided as a supplement to, the and should be read in conjunction with, Consolidated Financial Statements and Notes to Consolidated Financial Statements contained in Items 8 and 15 of this Form 10-K. The following discussion includes forward-looking statements that involve certain “Forward-Looking risks Statements” in the beginning of this Form 10-K. The MD&A includes the following sections: uncertainties. See and • • • • Business — a general description of Dentsply Sirona’s business and how performance is measured; Results of Operations — an analysis of the Company’s consolidated results of operations for the three years presented in the Consolidated Financial Statements; Critical Accounting Estimates — a discussion require critical of accounting policies that judgments and estimates; and Liquidity and Capital Resources — an analysis of cash flows; debt and other contractual obligations; obligations. aggregate and On February 29, 2016, DENTSPLY International Inc. merged with Sirona Dental Systems, Inc. (“Sirona”) (the “Merger”) The to form Dentsply Sirona Inc. accompanying financial information for the Company for the year ended December 31, 2016, include the results of operations for Sirona for the period February 29, 2016 to December 31, 2016. References to the “combined business” or the “combined businesses” are included below to provide comparisons of net sales performance from year to year as if the businesses were combined on January 1, 2015. 2016 Operational Highlights • The Company closed its merger between Inc. and Sirona DENTSPLY International Dental Systems, Inc. on February 29, 2016 and established Dentsply Sirona as The Dental Solutions Company™ and the largest 29 • • • • manufacturer of dental products for the professional dental market. The Company is best positioned to foster the development of differentiated integrated solutions for general practitioners and specialists. For the year ended December 31, 2016, net sales, excluding precious metal content, increased 42.6% compared to prior year. The increase in sales primarily reflects the impact of consolidating ten months of Sirona’s sales. the year ended December 31, 2016, For sales of our combined businesses (a non-US GAAP measure as referenced above), grew 3.6% on a constant currency basis. This includes a benefit of 1.7% from net acquisitions and was unfavorably impacted by discontinued products by approximately 50 basis points, which results in internal growth of 2.4%. attributable For the year ended December 31, 2016, net income to Dentsply Sirona increased 71.2%. Earnings per diluted share of $1.94 increased by 10.2% from $1.76 in the prior year. On an adjusted basis (a non-US GAAP measure as defined under the heading “Net Income attributable to Dentsply Sirona”), income grew 64.7% and earnings per diluted share grew 5.7% to $2.78 from $2.62 in the prior year. The Company’s results reflect a significant earnings rate changes compared to the prior year of approximately 3.0%, or $0.08 per diluted share. full year 2016 net from currency headwind of of the certain planning Company elimination In 2016, the Company initiated merger and integration activities to capture cost and revenue synergies. The Company completed corporate the redundancies, country consolidation activities and the renegotiating of supply contracts with vendors. Additionally, reorganization initiated the activities that include manufacturing and logistics. The Company achieved tax savings as it realized complementary tax attributes of the combined businesses. With regard to revenue synergies, Dentsply Sirona launched combined commercial activities, such as developing bundling cross-selling opportunities. Investments in research and development have yielded new products and solutions which is expected to generate sales growth in the future. products and During 2016, the Company deployed cash in excess of $1.2 billion as it returned cash to shareholders share repurchases and dividend payments, as well through the as strengthened business common through acquisitions. During 2016, the Company completed two acquisitions with an aggregate purchase price of $341.1 million, including the acquisition of MIS Implants Technologies Ltd. (“MIS”), a manufacturer of dental implant systems, and a small acquisition of a healthcare consumable business. In addition, the Company repurchased $813.9 million of common shares outstanding in 2016. Company Profile the Sirona world’s Dentsply largest is manufacturer of professional dental products and technologies, with a 130-year history of innovation and industry and patients worldwide. service to the dental Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As The Dental Solutions Company™, Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. Dentsply Sirona’s global headquarters is located in York, Pennsylvania, and the international headquarters are based in Salzburg, Austria. The Company’s shares are listed in the United States on NASDAQ under the symbol XRAY. BUSINESS The Company operates in two business segments, and Consumables Healthcare Dental and Technologies. responsibility The Dental and Healthcare Consumables segment includes the worldwide design, for manufacture, sales and distribution of the Company’s Dental and Healthcare Consumable Products which include preventive, restorative, instruments, endodontic, and laboratory dental products as well as consumable medical device products. The Technologies segment is responsible for the worldwide design, manufacture, sales and distribution of the Company’s Dental Technology Products which includes dental implants, CAD/CAM systems, imaging systems, treatment centers and orthodontic products. Principal Measurements by (2) The used principal measurements the Company in evaluating its business are: (1) constant currency sales growth by segment and geographic region; internal sales growth by segment and geographic region; and (3) adjusted operating income and margins of each reportable segment, which excludes the impacts of purchase accounting, corporate items to enhance the expenses, and certain other results period to period. These comparability of in not principal measurements generally principles accordance with are accounting calculated accepted in the United States; therefore, these items represent non-US GAAP measures. These non-US GAAP measures may differ from other companies and should not be considered in isolation from, or as a substitute for, measures of financial performance prepared in accordance with US GAAP. is impact calculated by The Company defines “constant currency” sales growth as the increase or decrease in net sales from period to period excluding precious metal content and the impact of changes in foreign currency exchange comparing rates. This current-period revenues to prior-period revenues, with both periods converted at to local currency average foreign exchange rate for each month for the currencies in which the of Company does business. The Company defines “internal” sales growth as constant currency sales growth excluding the impacts of net acquisitions and divestitures, Merger and discontinued products. the prior period, the U.S. dollar accounting impacts Business Drivers The primary drivers of internal growth include macroeconomic factors, global dental market growth, innovation and new product launches by the Company, as well as continued investments in sales and including clinical education. marketing resources, the Company’s ability to Management believes that execute its strategies has allowed it to grow faster than the underlying dental market. The Company has a focus on maximizing operational efficiencies on a global basis. The Company has expanded the use of technology as well as process improvement initiatives to enhance global efficiency. In addition, management continues to evaluate the consolidation of operations and functions, as part of integration activities, to further reduce costs. The Company believes that the benefits from these global efficiency and integration initiatives will improve the cost structure and help mitigate the impacts of rising costs such as energy, employee benefits and regulatory oversight and compliance. that it will The Company expects record restructuring charges, from time to time, associated with such initiatives. These restructuring charges could be material to the Company’s consolidated financial statements and there can be no assurance that the target adjusted operating income margins will continue to be achieved. its manufacturing, In October 2016, the Company announced that it is proposing plans in Germany to reorganize and logistics and combine portions of distribution networks within both of the Company’s the segments. As required under German law, Company has entered into a statutory co-determination process under which it will collaborate with the the appropriate groups define jointly labor to 30 infrastructure and staffing adjustments necessary to this initiative. The Company also initiated support the world. The similar actions in other regions of Company estimates the cost of these initiatives to range up to $83 million, primarily for severance related benefits for employees, which is expected to be incurred as actions are implemented over the next two years. support Product innovation is a key component of the Company’s overall growth strategy. New advances in technology are anticipated to have a significant influence on future products in the dentistry and consumable medical device markets in which the Company operates. As a result, the Company to pursue research and development continues development, technological to initiatives research including collaborations with institutions and dental schools. the Company technologies developed by third parties. Although the Company believes these activities will lead to new innovative dental, healthcare consumable and dental technology products, they involve new technologies and there can be no assurance that commercialized products will be developed. In addition, purchases licenses various and The Company’s business is subject to quarterly fluctuations of consolidated net sales and net income. Price increases, promotional activities as well as inventory management contribute to this distributor fluctuation. The Company typically implements most of its price increases in October or January of a given year across most of its businesses. Distributor inventory levels tend to increase in the period leading up to a price increase and decline in the period following the implementation of a price increase. Required minimum purchase commitments under agreements with key distributors may increase inventory levels at those distributors to the extent that future purchase commitments may not be met and could impact the Company’s consolidated net sales and net income in a given period or over multiple periods. In addition, the Company may from time to time, engage relationships that could cause in new distributor quarterly fluctuations of consolidated net sales and net income. Any of these fluctuations could be material to the Company’s consolidated financial statements. product the Company’s The Company will continue to pursue opportunities to offerings, expand technologies and sales and service infrastructure through partnerships and acquisitions. Although the professional dental and the consumable medical device in which the Company operates have markets they remain fragmented. experienced consolidation, Management believes that there will continue to be adequate opportunities to participate as a consolidator in the industry for the foreseeable future. The Company has two exclusive distribution agreements with Patterson for the marketing and sales 31 In order 2017 was of certain legacy Sirona products and equipment in the in United States and and one similar agreement to maintain exclusivity, certain Canada. purchase targets had to be achieved. In the fourth quarter 2016, the decision not to extend the exclusivity beyond September announced. The Company’s relationship with Patterson remains strong, and the Company expects to continue to distribute the products and equipment underlying the agreements through Patterson on a non-exclusive basis. However, the disruption caused by the announcement of the termination of exclusivity, as well as a reduction in Patterson sales resources, negatively impacted fourth quarter sales. Additionally, Patterson began to reduce inventories in both the United States and Canada, which further negatively impacted the Company’s reported sales in the fourth quarter by approximately $30 million. These factors are expected to continue in 2017. The Company is evaluating its options for additional channels of distribution for such products, although no firm decisions have been reached as of the date of this filing. The Company anticipates that the continuation could unfavorably impact sales in 2017 by approximately $50 million as Patterson reduces inventory in some periods and as other market channels are brought on-line in other periods. Notwithstanding the foregoing, the Company believes end-user demand for its products continues to be strong. reduction inventory the of Impact of Foreign Currencies and Interest Rates Due to the Company’s significant international presence, movements in foreign exchange and interest the Consolidated Statements of rates may impact Operations. With approximately two thirds of the Company’s net sales located in regions outside the United States, the Company’s consolidated net sales are impacted negatively by the strengthening or positively impacted by the weakening of the U.S. dollar. Additionally, movements in certain foreign exchange and interest rates may unfavorably or favorably impact the Company’s results of operations, financial condition and liquidity. For the year ended December 31, 2016, net sales, excluding precious metal content, were unfavorably impacted by approximately 1.2% and earnings per diluted common share by approximately $0.08 due to movements in foreign currency exchange rates. Reclassification of Prior Year Amounts Certain reclassifications have been made to prior years’ data in order to conform to current year presentation. Specifically, during the March 31, 2016 quarter, reporting responsibilities as a result of the Merger and changed the management structure. The segment information reflects the revised structure for all periods shown. Company realigned the RESULTS OF OPERATIONS 2016 Compared to 2015 Net Sales The discussion below summarizes the Company’s sales growth which excludes precious metal content, into the following components: (1) impact of the Merger; and (2) the results of the “combined businesses” as if the businesses were merged on January 1, 2015. These disclosures of net sales growth provide the reader with sales results on a comparable basis between periods. Management believes that the presentation of net sales, excluding precious metal content, provides useful information to investors because a portion of Dentsply Sirona’s net sales is comprised of sales of precious metals generated through sales of the Company’s precious metal dental alloy products, which are used by third parties to construct crown and bridge materials. Due to the fluctuations of precious metal prices and because the cost of the precious metal content of the Company’s sales is largely passed through to customers and has minimal effect on (in millions, except percentage amounts) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Precious metal content of sales . . . . . . . . . . . . . . . . . . . . . . Net sales, excluding precious metal content Net sales, excluding precious metal content, for the year ended December 31, 2016 were $3,681.0 million, an increase of $1,099.5 million from the year ended December 31, 2015, as reported by legacy DENTSPLY. This excludes approximately $13.5 million of revenue that was eliminated in fair value purchase accounting adjustments to deferred income. Sales related to precious metal content declined 30.7% during 2016, which was primarily related to the lines and to a lesser discontinued refinery product extent the continued reduction in the use of precious metal alloys in dentistry. (in millions, except percentage amounts) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: precious metal content of sales . . . . . . . . . . . . . Net sales, excluding precious metal content . . . . . . . . . Sirona net sales(a) . . . . . . . . . . . . . . . . . . . . . . . . Merger related adjustments(b) . . . . . . . . . . . . . . . . Elimination of intercompany net sales . . . . . . . . . . . Non-US GAAP combined business, net sales, excluding earnings, Dentsply Sirona reports net sales both with to show the and without precious metal content Company’s performance independent of precious metal price volatility and to enhance comparability of performance between periods. The Company uses its cost of precious metal purchased as a proxy for the precious metal content of sales, as the precious metal content of sales is not separately tracked and invoiced to customers. The Company believes that is reasonable to use the cost of precious metal content purchased in this manner since precious metal dental alloy sale prices are typically adjusted when the prices of underlying precious metals change. it The presentation of net sales, excluding precious metal content, is considered a measure not calculated in accordance with US GAAP, and is therefore considered a non-US GAAP measure. The Company provides the following reconciliation of net sales to net sales, The Company’s definitions and calculations of net sales, excluding precious metal content, and other operating measures derived using net sales, excluding precious metal content, may not necessarily be the same as those used by other companies. precious metal excluding content. Year Ended December 31, 2016 2015 $ Change % Change $3,745.3 64.3 $3,681.0 $2,674.3 92.8 $2,581.5 $1,071.0 (28.5) $1,099.5 40.0% (30.7%) 42.6% impacted and was unfavorably For the year ended December 31, 2016, sales of our combined businesses grew 3.6% on a constant currency basis. This includes a benefit of 1.7% from net acquisitions by discontinued products by approximately 50 basis points, which leads to internal growth of 2.4%. Net sales, excluding precious metal content, were negatively impacted by approximately 90 basis points due to the strengthening of the U.S. dollar over the prior year period. A reconciliation of reported net sales to net the sales, excluding precious metal content, of combined business for the year ended December 31, 2016 and 2015, respectfully, is as follows: Year Ended December 31, 2016 2015 $ Change % Change $3,745.3 64.3 3,681.0 160.7 13.5 (0.5) $2,674.3 92.8 2,581.5 1,172.5 — (2.3) $ 1,071.0 (28.5) 1,099.5 (1,011.8) 13.5 1.8 40.0% (30.7%) 42.6% NM NM NM precious metal content . . . . . . . . . . . . . . . . . . . . $3,854.7 $3,751.7 $ 103.0 2.7% (a) Represents Sirona sales for January and February 2016, and the year ended December 31, 2015. 32 (b) Represents an adjustment to reflect deferred subscription and warranty revenue that was eliminated under business combination accounting standards to make the 2016 and 2015 non-U.S. GAAP combined business results comparable. NM — Not meaningful Sales Growth by Region Net sales, excluding precious metal content, for the year ended December 31, 2016 and 2015, respectfully, by geographic region is as follows: Year Ended December 31, 2016 2015 $ Change % Change (in millions, except percentage amounts) United States . . . . . . . . . . . . . . . . . . . . . . . . Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rest of World . . . . . . . . . . . . . . . . . . . . . . . . $1,306.4 1,421.7 952.9 $ 958.8 1,065.3 557.4 $347.6 356.4 395.5 36.3% 33.5% 71.0% A reconciliation of reported net sales to net sales, excluding precious metal content, of the combined business by geographic region for the year ended December 31, 2016 and 2015, respectfully, is as follows: (in millions) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: precious metal content of sales . . . . . . . . . Net sales, excluding precious metal content . . . . Sirona net sales(a) . . . . . . . . . . . . . . . . . . . . . Merger related adjustments(b) . . . . . . . . . . . . Elimination of intercompany net sales . . . . . . . Non-US GAAP combined business, net sales, Year Ended December 31, 2016 United States Europe $1,311.6 5.2 1,306.4 60.5 11.9 (0.1) $1,463.2 41.5 1,421.7 59.4 1.6 (0.4) Rest of World $970.5 17.6 952.9 40.8 — — Total $3,745.3 64.3 3,681.0 160.7 13.5 (0.5) excluding precious metal content . . . . . . . . . . $1,378.7 $1,482.3 $993.7 $3,854.7 (a) Represents Sirona sales for January and February 2016 (b) Represents an adjustment to reflect deferred subscription and warranty revenue that was eliminated under business combination accounting standards to make the 2016 and 2015 non-U.S. GAAP combined business results comparable. (in millions) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: precious metal content of sales . . . . . . . . . Net sales, excluding precious metal content . . . . Sirona net sales(a) . . . . . . . . . . . . . . . . . . . . . Elimination of intercompany net sales . . . . . . . . . Non-US GAAP combined business, net sales, Year Ended December 31, 2015 United States Europe $ 965.9 7.1 958.8 406.4 (0.1) $1,125.7 60.4 1,065.3 394.0 (2.2) Rest of World $582.7 25.3 557.4 372.1 — Total $2,674.3 92.8 2,581.5 1,172.5 (2.3) excluding precious metal content . . . . . . . . . . $1,365.1 $1,457.1 $929.5 $3,751.7 (a) Represents Sirona sales for the year ended December 31, 2015. United States increased by 36.3% for Reported net sales, excluding precious metal content, the year ended December 31, 2016 as compared to the year ended December 31, 2015. This increase reflects sales of $352.3 million as a result of the Merger and other acquisitions, primarily the consolidation of the Sirona ten months. businesses for approximately $11.9 million of eliminated adjustments to deferred income. value fair in This excludes revenue that was accounting purchase For the year ended December 31, 2016, sales of our combined businesses grew 1.0% on a constant currency basis. This includes a benefit of 2.3% from net 33 and was unfavorably acquisitions by discontinued products by approximately 40 basis points, which results in a negative internal sales growth rate of 0.9%. This was driven by lower sales in the Technologies segment and was the result of lower purchases by a dealer compared to the prior period. impacted Europe increased by 33.5% for Reported net sales, excluding precious metal content, the year ended December 31, 2016 as compared to the year ended December 31, 2015. This increase reflects sales of $361.6 million as a result of the Merger and other acquisitions, primarily the consolidation of the Sirona excludes ten months. for businesses revenue that was approximately $1.6 million of eliminated accounting adjustments to deferred income. purchase value This fair in For the year ended December 31, 2016, sales of our combined businesses grew 3.2% on a constant currency basis. This includes a benefit of 1.0% from net acquisitions by discontinued products by approximately 70 basis points, which results in internal growth of 2.9%. Net sales, excluding precious metal content, were negatively unfavorably and was impacted by approximately the impacted the U.S. dollar over the prior year strengthening of period. Internal sales growth in this region was primarily driven by higher demand in the Dental and Healthcare Consumables segment. 1.5% due to Rest of World increased by 71.0% for Reported net sales, excluding precious metal content, the year ended December 31, 2016 as compared to the year ended December 31, 2015. This increase reflects sales of $378.7 million as a result of the Merger and other acquisitions, primarily the consolidation of the Sirona businesses for ten months. and was unfavorably For the year ended December 31, 2016, sales of our combined businesses grew 8.2% on a constant currency basis. This includes a benefit of 1.9% from net acquisitions by discontinued products by approximately 30 basis points, which results in internal growth of 6.6%. Net sales, excluding precious metal content, were negatively impacted the strengthening of the U.S. dollar over the prior year period. Internal sales growth in this region was driven by higher demand in both segments led by the Technologies segment. approximately 1.2% due impacted by to Gross Profit (in millions, except percentage amounts) Gross profit Gross profit as a percentage of net sales, including . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Year Ended December 31, 2016 2015 $ Change % Change $2,000.9 $1,517.2 $483.7 31.9% precious metal content . . . . . . . . . . . . . . . . . . . . . 53.4% 56.7% Gross profit as a percentage of net sales, excluding precious metal content . . . . . . . . . . . . . . . . . . . . . 54.4% 58.8% Gross profit as a percentage of net sales, excluding precious metal content, decreased by 440 basis points for the year ended December 31, 2016 as compared to the year ended December 31, 2015. This decrease was the result of the roll-off of Merger related fair value adjustments, Sirona’s lower gross profit rate, and foreign currency, which negatively impacted the rate by 610 basis points. The decrease was partially offset by savings from the Company’s global efficiency and integration program and favorable product pricing during the year ended December 31, 2016 as compared to the year ended December 31, 2015. Operating Expenses (in millions, except percentage amounts) Selling, general and administrative expenses (“SG&A”) . . Restructuring and other costs . . . . . . . . . . . . . . . . . . SG&A as a percentage of net sales, including precious Year Ended December 31, 2016 2015 $ Change % Change $1,523.0 23.2 $1,077.3 64.7 $445.7 (41.5) 41.4% (64.1%) metal content . . . . . . . . . . . . . . . . . . . . . . . . . . . 40.7% 40.3% SG&A as a percentage of net sales, excluding precious metal content . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.4% 41.7% 34 SG&A Expenses SG&A research including expenses, and developing expenses, as a percentage of net sales, excluding precious metal content, for the year ended December 31, 2016 decreased 30 basis points compared to the year ended December 31, 2015. The decrease was primarily the result of Sirona’s lower operating expense rate and savings from the Company’s global efficiency and integration program, partially offset by increased amortization expense and other costs related to the Merger. Restructuring and Other Costs restructuring and The Company recorded net the year ended other costs of $23.2 million for December 31, 2016 compared to $64.7 million for the year ended December 31, 2015. In 2016, restructuring costs were related to the closure and consolidation of to streamline the Company’s facilities in an effort the Company’s operations leverage better and resources. In 2015, the Company reorganized portions of its laboratory business and associated manufacturing capabilities within and Healthcare Consumables segment. the Dental its manufacturing, In October 2016, the Company announced that it is proposing plans in Germany to reorganize and logistics and combine portions of the Company’s distribution networks within both of segments. As required under German law, the Company has entered into a statutory co-determination process under which it will collaborate with the appropriate the infrastructure and staffing adjustments necessary to this initiative. The Company also initiated support the world. The regions of similar actions in other Company estimates the cost of these initiatives to range up to $83 million, primarily for severance related benefits for employees, which is expected to be incurred as actions are implemented over the next two years. groups define jointly labor to Other Income and Expenses (in millions, except percentage amounts) Net interest expense . . . . . . . . . . . . . . . . . . . . . . . . Other expense (income), net . . . . . . . . . . . . . . . . . . Net interest and other expense . . . . . . . . . . . . . . . . . $ 33.9 (20.1) $ 13.8 $53.7 (8.2) $45.5 $(19.8) (11.9) $(31.7) (36.9%) NM Year Ended December 31, 2016 2015 $ Change % Change NM — Not meaningful Net Interest Expense Net interest expense for the year ended December 31, 2016 was $19.8 million lower as compared to the year ended December 31, 2015. The decrease is a result of $15.5 million of costs incurred in 2015 related to a bond tender which was comprised of a bond premium and tender fees paid of $8.5 million and the acceleration of the discount on tendered bonds and other fees of $7.0 million. Excluding the bond tender expense, net interest expense was $4.2 million lower in 2016 as compared to 2015 due to lower average interest rates on lower average debt levels during 2016. Other Expense (Income), Net Other expense (income), net for the year ended December 31, 2016 improved $11.9 million compared to the year ended December 31, 2015. Other expense (income), net for the year ended December 31, 2016 includes foreign exchange gain of $10.3 million and $9.9 million of other non-operating income primarily due to a legal settlement. Other income, net for the year ended December 31, 2015 was $8.2 million, comprised primarily of $5.2 million of foreign exchange gains, and $3.0 million of other non-operating income. Income Taxes and Net Income (in millions, except per share and percentage amounts) Effective income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . Diluted earnings per common share . . . . . . . . . . . . . . . . . . . . . . . 2.2% 23.4% $429.9 $ 1.94 $251.2 $ 1.76 $178.7 Year Ended December 31, 2016 2015 $ Change 35 Provision for Income Taxes legacy DENTSPLY The Company’s effective tax rate for 2016 and 2015 was 2.2% and 23.4%, respectively. For the year ended December 31, 2016, income taxes were a net expense of $9.5 million. During the year, the Company recorded a tax benefit from the release of a valuation allowance on previously unrecognized tax assets related to foreign interest deduction carryforwards of a non-U.S. of approximately $72.6 million, resulting from the Merger. The Company also recorded $0.8 million of tax expense related to other discrete tax matters. Excluding the impact of these tax matters, the Company’s effective tax rate was 18.9%. The effective tax rate was favorably impacted by the Company’s change in the mix of consolidated earnings. Further information regarding the details of income taxes is presented in Note 14, Income Taxes, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K. subsidiary The Company’s effective income tax rate for 2016 included the net impact of business combination related costs and fair value adjustments, amortization of purchased intangible assets, restructuring program related costs and other costs, credit risk and fair value adjustments and income tax related adjustments which impacted income before income taxes and the provision for income taxes by $340.3 million and $153.1 million, respectively. value adjustments, The Company’s effective income tax rate for 2015 included the net impact of restructuring program related costs and other costs, amortization of purchased intangible assets, business combination related costs and fair related adjustments, credit risk and fair value adjustments and certain an unconsolidated affiliated company which impacted income before income taxes and the provision for income taxes by $153.0 million and $33.5 million, respectively. income tax adjustments related value fair to Net Income attributable to Dentsply Sirona net adjusted discloses In addition to the results reported in accordance with US GAAP, the Company provides adjusted net income attributable to Dentsply Sirona and adjusted earnings per diluted common share (“adjusted EPS”). The Company income attributable to Dentsply Sirona to allow investors to evaluate the performance of the Company’s operations exclusive of certain items that impact the comparability of results from period to period and may not be indicative of past or future performance of the normal operations of the Company and certain large non-cash charges related to intangible assets either purchased or combination. The acquired Company believes that in understanding underlying operating trends and cash flow generation. business this information is helpful through a 36 Adjusted net income and adjusted EPS are important internal measures for the Company. Senior management receives a monthly analysis of operating results that includes adjusted net income and adjusted EPS and the performance of the Company is measured on this basis along with other performance metrics. The adjusted net income attributable to Dentsply Sirona consists of net income attributable to Dentsply Sirona adjusted to exclude the following: (1) Business combination related costs and fair value adjustments. These adjustments include costs related to integrating and consummating mergers and recently acquired businesses, as well as costs, gains and losses related to the disposal of businesses or product lines. In addition, this category includes the roll off to the consolidated statement of operations of fair value adjustments related to business combinations, except for amortization expense noted below. These items are irregular in timing and as such may not be the indicative of past and future performance of Company and are therefore excluded to allow investors to better understand underlying operating trends. and contract terminations (2)Restructuring program related costs and other costs. These adjustments include costs related to the implementation of restructuring initiatives as well as certain other costs. These costs can include, but are not limited to, severance costs, facility closure costs, lease related professional service costs, duplicate facility and labor costs associated with specific restructuring initiatives, as well as, legal settlements and impairments of assets. These items are irregular in timing, amount and impact to the Company’s financial performance. As such, these items may not be indicative of past and future performance of the Company and are therefore excluded for the purpose of understanding underlying operating trends. costs, of excludes purchased adjustment Amortization intangible (3) assets. This periodic amortization expense related to purchased intangible assets. Amortization expense has been excluded from adjusted net income attributed to Dentsply Sirona to allow investors to evaluate and understand operating trends excluding these large non-cash charges. the (4) Credit risk and fair value adjustments. These adjustments include both the cost and income impacts of adjustments in certain assets and liabilities including the Company’s pension obligations, that are recorded through net income which are due solely to the changes in fair value and credit risk. These items can be variable and driven more by market conditions than the Company’s operating performance. As such, these items may not be indicative of past and future performance of the Company and therefore are excluded for comparability purposes. (5) Certain fair value adjustments related to an unconsolidated affiliated company. This adjustment the value represents adjustment the fair of unconsolidated affiliated company’s convertible debt instrument held by the Company. The affiliate is accounted for under the equity method of accounting. The fair value adjustment is driven by open market pricing of the affiliate’s equity instruments, which has a high degree of variability and may not be indicative of the the operating performance of Company. the affiliate or (6) Income tax related adjustments. These adjustments include both income tax expenses and income tax benefits that are representative of income tax adjustments mostly related to prior periods, as well as the final settlement of income tax audits, and discrete tax items resulting from the implementation of restructuring initiatives. These adjustments are irregular in timing and amount and may significantly impact the Company’s operating performance. As such, these items may not be indicative of past and future performance of the Company and therefore are excluded for comparability purposes. Adjusted earnings per diluted common share is calculated by dividing adjusted net income attributable to Dentsply Sirona by diluted weighted-average common shares outstanding. Adjusted net income attributable to Dentsply Sirona and adjusted earnings per diluted common share are considered measures not calculated in accordance with US GAAP, and therefore are non-US GAAP measures. These non-US GAAP measures may differ from other companies. Income tax related adjustments may include the impact to adjust the interim effective income tax rate to the expected annual effective tax rate. The non-US GAAP financial information should not be considered in isolation from, or as a substitute for, measures of financial performance prepared in accordance with US GAAP. Year Ended December 31, 2016 Per Diluted Common Share Net Income (in millions, except per share amounts) Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . $429.9 $ 1.94 Pre-tax non-US GAAP adjustments: Business combination related costs and fair value adjustments . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . Tax impact of the pre-tax non-US GAAP adjustments(a) . . . . . . . . . . . . . Subtotal non-US GAAP adjustments . . . . . . . . . . . . . . . . . . . . . . Income tax related adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP net income . . . . . . . . . . . . . . . . . . . . . . . . . . . 162.2 155.3 17.0 5.8 (79.6) 260.7 (73.5) $617.1 1.17 (0.33) $ 2.78 (a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US GAAP adjustments were generated. Year Ended December 31, 2015 Per Diluted Common Share Net Income (in millions, except per share amounts) Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . $251.2 $1.76 Pre-tax non-US GAAP adjustments: Restructuring program related costs and other costs . . . . . . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . Certain fair value adjustments related to an unconsolidated affiliated company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax impact of the pre-tax non-US GAAP adjustments(a) . . . . . . . . . . . . . Subtotal non-US GAAP adjustments . . . . . . . . . . . . . . . . . . . . . . Income tax related adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP net income . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.9 43.7 13.3 8.3 (2.8) (39.8) 115.6 6.3 $373.1 0.82 0.04 $2.62 (a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US GAAP adjustments were generated. 