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DENTSPLY SIRONA

xray · NASDAQ Healthcare
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Ticker xray
Exchange NASDAQ
Sector Healthcare
Industry Medical - Instruments & Supplies
Employees 10,000+
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FY2020 Annual Report · DENTSPLY SIRONA
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Annual Report

 
 
 
 
 
 
 
 
DEAR FELLOW SHAREHOLDERS, 

We hope this letter finds you and your families 
safe and healthy. On behalf of our Board of 
Directors, we are pleased to invite you to 
virtually attend the 2021 Dentsply Sirona Annual 
Meeting of Stockholders. Due to continuing 
safety concerns, this year’s meeting will again 
be held via webcast.

As the company moves into 2021, it is important 
to reflect on the prior year. The global  
pandemic challenged Dentsply Sirona in a truly 
unprecedented way. We are very proud of how 
we navigated the constant challenges. Our 
response served to underscore the resilience 
of the company and its people as well as the 
underlying attractiveness of the global dental 
market. But as important as the response to the 
COVID-19 crisis was, it is equally important that 
there is a firm focus on how we best position 
Dentsply Sirona to thrive going forward.

STRATEGIC OVERVIEW
As it became evident that COVID-19 was 
going to have a profound impact on the 
dental market, management and the Board 
together formalized a response that prioritized 
our employee safety, customer support, the 
financial health of the company and making 
continued progress against our strategic 
initiatives. People are our most precious asset. 
We put their safety first and pivoted early to 
work from home and to making our supply 
chain facilities safe. At the time of writing this 
letter, none of our manufacturing facilities or 
our major offices have had to be shut down due 
to COVID-19 infections. It is also noteworthy 
that there were no incidents of infections 
reported at any of our sites. At the height of the 
crisis, the majority of our supply chain was shut 
down globally. In a major test of our business 
continuity planning, the infrastructure was 
quickly and safely brought back up as dental 
offices reopened globally. The performance of 
this group was particularly impressive given 
the uncertain planning horizon and numerous 
challenges across our supply chain partners. 
We are proud to say that the team rose to 
the challenge and was able to support our 
customers throughout the year.

Given the business uncertainty at the time, 
the company’s financial health was also of 
paramount concern. Steps were taken to 
increase liquidity through an expansion of our 
revolving credit facilities and a $750M long 
term debt offering. The speed and low cost of 
these actions underscore the financial strength 
of the company. Additionally, aggressive steps 
were also taken to reduce spending across all 
aspects of the company. At one point during 
the year, 75% of the global organization was 
placed on furlough, short work week programs, 
or took salary reductions. These compensation 
reductions were shared by the Board and the 
senior leadership team. We are proud to note 
that there were no permanent layoffs globally 
due to COVID-19. As the business returned to 
reduced but more normal levels, the employees 
were brought back and over 4,000 of our 
front-line workers each received a special $500 
bonus at the end of the year.

There was also noteworthy progress made 
against our major strategic initiatives. During 
late 2018, Dentsply Sirona developed a 
comprehensive restructuring plan designed 
to accelerate growth, improve margins, and 
simplify the company. Accelerating growth 
is essential and there were many steps taken 
to deliver against this priority. Our strategy 
was sharpened during the year and major 
innovation projects were not impacted by cost 
containment efforts. We completed major 
portfolio moves which included exiting the low 
margin/low growth analog lab and traditional 
orthodontics businesses. At the end of the year, 
the company acquired Byte, a high growth, 
doctor-directed, direct-to-consumer clear 
aligner company. This gives Dentsply Sirona 
important scale in a critical, fast-growing 
category. The company also acquired Datum 
Dental, an Israeli biomaterials company that 
will allow us to accelerate our performance in 
the implant category. Despite the constraints 
created by the pandemic, progress was made 
against all the restructuring goals, including a 
significant improvement in operating margins.  

Reflecting on 2020, we believe that Dentsply 
Sirona has emerged as a stronger, more 
effective company. We have sharpened our 

 
 
 
strategic focus, improved our cost structure, 
and enhanced our liquidity. This will allow for 
more investment in growth initiatives going 
forward. The management team has emerged 
from the pandemic with a tested and proven 
business continuity plan and enterprise risk 
management program. Steps taken to create 
a centralized supply chain and a leaner, more 
efficient organization proved their worth during 
2020. The Board has been strengthened as part 
of a refreshment program to add more diverse 
leaders that bring a broad range of experiences. 
We have improved Board diversity from under 
10% in 2017 to 50% following our upcoming 
annual meeting. Our commitment to our 
employees and our customers was clear and 
evident during the pandemic and has created 
stronger engagement. This engagement 
reminds us of the importance of being 
anchored in our purpose. While there is still 
considerable uncertainty and challenges going 
forward, we are optimistic about our future.

THE YEAR AHEAD
Looking toward 2021, our priorities will again 
focus on growth, portfolio shaping, margin 
improvement, and creating more scale and 
efficiency throughout the company while 
continuing to enhance our talent and culture. 
We have executed on a core element of our 
growth strategy through expanded investment 
in R&D. There have been considerable 
improvements in this area, including creating 
a new organization to drive our digital 
capabilities. Further, we recently announced 
the creation of a new Innovation Center in 
Charlotte, North Carolina that will focus on our 
consumables and implant businesses. We look 
forward to capitalizing on the Byte and Datum 
acquisitions as those businesses are integrated. 
Lessons learned during the pandemic to drive 
new, more efficient ways of doing business will 
be applied to continue to improve operating 
margins. We believe there are considerable 
opportunities to continue creating scale in 
many areas of the company, including the 
supply chain and other central functions. As 
we continue to evolve the company, our culture 
and talent development programs are essential 
to delivering our long-term aspirations. 

CREATING SUSTAINABLE AND CONSISTENT 
GROWTH
Whether it is reflecting on the challenges 
of 2020 or looking out into the future, it is 
important to remember our purpose as an 
organization. At the heart of our business is 
the creation of truly innovative products and 
integrated solutions that make a tangible 
difference in people’s lives. We will use our 
scale and global reach to improve the quality 
and access to healthcare throughout the 
world. Dentsply Sirona will strive to exceed the 
expectations of our customers, our employees, 
our shareholders, and the communities in which 
we work. As part of that commitment, the 
company has made substantial progress on 
Environmental, Social and Governance (ESG) 
programs. Efforts in this area have always been 
part of how we operate. Going forward, we 
believe it is important to accelerate our efforts, 
create metrics and report progress against ESG 
goals. In 2020, we established a cross functional 
ESG committee composed of several members 
of the executive leadership team and subject 
matter experts with accountability directly 
to the Board. This committee is tasked with 
developing the necessary internal controls, 
data management and frameworks for our 
ESG strategy and disclosure efforts. As part of 
those efforts, a Diversity and Inclusion Council 
has also been created in recognition of the 
importance of our culture, talent, and people 
for our future. This group is evaluating current 
policies and processes as well as championing 
initiatives designed to enhance our culture 
and competitiveness. The ESG committee is 
finalizing our implementation plans and we look 
forward to communicating our progress in the 
near future.

In closing, we are grateful for the support of the 
people of Dentsply Sirona, our customers and 
our stakeholders. We are very optimistic about 
our future. Thank you for your continued 
support and commitment and we hope you 
stay safe and healthy.

Eric Brandt
Chairman of the Board

Don Casey
Chief Executive Officer

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, 2020
Commission File Number 0-16211

DENTSPLY SIRONA Inc.
(Exact name of registrant as specified in its charter)

(State or other jurisdiction of incorporation or organization)

(I.R.S. Employer Identification No.)

Delaware

39-1434669

13320 Ballantyne Corporate Place, Charlotte, North Carolina

(Address of principal executive offices)

28277-3607

(Zip Code)

Registrant’s telephone number, including area code: (844) 848-0137

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

Title of each class

Trading Symbol

Name of each exchange on which registered

Common Stock, par value $.01 per share

XRAY

The Nasdaq Stock Market LLC

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. 

Yes   x     No   o

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   o     No   x

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   x     No   o

Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant 

to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was 
required to submit such files).
Yes   x     No   o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting 

company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company" 
and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large Accelerated Filer x
Emerging Growth Company ☐ If an emerging growth company, indicate by check mark if the registrant has elected not to use the 

Smaller Reporting Company  ☐

Non-Accelerated Filer  o

Accelerated Filer  o

extended transition period for complying with any new or revised financial accounting standards 
provided pursuant to Section 13(a) of the Exchange Act.  o

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of 
its  internal  control  over  financial  reporting  under  Section  404(b)  of  the  Sarbanes-Oxley  Act  (15  U.S.C.7262(b))  by  the  registered  public 
accounting firm that prepared or issued its audit report.  ☒

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

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 registrant's most recently completed second quarter ended June 30, 2020, was $9,605,744,689. Based 
on the closing price on June 30, 2020. For purpose of this calculation only, without determining whether the following are affiliates of the 
registrant, the registrant has assumed that (i) its directors and executive officers are affiliates, and (ii) no party who has filed a Schedule 13D 
or 13G is an affiliate.

The number of shares of the registrant’s common stock outstanding as of the close of business on February 19, 2021 was 219,048,498.

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 2021 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.

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DENTSPLY SIRONA Inc.

Table of Contents

PART I

Item 1

Business

Item 1A

Risk Factors

Item 1B

Unresolved Staff Comments

Item 2

Item 3

Item 4

Properties

Legal Proceedings

Mine Safety Disclosure

PART II

Item 5

Market for Registrant’s Common Equity, Related Stockholder

Matters and Issuer Purchases of Equity Securities

Item 6

Item 7

Selected Financial Data

Management’s Discussion and Analysis of Financial Condition and

Results of Operations

Item 7A

Quantitative and Qualitative Disclosures About Market Risk

Item 8

Item 9

Item 9A

Item 9B

Item 10

Item 11

Item 12

Financial Statements and Supplementary Data

Changes In and Disagreements With Accountants on Accounting

and Financial Disclosure

Controls and Procedures

Other Information

PART III

Directors, Executive Officers and Corporate Governance

Executive Compensation

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

Item 15

Item 16

Exhibits and Financial Statement Schedules

Form 10-K Summary

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PART I

FORWARD-LOOKING STATEMENTS

Information included in or incorporated by reference in this Form 10-K, and other filings with the U.S. Securities and Exchange 
Commission  (the  “SEC”)  and  the  Company’s  press  releases  or  other  public  statements,  contains  or  may  contain  forward-
looking  statements.  Please  refer  to  a  discussion  of  our  forward-looking  statements  and  associated  risks  in  Item  1  “Business- 
Forward-Looking Statements and Associated Risks” and Item 1A “Risk Factors” of this Form 10-K.

GENERAL

Unless otherwise stated herein or the context otherwise indicates, reference throughout this Form 10-K to “Dentsply Sirona”, or 
the  “Company,”  “we,”  “us”  or  “our”  refers  to  financial  information  and  transactions  of  DENTSPLY  SIRONA  Inc.,  together 
with its subsidiaries on a consolidated basis. 

INDUSTRY AND MARKET DATA

Unless  indicated  otherwise,  the  information  concerning  our  industry  contained  in  this  Form  10-K  is  based  on  our  general 
knowledge of and expectations concerning the industry. The Company’s market position, market share and industry market size 
are based on estimates using our internal data and estimates, based on data from various industry analyses, our internal research 
and adjustments and assumptions we believe to be reasonable. The Company has not independently verified data from industry 
analyses and cannot guarantee their accuracy or completeness. In addition, we believe that data regarding the industry, market 
size  and  its  market  position  and  market  share  within  such  industry  provide  general  guidance  but  are  inherently  imprecise. 
Further,  the  Company  estimates  and  assumptions  involve  risks  and  uncertainties  and  are  subject  to  change  based  on  various 
factors, including those discussed in Item 1A “Risk Factors” of this Form 10-K. These and other factors could cause results to 
differ materially from those expressed in the estimates and assumptions.

Item 1. Business

History and Overview

DENTSPLY  SIRONA  Inc.  (“Dentsply  Sirona”  or  the  “Company”),  is  the  world’s  largest  manufacturer  of  professional 
dental  products  and  technologies,  with  a  134-year  history  of  innovation  and  service  to  the  dental  industry  and  patients 
worldwide.  Dentsply  Sirona  develops,  manufactures,  and  markets  a  comprehensive  solutions  offering 
including 
technologically-advanced dental equipment as well as dental and healthcare consumable products 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. The Company introduced the first dental 
electric drill over 130 years ago, the first dental X-ray unit approximately 100 years ago, the first dental computer-aided design/
computer-aided manufacturing (“CAD/CAM”) system over 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 of innovative and profitable new products continues today. Dentsply 
Sirona’s worldwide headquarters is located in Charlotte, North Carolina and its shares of common stock are listed in the United 
States on Nasdaq under the symbol XRAY.

Dental  products  and  technology  and  equipment  accounted  for  approximately  90%  of  Dentsply  Sirona’s  consolidated  net 
sales  for  the  year  ended  December  31,  2020.  The  remaining  net  sales  are  primarily  related  to  consumable  medical  device 
products.

The  Company  conducts  its  business  in  the  United  States  of  America  (“U.S.”),  as  well  as  in  over  120  foreign  countries, 
principally  through  its  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  Pacific  Rim,  Commonwealth  of  Independent  States 
(“CIS”), Central and South America, and the Middle-East region.