37 Adjusted Operating Income and Margin Adjusted operating income and margin is another important internal measure for the Company. Operating income in accordance with US GAAP is adjusted for the items noted above which are excluded on a pre-tax basis to arrive at adjusted operating income, a non-US GAAP measure. The adjusted operating margin is calculated by dividing adjusted operating income by net sales, excluding precious metal content. Senior management receives a monthly analysis includes adjusted operating of operating results that income. The performance of the Company is measured on this basis along with the adjusted non-US GAAP earnings noted above as well as other performance metrics. This non-US GAAP measure may differ from other companies and should not be considered in isolation from, or as a substitute for, measures of financial performance prepared in accordance with US GAAP. Year Ended December 31, 2016 Percentage of Net Sales, Excluding Precious Metal Content Operating Income (Loss) (in millions, except percentage of net sales amount) Operating income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP Operating Income . . . . . . . . . . . . . . . . . . . . . . . $454.7 161.8 155.3 27.1 5.3 $804.2 12.4% 4.4% 4.2% 0.7% 0.1% 21.8% Year Ended December 31, 2015 Percentage of Net Sales, Excluding Precious Metal Content Operating Income (Loss) (in millions, except percentage of net sales amounts) Operating income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP Operating Income . . . . . . . . . . . . . . . . . . . . . . . $375.2 81.1 43.7 13.1 8.0 $521.1 14.5% 3.2% 1.7% 0.5% 0.3% 20.2% Operating Segment Results Net Sales, Excluding Precious Metal Content (in millions, except percentage amounts) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,994.3 $1,686.7 $1,868.8 $ 712.7 $125.5 $974.0 6.7% 136.7% Year Ended December 31, 2016 2015 $ Change % Change Segment Operating Income (in millions, except percentage amounts) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $544.5 $355.1 $470.1 $ 93.7 $ 74.4 $261.4 15.8% 279.0% Year Ended December 31, 2016 2015 $ Change % Change 38 A reconciliation of reported net sales to net sales, excluding precious metal content, of the combined business by segment for the year ended December 31, 2016 and 2015, respectfully, is as follows: (in millions) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: precious metal content of sales . . . . . . . . . . . . . . . . . Net sales, excluding precious metal content . . . . . . . . . . . . . Sirona net sales(a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Merger related adjustments(b) . . . . . . . . . . . . . . . . . . . . . Elimination of intercompany net sales . . . . . . . . . . . . . . . . . Non-US GAAP combined business, net sales, excluding Year Ended December 31, 2016 Dental and Healthcare Consumables $2,058.1 63.8 1,994.3 15.7 — (0.5) Technologies Total $1,687.2 0.5 1,686.7 145.0 13.5 — $3,745.3 64.3 3,681.0 160.7 13.5 (0.5) precious metal content . . . . . . . . . . . . . . . . . . . . . . . . . $2,009.5 $1,845.2 $3,854.7 (a) Represents Sirona sales for January and February 2016 (b) Represents an adjustment to reflect deferred subscription and warranty revenue that was eliminated under business combination accounting standards to make the 2016 and 2015 non-U.S. GAAP combined business results comparable. (in millions) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: precious metal content of sales . . . . . . . . . . . . . . . . . Net sales, excluding precious metal content . . . . . . . . . . . . . Sirona net sales(a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Elimination of intercompany net sales . . . . . . . . . . . . . . . . . Non-US GAAP combined business, net sales, excluding Year Ended December 31, 2015 Dental and Healthcare Consumables $1,961.0 92.2 1,868.8 112.1 (2.3) Technologies Total $ 713.3 0.6 712.7 1,060.4 — $2,674.3 92.8 2,581.5 1,172.5 (2.3) precious metal content . . . . . . . . . . . . . . . . . . . . . . . . . $1,978.6 $1,773.1 $3,751.7 (a) Represents Sirona sales for the year ended December 31, 2015. Dental and Healthcare Consumables increased by 6.7% for Reported net sales, excluding precious metal content, the year ended December 31, 2016 as compared to the year ended December 31, 2015. This increase reflects sales of $106.4 million as a result of the Merger and other acquisitions, primarily the consolidation of the Sirona businesses for ten months. For the year ended December 31, 2016, sales of our combined businesses grew 2.7% on a constant currency basis. This includes a benefit of approximately 60 basis points from net acquisitions and was unfavorably impacted by discontinued products by approximately 80 basis points, which results in internal growth of 2.9%. Net sales, excluding precious metal content, were negatively impacted by approximately 1.1% due to the strengthening of the U.S. dollar over the prior year period. Sales growth was led by Europe and the Rest of World region. The operating income increase for the year ended December 31, 2016 as compared to 2015 reflects the savings from the Company’s global efficiency and integration program, as well as the impact of the Merger. Technologies Reported net sales, excluding precious metal content, increased by $974.0 million for the year ended December 31, 2016 as compared to the year ended December 31, 2015. This increase is a result of the Merger the consolidation of the Sirona businesses for ten months. This excludes approximately $13.5 million of revenue that was eliminated in fair value purchase accounting adjustments to deferred income. acquisitions, primarily other and For the year ended December 31, 2016, sales of our combined businesses grew 4.6% on a constant currency basis. This includes a benefit of 2.8% from net acquisitions which results in internal growth of 1.8%. Net sales, excluding precious metal content, were negatively impacted by approximately 60 basis points due to the strengthening of the U.S. dollar over the prior 39 year period. Sales growth in this segment reflects increased demand in the Rest of World region offset by sales declines in the United State which reflects lower purchases by a dealer compared to the prior year period. The operating income increase for the year ended December 31, 2016 as compared to 2015 reflects the impact of the Merger. RESULTS OF OPERATIONS 2015 Compared to 2014 Net Sales (in millions, except percentage amounts) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Precious metal content of sales . . . . . . . . . . . . Net sales, excluding precious metal content . . . . . . . . $2,674.3 92.8 $2,581.5 $2,922.6 129.9 $2,792.7 $(248.3) (37.1) $(211.2) (8.5%) (28.6%) (7.6%) Year Ended December 31, 2015 2014 $ Change % Change For the year ended December 31, 2015, net sales, excluding precious metal content decreased $211.2 million or 7.6% from the year end December 31, 2014. The change in net sales excluding precious metals content reflects 9.5% unfavorable foreign currency translation. Excluding the impact of unfavorable foreign currency translation and excluding precious metal content, net sales grew 1.9%. Sales related to precious metal content declined 28.6% from the prior year period which was primarily due to the continuing reduction in refinery volumes and the declining use of precious metal alloys in dentistry. Constant Currency Sales Growth The following table includes growth rates for net sales, excluding precious metal content. Internal sales growth . . . . . . . . . . . . . . . . . . . . . . . Net acquisition (divestiture) sales growth . . . . . . . . . . Constant currency sales growth . . . . . . . . . . . . . . . . Year Ended December 31, 2015 United States 3.1% (0.5%) 2.6% Europe (0.3%) —% (0.3)% Rest of World 4.9% 0.4% 5.3% Worldwide 2.0% (0.1%) 1.9% United States During 2015, net sales, excluding precious metal content, increased by 2.6% on a constant currency basis compared to 2014. Internal sales growth of 3.1% was led by increased sales in the dental consumables and dental specialty product categories. Internal growth for the year ended December 31, 2015 was negatively impacted by approximately 0.8% as a result of product line discontinuations associated with the Company’s global efficiency initiative. Europe During 2015, net sales, excluding precious metal content, decreased by 0.3% on a constant currency Internal sales growth was basis compared to 2014. negative 0.3% mostly as a result of a decrease in sales of dental laboratory products and continued contraction in the CIS region, partially offset by positive sales growth in dental consumable and dental specialty products categories. Internal growth for the year ended December 31, 2015 was negatively impacted by approximately 0.5% as a result of product line discontinuations associated with the Company’s global efficiency initiative. Rest of World During 2015, net sales, excluding precious metal content, increased 5.3% on a constant currency basis compared to 2014. The internal sales growth of 4.9% was led by the dental specialty product category. Internal growth for the year ended December 31, 2015 was negatively impacted by approximately 0.3% as a result of product line discontinuations associated with the Company’s global efficiency initiative. 40 Gross Profit (in millions, except percentage amounts) Gross profit Gross profit as a percentage of net sales, including . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Year Ended December 31, 2015 2014 $ Change % Change $1,517.2 $1,599.8 $(82.6) (5.2%) precious metal content . . . . . . . . . . . . . . . . . . . . 56.7% 54.7% Gross profit as a percentage of net sales, excluding precious metal content . . . . . . . . . . . . . . . . . . . . 58.8% 57.3% Gross profit as a percentage of net sales, excluding precious metal content, increased 150 basis points during 2015 compared to 2014. The increase in the gross profit rate was due to the favorable impact of foreign currency, benefits from the Company’s global efficiency initiative, favorable pricing and product mix when compared to the year ended December 31, 2014. Expenses Selling, General and Administrative (“SG&A”) Expenses (in millions, except percentage amounts) SG&A expenses . . . . . . . . . . . . . . . . . . . . . . . . . . SG&A expenses as a percentage of net sales, including . . . . . . . . . . . . . . . . . . . . precious metal content SG&A expenses as a percentage of net sales, Year Ended December 31, 2015 2014 $ Change % Change $1,077.3 $1,143.1 $(65.8) (5.8%) 40.3% 39.1% excluding precious metal content . . . . . . . . . . . . . 41.7% 40.9% SG&A expenses as a percentage of net sales, excluding precious metal content, increased 80 basis points as compared to 2014 primarily as a result of the fees mostly related to the increase in professional Company’s global efficiency initiative, merger and acquisition related expenses and higher pension costs. Restructuring and Other Costs (in millions, except percentage amounts) Restructuring and other costs . . . . . . . . . . . . . . . . . $64.7 $11.1 $53.6 NM Year Ended December 31, 2015 2014 $ Change % Change NM — Not meaningful The Company recorded net restructuring and other costs of $64.7 million in 2015 compared to $11.1 million in 2014. On May 22, 2015, the Company announced that it reorganized portions of its laboratory business and associated manufacturing capabilities within the Dental and Healthcare Consumables segment. During the year ended December 31, 2015, the Company recorded $37.3 million of costs that consist primarily of employee severance benefits related to these actions. Also during the year ended recorded December restructuring costs of $16.3 million within the the Company 2015, 31, segment Technologies consists primarily of that employee severance benefits related to the global efficiency initiative. In 2014, the Company recorded restructuring costs of $9.9 million related to the closure and consolidation of facilities in an effort to streamline the Company’s the and Company’s resources. Restructuring and other costs also includes expense of $1.2 million related to net legal settlements. operations leverage better 41 Other Income and Expenses (in millions, except percentage amounts) Net interest expense . . . . . . . . . . . . . . . . . . . . . . . Other expense (income), net . . . . . . . . . . . . . . . . . . Net interest and other expense . . . . . . . . . . . . . . . . $53.7 (8.2) $45.5 $41.3 (0.1) $41.2 $12.4 (8.1) $ 4.3 30.0% NM Year Ended December 31, 2015 2014 $ Change % Change NM — Not meaningful Net Interest Expense Net interest expense for the year ended December 31, 2015 was $12.4 million higher as compared to the year ended December 31, 2014. The increase is a result of $15.5 million of costs incurred related to the December 11, 2015 bond tender which was comprised of a bond premium and tender fees paid of $8.5 million and the acceleration of the discount on fees of $7.0 million. tendered bonds and other Excluding the bond tender expense, net interest expense was $3.1 million lower in 2015 as compared to 2014 due to lower average debt levels during 2015 partially offset by lower investment income compared to the prior year. Income Taxes and Net Income Other Expense (Income), Net Other expense (income), net for the year ended December 31, 2015 improved $8.1 million compared to the year ended December 31, 2014. Other expense (income), net for the year ended December 31, 2015 includes foreign exchange gain of $5.1 million on the sale of convertible bonds and $3.0 million of other non-operating income. Other income, net for the year ended December 31, 2014 was $0.1 million, comprised primarily of $1.1 million of interest and non-cash income relating to fair value adjustments on cross currency basis swaps not designated as hedges that offset currency risk on intercompany loans, $2.5 million of currency transaction losses, and $1.4 million of other non-operating income. Year Ended December 31, 2015 2014 $ Change (in millions, except per share and percentage amounts) Effective income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.4% 20.1% Equity in net loss of unconsolidated affiliated company . . . . . . . . . . $ (1.6) Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . Diluted earnings per common share . . . . . . . . . . . . . . . . . . . . . . $251.2 $ 1.76 $ (0.4) $322.9 $ 2.24 $ (1.2) $(71.7) Provision for Income Taxes The Company’s effective tax rate for 2015 and 2014 was 23.4% and 20.1%, respectively. During 2015, the Company recorded tax expense of $5.6 million the related to prior year tax matters. During 2014, Company recorded a tax benefit from the release of valuation allowances on previously unrecognized tax loss carryforwards and other deferred tax assets of approximately $8.3 million, a tax benefit of $1.4 million related to statutory tax rate changes and $4.5 million of unfavorable tax effects related to prior year tax matters. The Company’s effective income tax rate for 2015 includes the impact of restructuring program related costs and other costs, amortization of purchased intangible assets, business combination related costs and fair value adjustments, credit risk and fair value adjustments as well as various income tax adjustments which impacted income before income taxes and the provision for income taxes by $153.0 million and $33.5 million, respectively. The Company’s effective income tax rate for 2014 includes the impact of amortization of purchased intangible assets, restructuring program related costs and other costs, business combination related costs and fair value adjustments, credit risk and fair value adjustments as well as various income tax adjustments which impacted income before income taxes and the provision for income taxes by $63.2 million and $23.9 million, respectively. Equity in net loss of unconsolidated affiliated company The Company’s 17% ownership investment of DIO Corporation (“DIO”) resulted in a net loss of $1.6 million and $0.3 million on an after-tax basis for the years ended December 31, 2015 and 2014, respectively. The equity earnings of DIO include the result of mark-to-market changes related to the derivative accounting for the convertible bonds issued by DIO to the Dentsply Sirona. The Company’s portion of mark-to-market loss recorded through DIO’s net income the year ended was approximately $2.4 million for 42 December 31, 2015. For the year ended December 31, the mark-to-market the Company’s portion of 2014, gain recorded through DIO’s net income was approximately $1.2 million. During the quarter ended the Company sold the DIO September 30, 2015, the convertible bonds. As part of to convertible relinquish its two board seats on the DIO Board of Directors. At December 31, 2015, the Company no longer has representation on the DIO Board of Directors and as a result, the Company no longer has influence on the operations of DIO. The significant Company uses the cost-basis method of accounting for the remaining direct investment. the disposition of requested the Company bonds, Net income attributable to Dentsply Sirona In addition to the results reported in accordance with US GAAP, the Company provides adjusted net income attributable to Dentsply Sirona and adjusted net adjusted discloses earnings per diluted common share (“adjusted EPS”). income The Company attributable to Dentsply Sirona to allow investors to evaluate the performance of the Company’s operations exclusive of certain items that impact the comparability of results from period to period and may not be indicative of past or future performance of the normal operations of the Company and certain large non-cash charges related to intangible assets either purchased or combination. The acquired Company believes that in understanding underlying operating trends and cash flow generation. business this information is helpful through a Adjusted net income and adjusted EPS are important internal measures for the Company. Senior management receives a monthly analysis of operating results that includes adjusted net income and adjusted EPS and the performance of the Company is measured on this basis along with other performance metrics. Year Ended December 31, 2015 Per Diluted Common Share Net Income (in millions, except per share amounts) Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . $251.2 $1.76 Pre-tax non-US GAAP adjustments: Restructuring program related costs and other costs . . . . . . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . Certain fair value adjustments related to an unconsolidated affiliated company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax impact of the pre-tax non-US GAAP adjustments(a) . . . . . . . . . . . . . Subtotal non-US GAAP adjustments . . . . . . . . . . . . . . . . . . . . . . Income tax related adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP net income . . . . . . . . . . . . . . . . . . . . . . . . . . . 92.9 43.7 13.3 8.3 (2.8) (39.8) 115.6 6.3 $373.1 0.82 0.04 $2.62 (a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US GAAP adjustments were generated. Year Ended December 31, 2014 Per Diluted Common Share Net Income (in millions, except per share amounts) Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . $322.9 $ 2.24 Pre-tax non-US GAAP adjustments: Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . Certain fair value adjustments related to an unconsolidated affiliated company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax impact of the pre-tax non-US GAAP adjustments(a) . . . . . . . . . . . . . Subtotal non-US GAAP adjustments . . . . . . . . . . . . . . . . . . . . . . Income tax related adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP net income . . . . . . . . . . . . . . . . . . . . . . . . . . . 47.9 12.5 3.5 (0.7) (1.2) (19.6) 42.4 (4.3) $361.0 0.29 (0.03) $ 2.50 (a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US GAAP adjustments were generated. 43 Adjusted Operating Income and Margin Adjusted operating income and margin is another important internal measure for the Company. Operating income in accordance with US GAAP is adjusted for the items noted above which are excluded on a pre-tax basis to arrive at adjusted operating income, a non-US GAAP measure. The adjusted operating margin is calculated by dividing adjusted operating income by net sales, excluding precious metal content. Senior management receives a monthly analysis includes adjusted operating of operating results that income. The performance of the Company is measured on this basis along with the adjusted non-US GAAP earnings noted above as well as other performance metrics. This non-US GAAP measure may differ from other companies and should not be considered in isolation from, or as a substitute for, measures of financial performance prepared in accordance with US GAAP. Year Ended December 31, 2015 Percentage of Net Sales, Excluding Precious Metal Content Operating Income (Loss) (in millions, except percentage of net sales amount) Operating income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . . . Credit risk and fair value adjustments . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted non-US GAAP Operating Income . . . . . . . . . . . . . . . . . . . . . . . $375.2 81.1 43.7 13.1 8.0 $521.1 14.5% 3.2% 1.7% 0.5% 0.3% 20.2% Year Ended December 31, 2014 Percentage of Net Sales, Excluding Precious Metal Content Operating Income (Loss) (in millions, except percentage of net sales amounts) Operating income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . Amortization of purchased intangible assets . . . . . . . . . . . . . . . . . . . . Restructuring program related costs and other costs . . . . . . . . . . . . . . . Business combination related costs and fair value adjustments . . . . . . . . Adjusted non-US GAAP Operating Income . . . . . . . . . . . . . . . . . . . . . . . $445.6 47.9 12.5 6.8 $512.8 16.0% 1.7% 0.5% 0.2% 18.4% Operating Segment Results Net Sales, Excluding Precious Metal Content (in millions, except percentage amounts) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,868.8 $ 712.7 $2,013.2 $ 779.5 $(144.4) $ (66.8) (7.2%) (8.6%) Year Ended December 31, 2015 2014 $ Change % Change Segment Operating Income (in millions, except percentage amounts) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 470.1 93.7 $ $ 467.5 $ 111.3 $ 2.6 $ (17.6) 0.6% (15.8%) Year Ended December 31, 2015 2014 $ Change % Change 44 Dental and Healthcare Consumables Net sales, excluding precious metal content, decreased $144.4 million, or 7.2%, during 2015 as compared to 2014. On a constant currency basis, net sales, excluding precious metal content, increased 2.2% primarily due to sales growth in the Dental Consumable businesses partially offset by softer sales in the Dental Laboratory businesses as a result of product line discontinuations associated with the Company’s global efficiency initiative. Operating income improved $2.6 million or 0.6% during 2015 compared to 2014. The improvement in operating income was primarily the result of improved gross margins partially offset by higher operating expenses and negative foreign currency translation within these businesses in aggregate. Technologies Net sales, excluding precious metal content, decreased $66.8 million, or 8.6%, during 2015 compared to 2014. Sales increased on a constant currency basis by 0.9%, led by increased sales in the Implant business. Operating income decreased $17.6 million or 15.8% during 2015 compared to 2014 as negative foreign operating translation improvements and income generated from internal sales growth. currency offset CRITICAL ACCOUNTING JUDGMENTS AND POLICIES consolidated the Company The preparation of future events that affect in the Company’s consolidated financial statements in conformity with US GAAP to make estimates and requires the assumptions about amounts financial the reported statements and accompanying notes. Future events and their effects cannot be determined with absolute certainty. Therefore, the determination of estimates requires the exercise of judgment. Actual results could differ from those estimates, and such differences may be material to the consolidated financial statements. The process of determining significant estimates is fact specific and takes into account factors such as historical experience, current and expected economic conditions, product mix and in some cases, actuarial techniques. The Company evaluates these significant factors as facts and circumstances dictate. Some events as described below could cause results to differ significantly from those determined using estimates. The Company has identified the following accounting estimates as those which are critical to its business and results of operations. accounting which requires the Company to record their assets acquired and liabilities assumed at respective fair values with the excess of the purchase price over estimated fair values recorded as goodwill. The assumptions made in determining the fair value of acquired assets and assumed liabilities as well as asset lives can materially impact the results of operations. and asset intangible The Company obtains information during due diligence and through other sources to get respective fair values. Examples of factors and information that the Company uses to determine the fair values include: tangible and appraisals; evaluations of existing contingencies and liabilities and product line integration information. If the initial valuation for an acquisition is incomplete by the end of the quarter in which the acquisition occurred, the Company will record a provisional estimate in the financial statements. The provisional estimate will be finalized as soon as information becomes available but will only occur up to one year from the acquisition date. evaluations Goodwill and Other Long-Lived Assets Goodwill and Indefinite-Lived Assets tests, The Company follows the accounting standards for goodwill and indefinite-lived intangibles, which require an annual test for impairment to goodwill using a fair value approach. In addition to minimum annual the Company also requires that impairment impairment assessments be made more frequently if events or changes in circumstances indicate that the goodwill or indefinite-lived assets might be impaired. If impairment related to goodwill is identified, the resulting charge is determined by recalculating goodwill through a hypothetical purchase price allocation of the fair value and reducing the current carrying value to the extent it exceeds the recalculated goodwill. the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss is recognized. If Other Long-Lived Assets lives. Other their estimated useful long-lived assets, such as definite-lived intangible assets and fixed assets, are amortized or depreciated over In accordance with US GAAP, these assets are reviewed for impairment whenever events or circumstances provide evidence that suggest that the carrying amount of the asset may not be recoverable based upon an evaluation of the identifiable undiscounted cash flows. If impaired based on the identifiable undiscounted cash flows, the asset’s fair value is determined using the discounted participant assumptions. The resulting charge reflects the excess of the asset’s carrying cost over its fair value. flow and market cash Business Acquisitions Impairment Assessment The Company acquires businesses as well as partial interests in businesses. Acquired businesses are accounted for using the acquisition method of Assessment of the potential impairment of goodwill and other long-lived assets is an integral part of the Company’s normal ongoing review of operations. 45 impairment impairment of the outcome of results. Changes Testing for potential these assets is significantly dependent on numerous assumptions and reflects management’s best estimates at a particular point in time. The dynamic economic environments in which the Company’s businesses operate and key economic and business assumptions with respect to increased competition and projected selling prices, introductions of new technologies can significantly affect tests. Estimates based on these assumptions may differ significantly factors from actual and impairments assumptions used in assessing potential can have a significant impact on the existence and magnitude of impairments, as well as the time at which such impairments are recognized. there are unfavorable changes in these assumptions, particularly changes in the Company’s discount rates, earnings multiples and future cash flows, the Company may be required to recognize impairment charges. Information with respect to the Company’s significant accounting policies on goodwill and other long-lived assets are included in Note 1, Significant Accounting Policies, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K. in If Annual Goodwill Impairment Testing Goodwill is not amortized; instead, it is tested for impairment annually or more frequently if indicators of impairment exist or if a decision is made to sell a business. The valuation date for annual impairment testing is April 30. Judgment is involved in determining if an indicator of impairment has occurred. Such indicators may include a decline in expected cash flows, a significant adverse change in legal factors or in the business climate, unanticipated competition or slower growth rates, among others. It is important to note that fair values that could be realized in an actual transaction may differ from those used to evaluate the impairment of goodwill. Goodwill is allocated among and evaluated for impairment at the reporting unit level, which is defined as an operating segment or one level below an operating several reporting units contained within each operating segment. segment. The Company has The evaluation of impairment involves comparing the current fair value of each reporting unit to its net book value, including goodwill. The Company uses a discounted cash flow model (“DCF model”) to estimate the current fair value of its reporting units when testing for impairment, as management believes forecasted operating cash flows are the best indicator of such fair value. A number of significant assumptions and estimates are involved in the application of the DCF model to forecast operating cash flows, including future sales growth, operating margin growth, benefits from restructuring initiatives, tax rates, capital spending, business initiatives, and working capital changes. 46 (“WACC”) These assumptions may vary significantly among the reporting units. Operating cash flow forecasts are based on approved business-unit operating plans for the early years and historical relationships and projections in later years. The weighted average cost of capital rate is estimated for geographic regions and applied to the reporting units located within the regions. The Company has not materially changed its methodology for goodwill impairment testing for the years presented. Due to the many variables inherent in the estimation of a reporting unit’s fair value and the the Company’s recorded goodwill, relative size of differences in assumptions may have a material effect on the results of the Company’s impairment analysis. The performance of the Company’s 2016 annual impairment test did not result in any impairment of the Company’s goodwill. The WACC rates utilized in the 2016 analysis ranged from 6.7% to 14.7%. Had the WACC rate of each of the Company’s reporting units been hypothetically increased by 100 basis points at April 30, 2016, the fair value of those reporting units would still exceed net book value. If the fair value of each of the Company’s reporting units had been hypothetically reduced by 5% at April 30, 2016, the fair value of those reporting units would still exceed net book value. If the fair value of each of the Company’s reporting units had been hypothetically reduced by 10% at April 30, 2016, one reporting unit, within the Company’s Technologies segment, would have a fair value that would approximate net book value. Goodwill for that reporting unit totals $66.0 million at April 30, 2016. To the extent that future operating results of the reporting units do not meet the forecasted cash flow projections, the Company can provide no assurance that a future goodwill impairment charge would not be incurred. on year result At December 31, 2016, the Company updated its impairment testing for the one reporting unit goodwill financial above noted current based in any performance. The review did not impairment of the reporting units’ goodwill balance. Assumptions used in the calculations of fair value were substantially consistent with those at April 30, 2016. Had the WACC rate of this reporting unit had been hypothetically increased by 100 basis points at December 31, 2016, the fair value of this reporting unit would still exceed net book value. If the fair value of this reporting unit had been hypothetically reduced by 5%, the fair value of would still exceed book value. If the fair value of the reporting unit had been hypothetically reduced by 10% at December 31, 2016, the reporting unit fair value would approximate net book value. At this December 31, 2016, reporting unit was $54.7 million. Additionally, three reporting units, all components of the Technologies a operating component of the Dental and Healthcare Consumables operating segment, were created as a result of the Sirona merger on February 29, 2016. At the date of the the goodwill balance for segment, reporting unit, and one for the date, Merger, the fair value of the businesses equaled book the reporting units totaling value with goodwill $3,776.8 million. Given the limited time since the units’ Merger values reporting fair approximate the book values of the reporting units. Slower net sales growth rates in the dental industry, an rates, unfavorable changes in increase in discount earnings multiples or a decline in future cash flow projections, among other factors, may cause a change in circumstances indicating that the carrying value of the Company’s goodwill may not be recoverable. Should the Company’s analysis in the future indicate an increase in discount rates or a degradation in the overall markets served by these reporting units, it the carrying value of could result to its implied fair value. There can be no goodwill future assurance goodwill impairment in a charge to earnings. the Company’s result that testing will not in impairment of Annual Indefinite-Lived Intangible Asset Impairment Testing assets judgment intangible Indefinite-lived of consist to amortization; tradenames and are not subject instead, they are tested for impairment annually or more frequently if indicators of impairment exist or if a decision is made to sell a business. A significant amount of is involved in determining if an indicator of impairment has occurred. Such indicators may include a decline in expected cash flow projections, a significant adverse change in legal factors or in the business climate, unanticipated competition or slower growth rates, among others. It is important to note that fair values that could be realized in an actual transaction may differ from those used to evaluate the impairment of indefinite-lived assets. The fair value of acquired tradenames is estimated by the use of a relief from royalty method, which values an indefinite-lived intangible asset by estimating the royalties saved through the ownership of an asset. Under this method, an owner of an indefinite-lived intangible asset determines the arm’s length royalty that likely would have been charged if the owner had to license the asset from a third party. The royalty, which is based on the estimated rate applied against is tax-effected and discounted at forecasted sales, present value using a discount rate commensurate with the relative risk of achieving the cash flow attributable to the asset. Management judgment is necessary to determine projected revenue, royalty rates and appropriate discount rates. Royalty rates used are consistent with those assumed for the original purchase accounting valuation. Other assumptions are consistent with those applied to goodwill impairment testing. assumptions, including key The performance of the Company’s 2016 annual impairment test did not result in any impairment of the the Company’s indefinite-lived assets. Except for 47 indefinite-lived intangibles noted below, if the fair value the Company’s indefinite-lived intangible of each of assets had been hypothetically reduced by 10% or the discount rate had been hypothetically increased by 50 basis points, at December 31, 2016, the fair value of these assets would still exceed their book value. Additionally, indefinite-lived assets recorded on three reporting units, all within the Technologies operating segment, and indefinite-lived assets recorded on one reporting unit within the Dental and Healthcare Consumables operating segment, were identified and the Sirona merger on fair valued as result of February 29, 2016. At the date of the Merger, the fair value of the indefinite-lived assets equaled book value totaling $905.0 million. Given the limited time since the the indefinite-lived asset’s fair values Merger date, approximate the book values. Slower net sales growth rates in the dental industry, an increase in discount rates, unfavorable changes in earnings multiples or a decline in future cash flow projections, among other factors, may cause a change in circumstances indicating that the Company’s the carrying value of indefinite-lived assets may not be recoverable. the tradenames, Should the Company’s analysis in the future indicate an increase in discount rates or a degradation in the use of in impairment of the carrying value of the indefinite-lived assets to its implied fair value. There can be no the Company’s future indefinite-lived assurance that asset impairment testing will not result in a charge to earnings. it could result Litigation The Company and its subsidiaries are from time to time parties to lawsuits arising out of their respective operations. The Company records liabilities when a loss is probable and can be reasonably estimated. These estimates are typically in the form of ranges, and the Company records the liabilities at the low point of the ranges, when no other point within the ranges is a better estimate of the probable loss. The ranges established by management are based on analysis made by internal and external legal counsel based on information known at the Company determines a liability to be only reasonably possible, it considers the same information to estimate the possible exposure and discloses any material potential liability. These loss contingencies are monitored regularly for a change in fact or circumstance that would require an accrual adjustment. The Company believes it has appropriately estimated liabilities for probable losses in the past; however, the unpredictability of litigation and court decisions could cause a liability to be incurred in excess of estimates. Legal costs related to these lawsuits are expensed as incurred. the time. If Income Taxes Income taxes are determined using the liability taxes. The for accounting income of method Company’s tax expense includes the U.S. and income taxes plus the provision for U.S. international taxes on undistributed earnings of international subsidiaries not deemed to be permanently invested. The Company applies a recognition threshold and the financial statement measurement attribute for recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company recognizes in the financial statements, the impact of a tax position, if that position is more likely than not of being sustained on audit, based on the technical merits of the position. Certain items of income and expense are not reported in tax returns and financial statements in the same year. The tax effect of such temporary differences is reported as deferred income taxes. Deferred tax assets are recognized if it is more likely than not that the assets will be realized in future years. The Company establishes a valuation allowance for deferred tax assets for which realization is not likely. At the Company has a valuation December 31, 2016, the benefit of allowance of $182.7 million against certain deferred tax assets of foreign and domestic subsidiaries. The Company operates within multiple taxing jurisdictions and in the normal course of business is examined in various jurisdictions. The reversal of accruals is recorded when examinations are completed, statutes of tax laws are changed. limitation are closed or LIQUIDITY AND CAPITAL RESOURCES Cash flows from operating activities during the year ended December 31, 2016 were $563.4 million compared to $497.4 million during the year ended December 31, 2015. Net income improved by $180.4 million in the period ended December 31, 2016 compared to the prior year, largely from the Merger and acquisition growth. This improvement was offset by increases in accounts receivable and prepaid expenses and merger transaction related fees and integration costs. Working capital uses consumed $153.4 million in 2016 compared to cash generated of $65.4 million in 2015. Primary working capital (defined as inventories plus accounts receivable less accounts payable, a non-US GAAP measure) consumed $112.6 million of operating cash flow in 2016 compared to sources of $46.1 million in 2015. The investment of $112.6 million during the 2016 calendar year came from higher accounts receivable of $75.1 million, higher inventory of $11.6 million, and investment of $25.9 million in prepaid expenses and other current assets, net of accruals. This investment in primary working capital was partially offset by a reduction in inventory of $77.0 million related to the roll off of fair value adjustments from the Merger and acquisitions. The decline in total working capital was further impacted by higher tax payments of $137.1 million in 2016 versus 2015. The Company’s cash and cash equivalents increased by $99.3 million during the year ended December 31, 2016 to $383.9 million. For the year ended December 31, 2016, on a constant currency basis, the number of days for sales outstanding in accounts receivable increased by 4 days to 58 days as compared to 54 days in 2015. On a constant currency basis, the number of days of sales in inventory increased by 3 days to 113 days at December 31, 2016 as compared to 110 days at December 31, 2015. Investing activities during 2016 included cash acquired in the Merger of $522.3 million partially offset by capital expenditures of $125.0 million and acquisitions of businesses of $341.8 million. The Company expects capital expenditures to be in the range of approximately $120.0 million to $140.0 million for the full year 2017. At December 31, 2016, the Company had authorization to maintain up to 39.0 million shares of treasury stock under its stock repurchase program as approved by the Board of Directors. Under this program, the Company purchased approximately 13.4 million shares, or approximately 6.0% of average diluted shares outstanding, during 2016 at a cost of $815.1 million for an average price of $60.78. As of December 31, 2016 and 2015, the Company held 34.4 million and 22.7 million shares of treasury stock, respectively. The Company also received proceeds of $41.0 million primarily as a result of 1.2 million stock options exercised during the year ended December 31, 2016. Total debt increased by $379.1 million for the year ended December 31, 2016. Dentsply Sirona’s long-term debt, including the current portion, at December 31, 2016 and 2015 was $1,522.1 million and $1,150.2 million, respectively. The Company’s long-term debt, including the current portion increased by a net of $371.9 million during the year ended December 31, 2016. This net change included a net increase in borrowings of $407.0 million, and a decrease of $35.1 million due to exchange rate fluctuations on debt denominated in foreign currencies. The net increase in long term borrowings reflects new financing in February, August, and October, 2016, as described below, fund acquisitions. At December 31, 2016 and 2015, there were no outstanding borrowings under