3

Principal Products

The worldwide professional dental industry encompasses the diagnosis, treatment and prevention of disease and ailments 
of  the  teeth,  gums  and  supporting  bone.  Dentsply  Sirona’s  principal  product  categories  are  dental  consumable  products  and 
dental technology and equipment products. Additionally, the Company manufactures and sells healthcare consumable products 
for  urological  applications.  These  products  are  produced  by  the  Company  in  the  U.S.  and  internationally  and  are  distributed 
throughout the world under some of the most well-established brand names and trademarks in these industries, including but 
not  limited  to:  AH  PLUS,  ANKYLOS,  AQUASIL  ULTRA,  ARTICADENT,  ASTRA  TECH,  ATLANTIS,  AXEOS,  BYTE, 
CALIBRA, CAULK, CAVITRON, CELTRA, CERAMCO, CERCON, CEREC, CEREC MCX, CITANEST, CONFORM FIT, 
DELTON,  DENTSPLY,  DETREY,  DYRACT,  ESTHET.X,  FRIOS,  GALILEOS,  INLAB,  INTEGO,  IPN,  LOFRIC, 
LUCITONE,  MAILLEFER,  MIDWEST,  MTM,  NUPRO,  OMNICAM,  ORAQIX,  ORIGO,  ORTHOPHOS,  OSSEOSPEED, 
PALODENT  PLUS,  PORTRAIT,  PRIME  &  BOND,  PROFILE,  PRIMEMILL,  PRIMESCAN,  PROGLIDER,  PROTAPER, 
RECIPROC, PUREVAC, RINN, SANI-TIP, SCHICK, SIMPLANT, SINIUS, SIROLASER, SIRONA, SLIMLINE, STYLUS, 
SULTAN,  SUREFIL,  SURESMILE,  SYMBIOS,  T1,  T2,  T3,  T4,  TENEO,  THERMAFIL,  TRIODENT,  TRUBYTE, 
TRUNATOMY, VIPI, WAVEONE, WELLSPECT, XENO, XIVE, XYLOCAINE and ZHERMACK.

Technologies & Equipment Segment

Dental Technology and Equipment Products

Dental  technology  products  consist  of  basic  and  high-tech  dental  equipment  such  as  treatment  centers,  imaging 
equipment,  dental  handpieces,  and  computer  aided  design  and  machining  CAD/CAM  systems  equipment  for  dental 
practitioners. The product category also includes high-tech state-of-art dental implants and related scanning equipment 
and  treatment  software,  and  orthodontic  clear  aligners  and  appliances  for  dental  practitioners  and  specialists.  The 
Company offers the broadest line of products to fully outfit a dental practitioner’s office. 

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  preventive 
treatment and for training purposes. Imaging equipment consist of a broad range of diagnostic imaging systems for 2D 
or 3D, panoramic, and intra-oral applications. Dental CAD/CAM systems equipment are products designed for dental 
offices used for dental restorations, such as inlays, onlays, veneers, crowns, bridges, copings and bridge frameworks 
made  from  ceramic,  metal  or  composite  blocks.  This  product  line  also  includes  high-tech  chairside  economical 
restoration  of  esthetic  ceramic  dentistry,  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.  The  Company  estimates  that  at  December  31,  2020  the  market 
penetration for in-office CAD/CAM systems in the U.S. and Germany was approximately 19% and 18%, respectively.

Net sales of dental technology and equipment products accounted for approximately 50%, 50% and 48% of the 

Company’s consolidated net sales for the years ended December 31, 2020, 2019, and 2018, respectively.

Healthcare Consumable Products

Healthcare  consumable  products  consist  mainly  of  urology  catheters,  medical  drills  and  other  non-medical 

products. 

Net  sales  of  healthcare  consumable  products  accounted  for  approximately  10%,  8%  and  9%  of  the  Company’s 

consolidated net sales for the years ended December 31, 2020, 2019, and 2018, respectively.

Consumables Segment

Dental consumable products consist of value-added dental supplies and small equipment used in dental offices for 
the treatment of patients. 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. 

Dentsply  Sirona’s  dental  supplies  include  endodontic  (root  canal)  instruments  and  materials,  dental  anesthetics, 
prophylaxis  paste,  dental  sealants,  impression  materials,  restorative  materials,  tooth  whiteners  and  topical  fluoride. 

4

Small equipment products include intraoral curing light systems, dental diagnostic systems and ultrasonic scalers and 
polishers.

The  Company’s  products  used  in  dental  laboratories  include  dental  prosthetics,  such  as  artificial  teeth,  precious 
metal  dental  alloys,  dental  ceramics  and  crown  and  bridge  materials.  Dental  laboratory  equipment  products  include 
laboratory-based CAD/CAM milling systems, amalgamators, mixing machines and porcelain furnaces.

Net  sales  of  dental  consumable  products  accounted  for  approximately  40%,  42%  and  43%  of  the  Company’s 

consolidated net sales for the years ended December 31, 2020, 2019, and 2018, respectively.

Markets, Sales and Distribution

The Company believes that the market for its products will grow over the long-term based on the following factors:

•

•

•

•

•

•

•

•

•

•

•

earlier preventive care - dentistry has evolved from a profession primarily dealing with pain, infections and tooth
decay to one with increased emphasis on preventive care and the role oral health plays in overall health.

a growing demand for aesthetic dentistry and the appeal of clear aligners as an orthodontic treatment.

increasing demand in single visit dentistry versus historical multi-visit procedure requirements.

rapid pace of digital technologies adoption becoming a category standard versus historical manual processes.

increasing worldwide population.

increasing demands for patient comfort and ease of product use and handling.

aging population in developed countries with access to greater amounts of discretionary income will require more
dental care.

natural teeth are being retained longer - individuals with natural teeth are much more likely to visit a dentist in a
given year than those without any natural teeth remaining.

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 incomes continue to rise in
emerging  economies,  healthcare,  including  dental  services,  is  a  growing  priority.  Many  surveys  indicate  the
middle class population will expand significantly within these emerging markets.

the Company’s business is less susceptible than many other industries 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  patients  regardless  of  the  economic  environment.  Dental  specialty  products,  dental
equipment  and  products  that  support  discretionary  dental  procedures  are  the  most  susceptible  to  changes  in
economic conditions.

Dentsply  Sirona  employs  approximately  5,100  highly  trained,  product-specific  sales  and  technical  staff  to  provide 
comprehensive  marketing  and  service  tailored  to  the  particular  sales  and  technical  support  requirements  of  its  distributors, 
dealers and the end-users.

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Dental Sales and Distribution

Dentsply  Sirona  distributes  approximately  two-thirds  of  its  dental  consumable  and  technology  and  equipment  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  clear  aligners  and  appliances,  and  dental 
implants  are  often  sold  directly  to  the  dental  laboratory  or  dental  professionals  in  some  markets.  For  the  year  ended 
December  31,  2020,  two  customers,  Henry  Schein,  Inc  (“Henry  Schein”)  and  Patterson  Companies,  Inc.  (“Patterson”),  each 
accounted for more than 10%, or approximately 14% and 10%, respectively, of consolidated net sales. At December 31, 2020, 
only  one  customer,  Patterson,  accounted  for  more  than  10%,  or  approximately  18%  of  the  consolidated  accounts  receivable 
balance.  For  the  year  ended  December  31,  2019,  only  one  customer,  Henry  Schein,  accounted  for  more  than  10%,  or 
approximately 13% of consolidated net sales. At December 31, 2019, two customers, Henry Schein and Patterson, accounted 
for  approximately  12%  and  17%,  respectively,  of  the  consolidated  accounts  receivable  balance.  For  the  year  ended 
December 31, 2018, only one customer, Henry Schein, accounted for approximately 10% of consolidated net sales.

In 2018 and 2017 the Company was impacted by the transition in distribution strategy with Patterson and Henry Schein. 
The  Company  shipped  initial  stocking  orders  for  the  equipment  products  to  Henry  Schein  primarily  in  the  second  and  third 
quarters  of  2017  which  resulted  in  unfavorable  year-over-year  sales  growth  comparisons.  Based  on  the  Company’s  estimate, 
year-over-year changes in distributor inventories negatively impacted the Company’s reported sales growth for the year ended 
December 31, 2018 by approximately $127 million. Based on the Company’s estimate, distributor inventories increased for the 
year ended December 31, 2017 by approximately $27 million as compared to a decrease of approximately $100 million for the 
full year 2018.

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 and dental schools which are the end-
users of its products. As part of this end-user “pull 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  technological  developments  at  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.

The Company's focus includes the creation of more meaningful solutions for dentists built around the following five key 

operating principles: 

•

•

•

•

•

Approach customers as one: Put the customer at the center of how Dentsply Sirona is organized. The Company is
creating  one  integrated  approach  to  customer  service,  direct  and  indirect  selling,  and  clinical  education  to
strengthen the relationship with the customer and better serve the customers' needs.

Assume greater responsibility for Dentsply Sirona’s demand creation: To better support dealer partners and end-
user customers, the Company launched a sales force effectiveness program, with a view to improving returns on
sales and marketing investments.

Ensure  that  innovation  is  substantial  and  supported:  Create  a  comprehensive  R&D  program  that  prioritizes
spending across the entire Company portfolio resulting in more impactful innovations each year.

Lead  in  clinical  education:  Dentsply  Sirona  is  investing  to  further  its  leadership  position  through  local  training
events and enhancing online training presence to strengthen the relationship with the dental professionals.

Take  advantage  of  scale:  The  Company  is  focused  on  integrating  its  dental  product  portfolios  to  unlock
operational  efficiencies,  including  performance  improvements  in  procurement,  logistics,  manufacturing,  sales
force  and  marketing  programs.  In  addition,  Dentsply  Sirona  is  taking  significant  measures  to  simplify  the
business.  In  combination,  these  initiatives  will  improve  organizational  efficiency  and  better  leverage  the
Company’s selling, general and administrative infrastructure.

Medical Sales and Distribution

The Company’s urology products are sold directly in approximately 15 countries throughout Europe and North America, 
and through distributors in approximately 20 additional markets. The Company’s largest markets include the UK, Germany and 
France. Key customers include urologists, continence care nurses, general practitioners and direct-to-patients.

6

Historical  reimbursement  levels  within  Europe  have  been  higher  for  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  as  third-party  payers  have  recognized  the  cost  benefits  of 
infection control through the use of disposable catheters.

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 have a more significant impact on how dental and 
clinical professionals treat their patients.

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  initiatives  to  support  this  technological 
development, including collaborations with external research institutions, dental and medical schools. Through its own internal 
research  centers  as  well  as  through  its  collaborations  with  external  research  institutions,  dental  and  medical  schools,  the 
Company directly invests in the development of new products, improvement of existing products and advances in technology. 
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.

In addition to the direct investment in product development and improvement, the Company also invests in these activities 
through  acquisitions,  by  entering  into  licensing  agreements  with  third  parties,  and  by  purchasing  technologies  developed  by 
third parties.

Acquisition Activities

Dentsply  Sirona  believes  that  the  dental  consumable  and  technology  products  industries  continue  to  experience 
consolidation with respect to both product manufacturing and distribution, although they remain fragmented thereby creating a 
number of acquisition opportunities.

The  Company  views  acquisitions  as  a  key  part  of  its  growth  strategy.  These  acquisition  activities  are  intended  to 
supplement  the  Company’s  core  growth  and  assure  ongoing  expansion  of  its  business  to  capitalize  on  significant  growth 
drivers, including new technologies, additional products, organizational strength and geographic breadth. During the year ended 
December  31,  2020,  the  Company  made  various  investments,  including  Byte,  a  direct-to-consumer  clear  aligner  business, 
which  complements  the  Company's  existing  clear  aligner  product  by  adding  a  digital  component  and  is  expected  to  enhance 
scale  and  accelerate  the  growth  and  profitability  of  the  Company's  combined  clear  aligners  business  going  forward.  This 
acquisition  is  representative  of  the  Company's  strategy  of  matching  technological  advancement  in  digital  dentistry  with 
innovative marketing and delivery in order to reach areas of high-growth potential for customer demand. For more information 
regarding the Company's acquisition activity for the years ended December 31, 2020, 2019, and 2018, refer to Note 4, Business 
Combinations, in the Notes to the Consolidated Financial Statements in Part II, Item 8 of this Form 10-K.

Operating and Technical Expertise

Dentsply Sirona believes that its manufacturing capabilities are important to its 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.  Where  it  can  improve  quality  and  customer  service  and  lower  costs,  the 
Company endeavors to automate its global manufacturing operations.

Financing

Information  about  Dentsply  Sirona’s  working  capital,  liquidity  and  capital  resources  is  provided  in  Part  II,  Item  7 

“Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-K.

7

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  and  equipment  products  industries  is 
based primarily upon product performance, quality, safety and ease of use, as well as price, customer service, innovation and 
acceptance  by  clinicians,  technicians  and  patients.  Dentsply  Sirona  believes  that  its  principal  strengths  include  its  well-
established  brand  names,  its  reputation  for  high  quality  and  innovative  products,  its  leadership  in  product  development  and 
manufacturing,  its  global  sales  force,  the  breadth  of  its  product  line  and  distribution  network,  its  commitment  to  customer 
satisfaction and support of the Company’s products by dental and medical professionals.

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 no competitor produces all of the same types of products as those produced by the Company.

Regulation 

The  development,  manufacture,  sale  and  distribution  of  the  Company’s  products  are  subject  to  comprehensive 
governmental regulation both within and outside the United States. The following sections describe certain, but not all, of the 
significant 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.

 The majority of the Company’s products are classified as medical devices and are subject to restrictions under domestic 
and foreign laws, rules, 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”)  (1993)  in  the 
European  Union,  which  will  be  updated  to  the  European  Union  Medical  Device  Regulation  (“MDR”)  in  2021  (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.

Dental and medical devices of the types sold by Dentsply Sirona are generally classified by the FDA into a category that 
renders  them  subject  to  the  same  controls  that  apply  to  all  medical  devices,  including  regulations  regarding  alteration, 
misbranding,  notification,  record-keeping  and  good  manufacturing  practices.  In  the  European  Union,  Dentsply  Sirona’s 
products are subject to the medical device 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 comply with European regulations.