the commercial paper facility. During the year ended December 31, 2016, to total capitalization decreased to 12.4% compared to 27.1% at December 31, 2015. Dentsply Sirona defines net debt as total debt, including current and long-term portions, less cash and cash equivalents and total capitalization as the sum of net debt plus total equity. the Company’s ratio of net debt refinance maturing debt and to Pursuant to the December 11, 2015, Note Purchase Agreement the Company issued private placement notes on February 19, 2016 and August 15, 2016 in various aggregate principal amounts as follows: 48 On February 19, 2016, the Company issued a total of 71.0 million euros aggregate principal amount bearing average interest of 2.30%, with an average maturity of 13 years spanning 2026 through 2031. Proceeds from the senior notes were used to pay the final the required payment of $75.0 million under $250.0 million private placement notes that matured on February 19, 2016. in a default under would result the existing debt agreements that would permit the lenders to declare all borrowings under such debt agreements to be immediately due and payable and, through cross default provisions, would entitle the Company’s other lenders to accelerate their loans. At December 31, the Company was in compliance with these 2016, covenants. On August 15, 2016, the Company issued a total of 263.0 million Swiss francs aggregate principal amount bearing average interest of 1.17%, with an average maturity 12 years spanning 2026 to 2031. On August 15, 2016, the Company issued a total of 106 million euros aggregate principal amount bearing average interest of 2.25%, with maturity 10 years maturing in 2026. Proceeds from the senior notes were used to pay the maturing bond principal of $300.0 million due August 15, 2016 and to pre-pay Swiss franc 65.0 million final required payment under the term loan that matured on September 1, 2016. On October 27, 2016, the Company executed a new Note Purchase Agreement in a private placement with institutional investors to sell 350.0 million euros aggregate principal amount of senior notes at a weighted average interest rate of 1.40%. The notes have an average maturity of 12 years and mature in years from 2024 through 2031. Proceeds from these senior notes were used to finance acquisitions in the fourth quarter of 2016. Effective June 30, 2016, the Company amended and extended its $500 million multicurrency revolving credit facility for an additional year thorough July 23, 2021. In addition, certain non-extending members of the bank group were replaced with existing and new lenders. The Company has access to the full $500 million through July 23, 2021. The facility is unsecured and contains certain affirmative and negative covenants relating to the operations and financial condition of the Company. The most these covenants pertain to asset dispositions and prescribed ratios of indebtedness to total capital and operating income plus depreciation and amortization to interest expense. At there were no December 31, 2016 and 2015, outstanding borrowings under the revolving credit facility. restrictive of to covenants The Company’s revolving credit facility, term loans and senior notes contain certain affirmative and negative the Company’s relating operations and financial condition. These credit agreements contain a number of covenants and two financial ratios, which the Company is required to satisfy. The most restrictive of these covenants pertain to asset dispositions and prescribed ratios of total debt outstanding to total capital not to exceed the ratio of 0.6 to 1.0, and operating income excluding depreciation and amortization to interest expense of not less than 3.0 times. Any breach of any such covenants or ratios The Company also has access to $53.2 million in uncommitted short-term financing under lines of credit institutions. The lines of credit from various financial have no major restrictions and are provided under demand notes between the Company and the lending institutions. At December 31, 2016, $10.1 million was outstanding under these short-term lines of credit. At December 31, 2016, the Company had total unused lines of credit related to the revolving credit agreement and the uncommitted short-term lines of credit of $549.4 million. its existing credit future acquisitions, The Company expects on an ongoing basis to be able to finance cash requirements, including capital expenditures in a range of $120 million to $140 million, stock repurchases, debt service, operating leases and from the current cash, potential cash equivalents and short-term investment balances, funds generated from operations and amounts available under facilities, which is further discussed in Note 12, Financing Arrangements, to the Consolidated Financial Statements in Item 15 in this Form 10-K. The Company intends to pay or refinance the current portion of long term debt due in 2017 utilizing cash or available credit. As noted in the Company’s Consolidated Statements of Cash Flows in Item 15 in this Form 10-K, the Company continues to generate strong cash flows from operations, which is used to finance the Company’s activities. the majority of At December 31, 2016, the United States. The majority of the Company’s cash and cash equivalents were held outside of the Company’s excess free cash flow is generated outside of the United States. Most of the foreign excess free cash flow could be repatriated to the United States, however, under current law, potentially may be subject to U.S. federal income tax, less applicable foreign tax credits. The Company expects to repatriate its foreign excess free cash flow (the amount in excess of capital investment and acquisition needs), subject to current regulations, to fund ongoing operations and capital needs. Historically, the Company has generated more than sufficient operating cash flows in the United States to fund domestic operations. Further, the Company expects on an ongoing basis, to be able to finance domestic and international cash requirements, including capital expenditures, stock repurchases, debt service, operating leases and potential future acquisitions, from the funds generated from operations and amounts available under its existing credit facilities. 49 Off Balance Sheet Arrangements institutions. Under At December 31, 2016, the Company held $34.4 million of precious metals on consignment from several financial consignment arrangements, the banks own the precious metal, and, accordingly, this the Company does not its inventory on the consigned inventory as part of Consolidated Balance Sheet. These consignment agreements allow the Company to acquire the precious report these metal at market rates at a point in time, which is approximately the same time, and for the same price as alloys are sold to the Company’s customers. In the event that the financial institutions would discontinue offering these consignment arrangements, and if the Company comparable arrangements, the Company may be required to obtain third party financing to fund an ownership position to maintain precious metal inventory at operational levels. obtain could other not Contractual Obligations The following table presents the Company’s scheduled contractual cash obligations at December 31, 2016: Contractual Obligations (in millions) Long-term borrowings . . . . . . . . . . . . . . . . . . Operating leases . . . . . . . . . . . . . . . . . . . . . Interest on long-term borrowings, net of interest rate swap agreements . . . . . . . . . . . . . . . . Postemployment obligations . . . . . . . . . . . . . Precious metal consignment agreements . . . . . Within 1 Year $ 11.0 38.9 32.5 16.1 34.4 $132.9 Years 2 – 3 Years 4 – 5 Greater Than 5 Years Total $128.3 75.4 64.1 31.6 — $299.4 $420.6 35.5 58.1 34.6 — $548.8 $ 968.3 32.4 $1,528.2 182.2 67.5 99.1 — $1,167.3 222.2 181.4 34.4 $2,148.4 Due to the uncertainty with respect to the timing of future cash flows associated with the Company’s unrecognized tax benefits at December 31, 2016, the Company is unable to make reasonably reliable estimates of the period of cash settlement with the respective taxing authority; therefore, $13.7 million of the unrecognized tax benefit has been excluded from the contractual obligations table above (See Note 14, Income Taxes, in the Notes to Consolidated Financial Statements in Item 15 of this Form 10-K). NEW ACCOUNTING PRONOUNCEMENTS Refer to Note 1, Significant Accounting Policies, in the Notes to Consolidated Financial Statements in Item recent this Form 10-K for a discussion of 15 of accounting guidance and pronouncements. Item 7A. Quantitative and Qualitative Disclosure About Market Risk through exposures transaction Company employs foreign currency denominated debt and currency swaps which serve to partially offset the Company’s exposure on its net investments in subsidiaries denominated in foreign currencies. The Company’s policy generally is to hedge major foreign currency foreign exchange forward contracts. These contracts are entered into with major financial institutions thereby minimizing the risk of credit loss. In order to limit the unanticipated earnings fluctuations from volatility in commodity prices, the Company selectively enters into commodity swaps to convert variable raw material costs to fixed costs. The Company does not hold or issue derivative financial instruments for speculative or trading purposes. The Company is subject to other foreign exchange market risk exposure in addition to the risks on its financial instruments, such as possible impacts on its pricing and production costs, which are difficult to reasonably predict, and have therefore not been included below. QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK The Company’s major market risk exposures are changing interest rates, movements in foreign currency exchange rates and potential price volatility of commodities used by the Company in its manufacturing processes. The Company’s policy is to manage interest rates through the use of floating rate debt and interest rate swaps to adjust rate exposures when interest appropriate, based upon market conditions. The Foreign Exchange Risk Management The Company enters into derivative financial instruments to hedge the foreign exchange revaluation risk associated with recorded assets and liabilities that are denominated in a non-functional currency. The gains and losses on these derivative transactions offset the gains and losses generated by the revaluation of the underlying non-functional currency balances. The Company primarily uses forward foreign exchange contracts and cross currency basis swaps to hedge these risks. 50 The Company uses a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in both cash flows and reported earnings of the consolidated Company. These cash flow hedges have maturities of six to 18 months and do not change the underlying long term foreign currency exchange risk. The Company accounts for the forward foreign exchange contracts as cash flow hedges. of net assets subsidiaries. The The Company has numerous investments in foreign these subsidiaries are exposed to volatility in currency the Company uses both exchange rates. Currently, non-derivative financial including foreign currency denominated debt held at the parent company level and foreign exchange forward contracts to hedge some of this exposure. Translation gains and losses related to the net assets of the foreign subsidiaries are offset by gains and losses in the non-derivative and derivative financial instruments designated as hedges of net investment. instruments, At December 31, 2016, a 10% strengthening of the U.S. dollar against all other currencies would improve the net fair value associated with the forward foreign exchange contracts by approximately $15.9 million. Interest Rate Risk Management The Company uses interest rate swaps to convert a portion of to fixed its variable interest rate debt interest rate debt and, in the past, to convert fixed rate debt to variable rate debt. At December 31, 2016, the Company has one significant interest rate swap. This interest rate swap has notional amounts totaling 12.6 billion Japanese yen, and effectively converts the underlying variable interest rates to an average fixed interest rate of 0.9% for a term of five years, ending in September 2019. The interest rates on variable rate term loan debt are consistent with current market conditions, therefore the fair value of this instrument approximates its carrying values. At December 31, 2016, an increase of 1.0% in the interest rates on the variable interest rate instruments would increase the Company’s annual interest expense by approximately $1.6 million. Consignment Arrangements financial institutions. Under The Company consigns the precious metals used in the production of precious metal dental alloy products from various these the banks own the consignment arrangements, precious metal, and, accordingly, the Company does not its inventory on the Consolidated Balance Sheet. These agreements are cancelable by either party at the end of each consignment period, which typically run for a period of one to nine months; however, because the Company typically has access to numerous financial this consigned inventory as part of report institutions with excess capacity, consignment needs created by cancellations can be shifted among the other institutions. The consignment agreements allow the Company to take ownership of the metal at approximately the same time customer orders are received and to closely match the price of the metal acquired to the price charged to the customer (i.e., the price charged to the customer is largely a pass through). As precious metal prices fluctuate, the Company the precious metal price evaluates the impact of fluctuation on its target gross margins for precious metal dental alloy products and revises the prices customers are charged for precious metal dental alloy products accordingly, depending upon the magnitude of the fluctuation. While the Company does not separately invoice customers for the precious metal content of precious metal dental alloy products, the underlying precious metal content is the primary component of the cost and sales price of the precious metal dental alloy products. For practical purposes, if the precious metal prices go up or down by a small amount, the Company will not immediately modify prices, as long as the cost of precious metals embedded in the Company’s precious metal dental alloy price closely approximates the market price of the precious metal. If there is a significant change in the price of precious metals, the Company adjusts the price for the precious metal dental alloys, maintaining its margin on the products. At December 31, 2016, the Company had approximately 44,100 troy ounces of precious metal, primarily gold, platinum, palladium and silver on consignment for periods of less than one year with a market value of $34.4 million. Under the terms of the consignment agreements, the Company also makes compensatory payments to the consignor banks based on a percentage of the value of the consigned precious metals inventory. At December 31, 2016, the average annual rate charged by the consignor banks was 0.6%. These compensatory payments are considered to be a cost of the metals purchased and are recorded as part of the cost of products sold. Item 8. Financial Statements and Supplementary Data forth under Consolidated The information set the captions Management’s Report on Internal Control Over Financial Reporting, Report of Independent Registered Public Accounting Firm, Consolidated Statements of of Operations, Comprehensive Income, Consolidated Balance Sheets, Consolidated Statements of Changes in Equity, Consolidated Statements of Cash Flows, and Notes to Consolidated Financial Statements is filed, in Item 15 of this Form 10-K. Other information required by Item 8 is included in Computation of Ratios of Earnings to Fixed Charges filed as Exhibit 12.1 to this Form 10-K. Statements 51 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure Compensatory Arrangements of Certain Officers and Item 5.03 Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year: None. Item 5.02(b) Item 9A. Controls and Procedures (a) Conclusion Regarding the Effectiveness of Disclosure Controls and Procedures The with the end of concluded that the Company’s management, participation of the Company’s Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s disclosure controls and procedures as of the period covered by this report. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the period covered by this report were the end of effective to provide reasonable assurance that the information required to be disclosed by the Company in reports filed under the Securities Exchange Act of processed, is as 1934, summarized and reported within the time periods specified in the SEC’s rules and forms and that it is accumulated and communicated to management, including the Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure. amended, recorded, (b) Management’s Report on Internal Control Over Financial Reporting Management’s report on the Company’s internal control over financial reporting is included under Item 15(a)(1) of this Form 10-K. (c) Changes in Internal Control Over Financial Reporting There have been no changes in the Company’s internal controls over financial reporting that occurred during the quarter ended December 31, 2016 that have materially affected, or are likely to materially affect, its internal control over financial reporting. Item 9B. Other Information In the fourth quarter of the year ended December 31, 2016, the Company reported all information that was required to be disclosed in a current report on Form 8-K. Because we are filing this annual report on Form 10-K within four business days after the applicable triggering events, we are making the following disclosures under Part II, Item 9B of this annual report instead of filing a report on Form 8-K for Item 5.02(b) Departure of Directors or Certain Officers; Election of Officers; Directors; Appointment Certain of On February 24, 2017, it was announced that Robert J. Size would leave his position as Senior Vice President of Dentsply Sirona Inc. (the “Company”) effective as of June 30, 2017. Mr. Size will assist the Company in the transition of his responsibilities until his departure. Item 5.03 Third Amended and Restated By-Laws The third amendment and restatement of the Company’s By-laws (the “Amended By-laws”), as approved by the Board of Directors, became effective on February 23, 2017. The following descriptions of the changes reflected in the Amended By-laws do not purport to be complete and are qualified in their entirety by reference to the full text of the Amended By-laws, a copy of which is attached hereto as Exhibit 3.2 and incorporated herein by reference. Proxy Access three percent of ARTICLE I, Section 12a (Stockholder Nominations Included in the Corporation’s Proxy Statement) was added to permit, commencing after the Company’s 2017 annual meeting of stockholders, a stockholder, or a group of no more than 20 stockholders, owning at least the Company’s outstanding common stock continuously for at least three years, to nominate and include in the Company’s proxy materials for stockholders director nominees constituting up to the greater of two directors or 20% of the total number of directors then serving on the Board, provided that the stockholder(s) and their nominee(s) the eligibility, procedural and disclosure requirements set forth in ARTICLE I, Section 12a of the Amended By-laws. its annual meeting of satisfy The Amended By-laws also include certain ministerial, clarifying and conforming changes in ARTICLE I, Sections 11, 12 and 13 related to the addition of the proxy access right described above. Modernizing and Clarifying Changes A number of modernizing and/or clarifying changes were made to the By-laws as follows: (1) ARTICLE I, Sections 1 (Annual Meetings) and 2 (Special Meetings) were revised to the Company may postpone, provide that reschedule or cancel any annual or special meeting previously called by the Board of Directors. 52 (2) ARTICLE I, Section 3 (Place of Meeting) was revised by deleting that a waiver of notice signed by all stockholders entitled to vote at a meeting may designate any place as the place for such meeting. attendance (3) ARTICLE I, Section 4 (Notice of Meeting) was revised (i) to provide for the possibility of meeting remote communication and different record dates for notice and voting rights; and (ii) by deleting that notice may be delivered personally or by mail at the discretion of the Chief Executive Officer or the officer or persons calling the meeting. via (4) ARTICLE I, Section 5 (Fixing of Record Date) was revised (i) to provide for the possibility of different record dates for notice and voting rights as well as certain stipulation with regards to the fixing of record dates; and (ii) by deleting that the stock transfer books may not be closed before the record date for notice, voting or dividend rights. (5) ARTICLE I, Section 6 (Quorum; to provide Adjournments) was revised (i) further detail regarding the adjournment and reconvening of meetings, and (ii) by deleting a provision by which a meeting is property constituted if notice was properly given, waived or deemed waived. (6) ARTICLE I, Section 7 (Proxies) was revised to provide that proxies shall be valid for up to three years from their date of issuance and may only be irrevocable if coupled with an interest sufficient in law to support an irrevocable power. (7) ARTICLE I, Section 8 (Voting of Shares) was revised (i) to provide for the possibility of different record dates for notice and voting rights; and (ii) by deleting that shares of a corporation may be voted by any officer or proxy appointed by any officer in the absence of express notice that such officer has no authority to vote. (8) ARTICLE I, Section 9 (List of Stockholders) was revised to provide certain details with regards to the preparation and examination of the stock ledger, as well as providing for the possibility of access via an electronic network and meetings held solely by means of remote communication. (9) ARTICLE I, Section 10 (Waiver of Notice by Stockholders) was revised to provide for the possibility of electronic transmission of a waiver. Directors) were revised to provide that where the annual meeting is called for a date that is more than 30 days before or 60 days after its anniversary date, notice is timely if received not later than the close of business on the 90th day prior to the annual meeting or, if the 10th day following mailing of later, the notice or public disclosure of the annual meeting. (11) ARTICLE I, Section 13 (Stockholder Voting) revised to provide that all other was proposals aside from director elections shall be decided by a majority vote of the shares present in person or by proxy and entitled to vote, unless otherwise required by applicable the Company’s regulations, laws, Certificate of Incorporation or By-laws. rules or (12) ARTICLE I, Section 14 (Conduct of Meetings) was inserted to provide certain procedural guidelines for the conduct of meetings and stipulate certain powers of the presiding person. (13) ARTICLE II, Section 1 (General Powers) was the business and the Company may be managed revised to provide that affairs of under the direction of the Board of Directors. (14) ARTICLE II, Section 2 (Number of Directors, Tenure and Qualifications) was revised by deleting that any director filling a vacancy as the result of an increase in the number of directors shall hold office until the next annual meeting but a decrease in the number of directors shall not shorten the term of an incumbent director, and that an election shall be held at an adjournment or a special meeting if not held at the annual meeting. (15) ARTICLE II, former Section 10 (Presumption of Assent) was deleted. (16) ARTICLE II, new Section 10 (Committees) was revised to delete certain restrictions with regards to committees. (17) ARTICLE II, Sections 11 (Action of the Board by Written Consent) and 12 (Conferences) were revised to provide for the possibility of electronic transmissions. (18) ARTICLE III, Section 6 (Chief Executive Officer, President) was revised to provide that unless another officer has been elected President of the Chief Executive Officer shall also be President and as such may, together with the Secretary, sign certificates for shares of the capital stock of the corporation. the Company, (10) ARTICLE I, Sections 11 (Advance Notice) and 12 (Procedure for Nomination of (19) ARTICLE III, Section 8 (Secretary and Assistant Secretaries) and ARTICLE IV, 53 Section 1 (Shares of Stock) were revised to “Chief Executive Officer” with replace “President” as regards the signing of share certificates. provide that present or former directors may demand that determination of entitlement to indemnification be made by independent counsel. (20) ARTICLE V, Section 1 (Indemnification Generally) was revised to delete employees and agents of the Company. (21) ARTICLE V, Section 4 (Determination that Indemnification is Proper) was revised to (22) ARTICLE VI (Exclusive Form) was revised to include fiduciary duties owed by stockholders, actions in connection with the Company’s Certificate of Incorporation or By-laws, and all claims the internal affairs doctrine. covered by 54 PART III Item 10. Directors, Executive Officers and Corporate Governance The information required under this item is set forth in the 2017 Proxy Statement, which is incorporated herein by reference. Code of Ethics The Company has a Code of Business Conduct and Ethics that applies to the Chief Executive Officer, Chief Financial Officer and the Board of Directors and substantially all of the Company’s management level employees. A copy of the Code of Business Conduct and Ethics is available in the Investor Relations section of the Company’s website at www.dentsplysirona.com. The Company intends to disclose any amendment to its Code of Business Conduct and Ethics that relates to any element enumerated in Item 406(b) of Regulation S-K, and any waiver from a provision of the Code of Business Conduct and Ethics granted to any director, principal executive officer, principal financial officer, principal accounting officer, or any of the Company’s in the Investor Relations other executive officers, section at of www.dentsplysirona.com, within four business days following the date of such amendment or waiver. Company’s website the Item 11. Executive Compensation The information required under this item is set forth in the 2017 Proxy Statement, which is incorporated herein by reference. Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters The information required under this item is set forth in the 2017 Proxy Statement, which is incorporated herein by reference. Item 13. Certain Relationships and Related Transactions and Director Independence The information required under this item is presented in the 2017 Proxy Statement, which is incorporated herein by reference. Item 14. Principal Accounting Fees and Services The information required under this item is set forth in the 2017 Proxy Statement, which is incorporated herein by reference. 55 Consolidated Statements of Changes in Equity — Years ended December 31, 2016, 2015 and 2014 Consolidated of Cash Flows — Years ended December 31, 2016, 2015 and 2014 Statements Notes Statements to Consolidated Financial Quarterly Financial Information (Unaudited) 2. Financial Statement Schedule The financial following statement schedule is filed as part of this Form 10-K and is covered by the Report of Independent Registered Public Accounting Firm: Schedule II — Valuation and Qualifying Accounts in the All other schedules for which provision is made accounting applicable regulations of the Securities and Exchange Commission are not required to be included herein under the related instructions or are inapplicable and, therefore, have been omitted. PART IV Item 15. Exhibits and Financial Statement Schedule (a) Documents filed as part of this Report 1. Financial Statements The following consolidated financial statements of the Company are filed as part of this Form 10-K: Management’s Report Control Over Financial Reporting on Internal Report of Independent Registered Public Accounting Firm Consolidated of Operations — Years ended December 31, 2016, 2015 and 2014 Statements Consolidated of Comprehensive Income — Years ended December 31, 2016, 2015 and 2014 Statements Consolidated Balance December 31, 2016 and 2015 Sheets — 56 3. Exhibits The Exhibits listed below are filed or incorporated by reference as part of the Company’s Form 10-K. Exhibit Number 2.1 3.1 3.2 4.1(a) (b) 4.2(a) (b) 4.3 (a) (b) Description Agreement and Plan of Merger, dated as of September 15, 2015, by and among DENTSPLY International Inc., Sirona Dental Systems, Inc. and Dawkins Merger Sub Inc.(18) Amended and Restated Certificate of Incorporation (Filed herewith) By-Laws, as amended and restated (Filed herewith) United States Commercial Paper Dealer Agreement dated as of March 28, 2002 between the Company and Citigroup Global Markets Inc. (formerly known as Salomon Smith Barney Inc.)(formerly Exhibit 4.1(b))(6) First Amendment to the United States Commercial Paper Dealer Agreement dated as of March 28, 2002 between the Company and Citigroup Global Markets Inc. (formerly known as Salomon Smith Barney Inc.)(17) United States Commercial Paper Dealer Agreement dated as of August 18, 2011 between the Company and J.P. Morgan Securities LLC(17) First Amendment to the United States Commercial Paper Dealer Agreement dated as of August 18, 2011 between the Company and J.P. Morgan Securities LLC(17) $500.0 Million Credit Agreement, dated as of July 23, 2014 final maturity in July 23, 2019, by and among the Company, the subsidiary borrowers party thereto, the lenders party thereto, JPMorgan Chase Bank, N.A. as administrative agent, Citibank N.A. as Syndication Agent, Bank of Tokyo-Mitsubishi UFJ, LTD and Wells Fargo Bank, N.A., Commerzbank AG, and HSBC Bank USA N.A. as co-documentation agents, and J.P. Morgan Securities LLC and Citibank Global Markets Inc., as Joint Bookrunners and Joint Lead Arrangers(17) First Amendment to the $500.0 Million Credit Agreement dated as of July 1, 2015 between the Company and the Subsidiary Borrowers party(19) Second Amendment to the $500.0 Million Credit Agreement dated November 30, 2015 between the Company and Subsidiary Borrowers party(19) 4.4 $250.0 Million Private Placement Note Purchase Agreement, due February 19, 2016 dated as of October 16, 2009(10) 4.5(a) 65.0 Million Swiss Franc Term Loan Agreement, due March 1, 2012 dated as of February 24, 2010(11) (b) (c) First Amendment to the 65.0 Million Swiss Franc Term Loan Agreement dated May 21, 2010 between the Company, the Lenders, and PNC Bank National Association, as Agent(19) Second Amendment to the 65.0 Million Swiss Franc Term Loan Agreement dated August 31, 2011 due September 1, 2016, between the Company, the Lenders, and PNC Bank, National Association, as Agent(12) (d) Third Amendment to the 65.0 Million Swiss Franc Term Loan Agreement dated November 30, 2015(19) 4.10 (a) 4.11 4.12 $175.0 Million Credit Agreement dated August 26, 2013 among DENTSPLY International Inc., PNC Bank, National Association as Administrative Agent and the Lenders Party thereto(16) First Amendment to the $175.0 Million Credit Agreement dated November 30, 2015 between the Company and PNC Bank, National Association as Administrative Agent and the Lenders Party thereto(19) Form of Indenture(13) Supplemental Indenture, dated August 23, 2011 between DENTSPLY International Inc., as Issuer and Wells Fargo, National Association, as Trustee(14) 57 Exhibit Number 4.14 Description 12.55 Billion Japanese Yen Term Loan Agreement between the Company and Bank of Tokyo dated September 22, 2014 due September 28, 2019, between the Company, The Bank of Tokyo-Mitsubishi UFJ, LTD as Sole Lead Arranger, Development Bank of Japan, Inc. as Co-Arranger, The Bank of Tokyo-Mitsubishi UFJ, LTD, as Administrative Agent(17) (a) First Amendment to 12.55 Billion Japanese Yen Term Loan Agreement dated December 18, 2015 between the Company and Bank of Tokyo-Mitsubishi UFJ, LTD(19) 4.15 4.16 4.17 10.2 10.3 United States Commercial Paper issuing and paying Agency Agreement dated as of November 4, 2014, between the Company and U.S. Bank N.A.(17) Note Purchase Agreement, dated December 11, 2015, by and among the Company and the purchasers listed in Schedule A thereto(19) Note Purchase Agreement, dated October 27, 2016, by and among the Company and the purchasers listed in Schedule A thereto (Filed herewith) 2002 Amended and Restated Equity Incentive Plan(8) Restricted Stock Unit Deferral Plan(19) 10.4(a) Trust Agreement for the Company’s Employee Stock Ownership Plan between the Company and T. Rowe Price Trust Company dated as of November 1, 2000(3) (b) Plan Recordkeeping Agreement for the Company’s Employee Stock Ownership Plan between the Company and T. Rowe Price Trust Company dated as of November 1, 2000(3) 10.5 10.6 10.7 10.10 10.11 10.12 10.13 10.14 10.15 10.16 10.17 DENTSPLY Supplemental Saving Plan Agreement dated as of December 10, 2007(8) Amended and Restated Employment Agreement entered February 19, 2008 between the Company and Bret W. Wise*(8) Amended and Restated Employment Agreement entered February 19, 2008 between the Company and Christopher T. Clark*(8) Amended and Restated Employment Agreement entered February 19, 2008 between the Company and James G. Mosch*(8) Amended and Restated Employment Agreement entered February 19, 2008 between the Company and Robert J. Size*(8) Amended and Restated Employment Agreement entered January 1, 2009 between the Company’s subsidiary, DeguDent GMBH and Albert Sterkenburg*(9) DENTSPLY International Inc. Directors’ Deferred Compensation Plan effective January 1, 2007, as amended*(9) Board Compensation Arrangement*(19) Supplemental Executive Retirement Plan effective January 1, 1999, as amended January 1, 2008*(9) Incentive Compensation Plan, amended and restated*(12) AZ Trade Marks License Agreement, dated January 18, 2001 between AstraZeneca AB and Maillefer Instruments Holdings, S.A.(3) 10.18(a) Precious metal inventory Purchase and Sale Agreement dated November 30, 2001, as amended October 10, 2006 between Bank of Nova Scotia and the Company(7) (b) (c) Precious metal inventory Purchase and Sale Agreement dated December 20, 2001 between JPMorgan Chase Bank and the Company(4) Precious metal inventory Purchase and Sale Agreement dated December 20, 2001 between Mitsui & Co., Precious Metals Inc. and the Company(4) 58 Exhibit Number (e) (f) (g) 10.19 10.20 10.22 10.23 10.24 10.25 10.26 10.27 10.28 10.29 10.30 12.1 21.1 23.1 31.1 31.2 32 Description Precious metal inventory Purchase and Sale Agreement dated January 30, 2002 between CommerzbankAG, Frankfurt, and the Company(8) Precious metal inventory Purchase and Sale Agreement dated December 6, 2010, as amended February 8, 2013 between HSBC Bank USA, National Association and the Company(16) Precious metal inventory Purchase and Sale Agreement dated April 29, 2013 between The Toronto-Dominion Bank and the Company(16) Executive Change in Control Plan for foreign executives, as amended December 31, 2008*(10) 2010 Equity Incentive Plan, amended and restated(19) Employment Agreement, dated December 11, 2015, between DENTSPLY International Inc. and Bret W. Wise*(19) Employment Agreement, dated February 12, 2016, between DENTSPLY SIRONA Inc. and Christopher T. Clark* (Filed herewith) Employment Agreement, dated February 12, 2016, between DENTSPLY SIRONA Inc. and Ulrich Michel* (Filed herewith) 2016 Omnibus Incentive Plan (Filed herewith) Employment Agreement, dated December 11, 2015, between DENTSPLY International Inc., Sirona Dental Systems, Inc. and Jeffrey T. Slovin* (Filed herewith) Amended and Restated U.S. Distributorship Agreement, dated May 31, 2012, by and between Patterson Companies, Inc. and Sirona Dental Systems, Inc.(20) Amended and Restated U.S. CAD-CAM Distributorship Agreement, dated May 31, 2012, by and between Patterson Companies, Inc. and Sirona Dental Systems GmbH(20) Sirona Dental Systems, Inc. Equity Incentive Plan, as Amended (Filed herewith) Sirona Dental Systems, Inc. 2015 Long-Term Incentive Plan (Filed herewith) Computation of Ratio of Earnings to Fixed Charges (Filed herewith) Subsidiaries of the Company (Filed herewith) Consent of Independent Registered Public Accounting Firm — PricewaterhouseCoopers LLP Section 302 Certification Statement Chief Executive Officer Section 302 Certification Statements Chief Financial Officer Section 906 Certification Statement 101.INS XBRL Instance Document 101.SCH XBRL Taxonomy Extension Schema Document 101.CAL XBRL Taxonomy Extension Calculation Linkbase Document 101.DEF XBRL Taxonomy Extension Definition Linkbase Document 101.LAB XBRL Extension Labels Linkbase Document 101.PRE XBRL Taxonomy Extension Presentation Linkbase Document * (1) (2) Management contract or compensatory plan. Incorporated by reference to exhibit included in the Company’s Registration Statement on Form S-8 dated June 4, 1998 (No. 333-56093). Incorporated by reference to exhibit December 31, 1999, File No. 0-16211. included in the Company’s Form 10-K for the fiscal year ended 59 (5) (4) (3) (6) (7) included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended Incorporated by reference to exhibit December 31, 2000, File No. 0-16211. Incorporated by reference to exhibit December 31, 2001, File No. 0-16211. Incorporated by reference to exhibit included in the Company’s Registration Statement on Form S-8 dated November 27, 2002 (No. 333-101548). Incorporated by reference to exhibit December 31, 2002, File No. 0-16211. Incorporated by reference to exhibit December 31, 2006, File no. 0-16211. Incorporated by reference to exhibit December 31, 2007, File No. 0-16211. Incorporated by reference to exhibit December 31, 2008, File No. 0-16211. (10) Incorporated by reference to exhibit December 31, 2009, File no. 0-16211. (11) Incorporated by reference to exhibit December 31, 2010, File no. 0-16211. (12) Incorporated by reference to exhibit December 31, 2011, File no. 0-16211. included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended (8) (9) (13) Incorporated by reference to exhibit included in the Company’s Registration Statement on Form S-3 dated August 15, 2011 (No. 333-176307). (14) Incorporated by reference to exhibit File no. 0-16211. (15) Incorporated by reference to exhibit December 31, 2012, File no. 0-16211. (16) Incorporated by reference to exhibit December 31, 2013, File no. 0-16211. (17) Incorporated by reference to exhibit December 31, 2014, File no. 0-16211. included in the Company’s Form 8-K dated August 29, 2011, included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended included in the Company’s Form 10-K for the fiscal year ended (18) Incorporated by reference to exhibit included in the Company’s Form 8-K dated September 16, 2015, File no. 0-16211. (19) Incorporated by reference to exhibit December 31, 2015, File no. 0-16211. included in the Company’s Form 10-K for the fiscal year ended (20) Incorporated by reference to exhibit included in the Form 8-K/A, filed by Sirona Dental Systems, Inc. on July 12, 2012 (File no 000-22673). 60 SCHEDULE II DENTSPLY SIRONA INC. AND SUBSIDIARIES VALUATION AND QUALIFYING ACCOUNTS FOR THE YEARS ENDED DECEMBER 31, 2016, 2015 and 2014 Additions Balance at Beginning of Period Charged (Credited) To Costs And Expenses Charged to Other Accounts Write-offs Net of Recoveries Translation Adjustment Balance at End of Period Description (in millions) Allowance for doubtful accounts: For Year Ended December 31, 2014 . . . . . . . . . . . . . . . . . 2015 . . . . . . . . . . . . . . . . . 2016 . . . . . . . . . . . . . . . . . $ 14.2 8.8 10.7 $ (1.7) 4.3 9.2 Deferred tax asset valuation allowance: For Year Ended December 31, 2014 . . . . . . . . . . . . . . . . . 2015 . . . . . . . . . . . . . . . . . 