8

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  adopt  regulatory  changes  restricting  the  use,  or  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 for adults and children ages 6 and above. 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  II)  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 FDA to consider these petitions. Hearings of the advisory panel were held in December 
2010. In September 2020, the FDA issued an updated recommendation that certain people are at higher risk for health problems 
from  mercury-containing  amalgam  dental  fillings,  such  as  pregnant  women  and  their  developing  fetuses,  women  who  are 
planning to become pregnant, nursing women and their newborns and infants, children, especially those younger than six years 
of age, people with pre-existing neurological disease such as multiple sclerosis, Alzheimer disease, or Parkinson disease, people 
with impaired kidney function, and people with a known allergy to mercury or other components of dental amalgam. While the 
FDA's  safety  notice  was  not  directed  to  manufacturers,  Dentsply  Sirona's  dental  amalgram  products  contained  existing 
warnings against the use of the product in patients with the conditions mentioned in the FDA safety notice. Further, we have 
discontinued sales for all amalgram products as of December 2020.

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  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  regulations  exist  in  Europe 
and in 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. 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. Dentsply Sirona also manufactures and sells non-
amalgam dental filling materials that do not contain mercury.

9

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  (“AKS”),  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  international  laws  and  regulations.  The  FCPA  and  similar  anti-bribery  and  anti-corruption  laws 
applicable in non-U.S. jurisdictions generally prohibit 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 AKS and similar fraud 
and abuse laws applicable in non-U.S. jurisdictions prohibit persons from knowingly and willfully soliciting, offering, receiving 
or  providing  remuneration,  directly  or  indirectly,  in  exchange  for  or  to  induce  either  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 our employees or agents. Violations of these requirements are punishable by criminal or civil sanctions, including substantial 
fines and imprisonment.

The  Company  is  subject  to  domestic  and  foreign  laws,  rules,  regulations,  self-regulatory  codes,  circulars  and  orders 
governing data privacy and transparency, including, but not limited to, the Health Insurance 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 adopted thereunder), 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-U.S. 
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  Sunshine  Provisions  of  the  Patient  Protection  and 
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 Medicaid Services for public disclosure. Similar 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 is subject to changes in or the imposition of tariffs could make it more difficult or costly for us to export our 
products to other countries. These measures could also result in increased costs for goods imported into the United States. This 
in turn could require us to increase prices to our customers which may reduce demand, or, if we are unable to increase prices, 
result  in  lowering  our  margin  on  products  sold.  We  cannot  predict  future  trade  policy  or  the  terms  of  any  renegotiated  trade 
agreements and their impact on our business. The adoption and expansion of trade restrictions, the occurrence of a trade war, or 
other governmental action related to tariffs or trade agreements or policies has the potential to adversely impact demand for our 
products, our costs, our customers and our suppliers, which in turn could adversely impact our business, financial condition and 
results of operations.

The Company believes it is in substantial compliance with the laws and regulations that regulate its business. There are, 
however, significant uncertainties involving the application of various legal requirements, the violation of which could result in, 
among other things, sanctions. See Item 1A, "Risk Factors” of this Form 10-K for additional detail.

Sources and Supply of Raw Materials and Finished Goods

The Company manufactures the majority of the products that it sells. 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.

10

Intellectual Property

Products manufactured by Dentsply Sirona are sold primarily under its own tradenames and trademarks. Dentsply Sirona 
also owns and maintains more than 5,000 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 international markets. The Company 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  Item  1A  “Risk 
Factors” of this Form 10-K and is incorporated herein by reference.

Human Capital

The Company’s workforce is critical to meeting its strategic goals in order to deliver on the promises of growing revenues, 
improving  margins,  and  simplifying  the  organization.  At  December  31,  2020,  the  Company  and  its  subsidiaries  employed 
approximately 15,000 employees which the Company relies on to accomplish these strategic objectives in order to continue to 
lead  the  dental  industry.  Of  these  employees,  approximately  3,900  were  employed  in  the  United  States  and  approximately 
11,100  outside  the  United  States.  Some  of  the  Company's  employees  outside  of  the  United  States  are  covered  by  collective 
bargaining,  union  contract,  worker  councils,  or  other  similar  type  programs.  The  Company  believes  that  it  generally  has  a 
positive relationship with its employees. Our key human capital management priorities include talent acquisition, diversity and 
inclusion, engagement, development, and retention. 

Talent Acquisition, Engagement, Development, and Retention

In 2020, we enhanced our strategy for attracting, engaging, developing and retaining talent. The Company created future-
focused early career programs with universities, local trade schools that allow for on-the-job, experienced-based training. To 
foster engagement and communication with employees while keeping them safe and healthy, in 2020 we conducted numerous 
virtual  town  halls  and  video  chats,  to  keep  our  employees  informed  and  to  provide  multiple  opportunities  for  employees 
globally  to  ask  management  questions.  We  also  launched  a  global  employee  assistance  program  to  support  employees  with 
personal  or  work-related  issues,  focusing  on  health,  including  mental  and  emotional  well-being.  We  created  a  global  skill 
development approach within the Company’s segments and functions for leadership and we are currently engaged in efforts to 
improve the Company’s retention of critical global talent through appropriate opportunities and rewards. 

Diversity and Inclusion

We view diversity in our organization as a source of strength and we seek to provide opportunities for all employees to 
bring  their  perspective,  experience,  and  lens  to  the  workplace.  We  believe  our  commitment  to  a  diverse  workforce  drives 
innovation and customer centricity. To further these goals, in 2020, the Company established a global Diversity & Inclusion 
Council to evaluate current policies and processes to ensure they are inclusive, to benchmark challenge areas and prioritize next 
steps.  The  Company  also  hired  a  Diversity  &  Inclusion  Lead  to  develop  awareness  through  training,  career  coaching, 
networking and talent development. The Company continues to measure its progress against key metrics.

Diversity & Inclusion Council

The  Company’s  Diversity  &  Inclusion  Council  is  a  group  of  demographically  and  functionally  diverse  global 
employees  dedicated  to  enabling  the  Diversity  &  Inclusion  function  and  championing  initiatives  that  support  the 
organization  internally  and  externally.  The  Diversity  &  Inclusion  Council’s  top  priority  is  to  intentionally  increase 
awareness  and  impact  of  Diversity  &  Inclusion  priorities  as  well  as  increasing  leaders’  ability  to  discuss  and  be  held 
accountable for driving sustainable diversity, inclusion and equity outcomes. 

Employee Resource Groups

The  Company  has  supported  the  launch  of  employee-led  employee  resource  groups  to  foster  a  diverse,  inclusive 
workplace  aligned  with  the  strategy.  Potential  benefits  of  employee  resource  groups  include  the  development  of  future 
leaders, increased employee engagement and expanded market reach. There has been high employee participation in the 
employee resource groups and subsequent events.

11

Training and Awareness

In  2020,  the  Company  launched  training  to  provide  further  awareness  on  diversity  and  inclusion-related  topics. 
Specifically,  we  offer  unconscious  bias  training  for  all  employees  to  provide  a  better  understanding  of  how  employees’ 
actions and words influence our work environment and our interactions. We also train and coach people managers to use 
performance  development  tools  to  drive  inclusive  behaviors  and  practices.  Optionally,  employees  were  invited  to  attend 
small group discussions to share their experiences on the topic of diversity and inclusion.

Talent Acquisition

In 2020, the Company issued talent sourcing guidelines for director-level and above roles requiring a diverse candidate 
slate for consideration. We provide internal career coaching and utilize talent profiles to highlight diverse talent for internal 
opportunities. We educate our managers on inclusive hiring practices.

Measuring Progress

Executive  management  reviews  the  Company’s  Diversity  &  Inclusion  key  metrics  on  a  monthly  basis,  including 
attraction, engagement, advancement, and retention of diverse talent. In 2020, the Company deployed a pulse survey to US 
employees  to  gather  feedback  on  diversity  and  inclusion-related  topics.  Results  of  the  survey  were  used  to  finalize  the 
diversity and inclusion strategy.

Environmental, Health & Safety Matters

Dentsply Sirona believes that Environmental, Health & Safety ("EHS") is critical to the success of our customers and our 
Company.  We  are  committed  to  environmental  stewardship  and  to  health  and  safety  excellence  in  our  global  operations  and 
distribution.  As  such,  we  have  adopted  policies  that  call  for  compliance  with  applicable  laws  and  regulations  governing  the 
protection of the environment, health and safety of our employees, and neighboring communities. The Company believe that its 
operations comply in all material respects with applicable environmental laws and regulations.

Safety is integrated into the way we do business. Our safety program is structured on the foundation that every employee is 
engaged  and  committed  to  improving  safe  operating  practices  and  eliminating  or  reducing  the  risk  for  injuries  or  illnesses. 
When  health  and  safety  incidents  do  occur,  we  strive  to  determine  the  causes  and  eliminate  the  potential  for  future  similar 
incidents.

Our  EHS  policies  and  standards  are  a  key  element  of  the  foundation  upon  which  we  develop,  market,  manufacture,  and 
distribute  products  and  services  to  our  global  customers.  We  operate  our  manufacturing  facilities  using  a  common  set  of 
internal standards. These standards support a consistent approach to EHS performance improvement.

Other Factors Affecting the Business

The  Company’s  business  is  subject  to  quarterly  fluctuations  of  consolidated  net  sales,  net  income  and  cash  flows.  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  including  trade  shows,  management  of  inventory  levels  by  distributors  and  the 
implementation of strategic initiatives, may impact sales levels in a given period. In addition, major new product introductions 
may also impact net sales as older products become less desirable compared to the new products. 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 within its manufacturing, as such, the backlog on products is generally not 

material to the financial statements.

Securities Exchange Act Reports

The  SEC  maintains  a  website  that  contains  reports,  proxy  and  information  statements,  and  other  information  regarding 
issuers, including the Company, that file electronically with the SEC. The public can obtain any documents that the Company 
files  with  the  SEC  at  http://www.sec.gov.  The  Company  files  annual  reports,  quarterly  reports,  proxy  statements  and  other 
documents with the SEC under the Securities Exchange Act of 1934, as amended (“Exchange Act”).

12

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 amendments to these reports filed or furnished 
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. Information on the Company’s website does not constitute part of this document.

Forward-Looking Statements and Associated Risks

All statements in this Form 10-K that do not directly and exclusively relate to historical facts constitute “forward-looking 
statements.”  These  statements  represent  current  expectations  and  beliefs,  and  no  assurance  can  be  given  that  the  results 
described in such statements will be achieved. Such statements are subject to numerous assumptions, risks, uncertainties and 
other  factors  that  could  cause  actual  results  to  differ  materially  from  those  described  in  such  statements,  many  of  which  are 
outside of our control. Furthermore, many of these risks and uncertainties are currently amplified by and may continue to be 
amplified by or may, in the future, be amplified by, the novel coronavirus (“COVID-19”) pandemic and the impact of varying 
private and governmental responses that affect our customers, employees, vendors and the economies and communities where 
they operate. No assurance can be given that any expectation, belief, goal or plan set forth in any forward-looking statement can 
or will be achieved, and readers are cautioned not to place undue reliance on such statements which speak only as of the date 
they are made. We do not undertake any obligation to update or release any revisions to any forward-looking statement or to 
report any events or circumstances after the date of this Form 10-K or to reflect the occurrence of unanticipated events.

You should carefully consider these and other relevant factors, including those risk factors in Item 1A, “Risk Factors” of 
this Form 10-K and any other information included or incorporated by reference in this report, and information which may be 
contained  in  the  Company’s  other  filings  with  the  SEC,  when  reviewing  any  forward-looking  statement.  Investors  should 
understand it is impossible to predict or identify all such factors or risks. As such, you should not consider either foregoing lists, 
or the risks identified in the Company’s SEC filings, to be a complete discussion of all potential risks or uncertainties associated 
with an investment in the Company.

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Item 1A. Risk Factors

Summary

The  following  is  a  summary  of  the  significant  risk  factors  that  could  materially  impact  Dentsply  Sirona’s  business, 
financial condition or future results, including risks related to COVID-19, risks related to our businesses, risks related to our 
international  operations,  risks  related  to  our  regulatory  environments,  risks  related  to  ownership  of  our  common  stock,  and 
general risks:

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The Company’s revenue, results of operations, cash flow, and liquidity may be materially adversely impacted by the
ongoing COVID-19 outbreak
The  Company  may  be  unable  to  execute  key  strategic  activities  due  to  competing  priorities  and  strategies  of  its
distribution partners and other factors, which may result in financial loss and operational inefficiencies.
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.
Ineffective internal controls and lack of global standardized processes and/or centralization of transaction management
and/or execution could result in control deficiencies and impact management’s assertions and financial reporting.
The Company’s ongoing business operations may be disrupted for a significant period of time, resulting in material
operating costs and financial losses.
The success of our business depends in part on achieving our strategic objectives, including through acquisitions and
dispositions.
The  Company  may  fail  to  realize  the  expected  benefits  of  its  strategic  initiatives,  including  its  announced  cost
reduction and restructuring efforts.
The Company may be unable to develop innovative products.
The Company recognized substantial goodwill impairment charges in 2017, 2018, and 2020 and may be required to
recognize additional goodwill and intangible asset impairment charges in the future.
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 profitability could suffer if third parties infringe upon Dentsply Sirona’s intellectual property rights
or if Dentsply Sirona's products are found to infringe upon the intellectual property rights of others.
Changes in the Company’s credit ratings or macroeconomic impacts on credit markets may increase our cost of capital
and limit financing options.
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 may not be able to repay its outstanding debt in the event that it does not generate sufficient cash flow
to service its debts and cross default provisions may be triggered due to a breach of loan covenants.
Dentsply  Sirona  hedging  and  cash  management  transactions  may  expose  Dentsply  Sirona  to  loss  or  limit  Dentsply
Sirona’s potential gains.
Certain of the Company’s products are dependent on consumer discretionary spending.
Due to the Company’s international operations, the Company is exposed to the risk of changes in foreign exchange
rates.
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.
Dentsply Sirona may be unable to obtain necessary product approvals and marketing clearances.
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.
Challenges may be asserted against the Company’s products due to real or perceived quality, health or environmental
issues.
Changes in or interpretations of tax rules, operating structures, transfer pricing regulations, country profitability mix
and regulations may adversely affect the Company’s effective tax rates.
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.
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 which, if not complied
with, could subject us to civil or criminal penalties or other liabilities.
The  Company’s  quarterly  operating  results  and  market  price  for  the  Company’s  common  stock  may  continue  to  be
volatile.
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.