2016 . . . . . . . . . . . . . . . . . $228.9 253.3 274.3 $ 28.7 26.7 (99.9) $0.5 1.4 4.3 $ — — 8.5 $(2.4) (2.2) (2.5) $ — — — $(1.8) (1.6) 1.0 $ 8.8 10.7 22.7 $(4.3) (5.7) (0.2) $253.3 274.3 182.7 61 Management’s Report on Internal Control Over Financial Reporting of for financial statements The management of the Company is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Securities and Exchange Act of 1934, as amended. The Company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation external purposes in accordance with accounting principles generally accepted in the United States of America. A Company’s internal control over reporting includes those policies and procedures that pertain to the maintenance of records that, in reasonable detail, the transactions and accurately and fairly reflect dispositions of the Company; provide the assets of reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting and expenditures of the Company are being made only in accordance with authorizations of management and the Company; and provide reasonable directors of 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. principles, financial receipts and that In Because of its inherent limitations, internal control reporting may not prevent or detect over financial misstatements. any addition, 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. projections of used assessment, management Management of the Company has assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2016. In making its criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”). Based on its assessment management concluded that, as of December 31, 2016, the Company’s internal control over financial reporting was effective based on the criteria established in Internal Control — Integrated Framework (2013) issued by the COSO. the The effectiveness of the Company’s internal control over financial reporting as of December 31, 2016 has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report, which appears herein. /s/ Jeffrey T. Slovin Jeffrey T. Slovin Chief Executive Officer March 1, 2017 /s/ Ulrich Michel Ulrich Michel Chief Financial Officer March 1, 2017 62 Report of Independent Registered Public Accounting Firm To the Board of Directors and Stockholders of DENTSPLY SIRONA Inc. In our fairly, opinion, respects, consolidated in all material of Sponsoring Organizations financial the statements listed in the index appearing under Item the 15(a)(1) present financial position of Dentsply Sirona Inc. and its subsidiaries at December 31, 2016 and 2015, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2016 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule listed in the index appearing under 15(a)(2), presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2016, based on criteria established in Internal Control — Integrated Framework 2013 issued by the Committee the Treadway Commission (COSO). The Company’s financial responsible management for statements and financial statement schedule, maintaining effective internal control over financial reporting and for its assessment of the effectiveness of included in financial internal control over Management’s Report on Internal Control over Financial Reporting, appearing under Item 15(a)(1). responsibility is to express opinions on these Our financial statement statements, on the financial schedule, and on the Company’s internal control over financial reporting based on our integrated audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on a test basis, evidence reporting, these for of is financial supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. internal control over financial reporting Our audit of included obtaining an understanding of internal control over 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. internal policies includes reporting control over A company’s 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 and those 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 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 reporting may not prevent or detect financial misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. /s/ PricewaterhouseCoopers LLP PricewaterhouseCoopers LLP Harrisburg, Pennsylvania March 1, 2017 63 DENTSPLY SIRONA INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS Year Ended December 31, 2016 2015 2014 (in millions, except per share amounts) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,745.3 $2,674.3 $2,922.6 Cost of products sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,744.4 1,157.1 1,322.8 Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Selling, general and administrative expenses . . . . . . . . . . . . . . . . . . . . . . . Restructuring and other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,000.9 1,523.0 23.2 1,517.2 1,077.3 64.7 1,599.8 1,143.1 11.1 Operating income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 454.7 375.2 445.6 Other income and expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other expense (income), net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.9 (2.0) (20.1) 55.9 (2.2) (8.2) 46.9 (5.6) (0.1) Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440.9 329.7 404.4 Provision for income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equity in net loss of unconsolidated affiliated company . . . . . . . . . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Net income (loss) attributable to noncontrolling interests . . . . . . . . . . 9.5 — 431.4 1.5 77.0 (1.6) 251.1 (0.1) 81.1 (0.4) 322.9 — Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . $ 429.9 $ 251.2 $ 322.9 Earnings per common share: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ 1.97 1.94 $ $ 1.79 1.76 $ $ 2.28 2.24 Weighted average common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218.0 221.6 140.0 142.5 141.7 144.2 The accompanying notes are an integral part of these financial statements. 64 DENTSPLY SIRONA INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME Year Ended December 31, 2016 2015 2014 (in millions) Net Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 431.4 $ 251.1 $ 322.9 Other comprehensive income (loss), net of tax: Foreign currency translation adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . (90.5) (188.1) (354.1) Net (loss) gain on derivative financial instruments . . . . . . . . . . . . . . . . . . . . Net unrealized holding loss on available-for-sale securities . . . . . . . . . . . . . . (8.6) — Pension liability adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (13.8) 12.1 (8.5) 32.2 49.3 (4.2) (63.7) Total other comprehensive (loss) income . . . . . . . . . . . . . . . . . . . . . . . . . . . (112.9) (152.3) (372.7) Total comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318.5 Less: Comprehensive income (loss) attributable to noncontrolling interests . . . . . 0.3 98.8 0.5 (49.8) (0.7) Comprehensive income (loss) attributable to Dentsply Sirona . . . . . . . . . . . . . . $ 318.2 $ 98.3 $ (49.1) The accompanying notes are an integral part of these financial statements. 65 DENTSPLY SIRONA INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (in millions) Assets Current Assets: December 31, 2016 2015 Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 383.9 $ 284.6 Accounts and notes receivable-trade, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . 636.0 517.1 345.6 399.9 340.4 171.8 Total Current Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,882.6 1,196.7 Property, plant and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Identifiable intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Goodwill, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other noncurrent assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 799.8 2,957.6 5,952.0 64.1 558.8 600.7 1,987.6 59.1 Total Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,656.1 $4,402.9 Liabilities and Equity Current Liabilities: Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 223.0 $ 133.6 Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 462.7 310.1 Income taxes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notes payable and current portion of long-term debt . . . . . . . . . . . . . . . . . . . . . . 64.2 21.1 20.2 12.1 Total Current Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 771.0 476.0 Long-term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,511.1 1,141.0 Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other noncurrent liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 848.6 399.5 160.3 286.2 Total Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,530.2 2,063.5 Commitments and contingencies Equity: Preferred stock, $1.00 par value; .25 million shares authorized; no shares issued . . . . — — Common stock, $.01 par value; 400.0 million and 200.0 million shares authorized at December 31, 2016 and 2015, respectively 264.5 million and 162.8 million shares issued at December 31, 2016 and 2015, respectively 230.1 million and 140.1 million shares outstanding at December 31, 2016 and 2015, respectively . . . . . . . . . . . . . Capital in excess of par value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6 6,516.7 3,948.0 1.6 237.8 3,591.0 Accumulated other comprehensive loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (705.7) (594.0) Treasury stock, at cost, 34.4 million and 22.7 million shares at December 31, 2016 and 2015, respectively . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (1,647.3) (898.4) Total Dentsply Sirona Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,114.3 2,338.0 Noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.6 1.4 Total Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,125.9 2,339.4 Total Liabilities and Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,656.1 $4,402.9 The accompanying notes are an integral part of these financial statements. 66 DENTSPLY SIRONA INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY Common Stock Capital in Excess of Par Value Retained Earnings Accumulated Other Comprehensive Income (Loss) Treasury Stock Total Dentsply Sirona Equity Noncontrolling Interests Total Equity (in millions) Balance at December 31, 2013 . . . . . . . . . $1.6 $ 255.3 $3,095.7 $ (69.1) $ (748.5) $2,535.0 $ 42.9 $2,577.9 Net income . . . . . . . . . . . . . . . . . . . . Other comprehensive income . . . . . . . . . . Acquisition of noncontrolling interest . . . . . . Exercise of stock options . . . . . . . . . . . . Tax benefit from stock options exercised . . . Stock based compensation expense . . . . . . Funding of Employee Stock Ownership Plan . . . . . . . . . . . . . . . . . . . . . . . Treasury shares purchased . . . . . . . . . . . RSU distributions . . . . . . . . . . . . . . . . . RSU dividends . . . . . . . . . . . . . . . . . . Cash dividends ($0.265 per share) . . . . . . . — — — — — — — — — — — — — (42.0) (9.7) 2.1 25.4 1.5 — (11.2) 0.3 — 322.9 — — — — — — — — (0.3) (37.6) — (366.5) (5.5) — — — — — — — — — 322.9 — (366.5) — 58.7 — — (47.5) 49.0 2.1 25.4 4.4 5.9 (163.2) (163.2) 7.0 — — (4.2) — (37.6) — (0.7) (41.3) — — — — — — — — 322.9 (367.2) (88.8) 49.0 2.1 25.4 5.9 (163.2) (4.2) — (37.6) Balance at December 31, 2014 . . . . . . . . . $1.6 $ 221.7 $3,380.7 $(441.1) $ (841.6) $2,321.3 $ 0.9 $2,322.2 Net income . . . . . . . . . . . . . . . . . . . . Other comprehensive loss . . . . . . . . . . . . Exercise of stock options . . . . . . . . . . . . Tax benefit from stock options exercised . . . Stock based compensation expense . . . . . . Funding of Employee Stock Ownership Plan . . . . . . . . . . . . . . . . . . . . . . . Treasury shares purchased . . . . . . . . . . . RSU distributions . . . . . . . . . . . . . . . . . RSU dividends . . . . . . . . . . . . . . . . . . Cash dividends ($0.29 per share) . . . . . . . — — — — — — — — — — — — (8.2) 11.6 25.6 1.1 — (14.3) 0.3 — 251.2 — — — — — — — (0.3) (40.6) — (152.9) — 251.2 — (152.9) (0.1) 0.6 251.1 (152.3) — — — — — — — — 43.4 — — 35.2 11.6 25.6 3.6 4.7 (112.7) (112.7) 8.9 — — (5.4) — (40.6) — — — — — — — — 35.2 11.6 25.6 4.7 (112.7) (5.4) — (40.6) Balance at December 31, 2015 . . . . . . . . . $1.6 $ 237.8 $3,591.0 $(594.0) $ (898.4) $2,338.0 $ 1.4 $2,339.4 Net income . . . . . . . . . . . . . . . . . . . . Other comprehensive loss . . . . . . . . . . . . Acquisition of noncontrolling interest . . . . . . — — — — — (0.1) Common stock issuance related to Sirona merger . . . . . . . . . . . . . . . . . . . . . 1.0 6,255.2 Exercise of stock options . . . . . . . . . . . . Tax benefit from stock options exercised . . . Stock based compensation expense . . . . . . Funding of Employee Stock Ownership Plan . . . . . . . . . . . . . . . . . . . . . . . Treasury shares purchased . . . . . . . . . . . RSU distributions . . . . . . . . . . . . . . . . . RSU dividends . . . . . . . . . . . . . . . . . . Cash dividends ($0.310 per share) . . . . . . . — — — — — — — — (10.8) 16.1 41.3 2.1 — (25.5) 0.6 — 429.9 — — — — — — — — — (0.6) (72.3) — (111.7) — — — — — — — — — — — 429.9 — (111.7) — (0.1) 1.5 (1.2) (0.3) 431.4 (112.9) (0.4) — 6,256.2 10.2 6,266.4 48.1 — — 37.3 16.1 41.3 4.3 6.4 (815.1) (815.1) 13.8 (11.7) — — — (72.3) — — — — — — — — 37.3 16.1 41.3 6.4 (815.1) (11.7) — (72.3) Balance at December 31, 2016 . . . . . . . . . $2.6 $6,516.7 $3,948.0 $(705.7) $(1,647.3) $8,114.3 $ 11.6 $8,125.9 The accompanying notes are an integral part of these financial statements. 67 DENTSPLY SIRONA INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (in millions) Cash flows from operating activities: Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjustments to reconcile net income to net cash provided by operating activities: Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amortization of intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amortization of deferred financing costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stock based compensation expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restructuring and other costs – non-cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stock option income tax benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equity in earnings from unconsolidated affiliates . . . . . . . . . . . . . . . . . . . . . . . . . . Other non-cash (income) expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss on disposal of property, plant and equipment . . . . . . . . . . . . . . . . . . . . . . . . . Changes in operating assets and liabilities, net of acquisitions: . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts and notes receivable-trade, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories, net Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . Other noncurrent assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other noncurrent liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net cash provided by operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash flows from investing activities: Cash paid for acquisitions of businesses and equity investments . . . . . . . . . . . . . . . . . . Proceeds from the sale of businesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purchases of short term time deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liquidation of short term time deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from redemption of long-term corporate bonds . . . . . . . . . . . . . . . . . . . . . . Capital expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash assumed in Sirona merger Purchase of company owned life insurance policies . . . . . . . . . . . . . . . . . . . . . . . . . Cash received on derivative contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash paid on derivative contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expenditures for identifiable intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from sale of property, plant and equipment . . . . . . . . . . . . . . . . . . . . . . . . . Net cash provided by (used in) investing activities . . . . . . . . . . . . . . . . . . . . . . . . Year Ended December 31, 2014 2015 2016 $ 431.4 $ 251.1 $ 322.9 116.6 155.1 4.5 (110.1) 41.3 9.7 (12.7) — (32.0) 2.8 (75.1) 65.4 (32.4) 2.6 7.2 (12.2) (7.7) 9.0 563.4 (341.8) 6.1 (6.8) — — (125.0) 522.3 (1.7) 20.1 (17.1) (1.1) 5.0 60.0 79.1 43.8 11.3 27.4 25.6 43.3 (11.6) 1.6 (13.1) 0.8 (0.9) 32.1 (9.5) 3.3 8.8 (4.7) (8.1) 17.1 497.4 (54.0) — — — 47.7 (72.0) — (1.4) 30.7 (6.3) — 0.4 (54.9) 81.2 47.9 4.6 17.5 25.4 5.8 (2.1) 0.4 10.0 0.4 7.2 21.0 (16.1) 4.9 10.0 (12.2) 22.4 9.2 560.4 (8.6) 6.5 (2.3) 1.1 — (99.6) — (0.9) 67.2 (96.5) (6.2) 0.6 (138.7) Cash flows from financing activities: . . . . . . . . . . . . . . . Proceeds from long-term borrowings, net of deferred financing costs Payments on long-term borrowings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Decrease in short-term borrowings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from exercise of stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excess tax benefits from stock based compensation . . . . . . . . . . . . . . . . . . . . . . . . . Cash paid for acquisition of noncontrolling interests of consolidated subsidiaries . . . . . . . . . Cash paid for treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash dividends paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net cash used in financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes on cash and cash equivalents . . . . . . . . . . . . . . . . Net increase in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents at beginning of period . . . . . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents at end of period . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,220.6 (877.5) (44.1) 41.0 12.7 (0.4) (813.9) (64.6) (526.2) 2.1 99.3 284.6 $ 383.9 152.9 (267.5) (2.2) 35.5 11.6 (80.5) (112.7) (40.0) (302.9) (6.6) 133.0 151.6 $ 284.6 114.3 (199.2) (101.9) 49.0 2.1 — (163.2) (37.3) (336.2) (8.9) 76.6 75.0 $ 151.6 Schedule of non-cash investing activities: Merger financed by common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,256.2 $ — $ — Supplemental disclosures of cash flow information: Interest paid, net of amounts capitalized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income taxes paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.7 $ $ 112.3 $ 54.9 $ 71.4 $ 47.8 $ 48.7 The accompanying notes are an integral part of these financial statements. 68 DENTSPLY SIRONA INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS NOTE 1 — SIGNIFICANT ACCOUNTING POLICIES Description of Business DENTSPLY SIRONA Inc. (“Dentsply Sirona” or the “Company”), is the world’s largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable healthcare products under a strong portfolio of world class brands. The Company’s principal product categories are dental consumable products, healthcare consumable products and dental technology products. The Company distributes its products in over 120 countries under some of the most well established brand names in the industry. On February 29, 2016, DENTSPLY International Inc. merged with Sirona Dental Systems, Inc. (“Sirona”) to form DENTSPLY SIRONA Inc. (the “Merger”). The Consolidated Statements of Operations for the year ended December 31, 2016 include the results of operations for Sirona for the period February 29, 2016 to December accompanying 2016. Consolidated Balance Sheets at December 31, 2016 includes Sirona’s acquired assets and assumed liabilities. See Note 4, Business Combinations, for additional information about the Merger. The 31, stated Unless herein, otherwise reference throughout this Form 10-K to “Dentsply Sirona”, or the and “Company” transactions Inc. to February 29, 2016 and to (“DENTSPLY”) prior financial information and transactions of DENTSPLY SIRONA Inc., thereafter. information International refers of DENTSPLY financial to Use of Estimates The financial principles to make statements preparation of accounting in conformity with generally accepted in the United States of America (“US GAAP”) requires management and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenue and expense during the reporting period. Actual results could differ from those estimates, and such differences may be material to the consolidated financial statements. estimates Principles of Consolidation The consolidated financial statements include the accounts of the Company. All significant intercompany accounts in consolidation. transactions eliminated and are owned companies, Investments in non-consolidated affiliates (20-50 percent and partnerships as well as less than 20 percent ownership positions where the Company maintains significant influence over the subsidiary) are accounted for using the equity method. ventures joint Cash and Cash Equivalents Cash and cash equivalents include deposits with banks as well as highly liquid time deposits with maturities at the date of purchase of ninety days or less. Short-term Investments Short-term investments are highly liquid time deposits with original maturities at the date of purchase greater than ninety days and with remaining maturities of one year or less. Accounts and Notes Receivable-Trade The Company sells dental and certain medical products through a worldwide network of distributors and directly to end users. For customers on credit terms, the Company performs ongoing credit evaluation of those customers’ financial condition and generally does not require collateral from them. The Company establishes allowances for doubtful accounts for estimated losses resulting from the inability of its customers to make required payments. The Company records a provision for doubtful accounts, which is administrative included of expenses Operations. the Consolidated Statements in Selling, general and in Accounts receivable – trade is stated net of these allowances that were $22.7 million and $10.7 million at respectively. The December 31, 2016 and 2015, December 31, 2016 balance includes $7.4 million related to the Merger and acquisitions during the year. For the years ended December 31, 2016 and 2015, the Company wrote-off $2.5 million and $2.2 million, respectively, that were previously reserved. The Company increased the provision for doubtful accounts by $9.2 million and $4.3 million during 2016 and 2015, respectively. receivable accounts of Inventories Inventories are stated at the lower of cost or market. At December 31, 2016 and 2015, the cost of $8.6 million and $8.1 million, respectively, of inventories was determined by the last-in, first-out (“LIFO”) method. The cost of other inventories was determined by the first-in, first-out (“FIFO”) or average cost methods. If the FIFO method had been used to determine the cost of LIFO inventories, the amounts at which net inventories are stated would be higher than reported at December 31, 2016 and 2015 by $6.8 million and $6.6 million, respectively. 69 The Company establishes reserves for inventory estimated to be obsolete or unmarketable equal to the difference between the cost of inventory and estimated market value based upon assumptions about future demand and market conditions. Valuation of Goodwill and Other Long-Lived Assets tests. impairment of Assessment of the potential impairment of goodwill and other long-lived assets is an integral part of the Company’s normal ongoing review of operations. these assets is Testing for potential significantly dependent on assumptions and reflects management’s best estimates at a particular point in time. The dynamic economic environments in which the Company’s businesses operate and key economic and business assumptions with respect to projected selling prices, increased competition and introductions of new the outcome of technologies can significantly affect impairment these Estimates assumptions may differ significantly from actual results. Changes in factors and assumptions used in assessing potential impairments can have a significant impact on the existence and magnitude of impairments, as well as the time at which such impairments are recognized. If there are unfavorable changes in these assumptions, future cash flows, a key variable in assessing the impairment of these assets, may decrease and as a the Company may be required to recognize result the impairment environment and the economic outlook for the assets being evaluated could also result in additional impairment charges being recognized. The following information significant accounting policies on long-lived assets by type. the Company’s charges. changes outlines Future based on in Goodwill Goodwill is the excess of the purchase price over the fair value of identifiable net assets acquired and liabilities assumed in a business combination. Goodwill is not amortized. Goodwill is tested for impairment annually, during the Company’s second quarter, or impairment exist. The when indications of potential the existence of potential Company monitors for impairment the year. This impairment throughout assessment includes an evaluation of various reporting units, which is an operating segment or one reporting level below the operating segment. The Company performs impairment tests using a fair value approach. The Company compares the fair value of each reporting unit to determine if to its carrying amount there is potential goodwill impairment. If impairment is is charge identified determined by through a hypothetical purchase price allocation of the fair value and reducing the current carrying value to the extent it exceeds the recalculated goodwill. resulting the recalculating goodwill goodwill, on The Company’s fair value approach involves using a discounted cash flow model with market-based support as its valuation technique to measure the fair 70 value for its reporting units. The discounted cash flow model uses five-year forecasted cash flows plus a terminal value based on a multiple of earnings. In addition, the Company applies gross profit and operating expense assumptions consistent with its historical trends. The total cash flows were discounted based on market participant data, which included the Company’s weighted-average cost of capital. The Company considered the current market conditions when the Company reconciled the aggregate fair values of its reporting units to its market capitalization, which included a reasonable control premium based on market conditions. Additional information related to the testing for goodwill impairment is provided in Note 9 Goodwill and Intangible Assets. assumptions. determining Lastly, its Indefinite-Lived Intangible Assets assets intangible Indefinite-lived to determine fair consist of to amortization. tradenames and are not subject Valuations of identifiable intangibles assets acquired are based on information and assumptions available at the time of acquisition, using income and market model approaches In-process research and development assets are not subject to the product associated with the amortization until research and development is substantially complete and is a viable product. At that time, the useful life to is determined by amortize the intangible asset identifying the period in which substantially all the cash flows are expected to be generated and the asset is moved to definite-lived. value. the carrying amount of These assets are reviewed for impairment annually or whenever events or circumstances suggest that the asset may not be recoverable. The Company uses an income approach, from royalty method. more specifically a relief is necessary to Significant management determine projected revenue, royalty rates and appropriate discount rates. Royalty rates used are consistent with those assumed for the original purchase accounting valuation. Other assumptions are consistent with those applied to the carrying value goodwill exceeds the fair value, an impairment loss in the amount equal to the excess is recognized. assumptions, impairment judgment including testing. key If Identifiable Definite-Lived Intangible Assets Identifiable definite-lived intangible assets, which primarily consist of patents, trademarks, brand names, non-compete agreements and licensing agreements, are amortized on a straight-line basis over their estimated useful identifiable intangibles assets acquired are based on information and assumptions available at the time of acquisition, using income and market model approaches to determine fair value. lives. Valuations of These assets are reviewed for whenever events or circumstances suggest impairment the that carrying amount of the asset may not be recoverable. intangible assets The Company closely monitors all including those related to new and existing technologies for indicators of impairment as these assets have more risk of becoming impaired. Impairment is based upon an initial evaluation of the identifiable undiscounted cash flows. If the initial evaluation identifies a potential impairment, a fair value is determined by using a the discounted cash flows valuation. resulting charge reflects the excess of the asset’s carrying cost over its fair value. impaired, If Property, Plant and Equipment financial Property, plant and equipment are stated at cost, net of accumulated depreciation. Except for leasehold reporting improvements, depreciation for purposes is computed by the straight-line method over the following estimated useful lives: buildings - generally 40 years and machinery and equipment - 4 to leasehold improvements is 15 years. The cost of amortized over the shorter of the estimated useful life or the term of the lease. Maintenance and repairs are expensed as incurred to the statement of operations; replacements and major improvements are capitalized. impairment These asset groups are reviewed for whenever events or circumstances suggest the that carrying amount of the asset group may not be recoverable. Impairment is based upon an evaluation of the identifiable undiscounted cash flows. If impaired, the resulting charge reflects the excess of the asset group’s carrying cost over its fair value. Derivative Financial Instruments The Company records all derivative instruments on the consolidated balance sheet at fair value and changes in fair value are recorded each period in the consolidated statements of operations or accumulated other comprehensive income (“AOCI”). The Company classifies derivative assets and liabilities as current when the remaining term of the derivative contract is one year or less. The Company has elected to classify the cash flow from derivative instruments in the same category as the cash flows from the items being hedged. Should the Company enter into a derivative instrument included an other-than-insignificant financing element then all cash flows will be classified as financing activities in the Consolidated Statements of Cash Flows as required by US GAAP. that derivative The Company financial employs instruments to hedge certain anticipated transactions, liabilities and firm commitments, denominated in foreign currencies. Additionally, the Company utilizes interest rate swaps to convert floating rate debt to fixed rate. assets and Pension and Other Postemployment Benefits Some of the employees of the Company and its subsidiaries or Company-sponsored defined benefit plans. Many of the government covered are by in benefit defined healthcare are plans. covered Costs the United States employees have available to them defined contribution plans. Additionally, certain union and salaried employee by groups for postemployment Company-sponsored and postemployment benefit plans are based on expected rates, employee return on plan assets, discount compensation increase rates and health care cost trends. Expected return on plan assets, discount rates and health care cost trend assumptions are particularly important when determining the Company’s benefit obligations and net periodic benefit costs associated with postemployment benefits. Changes in these the Company’s earnings assumptions can impact before income taxes. In determining the cost of postemployment benefits, certain assumptions are established annually to reflect market conditions and plan experience to appropriately reflect the expected costs as actuarially determined. These assumptions include medical inflation trend rates, discount rates, employee turnover and mortality rates. The Company predominantly uses liability durations in establishing its discount rates, which are observed from indices of high-grade corporate bond yields in the respective economic regions of the plans. The expected return on plan assets is the weighted average long-term expected return based upon asset allocations and historic average returns for the markets where the assets are invested, principally in foreign locations. The Company reports the funded status of its defined benefit pension and other postemployment benefit plans on its consolidated balance sheets as a net liability or asset. Additional information related to the impact of changes in these assumptions is provided in Note 15, Benefit Plans. Accruals for Self-Insured Losses The Company maintains insurance for certain risks, including workers’ compensation, general liability, product liability and vehicle liability, and is self-insured for employee related healthcare benefits. The Company accrues for the expected costs associated with these risks by considering historical claims experience, demographic factors and other relevant information. Costs are recognized in the period the claim is incurred, and the financial statement accruals include an estimate of claims incurred but not yet reported. The Company has stop-loss coverage to limit its exposure to any significant exposure on a per claim basis. severity factors, Litigation The Company and its subsidiaries are from time to time parties to lawsuits arising out of their respective operations. The Company records liabilities when a loss is probable and can be reasonably estimated. These estimates are typically in the form of ranges, and the Company records the liabilities at the low point of the ranges, when no other point within the ranges are a 71 If the time. better estimate of the probable loss. The ranges established by management are based on analysis legal counsel who made by internal and external considers information known at the Company determines a liability to be only reasonably possible, it considers the same information to estimate the possible exposure and discloses any material potential contingencies are monitored regularly for a change in fact or circumstance that would require an accrual adjustment. The Company believes it has estimated liabilities for probable losses appropriately in the past; however, the unpredictability of litigation and court decisions could cause a liability to be incurred in excess of estimates. Legal costs related to these lawsuits are expensed as incurred. liability. These loss Foreign Currency Translation The functional currency for foreign operations, those in highly inflationary economies, except generally has been determined to be the local currency. for Assets and liabilities of foreign subsidiaries are translated at foreign exchange rates on the balance sheet date; revenue and expenses are translated at the average year-to-date foreign exchange rates. The effects of these translation adjustments are reported in Equity within AOCI on the Consolidated Balance Sheets. During the year ended December 31, 2016, the Company had gains of $15.6 million on its loans designated as hedges of net investments and translation losses of $109.4 million. During the year ended December 31, 2015, the Company had gains of $1.7 million on its loans designated as hedges of net investments and translation losses of $187.2 million. of the entity involved currency Foreign exchange gains and losses arising from transactions denominated in a currency other than the functional and remeasurement adjustments in countries with highly inflationary economies are included in income. Net foreign exchange transaction gains of $10.2 million and $5.2 million and net foreign exchange transaction losses of $1.3 million in 2016, 2015, and 2014, respectively, are included in Other expense (income), net in the Consolidated Statements of Operations. Revenue Recognition Revenue, net of related discounts and allowances, is recognized when the earnings process is complete. This occurs when products are shipped to or received by the customer in accordance with the terms of the agreement, title and risk of loss have been transferred, collectibility is reasonably assured and pricing is fixed or determinable. Net sales include shipping and handling costs collected from customers in connection with the sale. Sales taxes, value added taxes and other taxes collected from customers in similar connection with the sale are recorded by the Company on a net basis and are not included in the Consolidated Statement of Operations. types of The Company offers discounts to its customers and distributors if certain conditions are met. Discounts are primarily based on the volume of products purchased or targeted to be purchased by the individual customer or distributor. Discounts are deducted from revenue at the time of sale or when the discount is offered, whichever is later. The Company estimates volume discounts based on the individual customer’s historical and estimated future product purchases. Returns of products, excluding warranty related returns, are infrequent and insignificant. Certain of the Company’s customers are offered cash rebates based on targeted sales increases. Estimates of rebates are based on the forecasted performance of the customer and their expected level In of achievement within the rebate programs. accounting for these rebate programs, the Company records an accrual as a reduction of net sales as sales take place over the period the rebate is earned. The these rebate Company updates the accruals for programs as actual results and updated forecasts impact the estimated achievement for customers within the rebate programs. A portion of the Company’s net sales is comprised of sales of precious metals generated through its precious metal dental alloy product offerings. As the the Company’s sales is precious metal content of largely a pass-through to customers, the Company uses its cost of precious metal purchased as a proxy for the precious metal content of sales, as the precious metal content of sales is not separately tracked and invoiced to customers. The Company believes that it is reasonable to use the cost of precious metal content purchased in this manner since precious metal alloy sale prices are typically adjusted when the prices of underlying precious metals change. The precious metals content of sales was $64.3 million, $92.8 million and $129.9 million for 2016, 2015 and 2014, respectively. Revenue Recognition related to Multiple Deliverables Sales revenue arrangements can consist of its product and service multiple deliverables of certain products offerings, offerings. Additionally, technology products, may contain primarily dental functions together with the embedded software that product to deliver the product’s essential functionality. Amounts received from customers in advance of product shipment are classified as deferred income until the revenue can be recognized in accordance with the Company’s revenue recognition policy. is revenue specified Services: Service generally recognized ratably over the contract term as the performed. services Amounts received from customers in advance rendering of services are classified as of deferred income until the revenue can be recognized upon rendering of those services. are • 72 • • • • Extended Warranties: The Company offers its customers an option to purchase extended warranties on certain products. The Company recognizes revenue on these extended warranty contracts ratably over the life of the contract. The costs associated with these extended warranty contracts are recognized when incurred. services customers may Multiple-Element Arrangements: Arrangements with include multiple including any combination of deliverables, equipment, extended and warranties. The deliverables included in the Company’s multiple-element arrangements are separated into more than one unit of accounting when (i) the delivered equipment has value to the customer on a stand-alone the undelivered basis, and (ii) delivery of service and probable substantially in the control of the Company. Arrangement consideration is then allocated to each unit, delivered or undelivered, based on the relative selling price of each unit of accounting based first on vendor-specific objective evidence, it exists, and then if based on estimated selling price. element(s) is are also Vendor-specific objective: In most instances, products are sold separately in stand-alone arrangements. Services sold separately through renewals of contracts with varying periods. The Company determines vendor-specific objective based on its pricing the specific and discounting practices for product or service when sold separately, considering geographical, customer, and other economic or marketing variables, as well as renewal rates or stand-alone prices for the service element(s). Estimated Selling Price: Represents the price at which the Company would sell a product or service if it were sold on a stand-alone basis. When vendor-specific objective evidence does not exist for all elements, the Company determines estimated selling price for the arrangement element based on sales, cost and margin analysis, as well as other inputs based on its pricing practices. Adjustments for other market and Company-specific factors are made as deemed necessary in determining estimated selling price. After separating the elements into their specific units of accounting, total arrangement consideration is allocated to each unit of accounting according to the the revenue as described above and nature of application of the relative selling price method. Total recognized revenue is limited to the amount not contingent upon future transactions. 