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•
•
•

Talent gaps and failure to manage and retain top talent may impact the Company’s ability to grow the business.
The Company faces the inherent risk of litigation and claims.
The Company’s results could be negatively impacted by a natural disaster or similar event.

Below is a full description of each of such significant risk factors.

RISKS RELATED TO COVID-19

The  Company’s  revenue,  results  of  operations,  cash  flow  and  liquidity  may  be  materially  adversely  impacted  by  the 
ongoing COVID-19 outbreak.

The  Company  is  closely  monitoring  the  global  impacts  of  the  COVID-19  pandemic,  including  the  recent  resurgence  of 
infections, which has a significant negative effect, and is expected to continue to have a significant negative effect on, revenue, 
results  of  operations,  cash  flow,  and  liquidity.  As  a  result  of  the  global  outbreak  of  COVID-19,  which  has  been  declared  a 
global  pandemic  by  the  World  Health  Organization,  certain  actions  are  being  taken  by  governmental  authorities  and  private 
enterprises  globally  to  control  the  outbreak,  including  restrictions  on  public  gatherings,  travel  and  commercial  operations, 
temporary  closures  or  decreased  operations  of  dental  offices,  as  well  as  certain  government  mandates  to  limit  certain  dental 
procedures  to  those  that  could  be  considered  emergency  only.  These  measures,  as  well  as  guidance  from  professional  dental 
associations  recommending  practitioners  only  perform  emergency  procedures,  and  the  impact  of  COVID-19  generally,  may 
result in, or continue to result in: 

•
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•

•

•

•

•
•

continuing or new partial or country-wide business lockdowns in various markets;
temporary  closures  or  significantly  reduced  operations  at  most  of  the  Company’s  principal  manufacturing  and
distribution locations, including furloughing employees related to these locations, which could reduce the Company’s
ability to manufacture and deliver products to customers;
global reductions in customer demand for certain of the Company’s products and services;
uncertainty concerning vaccine efficacy and deployment;
fear of exposure to or actual effects of the COVID-19 pandemic in countries where operations or customers are located
and  may  lead  to  decreased  procedures  at  dental  offices.  The  impacts  include,  but  are  not  limited  to,  significant
reductions or volatility in demand and increased pricing pressures for one or more of the Company's products;
decreased financial viability of the Company’s suppliers, which could cause them to change the terms on which they
are willing to provide products;
the inability or failure of customers to timely meet payment obligations or significant disruptions in their ability to do
so, which may be caused by their own financial or operational difficulties, which may have a negative material impact
on the Company's cash flow, liquidity and statements of operations;
a recession or prolonged period of economic slowdown, which may significantly reduce the Company’s cash flow and
negatively impact the cost and access to capital and funding sources for the Company;
the Company’s inability to maintain compliance with covenants under the revolving credit facilities; or
the  reduced  availability  of  key  employees  or  members  of  management  due  to  quarantine  or  illness  as  a  result  of
COVID-19 may temporarily affect the financial performance and results of operations. If the Company is unable to
mitigate  these  or  other  similar  risks,  its  business,  results  of  operations,  and  financial  condition  may  be  adversely
affected.

The  Company  does  not  yet  know  the  full  extent  of  the  impact  of  COVID-19  on  its  business,  operations,  or  the  global 
economy. Given the dynamic nature of the COVID-19 outbreak, it is very difficult to predict the severity of the impact on the 
Company’s business. The extent of such impact will depend on future developments, including the efficacy and availability of 
the  COVID-19  vaccinations,  which  are  highly  uncertain  and  cannot  be  predicted  with  certainty,  including  new  information 
which may emerge concerning the spread and severity of outbreak and actions taken to address its impact, among others. There 
are no comparable recent events which may provide guidance as to the effect of the spread of the COVID-19. To the extent that 
the COVID-19 outbreak continues to adversely affect the business and financial performance, it also could heighten many of 
the other risks described in this report.

15

RISKS RELATED TO OUR BUSINESSES

The  Company  may  be  unable  to  execute  key  strategic  activities  due  to  competing  priorities  and  strategies  of  its 
distribution partners and other factors, which may result in financial loss and operational inefficiencies.

As  part  of  the  restructuring  plan  adopted  in  November  2018,  the  Company  announced  that  it  intends  to  grow  revenues, 
expand margins and simplify the business. The Company continues to generate a substantial portion of its revenue through a 
limited number of distributors which provide important sales, distribution and service support to the end-user customers. The 
Company's two largest distributors, Patterson and Henry Schein, accounted for approximately 24% of the Company’s annual 
revenue  for  the  year  ended  December  31,  2020,  and  it  is  anticipated  that  they  will  continue  to  be  the  largest  distribution 
contributors to Dentsply Sirona’s revenue through 2021. The Company may be unable to execute its key strategic activities and 
investments due to the competing priorities of its distribution partners which may introduce competing private label, generic, or 
low  cost  products  that  compete  with  the  Company’s  products  at  lower  price  points,  particularly  in  the  Technologies  & 
Equipment  segment  products  that  are  sold  and  serviced  through  distributor  channels.  If  these  competing  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.

Additionally, some parts of the dental market continue to be impacted by price competition which are driven in part by the 
consolidation of dental practices, innovation and product advancements, and the price sensitivity of end user customers. There 
can be no assurance that the Company’s distribution partners will purchase any specified minimum quantity of products from 
the  Company  or  that  they  will  continue  to  purchase  any  products  at  all.  If  Patterson  or  Henry  Schein  ceases  to  purchase  a 
significant volume of products from Dentsply Sirona, or if changes in the Company’s promotional strategies and investments 
result in changes in the Company’s distributor relationships or short-term uneven growth, it could have a material adverse effect 
on Dentsply Sirona’s results of operations and financial condition.

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  fluctuate,  and  may  differ  from  the 
Company’s 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 levels of inventory 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.

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.

Due  to  the  global  nature  of  the  Company’s  business  and  reliance  on  information  systems  to  provide  the  Company’s 
services, the Company uses web-enabled and other integrated information systems in delivering the Company’s services. As the 
breadth and complexity of Company’s information systems continue to grow, the Company will increasingly be exposed to the 
risks inherent in the development, integration and ongoing operation of evolving information systems, including:

•
•

•

disruption, impairment or failure of data centers, telecommunications facilities or other key infrastructure platforms;
security  breaches  of,  cyberattacks  on  and  other  failures  or  malfunctions  in  our  critical  application  systems  or  their
associated hardware; and
excessive costs, excessive delays or other deficiencies in systems development and deployment.

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Any  disruption  to  the  Internet  or  to  the  Company’s  or  its  service  providers’  global  technology  infrastructure,  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.  The  Company’s  network  and  storage  applications  may  be  subject  to 
unauthorized access by hackers or breached due to operator error, malfeasance or other system disruptions and the Company 
may be the victim of cyber-attacks, targeted at the theft of financial assets, intellectual property, employee information, personal 
information of individuals and customers, or other sensitive information. Cyber threats are rapidly evolving and are becoming 
increasingly  sophisticated.  Like  other  large,  global  companies,  the  Company  has  experienced  and  expects  to  continue  to 
experience cyber threats from time to time. For example, in January 2020, the Company experienced a phishing cyber-attack 
that  propagated  itself  to  certain  of  the  Company's  servers,  however  there  was  no  evidence  of  data  access,  manipulation  or 
exfiltration. Although no such cyber-attacks have had a material adverse effect on the Company to date, the Company cannot 
provide assurance that, despite the Company’s efforts to ensure the integrity of the Company’s systems and the measures that 
the Company or our vendors take to anticipate, detect, avoid or mitigate such threats, a future cyber-attack would not result in 
material harm to the Company or its business and results of operations, particularly as cyber-threats evolve and become more 
difficult  to  detect  and  successfully  defend  against.  For  example,  certain  techniques  used  to  obtain  unauthorized  access, 
introduce  malicious  software,  disable  or  degrade  service,  or  sabotage  systems  may  be  designed  to  remain  dormant  until  a 
triggering event and the Company may be unable to anticipate these techniques or implement adequate preventative measures 
since techniques change frequently or are not recognized until launched, and because cyber-attacks can originate from a wide 
variety  of  sources.  These  data  breaches  and  any  unauthorized  access  or  disclosure  of  the  Company’s  information  could 
compromise  intellectual  property  and  expose  sensitive  business  information.  Cyber-attacks  could  also  cause  the  Company  to 
incur  significant  remediation  costs,  disrupt  key  business  operations  and  divert  attention  of  management  and  key  information 
technology resources.

The  materialization  of  any  of  these  risks  may  impede  the  processing  of  data  and  the  day-to-day  management  of  the 
Company’s business and could result in the corruption, loss or unauthorized disclosure of proprietary, confidential or other data. 
Disaster recovery plans, where in place, might not adequately protect the Company in the event of a system failure. Further, the 
Company currently does not have excess or standby computer processing or network capacity everywhere in the world to avoid 
disruption in the receipt, processing and delivery of data in the event of a system failure. Despite any precautions the Company 
take,  damage  from  fire,  floods,  hurricanes,  power  loss,  telecommunications  failures,  computer  viruses,  break-ins  and  similar 
events at our various computer facilities could result in interruptions in the flow of data to the Company’s servers.

Any of the foregoing incidents could also subject the Company to liability, expose the Company to significant expense, or 
cause  significant  harm  to  the  Company’s  reputation,  all  of  which  could  result  in  lost  revenues.  While  Dentsply  Sirona  has 
invested and continues to invest in information technology risk management and disaster recovery plans, these 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.

Ineffective internal controls and lack of global standardized processes and/or centralization of transaction management 
and/or execution could result in control deficiencies and impact management’s assertions and financial reporting.

The  Company’s  implementation  of  its  business  plans,  restructuring  plans  and  compliance  with  regulations  requires  that 
Dentsply Sirona effectively manage its financial infrastructure, including standardizing processes, maintaining proper financial 
reporting and internal controls. During this period of restructuring and organizational changes, the Company continues to focus 
on  standardizing  its  processes,  improving  its  financial  systems,  maintaining  effective  internal  controls  and  centralizing 
transaction management and/or execution so as to provide continued assurance with respect to the Company's financial reports, 
support  the  continued  growth  of  the  business,  and  prevent  financial  misstatement  or  fraud.  Non-standardized  processes  and 
ineffective controls could result in an inability to aggregate and analyze data in a timely and accurate manner and may lead to 
inaccurate or incomplete financial and management reporting and delays in financial reporting to management, regulators and/
or  shareholders.  For  example,  the  Company  was  unable  to  file  its  Annual  Reports  on  Form  10-K  for  its  fiscal  years  ended 
December 31, 2017 and December 31, 2018 within the respectively prescribed time periods due to factors such as impairment 
triggering events, the estimation of the income tax impact related to the Tax Cuts and Jobs Act, management turnover, and the 
review of internal controls of an immaterial business which was being shut down. Inaccurate or incomplete financial reporting 
and disclosures could also result in noncompliance with applicable business and regulatory requirements and the incurring of 
related penalties.

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Additionally, internal control over financial reporting may not prevent or detect all misstatements or omissions because of 
certain limitations, including the possibility of human error, the 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.

Further,  the  Company  currently  has  disparate  systems,  including  enterprise  resource  planning  systems,  across  the 
organization  which  may  result  in  the  potential  inability  to  obtain  and  analyze  business  data  and  increases  in  budgets  due  to 
higher  costs  stemming  from  system  upgrades,  and  may  pose  business  partner  connection  challenges.  As  a  result,  the  data 
required  to  manage  the  business  may  not  be  complete,  accurate  or  consistent,  resulting  in  the  potential  for  misleading  or 
inaccurate reporting for key business decisions. Additionally, the structure of the organization may not be aligned to support the 
strategic business objectives which could result in potential operational deficiencies, which could have a material adverse effect 
on our business relationships and results of operations.

The  Company’s  ongoing  business  operations  may  be  disrupted  for  a  significant  period  of  time,  resulting  in  material 
operating costs and financial losses.

The  Company  operates  in  more  than  120  countries  and  the  Company’s  and  its  suppliers’  manufacturing  facilities  are 
located in multiple locations around the world. Potential events such as extreme weather, natural disasters, worker strikes and 
social  and  political  actions,  such  as  Brexit  and  trade  wars,  or  other  events  beyond  our  control,  could  impact  the  Company’s 
ongoing  business  operations,  including  potential  critical  third-party  vendor  disruptions  or  failure  to  adhere  to  contractual 
obligations  affecting  our  supply  chain  and  manufacturing  needs  or  the  loss  of  critical  information  technology  and 
telecommunications  systems.  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. If our incident response, 
disaster recovery and business continuity plans do not resolve these issues in an effective and timely manner, such events could 
result in an interruption in our operations and could cause material negative impacts to our product availability and sales, the 
efficiency of our operations and our financial results.

Additionally,  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  pursuant  to  agreements  that  are  subject  to  periodic 
renewal, 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  the  cancellation  of  orders  for  these  products.  In  addition,  these  suppliers  could  discontinue  the 
manufacture or supply of these products to the Company at any time or supply products to 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.

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. For example, following the merger of DENTSPLY International Inc. and Sirona Dental Systems, Inc. in 
2016, the combined Company recorded an aggregate of $3.3 billion in charges for the impairment of certain businesses and in 
2018 announced significant cost reduction and restructuring efforts.

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Further, acquisitions or dispositions may distract the Company’s management’s time and attention and disrupt our ongoing 
business operations or relationships with customers, employees, suppliers or other parties. 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.

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  perspective,  risks  associated  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, negative impacts on 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.

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  accomplishment  of  its 
strategic 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  may  also  involve 
continued  financial  involvement  in  a  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 attention from normal business operations. The Company may not achieve the full revenue growth expectations 
and cost synergies anticipated to result from an acquisition. For example, the Company acquired Byte on December 31, 2020 
for approximately $1.0 billion. The success of the Company's acquisition of Byte depends upon its ability to realize anticipated 
benefits  which  may  not  be  realized  on  a  timely  basis,  or  at  all,  for  a  variety  of  reasons,  including,  but  not  limited  to,  the 
following:

•
•

•
•
•
•
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•

challenges due to expanding into a new customer base through the direct-to-consumer channel;
the effect of future regulatory or legislative actions on the Company or the industries and market segments in which it
operates;
the ability to hire and retain key personnel;
continued support of Dentsply Sirona’s products by influential dental and medical professionals;
the potential impact on relationships with customers, suppliers, competitors, management and other employees;
unexpected challenges related to scaling the operations;
the continued strength of the clear aligner market; and
unexpected changes or increased expenses relating to competitive factors in the clear aligner market;

Additionally, if the Company makes acquisitions, it may incur debt, 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  available  on  terms  that  restrict  its  business  or  that  impose  additional  costs  that  reduce  its 
operating results.

The Company may fail to realize the expected benefits of its strategic initiatives, including its announced cost reduction 
and restructuring efforts.

In order to operate more efficiently and control costs, the Company has announced in the past, and may announce in the 
future,  restructuring  plans  or  other  major  initiatives  from  time  to  time,  including  workforce  reductions,  global  facility 
consolidations and other cost reduction initiatives that are intended to generate operating expense or cost of goods sold savings 
through  direct  and  indirect  overhead  expense  reductions  as  well  as  other  savings.  The  failure  to  efficiently  execute  such 
initiatives  as  part  of  the  Company’s  business  strategy  could  minimize  the  expected  benefits  to  the  organization  resulting  in 
potential impacts to ongoing operations and cost overruns.

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Additionally, the Company’s ability to achieve the anticipated cost savings and other benefits from these initiatives within 
the expected time frame is subject to many estimates and assumptions and other factors that we may not be able to control. The 
Company may also incur significant charges related to restructuring plans, which would reduce our profitability in the periods 
such charges are incurred. Consistent with these efforts, in November 2018, the Board of Directors of the Company approved a 
plan to restructure and simplify the Company’s business. The goal of this restructuring is to drive annualized net sales growth 
of 3% to 4% and adjusted operating income margins of 22% by the end of 2022 as well as achieve net annual cost savings of 
$200 million to $225 million by 2021. In July 2020, the Board of Directors of the Company approved an expansion of this plan 
that  is  intended  to  further  optimize  the  Company’s  product  portfolio  and  reduces  operating  expenses.  The  product  portfolio 
optimization has resulted in the divestiture or closure of certain underperforming businesses. The operating expense reductions 
will  come  as  a  result  of  additional  leverage  from  continued  integration  and  simplification  of  the  business.  As  part  of  this 
expanded plan, the Company announced on August 6, 2020 that it will exit its traditional orthodontics business as well as both 
exit and restructure certain portions of its laboratory business. The Company had initially anticipated one-time expenditures and 
charges  of  approximately  $275  million  yielding  annual  cost  savings  of  $200  million  to  $225  million  by  2021.  The  program 
expansion is expected to result in total charges of approximately $375 million and annual cost savings of approximately $250 
million. The Company expects that these expanded actions will result in incremental global headcount reductions of 6% to 7% 
in  addition  to  the  original  projections  of  6%  to  8%.  Since  November  2018,  the  Company  has  incurred  expenditures  of 
approximately $310 million under this program, of which, approximately $120 million were non-cash charges. 

Due  to  the  complexities  inherent  in  implementing  these  types  of  cost  reduction  and  restructuring  activities,  and  the 
quarterly phasing of related investments, the Company may fail to realize expected efficiencies and benefits, such as the goals 
for  net  sales  growth,  adjusted  operating  income  margins,  and  cost  savings,  or  may  experience  a  delay  in  realizing  such 
efficiencies and benefits, and its operations and business could be disrupted. Company management may be required to divert 
their focus to managing these disruptions, and implementation may require the agreement of third parties, such as labor unions 
or  works  councils.  Risks  associated  with  these  actions  and  other  workforce  management  issues  include  delays  in 
implementation of anticipated workforce reductions, additional unexpected costs, changes in restructuring plans that increase or 
decrease  the  number  of  employees  affected,  negative  impact  on  the  Company’s  relationship  with  labor  unions  or  works 
councils, 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  sales  growth,  operating  income  margins  and  other  results  of  operations,  cash  flows  or 
financial condition, or competitive position.

The Company may be unable to develop innovative products. 

The  worldwide  markets  for  dental  and  medical  products  is  highly  competitive  and  is  driven  by  rapid  and  significant 
technological  change,  change  in  consumer  preferences,  new  intellectual  property  associated  with  that  technological  change, 
evolving  industry  standards,  and  new  product  introductions.  Additionally,  some  markets  for  products  are  also  subject  to 
significant negative price pressures. 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 factors, or that we will be able to generate any economic return on the 
Company’s investment in product development.

If  the  Company  fails  to  further  develop  its  innovation  efforts  or  if  the  Company’s  research  and  development  does  not 
effectively respond to changes in consumer preferences or market competition leading to technology or product obsolescence, 
the  Company  may  lose  market  share  and  revenue.  Additionally,  if  the  Company’s  products  or  technologies  lose  their 
competitive  advantage  or  become  noncompetitive  or  obsolete,  Dentsply  Sirona’s  business  could  be  negatively  affected. 
Dentsply Sirona has identified new products as an important part of its growth opportunities.

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.

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The  Company  recognized  substantial  goodwill  impairment  charges  in  2017,  2018,  and  2020  and  may  be  required  to 
recognize additional goodwill and intangible asset impairment charges in the future.

The  Company  acquires  other  companies  and  intangible  assets  and  may  not  realize  all  the  economic  benefit  from  those 
acquisitions, which could cause an impairment of goodwill or intangibles. The Company reviews amortizable intangible assets 
for  impairment  when  events  or  changes  in  circumstances  indicate  the  carrying  value  may  not  be  recoverable.  The  Company 
tests goodwill for impairment at least annually. The valuation models used to determine the fair value of goodwill or indefinite-
lived  intangible  assets  are  dependent  upon  various  assumptions  and  reflect  management's  best  estimates.  The  Company's 
significant  assumption  in  the  valuation  models  include  but  are  not  limited  to,  discount  rates,  revenue  growth  rates,  perpetual 
revenue growth rates, and operating margin percentages of the business. Any changes to the assumption and estimates made by 
management may cause a change in circumstances indicating that the carrying value of the goodwill and indefinite-lived assets 
in our reporting unit may not be recoverable.

During  2017,  2018,  and  2020  the  Company  had  recorded  an  aggregate  of  $3.5  billion  in  charges  for  the  impairment  of 

certain businesses:

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•

In connection with the Company’s April 30, 2017 annual goodwill impairment test and the preparation of the financial
statements for the quarter ended June 30, 2017, the Company recorded a $1,093 million non-cash goodwill impairment
charge  associated  with  the  CAD/CAM,  Imaging  and  Treatment  Center  equipment  businesses.  In  addition,  the
Company  tested  the  indefinite-lived  intangible  assets  related  to  the  CAD/CAM  and  Imaging  businesses  and
determined that certain tradenames and trademarks were impaired, resulting in the recording of an impairment charge
of $80 million for the three months ended June 30, 2017.
In preparing the financial statements for the year ended December 31, 2017, the Company identified a triggering event
and  recorded  a  $558  million  non-cash  goodwill  impairment  charge  associated  with  the  CAD/CAM,  Imaging  and
Treatment  Center  businesses.  In  addition,  the  Company  tested  the  indefinite-lived  intangible  assets  related  to  these
businesses  and  determined  that  certain  tradenames  and  trademarks  were  impaired,  resulting  in  the  recording  of  an
impairment charge of $267 million for the three months ended December 31, 2017.
In connection with the Company’s April 30, 2018 annual goodwill impairment test and the preparation of the financial
statements for the quarter ended June 30, 2018, the Company recorded a $1,086 million non-cash goodwill impairment
charge associated with the CAD/CAM and Imaging equipment businesses and the Orthodontics business. In addition,
the  Company  tested  the  indefinite-lived  intangible  assets  related  to  the  equipment  businesses  and  determined  that
certain tradenames and trademarks were impaired, resulting in the recording of an impairment charge of $179 million
for the three months ended June 30, 2018.
In preparing the financial statements for the quarter ended March 31, 2020, the Company identified a triggering event
and  recorded  a  $157  million  non-cash  goodwill  impairment  charge  associated  with  the  Equipment  &  Instruments
reporting  unit  within  the  Technologies  &  Equipment  segment.  In  addition,  the  Company  tested  the  indefinite-lived
intangible  assets  related  to  these  business  and  determined  that  certain  tradenames  and  trademarks  were  impaired,
resulting in the recording of an impairment charge of $39 million for the three months ended March 31, 2020.

The goodwill impairment analysis is sensitive to changes in key assumptions used, such as discount rates, revenue growth 
rates,  perpetual  revenue  growth  rates,  and  operating  margin  percentages  of  the  business  as  well  as  current  market  conditions 
affecting the dental and medical device industries in both the U.S. and globally, all of which have been unfavorably impacted 
by the ongoing COVID-19 pandemic. If the assumptions and projections used in the analysis are not realized, it is possible that 
an  additional  impairment  charge  may  need  to  be  recorded  in  the  future.  Given  the  uncertainty  in  the  marketplace  and  other 
factors  affecting  management’s  assumptions  underlying  the  Company’s  discounted  cash  flow  model,  the  Company’s  current 
estimates could vary significantly in the future, which may result in a goodwill impairment charge at that time. Additionally, 
valuations and impairments that are not complete, accurate, timely or appropriately recorded could result in potential financial 
misstatements and delays in impairment analysis.

See Note 10, Goodwill and Intangible Assets, in the Notes to Consolidated Financial Statements in Part IV, Item 8, of this 

Form 10-K.

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:

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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 not provide meaningful protection;
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 intellectual property rights 
or if Dentsply Sirona's products are found to infringe upon the intellectual property rights of others.

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  taken  may  be  inadequate  to  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  Sirona’s  ability  to 
compete  effectively.  Further,  defending  Dentsply  Sirona’s  intellectual  property  rights  could  result  in  the  expenditure  of 
significant financial and managerial resources.

Litigation may also be necessary to enforce Dentsply Sirona’s intellectual property rights or to defend against any claims of 
infringement of rights 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 Patent and Trademark Office, the European 
Patent  Office  or  other  foreign  patent  governing  authorities,  to  determine  the  priority  of  inventions,  which  could  result  in 
substantial  costs.  Acquisitions  by  Dentsply  Sirona  of  products  or  businesses  that  are  found  to  infringe  upon  the  intellectual 
property rights of others and the resulting changes to the competitive landscape of the industry could further increase this risk.

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  Dentsply 
Sirona, prohibit Dentsply Sirona from 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 
Sirona may be restricted or prevented from commercializing Dentsply Sirona’s products.

The enforcement, defense and prosecution of intellectual property rights, including the United States Patent and Trademark 
Office’s,  the  European  Patent  Office’s  and  other  foreign  patent  offices’  interference  proceedings,  and  related  legal  and 
administrative proceedings in the United States and elsewhere, involve complex legal and factual questions. As a result, these 
proceedings are costly and time-consuming, and their outcome is uncertain. Litigation may be necessary to:

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assert against others or defend Dentsply Sirona against claims of patent or trademark infringement;
enforce patents owned by, or licensed to Dentsply Sirona from, another party;
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.

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Changes  in  the  Company’s  credit  ratings  or  macroeconomic  impacts  on  credit  markets,  such  as  the  COVID-19 
pandemic, may increase our cost of capital and limit financing options.

The Company utilizes the short and long-term debt markets to obtain capital from time to time. The Company’s continued 
access to sources of liquidity depends on multiple factors, including global economic conditions, the condition of global credit 
markets,  the  availability  of  sufficient  amounts  of  financing,  operating  performance,  and  credit  ratings.  Macroeconomic 
conditions,  such  as  the  COVID-19  pandemic,  may  have  resulted  in  significant  disruption  in  the  credit  markets,  which  may 
adversely affect the Company’s ability to refinance existing debt or obtain additional financing to support operations or to fund 
new acquisitions or capital-intensive internal initiatives. 

On March 30, 2020, S&P Global Ratings affirmed our then credit rating, but changed the outlook to negative from stable. 
Future  adverse  changes  in  our  credit  ratings  may  result  in  increased  borrowing  costs  for  future  long-term  debt  or  short-term 
borrowing facilities which may in turn limit financing options, including access to the unsecured borrowing market. There is no 
guarantee  that  additional  debt  financing  will  be  available  in  the  future  to  fund  obligations,  or  that  it  will  be  available  on 
commercially reasonable terms, in which case we may need to seek other sources of funding. In addition, the terms of future 
debt agreements could include additional restrictive covenants that would reduce flexibility.

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 $2.3 billion. Dentsply Sirona also has the ability to incur up 
to $700 million of indebtedness under the revolving credit facility ("2018 Credit Facility"), as discussed below, and may incur 
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;
•

requiring Dentsply Sirona to 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  purposes,  including  working
capital, capital expenditures and acquisitions; and
reducing Dentsply Sirona’s flexibility in planning for or reacting to changes in its business and market conditions.

•

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  3.0  times,  in  each  case,  as  such  terms  are  defined  in  the  Note  Purchase 
Agreement. All of the Company’s outstanding debt 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.

The Company may not be able to repay its outstanding debt in the event that it does not generate sufficient cash flow to 
service its debts and cross default provisions may be triggered due to a breach of loan covenants.

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.

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Additionally,  Dentsply  Sirona’s  existing  borrowing  documentation  contains  a  number  of  covenants  and  financial  ratios, 
which it is required to satisfy. Any 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  operating 
income  excluding  depreciation  and  amortization  of  interest  expense,  would  result  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 or to the extent that no other parties are willing to extend financing.