73 Cost of Products Sold Cost of products sold represents costs directly the related to the manufacture and distribution of Company’s products. Primary include raw materials, packaging, direct labor, overhead, shipping and handling, warehousing and the depreciation of manufacturing, warehousing and distribution facilities. Overhead and related expenses include salaries, wages, employee benefits, utilities, lease costs, maintenance and property taxes. costs Warranties The Company provides warranties on certain equipment products. Estimated warranty costs are accrued when sales are made to customers. Estimates for warranty costs are based primarily on historical warranty claim experience. Warranty costs are included in Cost of products sold in the Consolidated Statements of Operations. During 2016, the Company’s warranty the expense and accrual Merger. The following table presents the Company’s warranty at December 31: increased as a result of warranty expense accrual and December 31, 2015 2016 2014 (in millions) Warranty Expense . . . . . . . . . . . . . . . . . . Warranty Accrual $25.2 11.2 $6.0 3.8 $6.0 4.0 Selling, General and Administrative Expenses Selling, general and administrative expenses represent costs incurred in generating revenues and in managing the business of the Company. Such costs include advertising and other marketing expenses, incentive compensation, salaries, employee benefits, travel, office expenses, research and development, lease costs, amortization of capitalized software and depreciation of administrative facilities. Advertising cost are expensed as incurred. Research and Development Costs In addition, expenses. Research and development (“R&D”) costs relate primarily to internal costs for salaries and direct overhead the Company contracts with outside vendors to conduct R&D activities. All such R&D costs are charged to expense when incurred. The Company capitalizes the costs of equipment that have general R&D uses and expenses such equipment that is solely for specific R&D projects. The depreciation expense related to this capitalized equipment is included in the Company’s R&D costs. Software development costs incurred prior to the attainment of feasibility are considered R&D and are expensed as incurred. Once technological feasibility is established, software development costs are capitalized until the product is available for general release to customers. Amortization of these costs are technological included in Cost of products sold over the estimated life the products. R&D costs are included in Selling, of general the Consolidated Statements of Operations and amounted to $128.5 million, $74.9 million and $80.8 million for 2016, 2015 and 2014, respectively. administrative expenses and in Stock Compensation The Company recognizes the compensation cost relating to stock-based payment transactions in the financial statements. The cost of stock-based payment transactions is measured at the grant date, based on the calculated fair value of the award, and is recognized as an expense over the employee’s requisite service the equity period (generally the vesting period of awards). The compensation cost is only recognized for the portion of the awards that are expected to vest. Income Taxes The Company’s tax expense includes U.S. and income taxes plus the provision for U.S. international taxes on undistributed earnings of international subsidiaries not deemed to be permanently invested. Tax credits and other incentives reduce tax expense in the year the credits are claimed. Certain items of income and expense are not reported in tax returns and financial statements in the same year. The tax effect of such temporary differences is reported as deferred income taxes. Deferred tax assets are recognized if it is more likely than not that the assets will be realized in future years. The Company establishes a valuation allowance for deferred tax assets for which realization is not likely. The Company applies a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company recognizes in the financial statements, the impact of a tax position, if that position is more likely than not of being sustained on audit, based on the technical merits of the position. Earnings Per Share Basic earnings per share are calculated by dividing net earnings by the weighted average number of shares outstanding for the period. Diluted earnings per share is calculated by dividing net earnings by the weighted average number of shares outstanding for the period, adjusted for the effect of an assumed exercise the of all dilutive options outstanding at period. the end of Business Acquisitions The Company acquires businesses as well as partial interests in businesses. Acquired businesses are accounted for using the acquisition method of accounting which requires the Company to record 74 assets acquired and liabilities assumed at their respective fair values with the excess of the purchase price over estimated fair values recorded as goodwill. The assumptions made in determining the fair value of acquired assets and assumed liabilities as well as asset lives can materially impact the results of operations. and include: tangible intangible The Company obtains information during due diligence and through other sources to establish respective fair values. Examples of factors and information that the Company uses to determine the fair asset values evaluations and appraisals; evaluations of existing contingencies line liabilities information. If the initial valuation for an acquisition is the quarter in which the incomplete by the end of acquisition occurred, record a provisional estimate in the financial statements. The provisional estimate will be finalized as soon as information becomes available, but will only occur up to one year from the acquisition date. the Company will product and and Noncontrolling Interests in the Consolidated The Company reports noncontrolling interest (“NCI”) in a subsidiary as a separate component of Equity Sheets. Additionally, the Company reports the portion of net income (loss) and comprehensive income (loss) attributed to the Company and NCI separately in the Consolidated Statements of Operations. The Company also includes a separate column for NCI in the Consolidated Statements of Changes in Equity. Balance Segment Reporting The Company numerous operating has businesses covering a wide range of products and geographic regions, primarily serving the professional dental market and to a lesser extent the consumable medical device market. Professional dental products and equipment represented approximately 92%, 88% and 88% of sales for each of the years ended 2016, 2015 and 2014, respectively. The Company has two reportable segments and a description of the activities within these segments is included in Note 5, Segment and Geographic Information. Fair Value Measurement Recurring Basis The Company records certain financial assets and liabilities at fair value in accordance with the accounting guidance, which defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most for the asset or liability in an advantageous market orderly transaction between market participants on the guidance measurement The framework hierarchal establishes accounting disclosure date. a associated with the level of pricing observability utilized instruments at fair value. The in measuring financial three broad levels defined by the fair value hierarchy are as follows: presentation. Specifically, during the first quarter of 2016, the Company realigned reporting responsibilities for multiple locations as a result of changes to the management reporting structure. Level 1 — Quoted prices are available in active the identical assets or liabilities as of markets for reported date. Level 2 — Pricing inputs are other than quoted prices in active markets, which are either directly or indirectly observable reported date. The nature of these instruments include, derivative instruments financial whose fair value have been derived using a model where inputs to the model are directly observable in the market, or can be derived principally from, or corroborated by observable market data. Level 3 — Instruments that have little to no pricing observability as of the reported date. These financial instruments do not have two-way markets and are measured using management’s best estimate of fair value, where the inputs into the determination of fair value require significant management judgment or estimation. The degree of judgment utilized in measuring the fair value of certain financial assets and liabilities generally correlates to the level of pricing observability. Pricing observability is impacted by a number of factors, including the type of instrument. Financial financial assets and liabilities with readily available active quoted prices or for which fair value can be measured from actively quoted prices generally will have a higher degree of pricing observability and a lesser degree of judgment utilized in measuring fair value. Conversely, financial assets and liabilities rarely traded or not quoted will generally have less, or no pricing observability and a higher degree of judgment utilized in measuring fair value. The Company primarily applies the market approach for recurring fair value measurements and endeavors to utilize the best available information. Accordingly, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs. Additionally, the Company considers its credit risks and its counterparties’ credit risks when determining the fair values of its financial assets and liabilities. The Company has presented the required disclosures in Note 18, Fair Value Measurement. Non-Recurring Basis When events or circumstances require an asset or liability to be fair valued that otherwise is generally recorded based on another valuation method, such as, net the Company will utilize the valuation techniques described above. realizable value, Reclassification of Prior Years Amounts Certain reclassifications have been made to prior to conform to current year year’s data in order 75 New Accounting Pronouncements to the the this timing option nature, regarding standard, an entity In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2014-09, “Revenue from Contracts with Customers (Topic 606)” that seeks to provide a single, for all comprehensive revenue recognition model contracts with customers that improve comparability within industries, across industries and across capital markets. Under should recognize revenue for the transfer of goods or services equal to the amount it expects to be entitled to receive those goods or services. Enhanced disclosure for requirements and the uncertainty of revenue and related cash flows exist. To assist entities in applying the standard, a five step model for recognizing and measuring revenue from contracts with customers has been introduced. Entities have new guidance apply retrospectively to each prior reporting period presented (full retrospective approach) or retrospectively with a cumulative effect adjustment to retained earnings for initial application of the guidance at the date of initial adoption (modified retrospective method). On July 9, 2015, the FASB issued ASU No. 2015-14, deferring the effective date by one year to annual reporting periods beginning after December 15, 2017. Early adoption is permitted. In April 2016, the FASB issued ASU No. 2016-10, which clarifies the “identifying performance obligations and licensing implementations guidance” aspects of Topic 606. In May 2016, the FASB issued ASU No. 2016-11, which amends and or rescinds certain the Accounting Standards Codification (“ASC”) to reflect the requirements under Topic 606. Additionally, the FASB issued ASU No. 2016-12, which clarifies the criteria for assessing collectibility, permits an entity to elect an accounting policy to exclude from the transaction price amounts collected from customers for all sales taxes, and provides a practical expedient that permits an entity to reflect the aggregate effect of all contract modifications that occur before the beginning of the earliest period presented In December 2016, the FASB issued ASU No. 2016-20, which clarifies several additional aspects of Topic 606 including contract modifications and performance obligations. The Company will adopt these accounting standards on January 1, 2018. The Company has completed its analysis of revenue areas that will be impacted by the adoption of this standard. The primary areas affected are the Company’s promotional and customer loyalty programs. The Company is currently impact this will gathering and assessing the financial have on the financial position, results of operations, cash flows and disclosures. The Company is also in the systems, process accordance with Topic implementing changes aspects 606. of of to in processes and internal controls to meet the standard update to reporting and disclosure requirements. The Company has not made a decision on the transition method of adoption. In January 2015, the FASB issued ASU No. 2015-01, “Simplifying Income Statement Presentation by Eliminating the Concept of Extraordinary Items”. This newly issued accounting standard eliminates from generally accepted accounting principles the concept of Extraordinary items, events or transactions that are infrequently. The unusual amendments in this update are effective for fiscal years and interim periods within those fiscal years, beginning after December 15, 2015. The Company adopted this accounting standard in the quarter ended March 31, 2016. The adoption of this standard did not materially impact the Company’s financial position or results of operations. in nature and occur In July 2015, the FASB issued ASU No. 2015-11, “Simplifying the Measurement of Inventory.” This newly issued accounting standard requires that an entity measure inventory at the lower of cost or net realizable value, as opposed to the lower of cost or market value. Net realizable value is defined as the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and transportation. Excluded from this update are the Last In First Out (“LIFO”) and retail inventory methods of accounting for inventory. The amendments in this standard are effective for fiscal years beginning after December 15, 2016 and for interim periods within fiscal years beginning after December 15, 2017. Prospective application is required for presentation purposes. The adoption of this standard did not materially impact the Company’s financial position or results of operations. In September 2015, the FASB issued ASU No. “Simplifying Accounting for Measurement 2015-16, Period Adjustments.” This accounting standard seeks to simplify the accounting related to business combinations. Current US GAAP requires retrospective adjustment for provisional amounts recognized during the measurement and periods circumstances that existed at the measurement date, if known, would have affected the measurement of the accounts initially recognized. This standard eliminates retrospective adjustments and the requirement requires adjustments to the Financial Statements as needed in current period earnings for the full effect of changes. The Company adopted this accounting standard for the quarter ended March 31, 2016. The adoption of this standard did not materially impact the Company’s financial position or results of operations. when facts for In November 2015, the FASB issued ASU No. “Balance Sheet Classification of Deferred 2015-17, Taxes.” This accounting standard seeks to simplify the accounting related to deferred income taxes. Current US GAAP requires an entity to separate deferred tax 76 assets (“DTAs”) and deferred tax liabilities (“DTLs”) into current and noncurrent amounts for each tax jurisdiction the related asset or based on the classification of liability for reporting. DTAs and DTLs not financial related to assets and liabilities for financial reporting are classified based on the expected reversal date. The new standard requires DTAs or DTLs for each tax jurisdictions to be classified as noncurrent in a classified statement of financial position. The adoption of this standard is required for interim and fiscal periods ending after December 15, 2016 and is permitted to be adopted prospectively or retrospectively. The adoption of this standard is not expected to materially impact the Company’s financial position and disclosures. for financial In January 2016, statements with more the FASB issued ASU No. 2016-01, “Recognition and Measurement of Financial Assets and Financial Liabilities.” This newly issued accounting standard seeks to enhance the reporting instruments to provide users of model decision-useful financial information as well as to improve and achieve convergence of the FASB and International Accounting Standards Board (“IASB”) standards on the accounting for financial instruments. The amendments allow equity investments that do not have readily determinable fair values to be remeasured at fair value either upon the occurrence of an observable price change or upon identification of an impairment. It also requires those investments and enhanced disclosures about items that are recognized in reduces the number of other comprehensive income. The adoption of this standard is required for interim and fiscal periods ending after December 15, 2017 and should be applied to the by means of a cumulative-effect adjustment balance sheet as of the beginning of the fiscal year of adoption. The Company is currently assessing the this standard may have on its financial impact position, cash flows and disclosures. results of operations, that to key about increase disclosing information transparency In February 2016, the FASB issued ASU No. “Leases.” This newly issued accounting 2016-02, standard and seeks comparability among organizations by recognizing lease assets and lease liabilities in the balance sheet leasing and arrangements. Current US GAAP does not require lessees to recognize assets and liabilities arising from operating leases in the balance sheet. This standard also provides guidance from the lessees prospective on how to determine if a lease is an operating lease or a financing lease and the differences in accounting for this standard is required for each. The adoption of interim and fiscal periods ending after December 15, 2018 and it is required to be applied retrospectively using the modified retrospective approach. Early adoption is permitted. The Company is currently assessing the impact that this standard will have on its financial position, results of operations, cash flows and disclosures. In March 2016, the FASB issued ASU No. “Stock Compensation.” This newly issued 2016-09, accounting standard seeks to simplify the accounting for all entities that issue stock-based payment awards to their employees. The primary areas of change include accounting for income taxes, cash flow statement classification of excess tax benefits and employee taxes paid when an employer withholds shares, accounting for forfeitures and tax withholding requirements. The adoption of this standard is required for interim and fiscal periods ending after December 15, 2016. Early adoption is permitted. Amendments related to the timing of when excess tax benefits are recognized, withholding requirements and forfeitures should be applied using a modified retrospective transition method by means of a cumulative-effect adjustment the beginning of the period in which the guidance is adopted. Amendments related to the presentation of employee taxes paid in the statement of cash flows the when an employer withholds shares to meet minimum statutory withholding requirement should be applied requiring recognition of excess tax benefits and tax deficiencies applied in be should prospectively. The adoption of this standard is not expected to materially impact the Company’s financial position, cash flows and disclosures. results of operations, to equity as of retrospectively. Amendments statement minimum statutory income the after business In August 2016, the FASB issued ASU No. 2016-15, “Statement of Cash Flows.” This newly issued accounting standard seeks to clarify the presentation of eight specific cash flow issues in order to reduce diversity in practice. The topics of clarification include debt prepayment or extinguishment costs, settlement of zero-coupon debt instruments, contingent consideration combination, payments made a insurance claims, proceeds from the settlement of proceeds from the settlement of corporate-owned life insurance policies, distributions received from equity method investees, beneficial in securitization transactions, and separately identifiable cash flows. The amendments in this update are effective for interim and fiscal periods beginning after December 15, 2017. Early adoption is permitted. The amendments in this update should be applied using a retrospective transition method to each period presented. The Company is currently assessing the impact that this standard will have on the presentation of its Consolidated Statements of Cash Flows. interest In October 2016, the FASB issued ASU No. 2016-16, “Income Taxes.” This newly issued accounting standard seeks to improve the accounting for the income tax consequences of intra-entity transfers of assets other than inventory. Current US GAAP prohibits the recognition of current and deferred income taxes for an intra-entity asset transfer until the asset has been sold to a third party, which is an exception to the 77 principle of comprehensive recognition of current and deferred income taxes in US GAAP. ASU No. 2016-16 eliminates this exception. The amendments in this update are effective for interim and fiscal periods beginning after December 15, 2017. Early adoption is permitted. The amendments in this update should be applied using a modified retrospective basis through a cumulative-effect retained earnings as of the beginning of the period of adoption. The Company is currently assessing the impact that this standard will have on its financial position, results of operations, cash flows and disclosures. adjustment directly to In January 2017, the FASB issued ASU No. 2017-01, “Business Combinations.” This newly issued accounting standard clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisition or disposal of assets or businesses. The amendments in this update provide a screen to determine when a set of assets is not a business. The screen requires that when substantially all of the fair value of the gross assets acquired (or disposed of) is concentrated in a single identifiable asset or a group of similar identifiable assets, the set of assets is not a business. The amendments in this update are effective for interim and fiscal periods beginning after December 15, 2017. Early adoption is permitted under certain conditions. The amendments in this update should be applied prospectively. The Company is currently assessing the impact that this standard will on its financial position, results of operations, cash flows and disclosures. In January 2017, its assets and liabilities at the FASB issued ASU No. 2017-04, “Intangibles, Goodwill and Other.” This newly issued accounting standard seeks to simplify the subsequent measurement of goodwill by eliminating step 2 of the goodwill impairment test which requires business to perform procedures to determine the fair value of the impairment testing date. Under this amendment, an entity should perform its goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount the and then recognize an impairment charge for amount by which the carrying amount exceeds the reporting unit’s fair value. The loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. Additionally, an entity should consider income tax effects from any tax deductible goodwill on the reporting unit when the carrying amount of measuring the goodwill impairment loss, if applicable. The amendments in this update are required for annual impairment tests in fiscal years and interim goodwill beginning after December 15, 2019. Early adoption is permitted for interim or annual goodwill impairment test performed on testing dates after January 1, 2017. The amendments in this update should be applied prospectively. The Company is currently assessing the impact this standard will have on its financial position, results of operations and disclosures. that NOTE 2 — EARNINGS PER COMMON SHARE The following table sets forth the computation of basic and diluted earnings per common share: Net income attributable to Dentsply Sirona Shares Earnings per common share (in millions, except for per share amounts) Year Ended December 31, 2016 Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429.9 218.0 $1.97 Incremental shares from assumed exercise of dilutive options and RSUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429.9 3.6 221.6 $1.94 Year Ended December 31, 2015 Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251.2 140.0 $1.79 Incremental shares from assumed exercise of dilutive options and RSUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251.2 2.5 142.5 $1.76 Year Ended December 31, 2014 Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322.9 141.7 $2.28 Incremental shares from assumed exercise of dilutive options and RSUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322.9 2.5 144.2 $2.24 The calculation of weighted average diluted shares outstanding excludes stock options and restricted stock units (“RSUs”) of 0.6 million, 0.9 million and 1.0 million shares of common stock that were outstanding during the years ended 2016, 2015 and 2014, respectively, from the computation of diluted earnings per common share since their effect would be antidilutive. certain derivative financial instruments, value of pension liability adjustments and prior service costs, net are recorded in AOCI. These changes are recorded in AOCI net of any related tax adjustments. For the years ended December 31, 2016, 2015 and 2014, these tax adjustments were $166.4 million, $169.3 million and $195.4 million, respectively, primarily related to foreign currency translation adjustments. The currency cumulative translation foreign adjustments included translation losses of $412.4 million and $307.5 million at December 31, 2016 and 2015, respectively, and which included losses of $78.1 million and $93.7 million, respectively, on loans designated as hedges of net investments. NOTE 3 — COMPREHENSIVE INCOME AOCI foreign to translation includes foreign adjustments related the related changes in certain subsidiaries, net of financial instruments hedging these foreign currency investments. In addition, changes in the Company’s fair currency the Company’s 78 Changes in AOCI by component for the years ended December 31, 2016, 2015 and 2014: Gain and (Loss) on Derivative Financial Instruments Designated as Cash Flow Hedges Foreign Currency Translation Gain (Loss) Gain and (Loss) on Derivative Financial Instruments Pension Liability Gain (Loss) Total (in millions) Balance, net of tax, at December 31, 2015 . . $(401.2) $(1.2) $(110.2) $(81.4) $(594.0) Other comprehensive (loss) income before . . . . . . reclassifications and tax impact Tax (expense) benefit . . . . . . . . . . . . . . Other comprehensive (loss) income, net of tax, before reclassifications . . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss), net of tax . . . . . . . . . . . . . . . . . . . . . . . (71.4) (17.9) (89.3) (0.8) 0.5 (0.3) (13.2) 6.6 (25.4) (110.8) 7.9 (2.9) (6.6) (17.5) (113.7) — (1.7) — 3.7 2.0 Net (decrease) increase in other comprehensive income . . . . . . . . . . (89.3) Balance, net of tax, at December 31, 2016 . . $(490.5) (2.0) $(3.2) (6.6) (13.8) (111.7) $(116.8) $(95.2) $(705.7) Gain and (Loss) on Derivative Financial Instruments Designated as Cash Flow Hedges Net Unrealized Holding Gain (Loss) on Available- for-Sale Securities Gain and (Loss) on Derivative Financial Instruments Foreign Currency Translation Gain (Loss) Pension Liability Gain (Loss) Total (in millions) Balance, net of tax, at December 31, 2014 . . . . . . . $(212.5) $(10.8) $(112.7) $ 8.5 $(113.6) $(441.1) Other comprehensive (loss) income before reclassifications and tax impact . . . . . . . . . . . . . . Tax (expense) benefit . . . . . Other comprehensive income (loss), net of tax, before reclassifications . . . . . . . . Amounts reclassified from accumulated other comprehensive income (loss), net of tax . . . . . . . . Net (decrease) increase in other comprehensive income . . . . . . . . . . . . Balance, net of tax, at (178.0) (9.5) 22.1 (3.3) 4.5 (2.0) (6.8) 2.0 39.9 (13.3) (118.3) (26.1) (187.5) 18.8 2.5 (4.8) 26.6 (144.4) (1.2) (9.2) — (3.7) 5.6 (8.5) (188.7) 9.6 2.5 (8.5) 32.2 (152.9) December 31, 2015 . . . . . . . $(401.2) $ (1.2) $(110.2) $ — $ (81.4) $(594.0) 79 Reclassification out of accumulated other comprehensive income (loss) for the years ended December 31, 2016, 2015 and 2014: Details about AOCI Components Amounts Reclassified from AOCI Year Ended December, 31 2015 2014 2016 Affected Line Item in the Statements of Operations (in millions) Realized foreign currency gain on liquidation of foreign subsidiary: $ 1.2 Foreign currency translation adjustment . . . . $ — Gains and (loss) on derivative financial instruments: Interest rate swaps . . . . . . . . . . . . . . . . Foreign exchange forward contracts . . . . Foreign exchange forward contracts . . . . Commodity contracts . . . . . . . . . . . . . . Net gain (loss) before tax . . . . . . . . . . . . Tax impact . . . . . . . . . . . . . . . . . . . . . Net gain (loss) after tax . . . . . . . . . . . . . Realized gain on available-for-sale securities: Available-for-sale-securities . . . . . . . . . . Tax impact . . . . . . . . . . . . . . . . . . . . . Net gain after tax . . . . . . . . . . . . . . . . . $(2.9) 4.8 0.1 (0.1) 1.9 (0.2) $ 1.7 $ — — $ — $(10.1) 18.0 0.6 (0.5) 8.0 1.2 $ 9.2 $ 5.1 (1.4) $ 3.7 $ — Other expense (income), net $ (3.7) (6.4) (0.1) (0.5) (10.7) 3.7 $ (7.0) Interest expense Cost of products sold SG&A expenses Cost of products sold Provision for income taxes $ — Other expense (income), net — Provision for income taxes $ — Amortization of defined benefit pension and other postemployment benefit items: $ 0.1(a) (2.9)(a) (2.8) 1.0 $ (1.8) $ (8.8) Amortization of prior service benefits . . . . Amortization of net actuarial losses . . . . . Net loss before tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax impact Net loss after tax . . . . . . . . . . . . . . . . . Total reclassifications for the period . . . . . . $ 0.2 (8.0) (7.8) 2.2 $ (5.6) $ 8.5 $ 0.2 (5.3) (5.1) 1.4 $(3.7) $(2.0) Provision for income taxes (a) These accumulated other comprehensive income components are included in the computation of net periodic benefit cost for the years ended December 31, 2016, 2015, and 2014, respectively (see Note 15, Benefit Plans, for additional details). NOTE 4 — BUSINESS COMBINATIONS Business Combinations 2016 Transactions On February 29, 2016, DENTSPLY merged with Sirona in an all-stock transaction and the registrant was renamed DENTSPLY SIRONA Inc. and the common stock continues to trade on the NASDAQ under the ticker “XRAY”. In connection with the Merger, each former share of Sirona common stock issued and outstanding immediately prior to February 29, 2016, was converted to 1.8142 shares of DENTSPLY common stock. The Company issued approximately 101.8 million shares of DENTSPLY common stock to stock, former representing approximately 42% of the approximately 242.2 million total shares of DENTSPLY common stock outstanding on the Merger date. shareholders of Sirona common DENTSPLY was determined to be the accounting acquirer. In this all-stock transaction, only DENTSPLY common stock was transferred and DENTSPLY shareholders received approximately 58% of the voting interest of the combined company, and the Sirona shareholders received approximately 42% of the voting interest. Additional indicators included the combined company’s eleven Board of Directors which includes six the former DENTSPLY board, and five members of members of the former Sirona board, as well as DENTSPLY’s financial size. combines The Merger leading platforms in consumables, equipment, and technologies which creates complimentary end to end solutions to meet customer needs and improve patient care. The combined company is positioned to capitalize on key industry trends to drive growth, including accelerating adoption of digital dentistry. 80 The following table summarizes the consideration transferred: (in millions, except per share amount)* Sirona common stock outstanding at February 29, 2016 . . . . . . . . . . . . . . . . . . . . . . Exchange ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DENTSPLY common stock issued for consideration . . . . . . . . . . . . . . . . . . . . . . . . DENTSPLY common stock per share price at February 26, 2016 . . . . . . . . . . . . . . . . Fair value of DENTSPLY common stock issued to Sirona shareholders . . . . . . . . . . . . Fair value of vested portion of Sirona stock-based awards outstanding – 1.5 million at February 29, 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total acquisition consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56.1 1.8142 101.8 $ 60.67 $6,173.8 82.4 $6,256.2 * Table may not foot due to rounding The Merger was recorded in accordance with US GAAP pursuant to the provisions of ASC Topic 805, Business Combinations. The Company has performed a preliminary valuation analysis of identifiable assets acquired and liabilities assumed and allocated the consideration based on the preliminary fair values of those identifiable assets acquired and liabilities In addition, completion of assumed, but there may be material changes as the the valuation is finalized. valuation may impact the net deferred tax liability currently recognized with any resulting in a corresponding change to adjustment these potential adjustments goodwill. The amount of could be significant. the assessment of The following table summarizes the preliminary fair value of identifiable assets acquired and liabilities assumed at the date of the Merger: (in millions) Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trade receivables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Identifiable intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other long-term assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Debt Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other long-term liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Noncontrolling interest Total identifiable net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 522.3 143.0 220.7 111.1 237.1 2,435.0 3,776.8 10.7 7,456.7 68.0 197.9 57.5 771.6 95.3 1,190.3 10.2 $6,256.2 Inventory held by Sirona included a fair value adjustment of $72.0 million. The Company expensed this amount through June 30, 2016 as the acquired inventory was sold. Property, plant and equipment includes a fair value adjustment of $33.6 million, and consists of land, buildings, plant and equipment. Depreciable lives range from 25 to 50 years for buildings and from 3 to 10 years for plant and equipment. Deferred income for service contracts previously recorded by Sirona now includes a fair value liabilities by adjustment which reduced other current this amount $17.3 million. The consequence is that cannot be recognized as revenue under US GAAP. 81 Weighted average useful lives for intangible assets were determined based upon the useful economic lives of the intangible assets that are expected to contribute to future cash flows. The acquired definite-lived intangible assets are being amortized on a straight-line basis over their expected useful lives. Intangible assets acquired consist of the following: (in millions, except for useful life) Customer relationships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Developed technology and patents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trade names and trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Weighted Average Useful Life (in years) 14 12 Indefinite Amount $ 495.0 1,035.0 905.0 $2,435.0 flows resulting The fair values assigned to intangible assets were determined through the use of the income approach, specifically the relief from royalty method was used to fair value the developed technology and patents and tradenames and trademarks and the multi-period excess earnings method was used to fair value customer relationships. Both valuation methods rely on including expected future management’s judgments, cash customer from existing relationships, customer attrition rates, contributory effects of other assets utilized in the business, peer group cost of capital and royalty rates as well as other factors. The valuation of tangible assets was derived using a combination of the market approach and the cost approach. Significant judgments used in valuing tangible assets include estimated reproduction or replacement cost, weighted average useful lives of assets, estimated selling prices, costs to complete and reasonable profit. the income approach, The $3,776.8 million of goodwill is attributable to the excess of the purchase price over the fair value of the net tangible and intangible assets acquired and liabilities assumed. Goodwill is considered to represent the value associated with workforce and synergies the two companies anticipate realizing as a combined company. Goodwill of $3,663.5 million has been assigned to the Company’s Technologies segment and $113.3 million has been assigned to the Company’s Dental and Healthcare Consumables segment. The tax goodwill purposes. is not expected to be deductible for Sirona contributed net sales of $1,039.9 million and operating income of $227.2 million to the Company’s Consolidated Statements of Operations during the period from February 29, 2016 to December 31, 2016 which is primarily included in the Technologies segment. The following unaudited pro forma financial information reflects the consolidated results of operations of the Company had the Merger occurred on January 1, 2015. Sirona’s financial information has been compiled in a manner consistent with the accounting policies adopted by DENTSPLY. The following unaudited pro forma financial information for the year ended December 31, 2016 and 2015, has been prepared for comparative purposes and does not purport to be indicative of what would have occurred had the Merger occurred on January 1, 2015, nor is it indicative of any future results. (in millions, except per share amount) Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,916.0 Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 437.0 Diluted earnings per common share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1.85 $3,830.0 $ 388.5 $ 1.58 Pro forma – unaudited Year Ended 2016 2015 The pro forma financial information is based on the Company’s preliminary assignment of consideration given and therefore subject to adjustment. These pro forma amounts were calculated after applying the Company’s accounting policies and adjusting Sirona’s results that are directly attributable to the Merger. These adjustments mainly amortization, intangible include to reflect adjustments additional asset 82 fair value inventory depreciation, adjustments, transaction costs and taxes that would have been charged assuming the fair value adjustments had been applied from January 1, 2015, together with the consequential the statutory rate. Pro forma results do not include any anticipated synergies or other benefits of the Merger. tax effects at For the year ended December 31, 2016, in connection with the Merger, the Company has incurred $29.9 million of transaction related costs, primarily amounts paid to third party advisers, legal and banking fees, which are included in Selling, general and administrative expenses in the Consolidated Statements of Operations. In September 2016, the Company finalized the acquisitions of MIS Implants Technologies Ltd., a dental implant systems manufacturer headquartered in northern Israel and a small acquisition of a healthcare consumable business. Total purchase price related to these two acquisitions was $341.4 million, net of cash acquired of $61.4 million, and is subject to final purchase price adjustments. At December 31, 2016, the Company recorded a preliminary estimate of $206.4 million in goodwill related to the difference between the fair value of assets acquired and liabilities assumed and the consideration given for the acquisitions. Intangible assets acquired consist of the following: (in millions, except for useful life) Customer relationships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Developed technology and patents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trade names and trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Weighted Average Useful Life (in years) 15 15 Indefinite Amount $ 91.3 37.4 25.3 $154.0 The results of operations for these businesses have been included in the accompanying financial statements as of the effective date of the respective transactions. The purchase prices have been assigned on the basis of preliminary estimates of the fair values of assets acquired and liabilities assumed. These transactions were not material to the Company’s net sales and net income attributable to Dentsply Sirona for the year ended December 31, 2016. 2015 Transactions In October 2015, the Company purchased a South laboratory American-based manufacturer of dental products for $51.1 million. The Company recorded $31.3 million of goodwill related to the difference between the fair value of assets acquired and liabilities assumed the acquisitions. The results of operations for this business have been included in the accompanying financial statements as of the effective date of the respective transactions. This transaction was immaterial to the Company’s net sales and net income attributable to Dentsply Sirona. consideration given and the for 2014 Transactions On January 1, 2014, the Company recorded a liability for the contractual purchase of the remaining shares of one noncontrolling interest. The Company paid $80.4 million to settle this obligation during the first quarter of 2015. In addition during 2014, the Company had one two non-core product to the income attributable to acquisition and divestitures of lines. These transactions were immaterial Company’s net sales and net Dentsply Sirona. Investment in Affiliates On December 9, 2010, the Company purchased an initial ownership interest of 17% of the outstanding 83 shares of DIO Corporation (“DIO”). In addition, on December 9, 2010, the Company invested $49.7 million in the corporate convertible bonds of DIO, which were permitted to be converted into common shares at any time. The bonds were designated by the Company as available-for-sale securities which are reported in, Prepaid expenses and other current assets, in the Consolidated Balance Sheets at December 31, 2014 and the changes in fair value were reported in AOCI. The bonds was December 2015. The Company had recorded the ownership in DIO under the equity method of accounting as it had significant influence over DIO. contractual maturity the of In September 2015, the Company sold the bonds at face value. The Company recorded an unrealized holding loss, net of tax, of $4.8 million for the year ended December 31, 2015, in the Consolidated Statements of Comprehensive Income. As a result of sale of the bonds, the Company recorded $3.7 million, net of tax, of realized foreign currency gains in Other expense (income), net, in the Consolidated Statements of Operations for the year ended December 31, 2015. The fair value of the DIO bonds was $57.7 million at December 31, 2014 and a cumulative unrealized holding gain of $8.5 million was recorded in available-for-sale securities, net of tax in AOCI. In addition, At December 31, 2015, the Company no longer has representation on the DIO Board of Directors and the Company no longer has significant as a result influence on the operations of DIO. the the convertible bonds exercised the buyers of conversion rights which resulted in DIO issuing the Company’s additional and ownership position to 13%. As a result of these changes the Company now uses the cost-basis method of accounting for the remaining direct investment. The book value of the Company’s direct investment in DIO is $8.2 million and $8.5 million at December 31, 2016 respectively, and is included in “Other and 2015, diluting shares noncurrent assets, net,” in the Consolidated Balance Sheet. At December 31, 2016 and 2015, the fair value of is $63.4 million and $49.3 million, respectively. investment the direct NOTE 5 — SEGMENT AND GEOGRAPHIC INFORMATION as chief The operating businesses are combined into two operating groups, which generally have overlapping geographical presence, customer bases, distribution channels, and regulatory oversight. These operating groups are considered the Company’s reportable segments operating the Company’s decision-maker regularly reviews financial results at the operating group level and uses this information to manage the Company’s operations. The Company evaluates performance of the segments based on the groups’ net third party sales, excluding precious metal content, and segment adjusted operating income. The third party sales excluding Company defines net precious metal content as the Company’s net sales excluding the precious metal cost within the products sold, which is considered a measure not calculated in accordance with US GAAP, and is therefore considered a non-US GAAP measure. Management believes that the presentation of net sales, excluding precious metal content, provides useful information to investors because a portion of Dentsply Sirona’s net sales is comprised of sales of precious metals generated through sales of the Company’s precious metal dental alloy products, which are used by third parties to construct crown and bridge materials. Due to the fluctuations of precious metal prices and because the cost of the precious metal content of the Company’s sales is largely passed through to customers and has minimal effect on earnings, Dentsply Sirona reports net sales both with and without precious metal content to show the Company’s performance independent of precious metal price volatility and to enhance comparability of performance between periods. The Company uses its cost of precious metal purchased as a proxy for the precious metal content of sales, as the precious metal content of sales is not separately tracked and invoiced to customers. The Company believes that it is reasonable to use the cost of precious metal content purchased in this manner since precious metal dental alloy sale prices are typically adjusted when the prices of underlying precious metals change. The Company’s exclusion of precious metal content in the measurement of net third party sales enhances comparability of performance between periods as it excludes the fluctuating market prices of the precious metal content. The Company also evaluates segment performance based on each segment’s adjusted operating income before provision for income taxes and interest. Segment adjusted operating income is defined as operating income before income taxes and before certain corporate headquarter unallocated costs, restructuring and other costs, interest expense, interest income, other expense (income), net, amortization of intangible assets and depreciation resulting from the fair value step-up of property, plant and equipment from acquisitions. The Company’s adjusted operating income is considered a non-US GAAP measure. A description of the products and services provided within each of the Company’s two operating segments is provided below. segment During the March 31, 2016 quarter, the Company realigned reporting responsibilities as a result of the Merger and changed the management structure. The segment the revised structure for all periods shown. information below reflects Dental and Healthcare Consumables This segment includes responsibility for the worldwide design, manufacture, sales and distribution of the Company’s Dental and Healthcare Consumable Products which restorative, instruments, endodontic, and laboratory dental products as well as consumable medical device products. preventive, include Technologies This segment is responsible for the worldwide design, manufacture, sales and distribution of the Company’s Dental Technology Products which includes dental implants, CAD/CAM systems, imaging systems, treatment centers and orthodontic products. The following table sets forth information about the Company’s segments for the years ended December 31, 2016, 2015 and 2014. Third Party Net Sales (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,058.1 1,687.2 $3,745.3 $1,961.0 713.3 $2,674.3 $2,142.3 780.3 $2,922.6 2016 2015 2014 84 Third Party Net Sales, Excluding Precious Metal Content (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total net sales, excluding precious metal content . . . . . . . . . . . . . . . . . Precious metal content of sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total net sales, including precious metal content 2016 2015 2014 $1,994.3 1,686.7 $3,681.0 64.3 $3,745.3 $1,868.8 712.7 $2,581.5 92.8 $2,674.3 $2,013.2 779.5 $2,792.7 129.9 $2,922.6 Intersegment Net Sales (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other(a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Eliminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 2015 2014 $ 233.0 6.4 239.5 (478.9) $ 208.0 7.3 214.6 (429.9) $ — $ — $ 210.8 6.8 239.2 (456.8) $ — (a) Includes amounts recorded at Corporate headquarters and one distribution warehouse not managed by named segments. Depreciation and Amortization (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 2015 2014 $ 78.1 182.4 11.2 $271.7 $ 74.4 42.0 6.5 $122.9 $ 78.2 45.5 5.4 $129.1 (b) Includes amounts recorded at Corporate headquarters. Segment Operating Income (Loss) Segment adjusted operating income before income taxes and interest (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reconciling Items (income) expense: All Other(c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restructuring and other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other expense (income), net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amortization of intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation resulting from the fair value step-up of property, plant and 2016 2015 2014 $544.5 355.1 $899.6 $470.1 93.7 $563.8 $467.5 111.3 $578.8 261.3 23.2 35.9 (2.0) (20.1) 155.4 78.4 64.7 55.9 (2.2) (8.2) 43.7 72.1 11.1 46.9 (5.6) (0.1) 47.9 equipment from business combinations . . . . . . . . . . . . . . . . . . . . . . . Income before income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.0 $440.9 1.8 $329.7 2.1 $404.4 (c) Includes results of Corporate headquarters, inter-segment eliminations and one distribution warehouse not managed by named segments. 85 Capital Expenditures (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other(d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 2015 2014 $ 42.1 73.8 9.1 $125.0 $37.9 23.3 10.8 $72.0 $62.2 28.9 8.5 $99.6 (d) Includes capital expenditures of Corporate headquarters. Assets (in millions) Dental and Healthcare Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,616.6 8,103.7 Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other(e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 935.8 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $11,656.1 $2,537.0 1,537.7 328.2 $4,402.9 2016 2015 (e) Includes assets of Corporate headquarters, inter-segment eliminations and one distribution warehouse not managed by named segments. Geographic Information The following table sets forth information about the Company’s operations in different geographic areas for the years ended December 31, 2016, 2015 and 2014. Net sales reported below represent revenues for shipments made by operating businesses located in the country or territory identified, including export sales. Property, plant and equipment, net, represents those long-lived assets held by the operating businesses located in the respective geographic areas. United States Germany Sweden Other Foreign Consolidated (in millions) 2016 Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment, net . . . . . . . . . . . . 2015 Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment, net . . . . . . . . . . . . 2014 Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment, net . . . . . . . . . . . . $1,383.0 192.5 $617.0 244.1 $ 53.2 82.5 $1,692.1 280.7 $3,745.3 799.8 $1,027.4 178.5 $472.8 92.1 $ 42.3 92.3 $1,131.8 195.9 $2,674.3 558.8 $1,015.9 170.8 $541.8 109.3 $ 48.9 103.9 $1,316.0 204.8 $2,922.6 588.8 Product and Customer Information The following table presents net sales information by product category: (in millions) Dental consumables products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dental technology products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Healthcare consumable products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,770.3 1,658.6 316.4 $3,745.3 $1,671.1 687.7 315.5 $2,674.3 $1,807.6 753.7 361.3 $2,922.6 December 31, 2015 2014 2016 86 Dental Consumable Products Dental consumable products consist of value added dental supplies and small equipment used in dental offices for It also includes specialized treatment products used within the dental office and laboratory settings including products used in the preparation of dental appliances by dental laboratories. the treatment of patients. Dentsply dental include supplies Sirona’s endodontic (root canal) instruments and materials, dental anesthetics, prophylaxis paste, dental sealants, impression materials, tooth fluoride. Small equipment whiteners and topical products include dental handpieces, intraoral curing light systems, dental diagnostic systems and ultrasonic scalers and polishers. restorative materials, dental include The Company’s products used in the dental including laboratories teeth, precious metal dental alloys, dental artificial ceramics and crown and bridge materials. Dental laboratory porcelain furnaces. prosthetics, equipment products include Dental Technology Products and Dental software, technology products consist of high-tech implants and related scanning state-of-art dental equipment orthodontic treatment appliances for dental practitioners and specialist and dental laboratories. The product category also includes basic and high-tech dental equipment such as treatment centers, imaging equipment and computer aided design and machining “CAD/CAM” systems equipment for dental practitioners and laboratories. The Company is the only manufacturer that can fully outfit a dental practitioner’s office with dental equipment. Treatment centers comprise a broad range of products from basic dentist chairs to sophisticated chair-based units with integrated diagnostic, hygiene and ergonomic functionalities, as well as specialist centers used in preventative treatment and for training NOTE 6 — OTHER EXPENSE (INCOME), NET for and dental offices crowns, copings bridges, products designed purposes. Imaging systems consist of a broad range of diagnostic imaging systems for 2D or 3D, panoramic, and intra-oral applications. Dental CAD/CAM Systems are and laboratories used for dental restorations, which includes several types of restorations, such as inlays, onlays, bridge veneers, frameworks made from ceramic, metal or composite blocks. This product line also includes high-tech CAD/ CAM techniques of CEramic REConstruction, or CEREC equipment. This equipment allows for in-office application that enables dentists to produce high quality restorations from ceramic material and insert them into the patient’s mouth during a single appointment. CEREC has a number of advantages compared to the traditional out-of-mouth pre-shaped restoration method, as CEREC does not require a physical model, restorations can be created in the dentist’s office and the procedure can be completed in a single visit. Healthcare Consumable Products Healthcare consumable products consist mainly of urology catheters, certain surgical products, medical drills and other non-medical products. Concentration Risk For the year ended December 31, 2016, two customers each accounted for more than ten percent of consolidated net sales. At December 31, 2016, one customer accounted for more than ten percent of the consolidated accounts receivable balance. For the year ended December 31, 2015, one customer accounted for more than ten percent of consolidated net sales. At there were no customers that December 31, 2015, accounted for ten percent or more of the consolidated accounts receivable balance. For the year ended December 31, 2014, the Company had no single represented ten percent or more of customer consolidated ended sales. For net December 31, 2016, 2015 and 2014, third party export sales from the U.S. were less than ten percent of consolidated net sales. years that the Other expense (income), net, consists of the following: (in millions) Foreign exchange transaction (gains) losses . . . . . . . . . . . . . . . . . . . . . Other (income) expense, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total other expense (income), net . . . . . . . . . . . . . . . . . . . . . . . . . . . $(10.2) (9.9) $(20.1) $(5.2) (3.0) $(8.2) December 31, 2015 2016 2014 $ 1.3 (1.4) $(0.1) Foreign exchange transaction gains for the year ended December 31, 2016, included approximately $6.9 million foreign currency gains on foreign currency forwards designated as net investment hedges. Foreign exchange transaction gains for the year ended December 31, 2015, included approximately $5.1 million foreign currency gain on the sale of a convertible bond. Foreign exchange transaction losses for the year ended December 31, 2014, included approximately $1.1 million of interest income and fair value gains on non-designated hedges. 87 NOTE 7 — INVENTORIES, NET Inventories, net, consist of the following: (in millions) Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Work-in-process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Raw materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories, net December 31, 2016 2015 $311.3 77.1 128.7 $517.1 $218.2 52.3 69.9 $340.4 The Company’s inventory valuation reserve was $37.5 million and $36.3 million at December 31, 2016 and 2015, respectively. NOTE 8 — PROPERTY, PLANT AND EQUIPMENT, NET Property, plant and equipment, net, consist of the following (in millions) Assets, at cost: Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Buildings and improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Machinery and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction in progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property, plant and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . December 31, 2016 2015 $ 52.8 500.4 1,218.8 82.9 1,854.9 1,055.1 $ 799.8 $ 38.5 400.4 846.7 57.1 1,342.7 783.9 $ 558.8 NOTE 9 — GOODWILL AND INTANGIBLE ASSETS The Company performed the required annual impairment tests of goodwill at April 30, 2016 on 20 reporting units. As discussed in Note 5, Segment and Geographic Information, effective in the first quarter of 2016, the Company realigned reporting responsibilities for multiple locations. For any realignment that resulted in reporting unit changes, the Company applied the relative fair value method to determine the reallocation of goodwill of the associated reporting units. To determine the fair value of the Company’s reporting units, the Company uses a discounted cash flow model with market-based support as its valuation technique to measure the fair value for its reporting units. The discounted cash flow model uses five-year forecasted cash flows plus a terminal value based on a multiple of earnings. In addition, the Company applies gross margin and operating expense assumptions consistent with historical trends. The total cash flows were discounted based on a range between 6.7% to 14.7%, which included assumptions regarding the Company’s weighted-average cost of capital. The Company considered the current market conditions both in the U.S. and globally, when determining its assumptions and reconciled the aggregated fair values of its reporting units to its market capitalization, which 88 included a reasonable control premium based on market conditions. As a result of the annual impairment tests of goodwill, no impairment was identified. At December 31, 2016, three reporting units, all components of the Technologies operating segment, and one reporting unit, a component of the Dental and Healthcare Consumables operating segment, were created as a result of the Sirona merger on February 29, 2016. At the date of the Merger, the fair value of the businesses equaled book value with goodwill for the reporting units totaling $3,776.8 million. the Given the limited time since the Merger date, reporting units’ fair values approximate the book values of the reporting units. Slower net sales growth rates in the dental rates, unfavorable changes in earnings multiples or a decline in future cash flow projections, among other factors, may cause a change in circumstances indicating that the carrying value of the Company’s goodwill may not be recoverable. industry, an increase in discount no There were impairments of identifiable definite-lived and indefinite-lived intangible assets for the year ended December 31, 2016. Impairments of identifiable definite-lived and indefinite-lived intangible assets for the year ended December 31, 2015 was $3.7 identifiable million. There were no impairments of definite-lived and indefinite-lived intangible assets for the year ended December 31, 2014. Impairments of intangible assets are included in Restructuring and other in the Consolidated Statements of Operations. costs At December 31, 2016, indefinite-lived assets recorded on three reporting units, all within the Technologies operating segment, and indefinite-lived assets recorded on one reporting unit within the Dental and Healthcare Consumables operating segment, were identified and fair valued as result of the Sirona merger on February 29, 2016. At the date of the Merger, the fair value of the indefinite-lived assets equaled book value totaling $905.0 million. Given the limited time since the Merger date, the indefinite-lived asset’s fair values approximate the book values. Slower net sales growth rates in the dental industry, an increase in discount rates, unfavorable changes in earnings multiples or a decline in future cash flow projections, among other factors, may cause a change in circumstances indicating that the carrying value of the Company’s be recoverable. indefinite-lived assets may not A reconciliation of changes in the Company’s goodwill by segment and in total are as follows (the segment information below reflects the current structure for all periods shown): (in millions) Balance at December 31, 2014 . . . . . . . . . . . . . . . . . . . . . . Acquisition activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . . . Balance at December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . Merger related additions . . . . . . . . . . . . . . . . . . . . . . . . . Acquisition activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjustment of provisional amounts on prior acquisitions . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . . . Dental and Healthcare Consumables Technologies Total $ 951.9 31.3 (26.6) $ 956.6 113.3 8.5 1.6 11.2 $1,137.4 — (106.4) $1,031.0 3,663.5 196.1 — (29.8) $2,089.3 31.3 (133.0) $1,987.6 3,776.8 204.6 1.6 (18.6) Balance, at December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . $1,091.2 $4,860.8 $5,952.0 Identifiable definite-lived and indefinite-lived intangible assets consist of the following: (in millions) Patents . . . . . . . . . . . . . . . . . . . . Trademarks . . . . . . . . . . . . . . . . . Licensing agreements . . . . . . . . . . Customer relationships . . . . . . . . . Total definite-lived . . . . . . . . . . . . Trademarks and In-process R&D . . . Total identifiable intangible assets . . Gross Carrying Amount $1,189.5 65.3 33.5 1,004.8 $2,293.1 $1,088.4 $3,381.5 December 31, 2016 December 31, 2015 Accumulated Amortization Net Carrying Amount Gross Carrying Amount Accumulated Amortization Net Carrying Amount $(177.3) (38.7) (26.7) (181.2) $(423.9) $ — $(423.9) $1,012.2 26.6 6.8 823.6 $1,869.2 $1,088.4 $2,957.6 $164.8 67.0 33.7 437.7 $703.2 $178.8 $882.0 $ (95.0) (36.0) (24.9) (125.4) $(281.3) $ — $(281.3) $ 69.8 31.0 8.8 312.3 $421.9 $178.8 $600.7 Amortization expense for identifiable definite-lived intangible assets for 2016, 2015 and 2014 was $155.1 million, $43.8 million and $47.9 million, respectively. The annual estimated amortization expense related to these intangible assets for each of the five succeeding fiscal years is $180.1 million, $178.5 million, $178.3 million, $177.9 million and $172.6 million for 2017, 2018, 2019, 2020 and 2021, respectively. 89 NOTE 10 — PREPAID EXPENSES AND OTHER CURRENT ASSETS Prepaid expenses and other current assets consist of the following: (in millions) Deferred taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fair value of derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTE 11 — ACCRUED LIABILITIES Accrued liabilities consist of the following: December 31, 2016 2015 $172.1 39.4 36.5 14.1 83.5 $345.6 $ 70.4 14.8 24.1 28.1 34.4 $171.8 December 31, 2016 2015 (in millions) Payroll, commissions, bonuses, other cash compensation and employee benefits . . . . . Sales and marketing programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued vacation and holidays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restructuring costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Professional and legal costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Warranty liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Third party royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued travel expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Current portion of derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $143.4 102.0 37.5 27.4 20.2 15.0 14.1 11.2 10.4 8.1 6.9 6.4 2.7 57.4 $462.7 $110.0 43.3 26.1 35.4 14.3 13.5 2.2 3.8 8.5 8.9 5.6 2.7 11.0 24.8 $310.1 NOTE 12 — FINANCING ARRANGEMENTS Short-Term Debt Short-term debt consisted of the following: (in millions except percentage amounts) Brazil short-term loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . China short-term loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other short-term loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add: Current portion of long-term debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total short-term debt Maximum month-end short-term debt outstanding during the year . . Average amount of short-term debt outstanding during the year . . . Weighted-average interest rate on short-term debt at year-end . . . . 90 December 31, 2016 2015 Principal Balance Interest Rate Principal Balance Interest Rate $ 1.5 6.8 1.8 11.0 $21.1 2016 $49.0 15.5 15.0% $ 2.5 15.1% 2.8% 3.5% 3.1% 0.4 9.2 $ 12.1 2015 $453.2 265.3 3.9% 13.4% Short-Term Borrowings The Company has a $500.0 million commercial paper facility. At December 31, 2016 and 2015, there were no outstanding borrowings under this facility. The average balance outstanding for the commercial paper facility during the year ended December 31, 2016 was $0.2 million. Long-Term Debt Long-term debt consisted of the following: December 31, 2016 2015 Principal Balance Interest Rate Principal Balance Interest Rate (in millions except percentage amounts) Private placement notes $250.0 million due February 2016 . . . . . . . . Fixed rate senior notes $300.0 million due August 2016 . . . . . . . . . . Term loan 65.0 million Swiss francs denominated due September 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Term loan 12.6 billion Japanese yen denominated due September 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Term loan $175.0 million due August 2020 . . . . . . . . . . . . . . . . . . Fixed rate senior notes $450 million due August 2021 . . . . . . . . . . . Private placement notes 70.0 million euros due October 2024 . . . . . . Private placement notes 25.0 million Swiss franc due December 2025 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private placement notes 97.0 million euros due December 2025 . . . . Private placement notes 26.0 million euros due February 2026 . . . . . Private placement notes 58.0 million Swiss franc due August 2026 . . . Private placement notes 106.0 million euros due August 2026 . . . . . . Private placement notes 70.0 million euros due October 2027 . . . . . . Private placement notes 7.5 million Swiss franc due December 2027 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private placement notes 15.0 million euros due December 2027 . . . . Private placement notes 140.0 million Swiss franc due August 2028 . . Private placement notes 70.0 million euros due October 2029 . . . . . . Private placement notes 70.0 million euros due October 2030 . . . . . . Private placement notes 45.0 million euros due February 2031 . . . . . Private placement notes 65.0 million Swiss franc due August 2031 . . . Private placement notes 70.0 million euros due October 2031 . . . . . . Other borrowings, various currencies and rates . . . . . . . . . . . . . . . Less: Current portion (included in “Notes payable and current portion of long-term debt” . . . . . . . . . . . . . . . . . . . in the Consolidated Balance Sheets) Less: Long-term portion of deferred financing costs . . . . . . . . . . . Long-term portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — — — 107.5 148.8 295.7 73.8 24.5 102.2 27.4 57.0 111.7 73.7 7.4 15.8 137.6 73.8 73.7 47.4 63.9 73.8 12.5 $1,528.2 11.0 6.1 $1,511.1 —% $ —% 75.1 299.9 4.1% 2.8% —% 64.9 0.3% 0.8% 1.5% 4.1% — 0.9% 2.0% — — — — 1.0% 2.2% — — — — — — 0.7% 2.1% 4.1% 1.0% 0.9% 2.1% 2.1% 1.0% 2.3% 1.3% 1.0% 2.2% 1.2% 1.5% 1.6% 2.5% 1.3% 1.7% 104.4 157.5 295.6 — 25.0 105.3 — — — — 7.5 16.3 — — — — — — 2.0 $1,153.5 9.2 3.3 $1,141.0 In February 2016, the Company paid the final required payment of $75.0 million under the $250.0 million private placement notes by issuing commercial paper. The Company used the proceeds from the February 19, 2016 private placement notes issuance to pay the 2016 payment. On August 26, 2016, the Company paid the third annual $8.8 million amortization representing a 5% mandatory principal amortization principal of 91 due in each of the first six years under the terms of the $175.0 million Term Loan with a final maturity of August 26, 2020. An amount of $8.8 million will be due in August 2017 and has been classified as current in the Consolidated Balance Sheets. The Company intends to use available cash, commercial paper and the revolving credit facilities to pay the 2017 payment. On February 19, 2016, the Company issued the the placements private under notes following December 11, 2015 Note Purchase Agreement: 11.0 million euros aggregate principal amount bearing interest of 2.05%, Series F Senior Notes due February 19, 2026; 15.0 million euros aggregate principal amount bearing interest of 2.05%, Series G Senior Notes due February 19, 2026; and 45.0 million euros aggregate principal amount bearing interest of 2.45%, Series H Senior Notes due February 19, 2031. notes under private On August 15, 2016, the Company issued the following the placements December 11, 2015 Note Purchase Agreement: 58.0 million Swiss francs aggregate principal amount of 1.01%, Series I Senior Notes due August 15, 2026; 40.0 million euros aggregate principal amount bearing J Senior Notes due interest of 2.25%, Series August 15, 2026; 66.0 million euros aggregate principal amount bearing interest of 2.25%, Series K Senior Notes due August 15, 2026; 140.0 million Swiss francs aggregate principal amount bearing interest of 1.17%, Series L Senior Notes due August 15, 2028; and 65.0 million Swiss francs aggregate principal amount bearing interest of 1.33%, Series M Senior Notes due August 15, 2031. The 2016 issuance of the private placement notes were used to finance the payments of $75.0 million on the $250.0 million private placement notes due February 19, 2016, the $300.0 million fixed rate senior notes that matured on August 2016 and the 65.0 million Swiss francs term loan that matured on September 1, 2016. On October 27, 2016, the Company executed a new Note Purchase Agreement in a private placement with institutional investors to sell 350.0 million euros aggregate principal amount of senior notes at a weighted average interest rate of 1.40%. The Company issued 87.5 million euros in the following series: 17.5 million euros aggregate principal amount bearing interest of 0.98%, Series N Senior Notes due October 27, 2024; 14.5 million euros aggregate principal amount bearing interest of 1.31%, Series O Senior Notes due October 27, 2027; 3.0 million euros aggregate principal amount bearing interest of 1.31%, Series P Senior Notes due October 27, 2027; 15.5 million euros aggregate principal amount bearing interest of 1.50%, Series Q Senior Notes due October 27, 2029; 2.0 million euros aggregate principal amount bearing interest of 1.50%, Series R Senior Notes due October 27, 2029; 6.5 million euros aggregate principal amount bearing interest of 1.58%, Series S Senior Notes due October 27, 2030; 11.0 million euros aggregate principal amount bearing interest of 1.58%, Series T Senior Notes due October 27, 2030; 10.5 million euros aggregate principal amount bearing interest of 1.65%, Series U Senior Notes due October 27, 2031; and 7.0 million euros aggregate principal amount bearing interest of 1.65%, Series V Senior Notes due October 27, 2031. The Company issued 262.5 million euros in the following series: 52.5 million euros aggregate principal amount bearing interest of 0.98%, Series A Senior Notes due October 27, 2024; 43.5 million euros aggregate principal amount bearing interest of 1.31%, Series B Senior Notes due October 27, 2027; 9.0 million euros aggregate principal amount bearing interest of 1.31%, Series C Senior Notes due October 27, 2027; 46.5 million euros aggregate principal amount bearing interest of 1.50%, Series D Senior Notes due October 27, 2029; 6.0 million euros aggregate principal amount bearing interest of 1.50%, Series E Senior Notes due October 27, 2029; 19.5 million euros aggregate principal amount bearing interest of 1.58%, Series F Senior Notes due October 27, 2030; 33.0 million euros aggregate principal amount bearing interest of 1.58%, Series G Senior Notes due October 27, 2030; 31.5 million euros aggregate principal amount bearing interest of 1.65%, Series H Senior Notes due October 27, 2031; and 21.0 million euros aggregate principal amount bearing interest of 1.65%, Series I Senior Notes due October 27, 2031. Proceeds from the senior notes were used to finance acquisitions in the fourth quarter of 2016. restrictive of Effective June 30, 2016, the Company amended and extended its $500.0 million multicurrency revolving credit facility for an additional year thorough July 23, 2021. In addition, certain non-extending members of the bank group were replaced with existing and new lenders. The Company has access to the full $500.0 million through July 23, 2021. The facility is unsecured and contains certain affirmative and negative covenants relating to the operations and financial condition of the Company. The most these covenants pertain to asset dispositions and prescribed ratios of debt outstanding to total capital not to exceed the ratio of 0.6 to 1.0, and operating income excluding depreciation and amortization to interest expense of not less than 3.0 times. Any breach of any such covenants or the existing debt agreements that would permit the lenders to declare all borrowings under such debt agreements to be immediately due and payable and through cross default provisions, would entitle the Company’s other lenders to accelerate their loans. At December 31, 2016 and 2015, there were no outstanding borrowings under the revolving credit facility. restrictions would result in a default under The Company’s revolving credit facility, term loans and senior notes contain certain affirmative and negative the Company’s relating operations and financial condition. At December 31, 2016, the Company was in compliance with all debt covenants. covenants to At December 31, 2016, the Company had $549.4 million borrowings available under unused lines of credit, including lines available under its short-term arrangements and revolving credit agreement. 92 The table below reflects the contractual maturity dates of the various borrowings at December 31, 2016: (in millions) 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022 and beyond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 11.0 10.7 117.6 123.9 296.7 968.3 $1,528.2 NOTE 13 — EQUITY At December 31, 2016, the Company had authorization to maintain up to 39.0 million shares of treasury stock under its stock repurchase program as approved by the Board of Directors on September 21, 2016. During 2016, 2015 and 2014, the Company repurchased outstanding shares of common stock at a cost of $815.1 million, $112.7 million and $163.2 million, respectively. For the years ended December 31, 2016, 2015 and 2014, the Company received proceeds of $41.0 million, $35.5 million and $49.0 million, respectively, primarily as a result of stock options exercised in the amount of 1.2 million, 1.1 million and 1.5 million in each of the years, respectively. It is the Company’s practice to issue shares from treasury stock when options are exercised. The tax benefit realized for ended the December 31, 2016, 2015 and 2014 is $16.1 million, $11.6 million and $2.1 million, respectively. exercised options during year the The following table represents total outstanding shares of common stock and treasury stock for the years ended December 31: Shares of Common Stock Shares of Treasury Stock Outstanding Shares (in millions) Balance at December 31, 2013 . . . . . . . . . . . . . . . . . . . . . . Shares of treasury stock issued . . . . . . . . . . . . . . . . . . . . . . Repurchase of common stock at an average cost of $49.88 . . . Balance at December 31, 2014 . . . . . . . . . . . . . . . . . . . . . . Shares of treasury stock issued . . . . . . . . . . . . . . . . . . . . . . Repurchase of common stock at an average cost of $52.50 . . . Balance at December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common stock issuance related to Merger Shares of treasury stock issued . . . . . . . . . . . . . . . . . . . . . . Repurchase of common stock at an average cost of $60.78 . . . Balance at December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . 162.8 — — 162.8 — — 162.8 101.7 — — 264.5 (20.5) 1.9 (3.3) (21.9) 1.3 (2.1) (22.7) — 1.7 (13.4) (34.4) 142.3 1.9 (3.3) 140.9 1.3 (2.1) 140.1 101.7 1.7 (13.4) 230.1 On February 29, 2016, in conjunction with the Merger, the Company increased the authorized number of shares of common stock to 400.0 million. The Company maintains the 2016 Omnibus Incentive Plan (the “Plan”) under which it may grant non-qualified stock options (“NQSO”), incentive stock options, restricted stock, restricted stock units (“RSU”) and stock appreciation rights, collectively referred to as “Awards.” Awards are granted at exercise prices that are equal to the closing stock price on the date of grant. The Company authorized grants under the Plan of 25.0 million shares of common stock, plus any unexercised portion of canceled or terminated stock options granted under the legacy DENTSPLY International Inc. 2010 and 2002 Equity Incentive Plans, as amended, and under the legacy Sirona Dental Systems, Inc. 2015 and 2006 Equity Incentive Plans, as amended. For each restricted stock and RSU issued, it is counted as a reduction of 3.09 shares of common stock available to be issued under the Plan. No key employee may be granted awards in excess of 1.0 million shares of common stock in any calendar year. The number of shares available for grant under the 2016 Plan at December 31, 2016 is 36.4 million. Stock options granted become exercisable as determined by the grant agreement and expire ten years after the date of grant under these plans. RSU vest as determined by the grant agreement and are subject to a service condition, which requires grantees to remain employed by the Company during the period following the date of grant. Under the terms of the RSU, the vesting period is referred to as the restricted period. 93 RSU and the rights under the award may not be sold, transferred, donated, pledged or otherwise assigned, disposed of during the restricted period prior to vesting. In addition to the service condition, certain key executives are granted RSU subject to performance requirements that can vary between the first year and targeted up to the final year of performance is not met the RSU granted is adjusted to reflect the achievement level. Upon the expiration of the the RSU award. If applicable restricted period and the satisfaction of all conditions imposed, all restrictions imposed on RSU will lapse, and one shares of common stock will be issued as payment for each vested RSU. Upon death, disability or qualified retirement all awards become immediately exercisable for up to one year. Awards are respective expensed as compensation over vesting periods or to the eligible retirement date if shorter. their The following table represents total stock based compensation expense and the tax related benefit for the years ended: (in millions) Stock option expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RSU expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total stock based compensation expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Related deferred income tax benefit 2016 $10.6 29.1 $39.7 $10.9 December 31, 2015 $ 8.1 16.2 $24.3 $ 7.1 2014 $ 8.8 15.4 $24.2 $ 6.7 For the years ended December 31, 2016, 2015, and 2014, stock compensation expense of $39.7 million, $24.3 million and $24.2 million, respectively, was recorded in the Consolidated Statement of Operations. For the years ended December 31, 2016, 2015, and 2014, $39.1 million, $23.6 million and $23.5 million, respectively, was recorded in Selling, general and administrative expense and $0.6 million, $0.7 million and $0.7 million, respectively, was recorded in Cost of products sold. There were 1.7 million non-qualified stock options unvested at December 31, 2016. The remaining unamortized compensation cost related to non-qualified stock options is $11.8 million, which will be expensed over the weighted average remaining vesting period of the unamortized compensation cost related to RSU is $42.0 million, which will be expensed over the remaining weighted average restricted period of the RSU, or 1.5 years. options, years. The 1.4 or The Company uses the Black-Scholes option-pricing model to estimate the fair value of each option awarded. The following table sets forth the average assumptions used to determine compensation cost for the Company’s NQSO issued during the years ended: Weighted average fair value per share . . . . . . . . . . . . . . . . . . . . . . . . . Expected dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expected volatility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expected life (years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 $12.78 December 31, 2015 $10.87 0.52% 1.54% 20.8% 6.14 0.51% 1.59% 20.3% 5.68 2014 $9.41 0.59% 1.61% 21.6% 5.13 The total intrinsic value of options exercised for the years ended December 31, 2016, 2015 and 2014 was $38.3 million, $22.3 million and $28.8 million, respectively. The total fair value of shares vested for the years ended December 31, 2016, 2015 and 2014 was $34.8 million, $22.7 million and $20.2 million, respectively. 