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 
through which these transactions are offered fail to 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.

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  into  these  instruments  for  trading  purposes  or  speculation,  and  although  Dentsply  Sirona’s 
management  believes  all  of  these  instruments  are  economically  effective  for  accounting  purposes  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.

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  bank  failure. 
Dentsply Sirona’s total liquidity also depends in part on the availability of funds under Dentsply Sirona’s 2018 Credit Facility. 
The failure of any bank in which we deposit Dentsply Sirona’s funds or that is part of Dentsply Sirona’s 2018 Credit Facility 
could reduce the amount of cash we have available for operations and additional investments in Dentsply Sirona’s business.

Certain of the Company’s products are dependent on consumer discretionary spending.

Certain dental specialty products and dental equipment and related products that support discretionary dental procedures 
may  be  susceptible  to  unfavorable  changes  in  economic  conditions.  Decreases  in  consumer  discretionary  spending  could 
negatively affect the Company's business and result in a decline in sales and financial performance.

RISKS RELATED TO OUR INTERNATIONAL OPERATIONS

Due  to  the  Company’s  international  operations,  the  Company  is  exposed  to  the  risk  of  changes  in  foreign  exchange 
rates.

Due  to  the  international  nature  of  Dentsply  Sirona’s  business,  movements  in  foreign  exchange  rates  may  impact  the 
consolidated statements of operations, consolidated balance sheets and cash flows of the Company. With approximately two-
thirds of the Company’s sales located 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  as  compared  to  certain  foreign  currencies.  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 underlying strength of particular economies and dental 
markets. Although the Company currently uses and may in the future 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.

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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:

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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;
potentially adverse tax consequences; and
trade policy changes

Specifically, changes in or the imposition of tariffs could make it more difficult or costly for us to export our products to 
other  countries.  These  measures  could  also  result  in  increased  costs  for  goods  imported  into  the  United  States.  This  in  turn 
could require us to increase prices to our customers which may reduce demand, or, if we are unable to increase prices, result in 
lowering our margin on products sold. We cannot predict future trade policy or the terms of any renegotiated trade agreements 
and  their  impact  on  our  business.  The  adoption  and  expansion  of  trade  restrictions,  the  occurrence  of  a  trade  war,  or  other 
governmental  action  related  to  tariffs  or  trade  agreements  or  policies  has  the  potential  to  adversely  impact  demand  for  our 
products, our costs, our customers and our suppliers, which in turn could adversely impact our business, financial condition and 
results of operations.

Certain of these risks may be heightened as a result of changing political climates, 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.

RISKS RELATED TO OUR REGULATORY ENVIRONMENTS

Dentsply Sirona may be unable to obtain necessary product approvals and marketing clearances.

Dentsply Sirona must obtain certain approvals by, and marketing clearances from, governmental authorities, including the 
FDA and similar health authorities in foreign countries to market and sell Dentsply Sirona’s products in those countries. These 
agencies regulate the marketing, manufacturing, labeling, packaging, advertising, sale and distribution of medical devices. The 
FDA enforces additional regulations regarding the safety of X-ray 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.

The FDA review process typically requires extended proceedings pertaining to the safety and efficacy of new products. A 
510(k) application is required in order to market certain classes of new or modified medical devices. If specifically required by 
the FDA, a pre-market approval, or PMA, may be necessary. Such proceedings, which must be completed prior to 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  FDA’s 
advertising guidelines may result in the imposition of penalties.

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 and inadequate employee training for critical compliance and 
regulatory requirements may result in the failure to adhere to applicable laws, rules and regulations.

Similar to the FDA review process, the EU review process typically requires extended 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.

25

The Company’s products will need to be certified under the European Medical Directive that has been revised to become 
the  Medical  Device  Regulation  (“MDR”).  Dentsply  Sirona  as  well  as  all  medical  device  manufacturers  have  to  perform 
significant upgrades to quality systems and processes including technical documentation and subject them to new certification 
under MDR in order to continue to sell those products in the European Union (“EU”). The effectiveness of the new regulations, 
originally scheduled to take effect in May 2020, have been delayed for one year until May 2021. However, failure to have the 
upgrades  to  quality  systems  and  processes  completed  by  May  2021  could  unfavorably  impact  the  Company’s  sales  and 
financial condition. Additionally, the United Kingdom (“UK”) has negotiated an exit from the EU, "Brexit" and, as a result, the 
EU CE marking will be recognized in the UK through June 2023. Following June 2023, the UK may impose its own differing 
regulatory requirements for products being imported from the EU into the UK. 

Failure to comply with these 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 regulations 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 to frequent modification and 
varied interpretation by prosecutorial, regulatory authorities, increasing compliance risks.

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  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.  Third-party 
payors are 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.

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  the  Company 
endeavors to ensure that its products are safe and effective, there can be no assurance that there may not be challenges from 
time to time regarding the real or perceived quality, health or environmental impact of the Company’s products or 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 the United States, the EPA 
proposed  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 works. Similar regulations exist in Europe and in 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.  In  September  2020,  the  FDA  issued  an  updated 
recommendation  that  certain  people  are  at  higher  risk  for  health  problems  from  mercury-containing  amalgam  dental  fillings, 
such as pregnant women and their developing fetuses, women who are planning to become pregnant, nursing women and their 
newborns and infants, children, especially those younger than six years of age, people with pre-existing neurological disease 
such as multiple sclerosis, Alzheimer disease, or Parkinson disease, people with impaired kidney function, and people with a 
known  allergy  to  mercury  or  other  components  of  dental  amalgam.  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  also  manufactures  and  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  manufacture  of  other  ingredients  used  in  such 
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.

26

Changes in or interpretations of tax rules, operating structures, transfer pricing regulations, country profitability mix 
and regulations may adversely affect the Company’s effective tax rates.

As a company with international operations, we are subject to income taxes, as well as non-income-based taxes, in the U.S. 
and  various  foreign  jurisdictions.  Significant  judgment  is  required  in  determining  our  worldwide  tax  liabilities.  Although  we 
believe  our  estimates  are  reasonable  at  the  time  made,  the  actual  outcome  could  differ  from  the  amounts  recorded  in  our 
financial statements (and such differences may be material). If the IRS, or other taxing authority, disagrees with the positions 
we take, we could have additional tax liability, and this could have a material impact on our results of operations and financial 
position.  Our  effective  tax  rate  could  be  adversely  affected  by  changes  in  the  mix  of  earnings  in  countries  with  different 
statutory  tax  rates,  changes  in  the  valuation  of  deferred  tax  assets  and  liabilities,  changes  in  tax  laws  and  regulations,  and 
changes  in  interpretations  of  tax  laws.  Due  to  economic  and  political  conditions,  tax  rates  in  various  jurisdictions  may  be 
subject to significant change.

Our corporate structure, which is subject to modification, is intended to enhance our operational and financial efficiency 
and increase our overall profitability. The tax authorities of the countries in which we operate may challenge our methodologies 
for  transfer  pricing  which  could  increase  our  effective  tax  rate  (and  such  increase  may  be  material).  In  addition,  certain 
governments  are  considering,  and  may  adopt,  tax  reform  measures  that  could  significantly  increase  our  worldwide  tax 
liabilities. The Organization for Economic Co-operation and Development and other government bodies have focused on issues 
related to the taxation of multinational corporations, including, in the area of “base erosion and profit shifting,” where payments 
are made from affiliates in jurisdictions with high tax rates to affiliates in jurisdictions with lower tax rates. It is possible that 
these  reform  measures  could  increase  our  effective  tax  rate  (and  such  increase  may  be  material)  and  impact  our  financial 
position.

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.

Dentsply Sirona is subject to federal, state, local and foreign laws, rules, regulations, self-regulatory codes, circulars and 
orders relating to health care fraud, including, but not limited to, 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)  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 laws,” prohibit 
the submission or causing the submission of false or fraudulent claims for reimbursement to federal, state and other health care 
payors  and  programs.  Other  laws,  referred  to  as  “anti-kickback  laws,”  prohibit  soliciting,  offering,  receiving  or  paying 
remuneration  in  order  to  induce  the  referral  of  a  patient  or  ordering,  purchasing,  leasing  or  arranging  for  or  recommending 
ordering,  purchasing  or  leasing,  of  items  or  services  that  are  paid  for  by  federal,  state  and  other  health  care  payors  and 
programs.

The  U.S.  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  practices  as 
necessary  to  facilitate  compliance.  In  addition,  under  the  reporting  and  disclosure  obligations  of  the  U.S.  Physician  Payment 
Sunshine  Act  and  similar  foreign  laws,  rules,  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  access  to  detailed  information  with  regard  to  payments  or  other  transfers  of  value  to  certain  practitioners 
(including physicians, dentists and teaching hospitals) by applicable drug and device manufacturers subject to such reporting 
and disclosure obligations, which includes us. This information may lead to greater scrutiny, which may result in modifications 
to established practices and additional costs.

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  to  frequent 
modification and varied interpretation by prosecutorial, regulatory authorities, increasing compliance risks.

We cannot predict whether changes in applicable laws, rules, regulations, 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.

27

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  which,  if  not  complied  with,  could 
subject us to civil or criminal penalties or other liabilities.

Dentsply Sirona is subject to extensive domestic and foreign laws, rules, regulations, self-regulatory codes, circulars and 
orders which are administered by various international, federal and state governmental authorities, including, among others, the 
FDA, 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,  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 adopted thereunder), the Federal Health Information Technology for Economic and Clinical 
Health  Act  (“HITECH  Act”),  the  Federal  Health  Insurance  Portability  and  Accountability  Act  of  1996  (“HIPAA”),  France’s 
Data Protection Act of 1978 (rev. 2004), the U.S. Foreign Corrupt Practices Act (the “FCPA”), the U.S. Federal Anti-Kickback 
Statute  and  similar  international  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”),  the  Patient  Protection  and  Affordable  Care  Act,  as  amended  by  the  Health  Care  and  Education 
Reconciliation Act (the “Health Care Reform Law”), and regulations relating to trade, import and export controls and economic 
sanctions. Such laws, rules, regulations, self-regulatory codes, circulars and orders are 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  the 
Company’s business and results of operations.

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.  There  can  be  no  assurance  that  governmental 
authorities will not raise compliance concerns or perform audits to confirm compliance with such laws, rules, regulations, self-
regulatory codes, circulars and orders. Failure to comply with applicable laws, rules, 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 civil proceedings. Any such actions could result in 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.

RISKS RELATED TO OWNERSHIP OF OUR COMMON STOCK

The  Company’s  quarterly  operating  results  and  market  price  for  the  Company’s  common  stock  may  continue  to  be 
volatile.

Dentsply  Sirona  experiences  significant  fluctuations  in  quarterly  sales  and  earnings  due  to  a  number  of  factors,  some  of 

which are substantially outside of the Company’s control, including but not limited to:

•
•
•
•
•
•
•
•
•
•
•
•
•

the execution of the Company’s restructuring plan;
the complexity of the Company’s organization;
the timing of new product introductions by Dentsply Sirona and its competitors;
the timing of industry trade shows;
changes in customer inventory levels;
developments in government or third party payor reimbursement policies;
changes in customer preferences and product mix;
the Company’s ability to supply products to meet customer demand;
fluctuations in manufacturing costs;
changes in income tax laws and incentives which could create adverse tax consequences;
competitors’ sales promotions;
fluctuations in currency exchange rates; and
general economic conditions, as well as those specific to the healthcare industry and related industries.

28

As a result, the Company may fail to meet the expectations of investors and securities analysts, which could cause its stock 
price to decline. Quarterly fluctuations generally result in net sales and operating 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.

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 
requirements  which  make  it  difficult  for  stockholders  to  amend  Dentsply  Sirona’s  By-laws  and  prevent  them  from  calling 
special meetings of stockholders. Delaware law imposes some restrictions on mergers and other business combinations between 
the  Company  and  any  “interested  stockholder”  with  beneficial  ownership  of  15%  or  more  of  the  Company’s  outstanding 
common stock.

GENERAL RISKS

Talent gaps and failure to manage and retain top talent may impact the Company’s ability to grow the business.

The  Company’s  success  is  dependent  on  our  ability  to  successfully  manage  its  human  capital  through  talent  acquisition, 
engagement, development, and retention. To achieve the Company’s strategic initiatives, the Company needs to attract, manage, 
and retain employees with the right skills, competencies and experiences to support the growth of the business and the failure to 
attract  and  retain  such  employees  to  fill  key  roles  may  adversely  affect  our  business  performance,  competitive  position  and 
future prospects. The Company also must retain a pipeline of team members to provide for continuity of succession for senior 
executive positions. In order to attract and retain qualified employees, the Company must offer competitive compensation and 
effectively  manage  employee  performance  and  development.  Our  inability  to  attract  and  retain  talent  may  negatively  impact 
business  continuity,  new  product  launches,  and  innovation  initiatives.  Further,  such  organizational  challenges  may  make  it 
difficult to maintain the Company’s culture, resulting in employees not adhering to the desired values of the organization.

The Company faces the inherent risk of litigation and claims.

The Company faces the risk of purported securities class actions, investigations by governmental agencies, product liability 
and  other  types  of  legal  actions  or  claims,  including  possible  recall  actions  affecting  the  Company’s  products.  In  December 
2020,  the  Company  and  the  SEC  entered  into  a  settlement  pursuant  to  which  the  Company  neither  admitted  nor  denied  the 
SEC’s findings (except as to the SEC’s jurisdiction), the Company agreed to cease and desist from committing or causing any 
violations and any future violations of Section 13(a) of the Exchange Act and Rules 12b-20 and 13a-13 thereunder, and pay a 
$1 million civil penalty. However, the primary civil litigation which the Company currently faces involve various putative class 
action  suits  in  federal  and  state  court  alleging  that  the  Company  and  certain  of  its  present  and  former  officers  and  directors 
violated  U.S.  securities  laws  by  allegedly  making  false  and  misleading  statements  in  connection  with  a  February  2016 
registration  statement  issued  in  connection  with  the  merger  with  former  Sirona  Dental  Systems,  Inc.  by  the  entity  formerly 
known as Dentsply International Inc., and in connection with the Company's regular securities filings or public statements, and 
to  lawsuits  related  to  the  products  manufactured  by  the  Company.  The  Company  has  insurance  policies,  including  directors’ 
and officers’ insurance and 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 future claims or that the coverage 
will be available in adequate amounts or at a reasonable cost. Also, other types of claims asserted against 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.