94 The following table summarizes the NQSO transactions for the year ended December 31, 2016: (in millions, except per share amounts) December 31, 2015 . . . . . . . . . . . . . . . . . Granted . . . . . . . . . . . . . . . . . . . . . . . . Merger . . . . . . . . . . . . . . . . . . . . . . . . . Exercised . . . . . . . . . . . . . . . . . . . . . . . December 31, 2016 . . . . . . . . . . . . . . . . . Shares 7.3 0.7 1.7 (1.3) 8.4 Outstanding Weighted Average Exercise Price Aggregate Intrinsic Value Shares Exercisable Weighted Average Exercise Price Aggregate Intrinsic Value $38.85 57.52 26.93 30.73 $39.22 $159.9 5.7 $36.38 $139.4 $155.9 6.7 $36.03 $144.9 The weighted average remaining contractual term of all outstanding options is 5.1 years and the weighted average remaining contractual term of exercisable options is 4.3 years. The following table summarizes information about NQSO outstanding for the year ended December 31, 2016: Range of Exercise Prices (in millions, except per share amounts and life) 5.01 – 10.00 . . . . . . . . . . . . . . . . . . 10.01 – 20.00 . . . . . . . . . . . . . . . . . . 20.01 – 30.00 . . . . . . . . . . . . . . . . . . 30.01 – 40.00 . . . . . . . . . . . . . . . . . . 40.01 – 50.00 . . . . . . . . . . . . . . . . . . 50.01 – 60.00 . . . . . . . . . . . . . . . . . . 60.01 – 70.00 . . . . . . . . . . . . . . . . . . Outstanding Weighted Average Remaining Contractual Life (in years) Exercisable Weighted Average Exercise Price Number Exercisable at December 31, 2016 Weighted Average Exercise Price Number Outstanding at December 31, 2016 0.3 0.1 0.9 3.4 2.3 1.2 0.2 8.4 1.9 1.4 2.3 4.4 5.6 8.5 9.2 5.1 $ 6.50 14.39 25.68 36.49 44.11 53.58 60.74 $39.22 0.3 0.1 0.9 3.2 1.9 0.3 — 6.7 $ 6.50 14.39 25.68 36.47 43.69 52.12 — $36.03 The following table summarizes the unvested RSU transactions for the year ended December 31, 2016: Unvested Restricted Stock Units Weighted Average Grant Date Fair Value Shares (in millions, except per share amounts) Unvested at December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Granted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Merger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vested . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Forfeited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unvested at December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.1 0.4 1.0 (0.5) (0.1) 1.9 $45.82 56.40 46.64 40.06 50.77 $49.55 NOTE 14 — INCOME TAXES The components of income before income taxes from operations are as follows: (in millions) United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 $ 28.9 412.0 $440.9 December 31, 2015 $ 26.8 302.9 $329.7 2014 $ 59.6 344.8 $404.4 95 The components of the provision for income taxes from operations are as follows: December 31, 2015 2014 2016 (in millions) Current: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U.S. federal U.S. state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 2.3 5.6 111.7 $ 119.6 Deferred: U.S. federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U.S. state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 27.6 1.3 (139.0) $(110.1) 9.5 $ $ (3.0) 1.7 50.9 $ 49.6 $ 44.3 0.3 (17.2) $ 27.4 $ 77.0 $(12.8) (0.3) 76.7 $ 63.6 $ 32.3 (9.9) (4.9) $ 17.5 $ 81.1 The reconciliation of the U.S. federal statutory tax rate to the effective rate for the years ended is as follows: Statutory U. S. federal income tax rate . . . . . . . . . . . . . . . . . . . . . . . . . Effect of: . . . . . . . . . . . . . . . . . . . . . . State income taxes, net of federal benefit Federal benefit of R&D and foreign tax credits . . . . . . . . . . . . . . . . . . . Tax effect of international operations . . . . . . . . . . . . . . . . . . . . . . . . . Net effect of tax audit activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax effect of enacted statutory rate changes . . . . . . . . . . . . . . . . . . . . Federal tax on unremitted earnings of certain foreign subsidiaries . . . . . . Valuation allowance adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Effective income tax rate on operations . . . . . . . . . . . . . . . . . . . . . . . . . 2016 35.0% 1.1 (12.6) (3.9) (0.6) (0.2) 0.1 (16.3) (0.4) 2.2% December 31, 2015 35.0% 0.4 (11.2) (6.4) (0.4) 0.2 2.5 0.2 3.1 23.4% 2014 35.0% 0.7 (10.5) (3.2) 1.5 (0.3) (0.1) (2.1) (0.9) 20.1% 96 The tax effect of significant temporary differences giving rise to deferred tax assets and liabilities are as follows: December 31, 2016 December 31, 2015 Deferred Tax Asset Deferred Tax Liability Deferred Tax Asset Deferred Tax Liability (in millions) Commission and bonus accrual . . . . . . . . . . . . . . . . . . . . . . Employee benefit accruals . . . . . . . . . . . . . . . . . . . . . . . . . Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Identifiable intangible assets . . . . . . . . . . . . . . . . . . . . . . . . Insurance premium accruals . . . . . . . . . . . . . . . . . . . . . . . . Miscellaneous accruals . . . . . . . . . . . . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unrealized losses included in AOCI Property, plant and equipment . . . . . . . . . . . . . . . . . . . . . . . Product warranty accruals . . . . . . . . . . . . . . . . . . . . . . . . . Foreign tax credit and R&D carryforward . . . . . . . . . . . . . . . . Restructuring and other cost accruals . . . . . . . . . . . . . . . . . . Sales and marketing accrual . . . . . . . . . . . . . . . . . . . . . . . . Taxes on unremitted earnings of foreign subsidiaries . . . . . . . . Tax loss carryforwards and other tax attributes . . . . . . . . . . . . Valuation allowance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8.4 71.5 41.9 — 5.5 16.0 19.6 17.5 — 1.6 137.9 — 8.0 — 274.5 (182.7) $ 419.7 $ — $ — — 1,011.8 — — — — 54.8 — — 8.1 — 2.1 — — $1,076.8 7.5 52.2 22.7 — 4.9 11.3 20.5 14.6 — 1.3 135.7 5.5 7.4 — 282.1 (274.3) $ 291.4 $ — — — 318.0 — — — — 39.3 — — — — 10.2 — — $367.5 Deferred tax assets and liabilities are included in the following Consolidated Balance Sheet line items: (in millions) Assets Prepaid expenses and other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other noncurrent assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . December 31, 2016 2015 $172.1 22.8 $ 70.4 16.9 Liabilities Income taxes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 848.6 3.1 160.3 The Company has $137.9 million of foreign tax credit carryforwards at December 31, 2016, of which $43.4 million will expire in 2023, $55.5 million will expire in 2024, $38.9 million will expire in 2025 and $0.1 million will expire in 2026. The Company has tax loss carryforwards related subsidiaries of to certain foreign and domestic approximately $1.1 billion at December 31, 2016, of which $442.8 million expires at various times through 2036 and $680.8 million may be carried forward indefinitely. Included in deferred income tax assets at December 31, 2016 are tax benefits totaling $209.6 million, before valuation allowances, for the tax loss carryforwards. The Company has recorded $175.3 million of the tax benefit of net valuation allowance to offset operating losses and $7.4 million of valuation allowance 97 for other deferred tax assets. The Company has recorded these valuation allowances due to the these assets can be realized in the uncertainty that future. As of December 31, 2016, a deferred tax asset of $18.4 million, related to a non-US tax attribute, has been recognized. This benefit is a result of an agreement that has been filed to combine the profits and losses of certain entities, effective 1/1/2019. its The Company has provided federal income taxes foreign on certain undistributed earnings of the Company anticipates will be subsidiaries that repatriated. Deferred federal income taxes have not been provided on $599.0 million of cumulative earnings the Company has of determined to be permanently reinvested. is not practicable to estimate the amount of tax that might be payable on these permanently reinvested earnings. foreign subsidiaries that It Tax Contingencies The Company applies a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company recognizes in the financial statements, the impact of a tax position, if that position is more likely than not of being sustained on audit, based on the technical merits of the position. The total amount of gross unrecognized tax benefits at December 31, 2016 is approximately $13.7 million, of this total, approximately $13.3 million represents the amount of unrecognized tax benefits that, if recognized, would affect the effective income tax rate. It is reasonably possible that certain amounts of unrecognized tax benefits will significantly increase or decrease within twelve months of the reporting date of the Company’s consolidated financial statements. Final settlement and resolution of outstanding tax matters in various jurisdictions during the next twelve months are not expected to be significant. The total amount of accrued interest and penalties were $2.8 million and $6.5 million at December 31, respectively. The Company has 2016 and 2015, consistently classified interest and penalties recognized in its consolidated financial statements as income taxes based on the accounting policy election of the Company. During the years ended December 31, 2016 and 2015, the Company recognized income tax benefit of $3.4 million and $2.0 million respectively, related to interest and penalties. During the year ended December 31, 2014, the company recognized a $1.9 million tax expense related to interest and penalties. The Company is subject to U.S. federal income tax as well as income tax of multiple state and foreign jurisdictions include the jurisdictions. The significant U.S., Germany, Sweden and Switzerland. The Company has substantially concluded all U.S. federal income tax matters for years through 2011. The Company is currently under audit for the tax years 2012 and 2013. The tax years 2014 and 2015 are subject to future potential tax audit adjustments. The Company has concluded audits in Germany through the tax year 2011 and is currently under audit for the years 2012 through 2014. The taxable years that remain open for Sweden are 2011 through 2015. The taxable years that remain open for Switzerland are 2006 through 2015. The Company had the following activity recorded for unrecognized tax benefits: (in millions) Unrecognized tax benefits at beginning of period . . . . . . . . . . . . . . . . . . . Gross change for prior period positions . . . . . . . . . . . . . . . . . . . . . . . Gross change for current year positions . . . . . . . . . . . . . . . . . . . . . . . Decrease due to settlements and payments . . . . . . . . . . . . . . . . . . . . Decrease due to statute expirations . . . . . . . . . . . . . . . . . . . . . . . . . . Increase due to effect of foreign currency translation . . . . . . . . . . . . . . . Decrease due to effect from foreign currency translation . . . . . . . . . . . . Unrecognized tax benefits at end of period . . . . . . . . . . . . . . . . . . . . . . . 2016 $12.1 (2.0) 2.2 (1.3) — — (0.2) $10.8 December 31, 2015 2014 $21.9 (7.6) 0.2 (0.5) (0.2) — (1.7) $12.1 $18.0 5.1 0.2 (0.2) (0.6) — (0.6) $21.9 NOTE 15 — BENEFIT PLANS Defined Contribution Plans The Company maintains a number of defined contribution plans. The DENTSPLY Employee Stock Ownership Plan (“ESOP”) and 401(k) plans are designed to have contribution allocations of eligible compensation, with a targeted 3% going into the ESOP in Company stock and a targeted 3% going into the 401(k) as a non-elective contribution in cash. The Company sponsors an employee 401(k) savings plan for its U.S. workforce to which enrolled participants may contribute up to Internal Revenue Service defined limits. The ESOP is a non-contributory defined contribution plan that covers substantially all of the U.S. based non-union employees of the Company. All future ESOP allocations will come from a combination of forfeited shares and shares acquired in the open market. The share allocation will be accounted for at fair value at the point of allocation, which is normally 31, 2016, Effective December year-end. the DENTSPLY Employee Stock Ownership Plan was merged with the DENTSPLY 401(k) Savings Plan. The result of this merger will be the creation of the Dentsply Sirona Inc. 401(k) Savings and Employee Stock Ownership Plan (the ’’Plan’’), effective as of January 1, 2017. In addition to these plans, the Company also maintains various other U.S. and non-U.S. defined contribution and non-qualified deferred compensation plans. The annual expense, net of forfeitures, were $28.0 million, $24.9 million and $25.4 million for 2016, 2015 and 2014, respectively. Defined Benefit Plans The Company maintains a number of separate contributory and non-contributory qualified defined benefit pension plans for certain union and salaried employee groups in the United States. Pension benefits for salaried plans are based on salary and years of 98 service; hourly plans are based on negotiated benefits and years of service. Annual contributions to the pension plans are sufficient to satisfy minimum funding requirements. Pension plan assets are held in trust and consist mainly of common stock and fixed income investments. The Company’s funding policy for its U.S. plans is to make contributions that are necessary to maintain the plans on a sound actuarial basis and to the minimum funding standards prescribed by meet law. The Company may, at its discretion, contribute amounts the minimum required in contribution. excess of In addition to the U.S. plans, the Company maintains defined benefit pension plans for certain employees in Austria, France, Germany, Italy, Japan, the Netherlands, Norway, Sweden, Switzerland and Taiwan. These plans provide benefits based upon age, years of service and remuneration. Other foreign plans are not significant in the aggregate. individually or Substantially all of the German and Swedish plans are unfunded book reserve plans. Most employees and retirees outside the U.S. are covered by government health plans. uses predominantly The Company liability durations in establishing its discount rates, which are observed from indices of high-grade corporate bond yield curves in the respective economic regions of the plan. During the first quarter of 2016, the Company changed the method utilized to estimate the service cost and interest cost components of net periodic benefit costs for the Company’s major defined benefit pension plans in Germany, Switzerland and for all defined benefit pension and other postemployment healthcare plans in the United States. Historically, the Company estimated the service cost and interest cost components using a single weighted average discount rate derived from the yield curve used to measure the benefit obligation at the beginning of the period. The Company has elected to use a spot rate approach for the estimation of these components of benefit cost by applying the specific spot rates along the yield curve to the relevant projected cash flows, as the Company believes this provides a better estimate of service and interest costs. The Company considers this a change in it estimate for accordingly, prospectively. This change does not affect the measurement of the Company’s total benefit obligation. accounted and, Defined Benefit Pension Plan Assets of The primary investment strategy is to ensure that the assets of the plans, along with anticipated future contributions, will be invested in order that the benefit entitlements and employees, beneficiaries covered under the plan can be met when due with high probability. Pension plan assets consist mainly of common stock and fixed income investments. The target allocations for defined benefit plan assets are 30% to 65% equity securities, 30% to 65% fixed income securities, 0% to 15% real estate, and 0% to pensioners 25% in all other types of investments. Equity securities include investments in companies located both in and outside the U.S. Equity securities do not include common stock of the Company. Fixed income securities include corporate bonds of companies from diversified industries, government bonds, mortgage notes and pledge letters. Other types of investments include investments in mutual funds, common trusts, insurance contracts, hedge funds and real estate. These plan assets are not recorded in the Company’s Consolidated Balance Sheet as they are held in trust or other off-balance sheet investment vehicles. The defined benefit pension plan assets in the U.S. are held in trust and the investment policies of the the plans assets in plans are generally to invest equities and fixed income investments. The objective is to achieve a long-term rate of return in excess of 4% while at the same time mitigating the impact of investment risk associated with investment categories that are expected to yield greater than average returns. In accordance with the investment policies of the U.S. plans, the plans assets were invested in the following investment categories: interest-bearing cash, registered funds), common/ investment companies (e.g. mutual collective trusts, master trust investment accounts and insurance company general accounts. The investment objective is for assets to be invested in a manner consistent with the fiduciary standards of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”). The plan benefit defined pension assets maintained in Austria, France, Germany, Japan, Norway, the Netherlands, Switzerland and Taiwan all have separate investment policies but generally have an objective to achieve a long-term rate of return in excess of 4% while at the same time mitigating the impact of investment risk associated with investment categories that are expected to yield greater than average returns. In accordance with the investment policies for the plans outside the U.S., the plans’ assets were invested in the following investment categories: interest-bearing cash, U.S. and foreign equities, foreign fixed income securities corporate and government bonds), insurance company contracts, real estate and hedge funds. (primarily In Germany, Sirona traditionally had an unfunded defined benefit pension plan whose benefits are based primarily on years of service and wage and salary group. This plan is closed to new participants. Sirona replaced its unfunded defined benefit pension plan in Germany with a defined contribution plan. All new hires now receive defined contributions to a pension plan the employee’s eligible based on a percentage of compensation. However, grandfathering due provisions for certain existing employees hired before the new defined contribution plan was introduced, the Company continues to be obligated to provide pension benefits which are at a minimum equal to benefits that to 99 would have been available under the terms of the traditional defined benefit plans (the “Grandfathered Benefit”). The Grandfathered Benefit and contributions to the Sirona pension plan made for those employees are included in the disclosures for defined benefit plans. The Company accounts for the Grandfathered Benefit by recognizing the higher of the defined contribution obligation or the minimum benefit. the defined benefit obligation for The Sirona plan assets in Germany consist of insurance policies with a guaranteed minimum return by the insurance company and an excess profit participation feature for a portion of the benefits. Sirona pays the premiums on the insurance policies, but does not manage the investment of the funds. The insurance company makes all decisions on investment of funds, including the allocation to asset groups. The fair value of the plan assets which include equity securities, fixed-income investments, and others is based on the cash surrender values reported by the insurance company. Postemployment Healthcare The sponsors Company postemployment healthcare plans that cover certain union and salaried employee groups in the U.S. and is contributory, with retiree contributions adjusted annually to limit the Company’s contribution for participants who retired after June 1, 1985. The plans for postemployment healthcare have no plan assets. The Company also sponsors unfunded non-contributory postemployment medical plans for a limited number of union employees and their spouses and retirees of a discontinued operation. Reconciliations of changes in the defined benefit and postemployment healthcare plans’ benefit obligations, fair value of assets and statement of funded status are as follows: Pension Benefits December 31, Other Postemployment Benefits December 31, 2016 2015 2016 2015 (in millions) Change in Benefit Obligation Benefit obligation at beginning of year . . . . . . . . . . . . . . . . Service cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest cost Participant contributions . . . . . . . . . . . . . . . . . . . . . . . Actuarial losses (gains) . . . . . . . . . . . . . . . . . . . . . . . . Plan amendments . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisitions/Divestitures . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . Plan curtailments and settlements . . . . . . . . . . . . . . . . . Benefits paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefit obligation at end of year . . . . . . . . . . . . . . . . . . . . Change in Plan Assets Fair value of plan assets at beginning of year . . . . . . . . . . . Actual return on assets . . . . . . . . . . . . . . . . . . . . . . . . Plan settlements . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquisitions/Divestitures . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . Employer contributions . . . . . . . . . . . . . . . . . . . . . . . . Participant contributions . . . . . . . . . . . . . . . . . . . . . . . Benefits paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fair value of plan assets at end of year . . . . . . . . . . . . . . . $ 378.9 15.7 8.0 3.8 26.8 0.3 76.3 (14.2) (8.5) (14.0) $ 473.1 $ 142.0 6.5 (8.0) 12.7 (2.4) 16.2 3.8 (14.0) $ 156.8 $ 436.9 17.1 7.3 3.7 (41.1) (0.3) (0.7) (28.7) (1.6) (13.7) $ 378.9 $ 143.6 0.5 (0.3) — (2.2) 10.4 3.7 (13.7) $ 142.0 Funded status at end of year . . . . . . . . . . . . . . . . . . . . . . $(316.3) $(236.9) $ 14.1 0.3 0.6 0.3 1.4 — — — — (0.6) $ 16.1 $ — — — — — 0.3 0.3 (0.6) $ — $(16.1) $ 13.9 0.4 0.6 0.4 (0.4) — — — — (0.8) $ 14.1 $ — — — — — 0.4 0.4 (0.8) $ — $(14.1) 100 The amounts recognized in the accompanying Consolidated Balance Sheets, net of tax effects, are as follows: Location On The Consolidated Balance Sheet Pension Benefits December 31, Other Postemployment Benefits December 31, 2016 2015 2016 2015 (in millions) Other noncurrent assets, net . . . Other noncurrent assets, net Deferred tax asset . . . . . . . . . . Other noncurrent assets, net Total assets . . . . . . . . . . . . Current liabilities . . . . . . . . . . . Accrued liabilities Other noncurrent liabilities . . . . Other noncurrent liabilities Deferred tax liability . . . . . . . . . Deferred income taxes Total liabilities . . . . . . . . . . . Accumulated other comprehensive income . . . . . Net amount recognized . . . . . . Accumulated other comprehensive loss $ 0.1 31.7 $ 31.8 (6.9) (309.5) (0.5) $(316.9) $ — 27.0 $ 27.0 (4.2) (232.7) (0.8) $(237.7) $ — 1.4 $ 1.4 (0.7) (15.4) — $(16.1) 82.3 $(202.8) 71.5 $(139.2) 2.2 $(12.5) $ — 0.9 $ 0.9 (0.7) (13.4) — $(14.1) 1.5 $(11.7) Amounts recognized in AOCI consist of: Pension Benefits December 31, Other Postemployment Benefits December 31, 2016 2015 2016 2015 (in millions) Net actuarial loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net prior service cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Before tax AOCI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Deferred taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net of tax AOCI $115.3 (1.8) $113.5 31.2 $ 82.3 $100.1 (2.4) $ 97.7 26.2 $ 71.5 $3.5 — $3.5 1.3 $2.2 $2.4 — $2.4 0.9 $1.5 Information for pension plans with an accumulated benefit obligation in excess of plan assets: (in millions) Projected benefit obligation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated benefit obligation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fair value of plan assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Components of net periodic benefit cost: December 31, 2016 2015 $458.7 427.2 142.3 $377.7 361.0 140.7 Pension Benefits 2015 2014 2016 Other Postemployment Benefits 2015 2014 2016 (in millions) Service cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest cost . . . . . . . . . . . . . . . . . . . . . . . . . . . Expected return on plan assets . . . . . . . . . . . . . . . Amortization of prior service (credit) cost . . . . . . . . . Amortization of net actuarial loss . . . . . . . . . . . . . . Curtailment and settlement loss (gains) . . . . . . . . . . Net periodic benefit cost . . . . . . . . . . . . . . . . . . . . $15.7 8.0 (5.1) (0.2) 5.1 1.2 $24.7 $17.1 7.3 (5.4) (0.2) 7.8 (0.8) $25.8 $14.0 11.1 (5.5) (0.1) 2.8 0.1 $22.4 $0.3 0.6 — — 0.2 — $1.1 $0.4 0.6 — — 0.2 — $1.2 $0.2 0.5 — — 0.1 — $0.8 101 Other changes in plan assets and benefit obligations recognized in AOCI: Pension Benefits 2015 2014 2016 Other Postemployment Benefits 2015 2014 2016 (in millions) Net actuarial loss (gain) . . . . . . . . . . . . . . . . . . . . . . . Net prior service cost (credit) . . . . . . . . . . . . . . . . . . . . Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total recognized in AOCI . . . . . . . . . . . . . . . . . . . . . . Total recognized in net periodic benefit cost and AOCI . . . $20.3 0.4 (4.9) $15.8 $40.5 (0.3) (7.6) $(48.6) $ 88.5 0.4 (2.6) $(56.5) $ 86.3 $(30.7) $108.7 $ 1.4 — (0.2) $ 1.2 $ 2.3 $(0.4) — (0.2) $(0.6) $ 0.6 $1.4 — — $1.4 $2.2 The estimated net loss, prior service cost and transition obligation for the defined benefit plans that will be amortized from AOCI into net periodic benefit cost over the next fiscal year are $6.3 million. There will be an immaterial amount of estimated net loss and prior service credit for the other postemployment plans that will be amortized from AOCI into net periodic benefit cost over the next fiscal year. The amounts in AOCI that are expected to be amortized as net expense (income) during fiscal year 2017 are as follows: Pension Benefits Other Postemployment Benefits (in millions) Amount of net prior service (credit) cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $(0.2) 6.5 $ — 0.2 Assumptions The assumptions used to determine benefit obligations and net periodic benefit cost for the Company’s plans are similar for both U.S. and foreign plans. The weighted average assumptions used to determine benefit obligations for the Company’s plans, principally in foreign locations, at December 31, 2016, 2015 and 2014 are as follows: Discount rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of compensation increase . . . . . . . . . . . . . . . . . . Health care cost trend pre 65 . . . . . . . . . . . . . . . . . . . Health care cost trend post 65 . . . . . . . . . . . . . . . . . . . Ultimate health care cost trend . . . . . . . . . . . . . . . . . . Years until trend is reached pre 65 . . . . . . . . . . . . . . . . Years until ultimate trend is reached post 65 . . . . . . . . . . Other Postemployment Benefits 2015 Pension Benefits 2015 2016 2016 2014 1.6% 2.1% 1.8% 4.4% 4.7% 2.6% 2.5% 2.6% n/a n/a n/a n/a n/a n/a 7.8% 7.6% 8.5% 8.2% 4.5% 5.0% 9.0 9.0 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 9.0 9.0 n/a 2014 4.3% n/a 8.0% 7.0% 5.0% 8.0 7.0 The weighted average assumptions used to determine net periodic benefit cost for the Company’s plans, principally in foreign locations, for the years ended December 31, 2016, 2015 and 2014 are as follows: Pension Benefits 2015 2014 2016 Other Postemployment Benefits 2015 2014 2016 4.8% Discount rate . . . . . . . . . . . . . . . . . n/a Expected return on plan assets . . . . . n/a Rate of compensation increase . . . . . 8.5% Health care cost trend . . . . . . . . . . . 5.0% Ultimate health care cost trend . . . . . Years until ultimate trend is reached . . 8.0 Measurement Date . . . . . . . . . . . . . 12/31/2016 12/31/2015 12/31/2014 12/31/2016 12/31/2015 12/31/2014 2.1% 3.3% 2.5% n/a n/a n/a 3.2% 3.8% 2.7% n/a n/a n/a 1.8% 3.7% 2.6% n/a n/a n/a 4.3% n/a n/a 8.5% 5.0% 8.0 4.7% n/a n/a 7.8% 4.5% 9.0 102 To develop the assumptions for return on assets, the expected the Company long-term rate of considered the current level of expected returns on risk free investments (primarily U.S. government bonds), the historical level of the risk premium associated with the other asset classes in which the assets are invested and the expectations for future returns of each asset class. The expected return for each asset class was then weighted based on the target asset allocations to develop the assumptions for the expected long-term rate of return on assets. Assumed health care cost trend rates have an impact on the amounts reported for postemployment benefits. An ongoing one percentage point change in assumed healthcare cost trend rates would have had the following effects for the year ended December 31, 2016: Other Postemployment Benefits 1% Increase 1% Decrease (in millions) Effect on total of service and interest cost components . . . . . . . . . . . . . . . . . . . . Effect on postemployment benefit obligation . . . . . . . . . . . . . . . . . . . . . . . . . . . $0.2 2.6 $(0.2) (2.1) Fair Value Measurements of Plan Assets The fair value of the Company’s pension plan assets at December 31, 2016 is presented in the table below by asset category. Approximately 75% of the total plan assets are categorized as Level 1, and therefore, the values assigned to these pension assets are based on quoted prices available in active markets. For the other category levels, a description of the valuation is provided in Note 1, Significant Accounting Policies, under the “Fair Value Measurement” heading. Total December 31, 2016 Level 2 Level 1 Level 3 (in millions) Assets Category Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . Equity securities: International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fixed income securities: Fixed rate bonds(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . Other types of investments: Mutual funds(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common trusts(c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insurance contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . Hedge funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Real estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 11.5 $ 11.5 $ — $ — 39.1 52.6 14.3 9.9 25.1 4.0 0.3 $156.8 39.1 52.6 14.3 — — — — $117.5 — — — 9.9 — — — $9.9 — — — — 25.1 4.0 0.3 $29.4 Total December 31, 2015 Level 2 Level 1 Level 3 (in millions) Assets Category Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . Equity securities: International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fixed income securities: Fixed rate bonds(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . Other types of investments: Mutual funds(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common trusts(c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insurance contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . Hedge funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Real estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 9.2 $ 9.2 $ — $ — 39.2 52.4 14.5 9.0 14.2 3.2 0.3 $142.0 39.2 52.4 14.5 — — — — $115.3 — — — 9.0 3.9 — — $12.9 — — — — 10.3 3.2 0.3 $13.8 (a) This category includes fixed income securities invested primarily in Swiss bonds, foreign bonds denominated in Swiss francs, foreign currency bonds, mortgage notes and pledged letters. 103 (b) This category includes mutual funds balanced between moderate-income generation and moderate capital appreciation with investment allocations of approximately 50% equities and 50% fixed income investments. (c) This category includes common/collective funds with investments in approximately 65% equities and 35% in fixed income investments. The following table provides a reconciliation from December 31, 2015 to December 31, 2016 for the plan assets categorized as Level 3. During the year ended December 31, 2016, $0.2 million of plan assets were transferred out of the Level 3 category. (in millions) Balance at December 31, 2015 . . . . . . . . . . . . . . . . . . . . Actual return on plan assets: Year Ended December 31, 2016 Insurance Contracts Hedge Funds Real Estate Total $10.3 $ 3.2 $0.3 $13.8 Relating to assets still held at the reporting date . . . . . . Acquisitions/Divestitures . . . . . . . . . . . . . . . . . . . . . Purchases, sales and settlements, net . . . . . . . . . . . . . . Transfers in and/or (out) . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . 2.1 12.7 1.0 (0.2) (0.8) — — 0.9 — (0.1) — — — — — 2.1 12.7 1.9 (0.2) (0.9) Balance at December 31, 2016 . . . . . . . . . . . . . . . . . . . . $25.1 $ 4.0 $0.3 $29.4 The following tables provide a reconciliation from December 31, 2014 to December 31, 2015 for the plan assets categorized as Level 3. During the year ended December 31, 2015, no assets were transferred in or out of the Level 3 category. (in millions) Balance at December 31, 2014 . . . . . . . . . . . . . . . . . . . . Actual return on plan assets: Year Ended December 31, 2015 Insurance Contracts Hedge Funds Real Estate Total $11.9 $ 1.8 $ 0.4 $14.1 Relating to assets still held at the reporting date . . . . . . Purchases, sales and settlements, net . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . (0.6) 0.3 (1.3) 0.1 1.4 (0.1) — — (0.1) (0.5) 1.7 (1.5) Balance at December 31, 2015 . . . . . . . . . . . . . . . . . . . . $10.3 $ 3.2 $ 0.3 $13.8 Fair values for Level 3 assets are determined as Real Estate: Investment is stated by its appraised follows: value. Common Trusts and Hedge Funds: The investments are valued using the net asset value provided by the administrator of the trust or fund, which is based on the fair value of the underlying securities. Insurance Contracts: The value of the asset represents the mathematical reserve of the insurance policies and is calculated by the insurance firms using their own assumptions. Cash Flows In 2017, the Company expects to make contributions and direct benefit payments of $11.4 million to its defined benefit pension plans and $0.7 million to its postemployment medical plans. 104 Estimated Future Benefit Payments Pension Benefits Other Postemployment Benefits (in millions) 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022 – 2026 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15.4 15.5 14.8 17.2 16.2 95.9 $0.7 0.7 0.6 0.6 0.6 3.2 The above table reflects the total employer contributions and benefits expected to be paid from the plan and does not include the participants’ share of the cost. NOTE 16 — RESTRUCTURING AND OTHER COSTS Restructuring Costs in costs Restructuring costs of $20.9 million, $61.4 million and $9.9 million for the year ended 2016, 2015 and 2014, respectively, are reflected in Restructuring and other of Operations and the associated liabilities are recorded in Accrued liabilities and Other noncurrent liabilities in the Consolidated Balance Sheets. These costs consist of employee severance benefits, payments due under operating contracts, and other restructuring costs. the Consolidated Statement its manufacturing, In October 2016, the Company announced that it is proposing plans in Germany to reorganize and logistics and combine portions of the Company’s distribution networks within both of segments. As required under German law, the Company has entered into a statutory co-determination process under which it will collaborate with the appropriate the infrastructure and staffing adjustments necessary to this initiative. The Company also initiated support the world. The regions of similar actions in other Company estimates the cost of these initiatives to range up to $83.0 million, primarily for severance related benefits for employees, which is expected to be incurred as actions are implemented over the next two years. groups define jointly labor to the Company announced that it During 2015, reorganized portions of its laboratory business and associated manufacturing capabilities within the Dental and Healthcare Consumables segment. During the year ended December 31, 2015, the Company recorded $37.3 million of costs that consist primarily of employee severance benefits related to these and other similar actions. Also during the year ended December 31, the Company recorded restructuring costs of 2015, that $16.3 million within the Technologies segment consists primarily of employee severance benefits related to the global efficiency initiative. These restructuring costs were offset by changes in estimates of $6.6 million, related to adjustments to the cost of initiatives in prior years. Other costs associated with 2015 plans of $7.4 million and $9.1 million were recorded in Cost of products sold and Selling, general and administrative expenses, in the Consolidated Statements of Operations. respectfully, During 2014, the Company initiated several restructuring plans primarily related to closing locations integration activities as the Company as a result of related realigned implant businesses the Company’s resources by reducing costs and obtaining operational efficiencies. These restructuring costs were offset by related to changes in estimates of $3.0 million, adjustments to the cost of initiatives in prior years. and leverage certain to implant better At December 31, 2016, the Company’s restructuring accruals were as follows: (in millions) Balance at December 31, 2015 . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . 2014 and Prior Plans $ 1.5 — (0.8) (0.1) Balance at December 31, 2016 . . . . . . . . . . . . . . . . $ 0.6 Severances 2015 Plans 2016 Plans Total $ 34.6 4.7 (18.5) (0.8) $ 20.0 $ — 11.4 (2.8) (0.4) $ 8.2 $ 36.1 16.1 (22.1) (1.3) $ 28.8 105 (in millions) Balance at December 31, 2015 . . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . . 2014 and Prior Plans $ 0.8 — (0.4) (0.2) Balance at December 31, 2016 . . . . . . . . . . . . . . . . . $ 0.2 (in millions) Balance at December 31, 2015 . . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . . 2014 and Prior Plans $ 0.3 0.1 (0.2) — Balance at December 31, 2016 . . . . . . . . . . . . . . . . . $ 0.2 Lease/Contract Terminations 2015 Plans 2016 Plans Total $ 3.4 5.4 (3.3) (3.0) $ 2.5 $ — 0.5 (0.2) — $ 0.3 $ 4.2 5.9 (3.9) (3.2) $ 3.0 Other Restructuring Costs 2015 Plans 2016 Plans Total $ 0.6 3.1 (3.0) (0.4) $ 0.3 $ — 0.5 (0.3) — $ 0.2 $ 0.9 3.7 (3.5) (0.4) $ 0.7 The following table provides the cumulative amounts for the provisions and adjustments and amounts applied for all the plans by segment: December 31, 2015 Provisions and Adjustments Amounts Applied Change in Estimates December 31, 2016 (in millions) Dental and Healthcare Consumables . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other . . . . . . . . . . . . . . . . . . . . . . . Total $35.7 4.3 1.2 $41.2 $20.5 4.9 0.3 $25.7 $(24.4) (4.1) (1.0) $(29.5) $(3.9) (0.6) (0.4) $(4.9) $27.9 4.5 0.1 $32.5 At December 31, 2015, the Company’s restructuring accruals were as follows: (in millions) Balance at December 31, 2014 . . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . . 2013 and Prior Plans $ 1.0 0.1 (0.7) (0.1) Balance at December 31, 2015 . . . . . . . . . . . . . . . . . $ 0.3 (in millions) Balance at December 31, 2014 . . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . . 2013 and Prior Plans $ 0.5 — (0.2) — Balance at December 31, 2015 . . . . . . . . . . . . . . . . . $ 0.3 Severances 2014 Plans 2015 Plans Total $ 5.0 0.7 (4.1) (0.4) $ 1.2 $ — 59.0 (19.3) (5.1) $ 6.0 59.8 (24.1) (5.6) $ 34.6 $ 36.1 Lease/Contract Terminations 2014 Plans 2015 Plans Total $ 1.7 (0.5) (0.7) — $ 0.5 $ — 5.0 (0.9) (0.7) $ 3.4 $ 2.2 4.5 (1.8) (0.7) $ 4.2 106 Other Restructuring Costs 2013 and Prior Plans 2014 Plans 2015 Plans Total (in millions) Balance at December 31, 2014 . . . . . . . . . . . . . . . . . Provisions and adjustments . . . . . . . . . . . . . . . . . . Amounts applied . . . . . . . . . . . . . . . . . . . . . . . . . Change in estimates . . . . . . . . . . . . . . . . . . . . . . . $ — — — — Balance at December 31, 2015 . . . . . . . . . . . . . . . . . $ — $ 1.1 0.2 (0.8) (0.2) $ 0.3 $ — 3.5 (2.8) (0.1) $ 0.6 $ 1.1 3.7 (3.6) (0.3) $ 0.9 The following table provides the cumulative amounts for the provisions and adjustments and amounts applied for all the plans by segment: December 31, 2014 Provisions and Adjustments Amounts Applied Change in Estimates December 31, 2015 (in millions) Dental and Healthcare Consumables . . . . Technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . All Other . . . . . . . . . . . . . . . . . . . . . . . Total $6.2 3.0 0.1 $9.3 $54.3 11.9 1.8 $68.0 $(20.9) (8.0) (0.6) $(29.5) $(3.9) (2.6) (0.1) $(6.6) $35.7 4.3 1.2 $41.2 Other Costs For the year ended December 31, 2016, the Company recorded other costs of $2.3 million, which were primarily related to legal costs. For the Company recorded other costs of $3.3 million, which the year ended December 31, 2015, NOTE 17 — FINANCIAL INSTRUMENTS AND DERIVATIVES Derivative Instruments and Hedging Activities The Company’s activities expose it to a variety of market risks, which primarily include the risks related to the effects of changes in foreign currency exchange rates, rates and commodity prices. These financial exposures are monitored and managed by the risk management Company as part of its overall interest included $4.2 million of impairments of fixed assets and intangibles offset by income from legal settlements. For the year ended December 31, 2014, the Company recorded other costs of $1.2 million, which were primarily the result of legal settlements. program. The objective of this risk management program is to reduce the volatility that these market risks may have on the Company’s operating results and equity. The Company employs derivative financial instruments to hedge certain anticipated transactions, firm commitments, or assets and liabilities denominated in foreign currencies. Additionally, the Company utilizes interest rate swaps to convert variable rate debt to fixed rate debt. Derivative Instruments Designated as Hedging Cash Flow Hedges The following table summarizes the notional amounts of cash flow hedges by derivative instrument type at December 31, 2016 and the notional amounts expected to mature during the next 12 months, with a discussion of the various cash flow hedges by derivative instrument type following the table: (in millions) Foreign exchange forward contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total derivative instruments designated as cash flow hedges . . . . . . . . . . . . . . . $292.0 107.5 $399.5 $219.9 — $219.9 Aggregate Notional Amount Aggregate Notional Amount Maturing within 12 Months 107 Foreign Exchange Risk Management of the the based foreign on exchange The Company uses a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in both cash flows and reported earnings of the consolidated Company. The Company accounts for the designated foreign exchange forward contracts as cash flow hedges. As a result, the the contracts Company records the fair value of tested primarily through AOCI effectiveness forward contracts. The Company measures the effectiveness of cash flow hedges of anticipated transactions on a spot-to-spot basis rather than on a forward-to-forward basis. Accordingly, the spot-to-spot change in the derivative fair value will be deferred in AOCI and released and recorded in the Consolidated Statements of Operations in the same period that the hedged transaction is recorded. The time value component of the fair value of the derivative is deemed ineffective and is reported currently in Other expense (income), net in the Consolidated Statements of Operations in the period which it is applicable. Any cash flows associated with these instruments are included in cash from operating activities in the Consolidated Statements of Cash Flows. The Company hedges various currencies, primarily in euros, Swedish kronor, Canadian dollars, British pounds, Swiss francs, Japanese yen and Australian dollars. These foreign contracts exchange generally have maturities up to 18 months and the counterparties to the transactions are typically large international financial institutions. forward Interest Rate Risk Management The Company uses interest rate swaps to convert a portion of to fixed its variable interest rate debt interest rate debt. At December 31, 2016, the Company has one significant exposure hedged with interest rate contracts. The exposure is hedged with derivative contracts having notional amounts totaling 12.6 billion Japanese yen, which effectively converts the underlying a five-years 0.9% for variable interest rate debt facility to a fixed interest rate ending term of of September 2019. Another exposure hedged with derivative contracts had a notional amount of 65.0 million Swiss francs, and effectively converted the underlying variable interest rate of a Swiss franc denominated loan to a fixed interest rate of 1.8% for a term of five-years, that matured in September 2016. The Company enters into interest rate swap contracts infrequently as they are only used to manage interest rate risk on long-term debt instruments and not for speculative purposes. Any cash flows associated with these instruments are included in cash from operating activities in the Consolidated Statements of Cash Flows. Commodity Risk Management into The Company precious metal enters commodity swap contracts to effectively fix certain variable raw material costs typically for up to 18 months. These swaps are used to stabilize the cost of components used in the production of certain products. The Company generally accounts for the commodity swaps as cash flow hedges. As a result, the Company records the fair value of the contracts primarily through AOCI based on the tested effectiveness of the commodity swaps. The Company measures the effectiveness of cash flow hedges of anticipated transactions on a spot-to-spot basis rather than on a forward-to-forward basis. Accordingly, the spot-to-spot change in the derivative fair value will be deferred in AOCI and released and recorded in the Consolidated Statements of Operations in the same period that the hedged transaction is recorded. The time value component of the fair value of the derivative is deemed ineffective and is reported currently in Interest expense in the Consolidated Statements of Operations in the period which it is applicable. Any cash flows associated with these instruments are included in cash from operating activities in the Consolidated Statements of Cash Flows. 108 The following tables summarize the amount of gains (losses) recorded in AOCI in the Consolidated Balance Sheets and income (expense) in the Company’s Consolidated Statements of Operations related to all cash flow hedges for the years ended December 31, 2016, 2015 and 2014: December 31, 2016 Gain (Loss) in AOCI Consolidated Statements of Operations Location Effective Portion Reclassified from AOCI into Income (Expense) Ineffective Portion Recognized in Income (Expense) (in millions) Effective Portion: Interest rate swaps . . . . . . . . . Foreign exchange forward $(0.4) Interest expense contracts . . . . . . . . . . . . . . (0.3) Cost of products sold Foreign exchange forward contracts . . . . . . . . . . . . . . Commodity contracts . . . . . . . . (0.2) 0.1 SG&A expenses Cost of products sold Ineffective Portion: Foreign exchange forward contracts . . . . . . . . . . . . . . Total in cash flow hedging . . . $(0.8) Other expense (income), net $(2.9) 4.8 0.1 (0.1) $ 1.9 $(0.6) $(0.6) December 31, 2015 Gain (Loss) in AOCI Consolidated Statements of Operations Location Effective Portion Reclassified from AOCI into Income (Expense) Ineffective Portion Recognized in Income (Expense) (in millions) Effective Portion: Interest rate swaps . . . . . . . . . Foreign exchange forward $ (1.4) Interest expense(a) $(10.1) contracts . . . . . . . . . . . . . . 23.3 Cost of products sold Foreign exchange forward contracts . . . . . . . . . . . . . . Commodity contracts . . . . . . . . 0.5 (0.3) SG&A expenses Cost of products sold 18.0 0.6 (0.5) Ineffective Portion: Foreign exchange forward contracts . . . . . . . . . . . . . . Total for cash flow hedging . . . $22.1 Other expense (income), net $ 8.0 $(0.7) $(0.7) (a) The Company reclassified $6.0 million of losses into earnings due to the discontinuance of a cash flow hedge because a portion of the forecasted transaction will no longer occur. December 31, 2014 Gain (Loss) in AOCI Consolidated Statements of Operations Location Effective Portion Reclassified from AOCI into Income (Expense) Ineffective Portion Recognized in Income (Expense) (in millions) Effective Portion: Interest rate swaps . . . . . . . . Foreign exchange forward $(0.7) Interest expense contracts . . . . . . . . . . . . . 4.3 Cost of products sold Foreign exchange forward contracts . . . . . . . . . . . . . Commodity contracts . . . . . . . Total for cash flow hedging . . 0.5 (0.2) $ 3.9 SG&A expenses Cost of products sold $ (3.7) (6.4) (0.1) (0.5) $(10.7) $ — 109 Overall, the derivatives designated as cash flow hedges are considered to be highly effective. At December 31, 2016, the Company expects to reclassify $1.0 million of deferred net gains on cash flow hedges recorded in AOCI in the Consolidated Statements of Operations during the next 12 months. The term over which the Company is hedging exposures to variability of cash flows (for all forecasted transactions, excluding interest payments on variable interest rate debt) is typically 18 months. For the rollforward of derivative instruments designated as cash flow hedges in AOCI see Note 3, Comprehensive Income. Hedges of Net Investments in Foreign Operations The Company has significant investments in foreign subsidiaries the most significant of which are denominated in euros, Swiss francs, Japanese yen and Swedish kronor. The net assets of these subsidiaries are exposed to volatility in currency exchange rates. To hedge a portion of this exposure the Company employs both derivative and non-derivative financial instruments. The derivative instruments consist of foreign exchange forward contracts and cross currency basis swaps. The non-derivative instruments consist of foreign currency denominated debt held at the parent company level. Translation gains and losses related to the net assets of the foreign subsidiaries are offset by gains and losses in derivative and non-derivative financial instruments designated as hedges of net investments, which are included in AOCI. Any cash flows associated with these instruments are included in investing activities in the for Consolidated Statements of Cash Flows except derivative an in which other-than-insignificant case all cash flows will be classified as financing activities in the Consolidated Statements of Cash Flows. that financing element, instruments include The following table summarizes the notional amounts of hedges of net investments by derivative instrument type at December 31, 2016 and the notional amounts expected to mature during the next 12 months: (in millions) Foreign exchange forward contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $95.1 $95.1 Aggregate Notional Amount Aggregate Notional Amount Maturing within 12 Months The fair value of the foreign exchange forward contracts and cross currency basis swaps is the estimated amount the Company would receive or pay at the effective the reporting date, taking into account interest rates, cross currency swap basis rates and foreign exchange rates. The effective portion of the change in the value of these derivatives is recorded in AOCI, net of tax effects. The following tables summarize the amount of gains (losses) recorded in AOCI in the Consolidated Balance Sheets and income (expense) in the Company’s Consolidated Statements of Operations related to the hedges of net investments for the year ended December 31, 2016, 2015 and 2014: (in millions) Effective Portion: Foreign exchange forward contracts . . . . . . . . . . . . Total for net investment hedging . . . . . . . . . . . . . December 31, 2016 Consolidated Statements of Operations Location Recognized in Income (Expense) Other expense (income), net $6.7 $6.7 December 31, 2015 Consolidated Statements of Operations Location Recognized in Income (Expense) Gain (Loss) in AOCI $(13.2) $(13.2) Gain (Loss) in AOCI (in millions) Effective Portion: Foreign exchange forward contracts . . . . . . . . . . . . Total for net investment hedging . . . . . . . . . . . . . $4.5 $4.5 Other expense (income), net $4.1 $4.1 110 Gain (Loss) in AOCI December 31, 2014 Consolidated Statements of Operations Location Recognized in Income (Expense) (in millions) Effective Portion: Cross currency basis swaps . . . . . . . . . . . . . . . . . Foreign exchange forward contracts . . . . . . . . . . . . 19.3 43.1 Interest income Interest expense Other expense (income), net Total for net investment hedging . . . . . . . . . . . . . 62.4 1.9 (1.6) 1.3 1.6 Fair Value Hedges its fixed interest rate debt The Company used interest rate swaps to convert to variable a portion of rate debt. The Company had U.S. dollar interest denominated interest rate swaps with an initial total notional value of $150.0 million to effectively convert the underlying fixed interest rate of 4.1% on the Company’s $250.0 million private placement notes (“PPN”) to variable rate, the debt and interest rate swap matured in February 2016. The notional value of the swaps declined proportionately as portions of the PPN matured. These interest rate swaps were designated as fair value hedges of the interest rate risk associated with the hedged portion of the fixed rate PPN. Accordingly, the Company carried the portion of the hedged debt at fair value, with the change in debt and swaps offsetting each other in the Consolidated Statements of Operations. Any cash flows associated with these instruments were included in operating activities in the Consolidated Statements of Cash Flows. The following tables summarize the amount of income (expense) recorded in the Company’s Consolidated Statements of Operations related to the hedges of fair value for the years ended December 31, 2016, 2015 and 2014: Consolidated Statements of Operations Location Income (Expense) Recognized Twelve Months Ended December 31, 2015 2014 2016 (in millions) Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . Interest expense $ — $0.3 $0.2 Derivative Instruments Not Designated as Hedges The Company enters into derivative instruments with the intent to partially mitigate the foreign exchange revaluation risk associated with recorded assets and liabilities that are denominated in a non-functional currency. The gains and losses on these derivative transactions offset the gains and losses generated by the underlying non-functional the revaluation of currency balances and are recorded in Other expense (income), net in the Consolidated Statements of Operations. The Company primarily uses foreign exchange forward contracts and cross currency basis swaps to hedge these risks. Any cash flows associated with the foreign exchange forward contracts and interest rate swaps not designated as hedges are included in cash from operating activities in the Consolidated Statements of Cash Flows. Any cash flows associated with the cross currency basis swaps not designated as hedges are included in investing activities in the Consolidated Statements of Cash Flows except include an in which other-than-insignificant case the cash flows will be classified as financing activities in the Consolidated Statements of Cash Flows. for derivative instruments that financing element, 111 The following tables summarize the aggregate notional amounts of the Company’s economic hedges not designated as hedges by derivative instrument types at December 31, 2016 and the notional amounts expected to mature during the next 12 months: Aggregate Notional Amount Aggregate Notional Amount Maturing within 12 Months (in millions) Foreign exchange forward contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total for instruments not designated as hedges . . . . . . . . . . . . . . . . . . . . 267.2 1.0 268.2 267.2 0.8 268.0 The Company had a Swiss franc denominated cross currency basis swaps to offset an intercompany Swiss franc note receivable at a U.S. dollar functional entity. The hedge matured during the second quarter to coincide with the repayment of the note. The following table summarizes the amounts of gains (losses) recorded in the Company’s Consolidated Statements of Operations related to the economic hedges not designated as hedging for the years ended December 31, 2016, 2015 and 2014: Consolidated Statements of Operations Location Gain (Loss) Recognized Twelve Months Ended December 31, 2015 2014 2016 (in millions) Foreign exchange forward contracts(a) . . . . . . Other expense (income), net DIO equity option contracts . . . . . . . . . . . . . Other expense (income), net Cross currency basis swaps(a) . . . . . . . . . . . Other expense (income), net Total for instruments not designated as hedges . . . . . . . . . . . . . . . . . . . . . . . $(0.6) — — $ 6.3 0.1 (1.8) $ 33.2 — (50.2) $(0.6) $ 4.6 $(17.0) (a) The gains and losses on these derivative transactions offset the gains and losses generated by the revaluation of the underlying non-functional currency balances which are recorded in Other expense (income), net in the Consolidated Statements of Operations. Consolidated Balance Sheets Location of Derivative Fair Values The following tables summarize the fair value and consolidated balance sheet location of the Company’s derivatives at December 31, 2016 and December 31, 2015: Designated as Hedges (in millions) Foreign exchange forward contracts . . . . . . . . . . . . . Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Not Designated as Hedges Foreign exchange forward contracts . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid Expenses and Other Current Assets, Net $12.8 — $12.8 $ 1.3 $ 1.3 December 31, 2016 Other Noncurrent Assets, Net Accrued Liabilities Other Noncurrent Liabilities $0.6 — $0.6 $ — $ — $1.0 0.2 $1.2 $1.5 $1.5 $ — 0.3 $0.3 $ — $ — 112 Designated as Hedges (in millions) Foreign exchange forward contracts . . . . . . . . . . . . . . . . Commodity contracts . . . . . . . . . . . . . . . . . . . . . . . . . . Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Not Designated as Hedges Foreign exchange forward contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Prepaid Expenses and Other Current Assets, Net 23.0 — 0.1 23.1 5.0 5.0 December 31, 2015 Other Noncurrent Assets, Net Accrued Liabilities Other Noncurrent Liabilities 7.9 — — 7.9 — — 6.9 0.1 1.0 8.0 3.0 3.0 0.4 — 0.2 0.6 — — Balance Sheet Offsetting Substantially all of the Company’s derivative contracts are subject to netting arrangements, whereby to offset occurs in the event of default or the right the termination in accordance with the terms of arrangements with the counterparty. While these contracts contain the enforceable right to offset through netting arrangements with the same counterparty, the Company elects to present them on a gross basis in the Consolidated Balance Sheets. Offsetting of financial assets and liabilities under netting arrangements at December 31, 2016: Gross Amount Offset in the Consolidated Balance Sheets Net Amounts Presented in the Consolidated Balance Sheets Gross Amounts Not Offset in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received/ Pledged Net Amount Gross Amounts Recognized (in millions) Assets Foreign exchange forward contracts . . . . . . . . . . . Total Assets . . . . . . . . . . . (in millions) Liabilities Foreign exchange forward contracts . . . . . . . . . . . Interest rate swaps . . . . . . Total Liabilities . . . . . . . . . . $14.7 $14.7 $ — $ — $14.7 $14.7 $(2.8) $(2.8) $ — $ — $11.9 $11.9 Gross Amount Offset in the Consolidated Balance Sheets Net Amounts Presented in the Consolidated Balance Sheets Gross Amounts Not Offset in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received/ Pledged Net Amount Gross Amounts Recognized $2.5 0.5 $3.0 $ — — $ — $2.5 0.5 $3.0 $(2.5) (0.3) $(2.8) $ — — $ — $ — 0.2 $0.2 113 Offsetting of financial assets and liabilities under netting arrangements at December 31, 2015: Gross Amount Offset in the Consolidated Balance Sheets Net Amounts Presented in the Consolidated Balance Sheets Gross Amounts Not Offset in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received/ Pledged Net Amount Gross Amounts Recognized (in millions) Assets Foreign exchange forward contracts . . . . . . . . . . . Interest rate swaps . . . . . . Total Assets . . . . . . . . . . . $35.9 0.1 $36.0 $ — — $ — $35.9 0.1 $36.0 $(7.4) — $(7.4) $ — — $ — $28.5 0.1 $28.6 Gross Amount Offset in the Consolidated Balance Sheets Net Amounts Presented in the Consolidated Balance Sheets Gross Amounts Not Offset in the Consolidated Balance Sheets Financial Instruments Cash Collateral Received/ Pledged Net Amount Gross Amounts Recognized (in millions) Liabilities Foreign exchange forward contracts . . . . . . . . . . . Commodity contracts . . . . Interest rate swaps . . . . . . Total Liabilities . . . . . . . . . . $10.3 0.1 1.2 $11.6 NOTE 18 — FAIR VALUE MEASUREMENT $ — — — $ — $10.3 0.1 1.2 $11.6 $(6.3) — (1.1) $(7.4) $ — — — $ — $4.0 0.1 0.1 $4.2 The Company records financial instruments at fair value with unrealized gains and losses related to instruments reflected in AOCI in the certain financial Consolidated Balance Sheets. the Company has recognized certain liabilities at fair value. The Company applies the market approach for the recurring fair value measurements. Accordingly, Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs. addition, In financial The fair value of instruments is determined by reference to various market data and other valuation techniques as appropriate. The Company believes the carrying amounts of cash and cash equivalents, accounts receivable (net of allowance for doubtful accounts), prepaid expenses and other its total long-term debt, current assets, accounts payable, accrued liabilities, income taxes payable and notes payable approximate fair value due to the short-term nature of these instruments. The Company estimated the fair value and carrying value of including current portion, was $1,525.7 million and $1,522.2 million, respectively, at December 31, 2016. At December 31, 2015, the Company estimated the fair value and carrying value was $1,160.7 million and $1,150.2 million, respectively. The interest rate on the $450.0 million Senior Notes is a fixed rate of 4.1% and the fair rates at value is based on interest December 31, 2016. For additional details on interest rates of long term debt, please see Note 12, Financing Arrangements. The variable interest rate on the Japanese yen term loan is consistent with current market conditions, therefore the fair value approximates the loan’s carrying value. The following tables set forth by level within the fair value hierarchy the Company’s financial assets and liabilities that were accounted for at fair value on a recurring basis at December 31, 2016 and 2015, which are classified as Cash and cash equivalents, Prepaid expenses and other current assets, Other noncurrent assets, net, Accrued liabilities, and Other noncurrent liabilities in the Consolidated Balance Sheets. Financial assets and liabilities that are recorded at fair value as of the balance sheet date are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. 114 Total December 31, 2016 Level 2 Level 1 Level 3 (in millions) Assets Foreign exchange forward contracts . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.7 $14.7 Liabilities Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign exchange forward contracts . . . . . . . . . . . . . . . . . Contingent considerations on acquisitions . . . . . . . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (in millions) Assets Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foreign exchange forward contracts . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liabilities Interest rate swaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Commodity forward purchase contracts . . . . . . . . . . . . . . . Foreign exchange forward contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Long-term debt Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.5 2.5 7.6 $10.6 Total $ 0.1 35.9 $36.0 $ 1.2 0.1 10.3 45.1 $56.7 — $ — $ — — — $ — 14.7 $14.7 $ 0.5 2.5 — $ 3.0 — $ — $ — — 7.6 $7.6 December 31, 2015 Level 2 Level 1 Level 3 $ — — $ — $ — — — — $ — $ 0.1 35.9 $36.0 $ 1.2 0.1 10.3 45.1 $56.7 $ — — $ — $ — — — — $ — Derivative valuations are based on observable including interest rates, inputs to the valuation model future commodities foreign currency exchange rates, risks. The Company utilizes prices and credit commodity contracts, certain interest rates swaps and foreign exchange forward contracts that are considered cash flow hedges. In addition, the Company at times employs certain cross currency interest rate swaps and forward exchange contracts that are considered hedges of net investment in foreign operations. Both types of designated derivative instruments are further discussed in Note 17, Financial Instruments and Derivatives. The Company’s Level 3 liabilities at December 31, 2016 are related to earn-out obligations on prior acquisitions that were assumed as part of the merger with Sirona. The following table presents a reconciliation of the Company’s Level 3 holdings measured at fair value on a recurring basis using unobservable inputs: (in millions) Balance, February 29, 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unrealized gain: Reported in Other expense (income), net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Effect of exchange rate changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7.1 0.7 (0.2) Balance at December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7.6 There were no additional purchases, issuances or transfers of Level 3 financial instruments in 2016 and 2015. NOTE 19 — COMMITMENTS AND CONTINGENCIES Leases The Company leases automobiles machinery, equipment and manufacturing facilities under non-cancelable leases. office, warehouse certain and The leases generally require the Company to pay taxes and other expenses related to the insurance, leased property. Total rental expense for all operating leases was $33.3 million, $30.4 million and $37.4 million for 2016, 2015 and 2014, respectively. 115 Rental commitments, principally for real estate (exclusive of taxes, insurance and maintenance), automobiles and office equipment are as follows: (in millions) 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2022 and thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 37.0 25.4 19.3 15.7 13.8 26.1 $137.3 Litigation is class defined as California On June 18, 2004, Marvin Weinstat, DDS and Richard Nathan, DDS filed a class action suit in San Francisco County, California alleging that the Company misrepresented that its Cavitron® ultrasonic scalers are suitable for use in oral surgical procedures. The Complaint sought a recall of the product and refund of its purchase price to dentists who have purchased it for use in oral surgery. The Court certified the case as a class action in June 2006 with respect to the breach of warranty and unfair business practices claims. The dental certified professionals who, at any time during the period beginning June 18, 2000 through September 14, 2012, purchased and used one or more Cavitron® ultrasonic scalers for the performance of oral surgical procedures on their patients, which Cavitrons® were accompanied by Directions for Use that “Indicated” Cavitron® use for types of periodontal “periodontal debridement for all disease.” The case went to trial in September 2013, and on January 22, 2014, the San Francisco Superior Court issued its decision in the Company’s favor, rejecting all of the plaintiffs’ claims. The plaintiffs have appealed the Superior Court’s decision, and the appeal is now pending. The Company is defending against this appeal. filed a Complaint On December 12, 2006, Carole Hildebrand, DDS, in the and Robert Jaffin, DDS, Eastern District (the Plaintiffs of Pennsylvania subsequently added Dr. Mitchell Goldman as a named class representative). The same law firm that filed the Weinstat case in California filed this case. The Complaint asserts putative class action claims on located in New Jersey and behalf of dentists the asserts Pennsylvania. The Complaint Company’s Cavitron® ultrasonic scaler was negligently designed and sold in breach of contract and warranty arising from alleged misrepresentations about the potential uses of the product because the Company cannot assure the delivery of potable or sterile water through the device. The Court granted the Company’s Motion for Dismissal of the case for lack of jurisdiction. Following that dismissal, the plaintiffs filed a second complaint under the name of Dr. Hildebrand’s corporate practice, Center City Periodontists, asserting the same allegations. The plaintiffs moved to have the case certified as a class action and the Company objected. that The Court granted the Company’s Motion to Dismiss plaintiffs’ New Jersey Consumer Fraud and negligent leaving only a breach of express design claims, warranty claim. The Court subsequently denied the Company’s Motion for Summary Judgment on the express warranty claim. The Court held hearings during 2016 on plaintiffs’ class certification motion. The Court has not scheduled further hearings in the matter and the Company is awaiting a ruling on the class certification motion by the Court. that and and fees seek fines, various engaged attorneys’ injunctive relief, On January 20, 2014, the Company was served with a qui tam complaint filed by two former and one current employee of the Company under the Federal False Claims Act and equivalent state and city laws. The lawsuit was previously under seal in the U.S. District Court for the Eastern District of Pennsylvania. the The complaint alleges, among other things, Company illegal marketing in activities, and thereby caused dental and other healthcare professionals to file false claims for reimbursement with federal and state governments. The relators treble damages, costs. On January 27, 2014, the United States filed with the Court a notice that it had elected not to intervene in the qui this time. The United States’ notice tam action at indicated that the named state and city co-plaintiffs had authorized the United States to communicate to the Court that they also had decided not to intervene at this time. These non-intervention decisions do not prevent the qui tam relators from litigating this action, and the United States and/or the named states and/or cities may seek to intervene in the action at a later time. On September 4, 2014, the Company’s motion to dismiss the complaint was granted in part and denied in part. The Company filed a motion for summary judgment in December 2015. In April 2016, the Court granted the Company’s motion for summary judgment, which disposes of all remaining claims against the Company in the matter. The plaintiffs filed a notice of appeal in May 2016 and the matter has been assigned by the Court of Appeals for mediation. The Company will continue to vigorously defend itself. The Company does not believe a loss is probable related to the above litigation. Further, a reasonable estimate of a possible range of loss cannot be made. In these matters is the event that one or more of 116 unfavorably resolved, it results from operations, could be materially impacted. is possible the Company’s financial position or liquidity (“OFAC”) requesting documents In 2012, the Company received subpoenas from the U. S. Attorney’s Office for the Southern District of Indiana (the “USAO”) and from the Office of Foreign Assets Control of the United States Department of the Treasury and information related to compliance with export controls and economic sanctions regulations by certain of its subsidiaries. The Company has voluntarily contacted OFAC and the Bureau of Industry and Security of the U. S. Department of Commerce (“BIS”), in connection with these matters as well as regarding compliance with export controls and economic sanctions regulations by certain other business units of the Company identified in connection with an internal review by the Company. On September 1, 2016, the Company entered into an extension of the tolling agreement originally entered into in August 2014, such that the statute of limitations is now tolled until May 1, 2017. The Company is cooperating with the USAO, OFAC and BIS with respect to these matters. At the inquiries, this stage of the Company is unable to predict the ultimate outcome of these matters or what impact, if any, the outcome of these matters might have on the Company’s consolidated financial position, results of operations or cash flows. Violations of export control or economic sanctions laws or in a range of governmental regulations could result enforcement actions, including fines or penalties, injunctions and/or criminal or other civil proceedings, which actions could have a material adverse effect on the Company’s reputation, business, financial condition and results of operations. At this time, no claims have been made against the Company. the In addition to the matters disclosed above, Company is, from time to time, subject to a variety of litigation and similar proceedings incidental to its business. These legal matters primarily involve claims patent including for damages arising out of the use of the Company’s products and services and claims relating to intellectual property matters infringement, employment matters, tax matters, commercial disputes, competition and sales and trading practices, personal injury and insurance coverage. The Company may also become subject to lawsuits as a result of past or future acquisitions or as a result of liabilities retained from, or representations, warranties or indemnities provided in connection with, divested businesses. Some of these lawsuits may and consequential, as well as compensatory damages. Based upon the Company’s experience, current information and applicable law, it does not believe that these proceedings and claims will have a material adverse effect on its consolidated results of operations, financial position or liquidity. However, in the event of unexpected further developments, it is possible that the ultimate resolution of these matters, or other similar matters, if unfavorable, may be materially adverse to the Company’s business, financial condition, results of operations or liquidity. punitive include claims for While the Company maintains general, product, property, workers’ compensation, automobile, cargo, aviation, crime, fiduciary and directors’ and officers’ liability insurance up to certain limits that cover certain of these claims, this insurance may be insufficient or unavailable to cover such losses. In addition, while the Company believes it is entitled to indemnification from third parties for some of these claims, these rights may also be insufficient or unavailable to cover such losses. Purchase and Other Commitments From time to time, the Company enters into long-term inventory commitments with purchase minimum purchase requirements for raw materials and finished goods to ensure the availability of products for production and distribution. These commitments may have a significant inventory maintained by the Company. impact on levels of 117 NOTE 20 — QUARTERLY FINANCIAL INFORMATION (UNAUDITED) DENTSPLY SIRONA INC. Quarterly Financial Information (Unaudited) First Quarter(a) Second Quarter Third Quarter Fourth Quarter Rounding and Other(b) Total Year (in millions, except per share amounts) 2016 Net sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross profit Operating income . . . . . . . . . . . . . . . . . Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . Earnings per common share - basic . . . . . Earnings per common share - diluted . . . . Cash dividends declared per common $ 772.6 418.9 72.7 125.0 $ 0.72 $ 0.70 $1,022.0 526.9 121.2 $ 954.2 513.6 126.6 $ 996.5 541.5 134.2 $ — $3,745.3 2,000.9 454.7 — — 105.4 0.45 0.44 $ $ 92.5 $ 0.40 $ 0.39 107.0 0.46 $ $ 0.46 — $(0.06) $(0.05) 429.9 1.97 1.94 $ $ share . . . . . . . . . . . . . . . . . . . . . . . . $0.0775 $ 0.0775 $0.0775 $0.0775 $ — $ 0.3100 2015 Net sales . . . . . . . . . . . . . . . . . . . . . . . Gross profit . . . . . . . . . . . . . . . . . . . . . Operating income . . . . . . . . . . . . . . . . . Net income attributable to Dentsply Sirona . . . . . . . . . . . . . . . . . Earnings per common share - basic . . . . . Earnings per common share - diluted . . . . Cash dividends declared per common $ 656.3 373.4 97.7 64.0 $ 0.46 $ 0.45 $ 698.0 399.7 85.8 $ 648.9 369.4 98.6 $ 671.1 374.7 93.1 $ — $2,674.3 1,517.2 375.2 — — 44.1 0.32 0.31 84.5 $ 0.60 $ 0.59 58.6 $ 0.42 $ 0.41 $ $ — $(0.01) $ $ — $ 251.2 1.79 1.76 share . . . . . . . . . . . . . . . . . . . . . . . . $0.0725 $ 0.0725 $0.0725 $0.0725 $ — $ 0.2900 Includes the results of operations for Sirona for the period February 29, 2016 through March 31, 2016 (a) (b) During the March 31, 2016 quarter, the Company issued 101.8 million shares related to the Merger. As a result, the calculation of the weighted average share count was lower in the March 31, 2016 quarter as compared to the weighted average share count for the year ended December 31, 2016. 118 Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Company has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. SIGNATURES DENTSPLY SIRONA INC. By: /s/ Jeffrey T. Slovin Jeffrey T. Slovin Chief Executive Officer 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 Company and in the capacities and on the dates indicated. /s/ Jeffrey T. Slovin Jeffrey T. Slovin Chief Executive Officer and Director (Principal Executive Officer) /s/ Ulrich Michel Ulrich Michel Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer) /s/ Bret W. Wise Bret W. Wise Chairman of the Board of Directors /s/ Dr. Michael C. Alfano Dr. Michael C. Alfano Director /s/ David K. Beecken David K. Beecken Director /s/ Eric K. Brandt Eric K. Brandt Director /s/ Michael J. Coleman Michael J. Coleman Director /s/ Willie A. Deese Willie A. Deese Director /s/ Harry M. Jansen Kraemer, Jr. Harry M. Jansen Kraemer, Jr. Director /s/ Thomas Jetter Thomas Jetter Director /s/ Arthur D. Kowaloff Arthur D. Kowaloff Director /s/ Francis J. Lunger Francis J. Lunger Director 119 March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date March 1, 2017 Date This page left blank intentionally. Directors and Officers Board of Directors Bret W. Wise Executive Chairman of the Board Jeffrey T. Slovin Director and Chief Executive Officer Thomas Jetter Lead Independent Director Michael C. Alfano Director and Corporate Governance and Nominating Committee Chair David K. Beecken Director Eric K. Brandt Director Michael J. Coleman Director Willie A. Deese Director Harry M. Jansen Kraemer, Jr. Director Arthur D. Kowaloff Director and Human Resources Committee Chair Francis J. Lunger Director and Audit and Finance Committee Chair Executive Officers Jeffrey T. Slovin Chief Executive Officer Rainer Berthan Executive Vice President, Manufacturing and Supply Chain Christopher T. Clark President and Chief Operating Officer, Technologies Jonathan Friedman Senior Vice President, Secretary and General Counsel Maureen MacInnis Senior Vice President and Chief Human Resources Officer Ulrich Michel Executive Vice President and Chief Financial Officer James G. Mosch President and Chief Operating Officer, Dental and Healthcare Consumables Global Headquarters Dentsply Sirona Susquehanna Commerce Center 221 W. Philadelphia Street, Suite 60W York, PA 17401 Phone: (800) 877-0020 Transfer Agent and Registrar If your stock certificate is lost, stolen or destroyed, or if you change your address please contact the Shareholder Services Department at: International Headquarters Sirona Strasse 1 A-5071 Wals bei Salzburg Austria Phone: +43 662 2450-0 Independent Registered Public Accounting Firm PricewaterhouseCoopers LLP Two Commerce Square, Suite 1700 2001 Market Street Philadelphia, PA 19103-7042 Phone: (267) 330-3000 Stock Listing NASDAQ’s National Market Symbol: XRAY Annual Meeting The 2017 Annual Meeting will be held on Wednesday, May 24, at 11:00 a.m. at: Dentsply Sirona Global Headquarters Susquehanna Commerce Center 221 W. Philadelphia Street, Suite 60W York, PA 17401 Trademarks All brand names used in this report are owned by or licensed trademarks of DENTSPLY SIRONA Inc. or its subsidiaries. American Stock Transfer & Trust Company 6201 15th Avenue Brooklyn, NY 11219 www.amstock.com Phone: (800) 937-5449 Investor Relations, Form 10-K and Other Information If you would like to receive our Investor Relations Package, or a copy of our Annual Report on Form 10-K as filed with the Securities and Exchange Commission, or be placed on the Company’s mailing list, please contact: Derek Leckow Vice President, Investor Relations Phone: (717) 849-7863 Joshua Zable Vice President, Investor Relations and Corporate Communications Phone: (718) 482-2184 Dentsply Sirona Global Headquarters Susquehanna Commerce Center 221 W. Philadelphia Street, Suite 60W York, PA 17401 Forward-Looking Statements This report contains information that may constitute “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These statements can be identified by the use of forward-looking terminology, including “may,” “believe,” “will,” “expect,” “anticipate,” “plan,” “intend,” “project,” “forecast,” or other similar words. All statements that address operating performance, events or developments that DENTSPLY SIRONA Inc. (“Dentsply Sirona” or the “Company”) expects or anticipates will occur in the future are forward-looking statements. Statements contained in this report are based on information presently available to the Company and assumptions that the Company believes to be reasonable. These risks and uncertainties include, but are not limited to, those described in Part I, Item 1A (“Risk Factors”) of this Form 10-K and elsewhere in this report and those described from time to time in our future reports filed with the Securities and Exchange Commission. The Company is not assuming any duty to update this information if those facts change or if the assumptions are no longer believed to be reasonable. Investors are cautioned that all such statements involve risks and uncertainties, and important factors could cause actual events or results to differ materially from those indicated by such forward-looking statements. Therefore, you should not rely on any of these forward-looking statements. Dentsply Sirona Global Headquarters Susquehanna Commerce Center 221 W. Philadelphia Street, Suite 60W York, PA 17401 (800) 877-0020 www.dentsplysirona.com 

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