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.

29

Additionally,  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 or installation plus any extended warranty period purchased by 
the  customer.  The  future  costs  associated  with  providing  product  warranties  could  be  material.  Successful  product  warranty 
claims  brought  against  Dentsply  Sirona  could  reduce  Dentsply  Sirona’s  profits  and/or  impair  our  financial  condition,  and 
damage Dentsply Sirona’s reputation.

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 statements of operations. Any insurance maintained by the Company may not be adequate to cover 
losses  resulting  from  such  disasters  or  other  business  interruptions,  and  emergency  response  plans  may  not  be  effective  in 
preventing or minimizing losses in the future. 

30

Item 1B. Unresolved Staff Comments

None.

31

Item 2. Properties

The following is a listing of Dentsply Sirona’s principal manufacturing and distribution locations:

Function

Leased
or Owned

Location

United States:

Milford, Delaware (2)

Sarasota, Florida (1)

Manufacture of dental consumable products

Manufacture of orthodontic accessory products

Waltham, Massachusetts (1)

Manufacture and distribution of dental implant products

Long Island City, New York (1) Manufacture of dental equipment products

Lancaster, Pennsylvania (3)

Distribution of dental consumable and dental equipment products

York, Pennsylvania (2)

Manufacture of small dental equipment and preventive dental products

Johnson City, Tennessee (2)

Manufacture and distribution of endodontic instruments and materials

Richardson, Texas (1)

Manufacture of orthodontic products

Gardena, California (1)

Distribution of orthodontic products

Foreign:

Pirassununga, Brazil (2)

Manufacture and distribution of artificial teeth

Bensheim, Germany (1)

Manufacture and distribution of dental equipment

Hanau, Germany (1) (2)

Konstanz, Germany (2)

Munich, Germany (2)

Manufacture and distribution of precious metal dental alloys, dental 
ceramics and dental implant products
Manufacture and distribution of dental consumable products

Manufacture and distribution of endodontic instruments and materials

Owned

Owned

Leased

Leased

Leased

Owned

Leased

Leased

Leased

Owned

Owned

Owned

Owned

Owned

Bar Lev Industrial Park, Israel (1) Manufacture and distribution of dental implant products

Badia Polesine, Italy (2)

Manufacture and distribution of dental consumable products

Owned/Leased

Owned/Leased

Otawara, Japan (1) (2)

Venlo, Netherlands (3)

Mölndal, Sweden (1)

Ballaigues, Switzerland (2)

Ankara, Turkey (1)

Manufacture and distribution of precious metal dental alloys, dental 
consumable products and orthodontic products
Distribution of dental consumable products

Manufacture and distribution of dental implant products and healthcare 
consumable products
Manufacture and distribution of endodontic instruments, plastic 
components and packaging material
Manufacture and distribution of healthcare consumable products

Baja California, Mexicali (1)

Manufacture of orthodontic products

San Jose Province, Costa Rica (1) Manufacture of orthodontic products

(1) These properties are included in the Technologies & Equipment segment.
(2) These properties are included in the Consumables segment.
(3) These properties are a distribution warehouse not managed by named segments.

Owned

Leased

Owned

Owned

Owned

Leased

Leased

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.  Most  of  these  sites  around  the  world  that  are  used 
exclusively for sales and distribution are leased. 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.

The Company also leases its worldwide headquarters located in Charlotte, North Carolina.

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Item 3. Legal Proceedings

The  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 for damages arising out of the use of the Company’s products and services and 
claims  relating  to  intellectual  property  matters  including  patent  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  include  claims  for 
punitive 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. For additional details, see Part II, Item 8, Note 20, 
Commitments and Contingencies, in the Notes to Consolidated Financial Statements of this Form 10-K, which is incorporated 
by reference.

Item 4. Mine Safety Disclosure

Not Applicable.

33

PART II

Item  5.  Market  for  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and  Issuer  Purchases  of  Equity 
Securities

The  Company’s  common  stock  is  traded  on  the  Nasdaq  National  Market  under  the  symbol  “XRAY.”  Approximately 
120,770 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 242 holders of record of the Company’s common stock.

Stock Repurchase Program

At  December  31,  2020,  the  Company  had  authorization  to  purchase  $1.0  billion  of  common  stock  under  the  share 
repurchase program and has $350 million remaining under this program. Share repurchases may be made through open market 
purchases,  Rule  10b5-1  plans,  accelerated  share  repurchase  transactions  and  other  structured  share  repurchases,  privately 
negotiated transactions or other transactions in such amounts and at such times as the Company deems appropriate based upon 
prevailing market and business conditions and other factors. During the quarter ended December 31, 2020, the Company had no 
repurchases of common shares under the stock repurchase program.

For  the  year  ended  December  31,  2020,  the  Company  repurchased  approximately  3.7  million  shares  at  a  cost  of  $140 

million for an average price of $38.25. 

34

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 S&P 500 Index and the S&P Health Care index. The graph tracks the performance of a $100 
investment  in  DENTSPLY  SIRONA’s  Inc.'s  common  stock  and  in  each  index  (with  the  reinvestment  of  all  dividends)  from 
December 31, 2015 to December 31, 2020. The S&P 500 Index and the S&P Health Care Index are included for comparative 
purposes  only.  They  do  not  necessarily  reflect  management’s  opinion  that  such  indices  are  an  appropriate  measure  of  the 
relative performance of the stock involved, and they are not intended to forecast or be indicative of possible future performance 
of the Company’s common stock.

DENTSPLY SIRONA Inc.
S&P 500
S&P Health Care

12/15
100.00 
100.00 
100.00 

12/16

95.36 
111.96 
97.31 

12/17
109.34 
136.40 
118.79 

12/18

12/19

12/20

62.33 
130.42 
126.47 

95.45 
171.49 
152.81 

89.12 
203.04 
173.36 

35

Item 6. Selected Financial Data

DENTSPLY SIRONA INC. AND SUBSIDIARIES
SELECTED FINANCIAL DATA
(in millions, except per share amounts, days and percentages)

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. 

2020

2019

2018 (a)

2017

2016 (b)

Year ended December 31,

Statements of Operations Data:

Net sales

Gross profit

Goodwill impairment

Restructuring and other costs

Operating (loss) income

(Loss) income before income taxes

Net (loss) income

$ 

Net (loss) income attributable to Dentsply Sirona

$ 

Net (loss) income per common share attributable to Dentsply Sirona:

Basic

Diluted

Cash dividends declared per common share

Weighted Average Common Shares Outstanding:

Basic

Diluted

Balance Sheet Data:

Cash and cash equivalents

Property, plant and equipment, net

Goodwill and other intangibles, net

Total assets

Total long-term debt, current and long-term portions (c)

3,342 

1,657 

157 

77 

(12)

(60)

(83)

(83)

(0.38) 

(0.38) 

0.400 

219.2 

219.2 

438 

791 

6,490 

9,342 

2,274 

4,970 

$ 

$ 

4,029 

2,165 

— 

81 

361

345

263

$ 

3,986 

2,068 

1,086 

221 

(958)

(958)

(1,011) 

$ 

3,993 

2,189 

1651 

425 

(1562)

(1603)

(1550) 

$

263 

$ 

(1,011) 

$ 

(1550) 

$ 

1.18 

1.17 

0.375 

223.1 

224.4 

405 

802 

5,573 

8,603 

1,433 

5,095 

(4.51) 

(4.51) 

0.350 

224.3 

224.3 

310 

871 

5,851 

8,687 

1,576 

5,133 

(6.76) 

(6.76) 

0.350 

229.4 

229.4 

321 

876 

7,340 

10,375 

1,621 

6,628 

Equity

Return on average equity

Total net debt to total capitalization (d)

Other Data:

Depreciation and amortization

Cash flows from operating activities

Capital expenditures

Interest expense (income), net

Inventory days

Receivable days

Effective tax rate

NM

 27.0% 

 5.1 %

 16.8% 

NM

 20.8% 

NM

 16.6% 

$ 

$ 

334 

635 

87 

47 

102 

54 

$ 

323 

633 

123 

28 

116 

62 

$ 

331 

500 

183 

35 

124 

59 

$ 

316 

602 

144 

36 

131 

61 

3,745 

2,001 

— 

23 

455 

441 

431 

430 

1.97 

1.94 

0.310 

218.0 

221.6 

384 

800 

8,909 

11,556 

1,522 

8,126 

 8.2% 

 12.4% 

272 

563 

125 

34 

113 

58 

 (38.3%) 

 23.8% 

NM

 3.3% 

 2.2% 

NM - Not meaningful
(a) The Company adopted Accounting Standard Codification Topic 606, "Revenue from Contracts with Customers" ("ASC 606") effective January 1, 2018, using the modified
retrospective  method  to  contracts  which  were  not  completed  as  of  December  31,  2017.  Results  for  the  years  ended  December  31,  2017  and  2016  are  accounted  for  in
accordance with the accounting standards in effect during those years.

(b) 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.

(c) Total debt amounts shown are net of deferred financing costs, including financing leases.
(d) The Company defines net debt as total debt, including current and long-term portions less deferred financing costs, less cash and cash equivalents. Total capitalization is

defined as the sum of net debt plus equity.

36

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,  and  should  be  read  in  conjunction  with,  the  Consolidated  Financial  Statements  and  Notes  to  Consolidated 
Financial Statements contained in Item 8 of this Form 10-K. The following discussion includes forward-looking statements that 
involve certain risks and uncertainties. See Part I, Item 1, “Business- Forward-Looking Statements and Associated Risks” in the 
beginning of this Form 10-K. The MD&A includes the following sections:

•
•

•

•

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  Policies  and  Estimates-  a  discussion  of  accounting  policies  that  require  critical  judgments  and
estimates; and
Liquidity  and  Capital  Resources  -  an  analysis  of  cash  flows;  debt  and  other  obligations;  off-balance  sheet
arrangements; and aggregate contractual obligations.

2020 Operational Highlights 

•

•

•

•

For the year ended December 31, 2020, net sales decreased 17.1% compared to the year ended December 31, 2019.
Net sales were positively impacted by approximately 0.3% due to the weakening of the U.S. dollar over the prior year
period.  Net  sales,  on  an  organic  sales  basis  (a  Non-GAAP  measure  as  defined  under  the  heading  "Principal
Measurements" below), decreased 16.7% for the year ended December 31, 2020 as compared to December 31, 2019.

For the year ended December 31, 2020, the Company reported net loss attributable to Dentsply Sirona of $83 million
as compared to the net income attributable to Dentsply Sirona of $263 million for the year ended December 31, 2019.
The Company reported diluted net loss per share of $0.38 per share compared to a net income per share of $1.17 in the
prior year.

For the year ended December 31, 2020, cash from operations was $635 million, as compared to $633 million in the
prior year ended December 31, 2019.

During the year, the Company continued to execute on the restructuring plan that was announced in November 2018.
The Company also announced an addition to the plan in August 2020. Under this plan, the Company is undergoing a
restructuring to drive revenue growth, margin expansion and to simplify its organization.

Company Profile

DENTSPLY  SIRONA  Inc.  (“Dentsply  Sirona”  or  the  “Company”),  is  the  world’s  largest  manufacturer  of  professional 
dental  products  and  technologies,  with  a  134-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 
equipment and dental consumable products under a strong portfolio of world class brands. The Company also manufactures and 
markets healthcare consumable products. 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 
worldwide  headquarters  is  located  in  Charlotte,  North  Carolina.  The  Company’s  shares  of  common  stock  are  listed  in  the 
United States on Nasdaq under the symbol XRAY.

BUSINESS

The Company operates in two operating segments, Technologies & Equipment and Consumables.

37

The  Technologies  &  Equipment  segment  is  responsible  for  the  design,  manufacture,  sales  and  distribution  of  the 
Company’s Dental Technology and Equipment Products and Healthcare Consumable Products. These products include dental 
implants, CAD/CAM systems, orthodontic clear aligner products, imaging systems, treatment centers, instruments, as well as 
consumable medical device products.

The  Consumables  segment  is  responsible  for  the  design,  manufacture,  sales  and  distribution  of  the  Company’s  Dental 

Consumable Products which include preventive, restorative, endodontic, and dental laboratory products.

The impacts of COVID-19 and the Company’s response

The impacts to the Company’s net sales and net income during the year ended December 31, 2020 were as follows:

•

•

As previously announced, in the early part of the first quarter, the Company started to experience declines in customer
demand  in  Asia  as  a  result  of  the  effects  of  COVID-19.  As  COVID-19  spread  to  other  geographies  during  the  first
quarter, the Company experienced effects on customer demand in those regions as well. In early March, the Company
experienced declines in demand in the European region, followed by North and South America in the second half of
March.  These  decreases  in  demand  were  primarily  driven  by  the  government  actions  taken  to  limit  the  spread  of
COVID-19.  Additionally,  end-user  demand  was  affected  by  guidance  from  professional  dental  associations
recommending practitioners only perform emergency procedures.

Following  March,  the  Company  continued  to  see  lower  levels  of  customer  demand  on  a  global  basis  as  a  result  of
government authorities extending actions taken in response to COVID-19. The Company experienced the lowest sales
levels in April, however, it began to see an increase in sales during May and June as most stay-at-home orders were
lifted  and  dental  practices  started  to  re-open  particularly  in  the  United  States,  Europe,  and  certain  Asian  countries
within the Rest of World region. In the second half of 2020, the Company continued to see demand improve in both
the United States and Europe, while the Rest of the World sales started to show improvement in the fourth quarter.

• While government authorities have lifted many of their restrictions, the end dates for all restrictions being lifted are
still unknown. It is also uncertain when customer demand will fully return to pre-COVID-19 levels upon lifting these
restrictions.

•

The demand for the Company's products has been, and continues to be, affected by social distancing guidelines, newly
implemented dental practice safety protocols which reduce patient traffic, and patient reluctance to seek dental care. At
this time, it is uncertain how long these impacts will continue.

The Company’s response to the pandemic through December 31, 2020 was as follows:

•

•

•

•

•

A COVID-19 infection crisis management process was implemented by the Company to have a unified approach to
responding to employees infected by COVID-19. All potential and actual cases across the Company were reviewed to
ensure that the Company managed exposed employees appropriately, consistently and safely. No major outbreaks have
occurred at any of the Company's locations.

The Company put in place travel restrictions, implemented a work from home policy where possible, and prohibited all
meetings  of  more  than  10  people.  These  measures  were  taken  to  limit  employee  exposure  to  COVID-19  as  well  as
comply with stay-at-home and social distancing guidelines.

A  customer  service  support  continuity  plan  was  implemented  to  meet  customer  needs.  Technical  support  was
maintained to assist the Company’s customers during this period while still ensuring employees' safety.

The Company remained focused on maintaining a high level of customer support through robust virtual training and
development courses.

The  Company  suspended  or  significantly  reduced  operations  at  most  of  its  principal  manufacturing  and  distribution
locations, which included furloughing employees related to these locations. While the operations were suspended or
significantly  reduced,  the  Company  continued  to  fulfill  customer  demand.  The  Company  also  continued  sales  and
manufacturing  operations  at  normal  levels  within  the  Healthcare  business.  The  Company’s  principal  manufacturing
facilities  and  other  operations  have  returned  to  a  more  normalized  level  during  the  second  half  of  the  year.  The
Company  continues  to  monitor  the  COVID-19  pandemic  and  may  need  to  reduce  operations  in  the  event  of  a
resurgence of COVID-19 or in the event of actions from governmental authorities to combat a resurgence.

38

•

•

•

•

•

The  Company  temporarily  reduced  spending  on  sales,  marketing,  and  other  related  expenses  due  to  the  decrease  in
customer  demand.  Additionally,  the  Company  instituted  a  temporary  global  hiring  freeze,  a  reduction  in  temporary
employees  and  consultants,  as  well  as  curtailed  or  stopped  all  projects  that  are  not  critical  to  the  continuity  of  the
business. Despite these temporary reductions, the Company maintained investment in critical capital and research and
development  projects  as  well  as  global  efficiency  and  cost  savings  initiatives.  The  majority  of  these  temporary
reductions were eased during the fourth quarter as sales level continued to improve.

During  April,  the  Company  announced  additional  furloughs  or  the  reduction  of  working  hours  for  employees
throughout  its  organization.  The  total  number  of  employees  impacted  by  these  measures  represented  approximately
52%  of  the  workforce.  The  furloughs  remained  in  place  throughout  the  second  quarter  and  the  majority  of  these
furloughs and reductions were then lifted in the third quarter with all remaining furloughs and reductions being lifted
during the fourth quarter.

For the safety of all employees and customers, the Company established additional protocols in addition to following
all  mandated  regulatory  requirements  imposed  by  the  country,  the  state,  and  the  local  jurisdictions  in  which  the
Company operates.
The  Company  implemented  a  25%  wage  reduction  plan  for  all  salaried  employees  of  the  Company  who  were  not
furloughed and were above a certain specified salary level, including members of management, where allowed by law,
during the second quarter. These reductions were in place for 90 days. The CEO relinquished all but the portion of his
base salary necessary to fund, on an after-tax basis, his contributions to continue to participate in the Company’s health
benefits plan and meet certain other legal requirements. In addition, each member of the Board of Directors agreed to
waive one quarter of his or her annual cash retainer for 2020.

The Company has also continued to take measures to contain costs in light of lower sales levels and has taken actions
to accelerate the cost improvement initiatives included in the previously announced restructuring plan.

• Many  governments  across  the  world  instituted  programs  to  reimburse  business  entities  for  a  portion  of  employee
compensation expense for employees that are furloughed or that are working reduced hours. The Company applied for
and has received relief under these programs as well as certain other programs instituted by governments to mitigate
the  negative  impacts  of  COVID-19.  As  of  December  31,  2020,  the  Company  had  received  a  total  of  $38  million  in
relief.

•

•

In an effort to preserve liquidity, the Company took action related to deferring the payment of income and payroll tax
related  liabilities  where  governments  have  allowed  such  deferrals.  Additionally,  the  Company  implemented  cost
containment measures to ensure the preservation of cash.

During the second quarter, the Company took various actions to ensure its ongoing liquidity. The Company elected to
drawdown  the  full  amount  of  its  $700  million  2018  Credit  Facility  to  provide  additional  liquidity  and  financial
flexibility  in  light  of  the  economic  conditions  and  uncertainties  which  arose  in  connection  with  the  COVID-19
pandemic. On May 26, 2020, the Company issued $750 million of 3.25% senior unsecured notes due 2030 and used
the proceeds to repay the $700 million 2018 Credit Facility. Additionally, out of an abundance of caution, in order to
provide for further liquidity, the Company entered into a $310 million revolving credit facility on April 9, 2020, a 40
million  euro  revolving  credit  on  May  5,  2020,  a  30  million  euro  revolving  credit  facility  on  May  12,  2020  and  3.3
billion Japanese yen revolving credit facility on June 11, 2020. These three additional facilities are all short-term. At
December 31, 2020, there were no outstanding borrowings under these facilities and the Company’s $700 million 2018
Credit Facility.

The impact to the Company's net sales and net income subsequent to December 31, 2020 includes:

•

•

Governments have continued the imposition of certain restrictions in Europe which began in the fourth quarter due to
the rising number of COVID-19 infections. At this time it is uncertain the impact these actions and further restrictions
could potentially have on the Company's net sales and net income.

The  Company  has  continued  to  prioritize  employee  safety  and  preventing  the  possible  spread  of  COVID-19  by
encouraging ongoing work-from-home where possible and maintaining travel restrictions.

Up through the date of the filing of this Form 10-K, the Company’s principal manufacturing facilities and other operations 
have now returned to a more normalized level. The Company continues to monitor the COVID-19 pandemic. As governmental 
authorities  adjust  restrictions  globally,  the  Company  plans  to  appropriately  staff  sales,  manufacturing,  and  other  functions  to 
meet customer demand and deliver on continuing critical projects while also complying with all government requirements. 

39

Principal Measurements

The  principal  measurements  used  by  the  Company  in  evaluating  its  business  are:  (1)  constant  currency  sales  growth  by 
segment and geographic region; (2) organic 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 expenses, and certain 
other  items  to  enhance  the  comparability  of  results  period  to  period.  These  principal  measurements  are  not  calculated  in 
accordance with accounting principles generally accepted in the United States ("US GAAP"); therefore, these items represent 
Non-GAAP measures. These Non-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.

The  Company  defines  “constant  currency”  sales  growth  as  the  increase  or  decrease  in  net  sales  from  period  to  period 
excluding  the  impact  of  changes  in  foreign  currency  exchange  rates.  This  impact  is  calculated  by  comparing  current-period 
revenues to prior-period revenues, with both periods converted to the U.S. dollar using local currency foreign exchange rates 
for each month of the prior period, for the currencies in which the Company does business.

The Company defines "organic sales" as the increase or decrease in net sales excluding: (1) net sales from acquired and 
divested  businesses  recorded  prior  to  the  first  anniversary  of  the  acquisition  or  divestiture,  (2)  net  sales  attributable  to 
discontinued product lines in both the current and prior year periods, and (3) the impact of foreign currency translation, which is 
calculated by comparing current-period sales to prior-period sales, with both periods converted to the U.S. dollar rate at local 
currency foreign exchange rates for each month of the prior period.

The "organic sales" measure is not calculated in accordance with US GAAP; therefore, this item represents a Non-GAAP 
measure. This Non-GAAP measure may differ from those used by 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.  Organic  sales  is  an 
important  internal  measure  for  the  Company.  The  Company's  senior  management  receives  a  monthly  analysis  of  operating 
results that includes organic sales. The performance of the Company is measured on this metric along with other performance 
metrics.

The  Company  discloses  organic  sales  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.  The  Company  believes  that  this  information  is  helpful  in 
understanding underlying net sales trends.

Business Drivers

The primary drivers of internal sales growth include macroeconomic factors, global dental market demand, innovation and 
new product launches by the Company, as well as continued investments in sales and marketing resources, including clinical 
education.  Management  believes  that  the  Company’s  ability  to  execute  its  strategies  should  allow  it  to  grow  faster  than  the 
underlying dental market over time. On a short-term basis, sudden changes in the macroeconomic environment such as those 
caused by the impacts of COVID-19, changes in strategy, or distributor inventory levels can and have impacted the Company's 
sales.

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  worldwide  consolidation  of  operations  and  functions  to  further  reduce  costs.  While  the  Company  continues 
consolidation initiatives which can have an adverse impact on reported results in the short term, the Company expects that the 
continued benefits from these global efficiency efforts will improve its cost structure.

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  continues  to  pursue  research  and  development  initiatives  to  support 
technological  development,  including  collaborations  with  various  research  institutions  and  dental  schools.  In  addition,  the 
Company licenses and purchases technologies developed by third parties. Although the Company believes these activities will 
lead  to  new  innovative  dental  and  healthcare  products,  they  involve  new  technologies  and  there  can  be  no  assurance  that 
marketable products will be developed. 

40

Subject to the pace of the post-pandemic recovery, the Company intends to continue pursuing opportunities to expand the 
Company’s  product  offerings,  technologies,  and  sales  and  service  infrastructure  through  partnerships  and  acquisitions. 
Although the professional dental and the consumable medical device markets in which the Company operates have experienced 
consolidation, they remain fragmented. Management believes that there will continue to be adequate opportunities to participate 
as a consolidator in the industry for the foreseeable future. 

The  Company’s  business  is  subject  to  quarterly  fluctuations  of  consolidated  net  sales  and  net  income.  Price  increases, 
promotional  activities,  as  well  as  changes  in  inventory  levels  at  distributors  contribute  to  this  fluctuation.  The  Company 
typically implements most of its price increases in January or October 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 in excess of retail demand. These net inventory changes have impacted the Company’s consolidated 
net  sales  and  net  income  in  the  past,  and  may  continue  to  do  so  in  the  future,  over  a  given  period  or  multiple  periods.  In 
addition,  the  Company  may  from  time  to  time,  engage  in  new  distributor  relationships  that  could  cause  fluctuations  of 
consolidated  net  sales  and  net  income.  Distributor  inventory  levels  may  fluctuate,  and  may  differ  from  the  Company’s 
predictions, resulting in the Company’s projections of future results being different than expected. There can be no assurance 
that the Company’s dealers and customers will maintain levels of inventory 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. The Company anticipates that inventory levels may fluctuate as dealers and customers manage the 
effects of COVID-19 on their businesses. Any of these fluctuations could be material to the Company’s consolidated financial 
statements. For more information about the drivers of our business and related risks, see Part I, Item 1, "Business" and Part I, 
Item 1A, "Risk Factors."

Restructuring Announcement

In November 2018, the Board of Directors of the Company approved a plan to restructure and simplify the Company’s 
business.  The  goal  of  the  restructuring  is  to  drive  annualized  net  sales  growth  of  3%  to  4%  and  adjusted  operating  income 
margins of 22% by the end of 2022 as well as achieve net annual cost savings of $200 million to $225 million by 2021. In July 
2020,  the  Board  of  Directors  of  the  Company  approved  an  expansion  of  this  plan  that  is  intended  to  further  optimize  the 
Company’s product portfolio and reduces operating expenses. The product portfolio optimization has resulted in the divestiture 
or closure of certain underperforming businesses. The operating expense reductions will come as a result of additional leverage 
from continued integration and simplification of the business. The Company had initially anticipated one-time expenditures and 
charges  of  approximately  $275  million  yielding  annual  cost  savings  of  $200  million  to  $225  million  by  2021.  The  program 
expansion is expected to result in total charges of approximately $375 million and annual cost savings of approximately $250 
million. The Company expects that these expanded actions will result in incremental global headcount reductions of 6% to 7% 
in  addition  to  the  original  projections  of  6%  to  8%.  Since  November  2018,  the  Company  has  incurred  expenditures  of 
approximately $310 million under this program, of which, approximately $120 million were non-cash charges. These amounts 
include the charges for the portfolio shaping initiatives announced on August 6, 2020 which are further discussed below.

As  part  of  this  expanded  plan,  the  Company  announced  on  August  6,  2020  that  it  will  exit  its  traditional  orthodontics 
business as well as both exit and restructure certain portions of its laboratory business. The traditional orthodontics business is 
part of the Technologies & Equipment segment and the laboratory business is part of the Consumables segment. The Company 
is  exiting  several  of  its  facilities  and  reducing  its  workforce  by  approximately  4%  to  5%.  The  Company  expects  to  record 
restructuring charges in a range of $70 million to $80 million for inventory write-downs, severance costs, fixed asset write-offs, 
and other facility closure costs. The Company estimates that $45 million to $55 million of the restructuring charges will be non-
cash  charges  related  to  inventory  write-downs  and  fixed  asset  write-offs.  During  the  year  ended  December  31,  2020,  the 
Company recorded expenses of approximately $59 million related to these actions, of which, approximately $48 million were 
non-cash charges. The Company expects most of the remaining restructuring charges will be recorded during the first quarter of 
2021. The Company does not expect a significant impact to net sales in the first quarter of 2021. Both businesses have been 
experiencing declining sales and are dilutive to the Company’s operating income rate. 

The Company’s traditional orthodontics business, which includes brackets, bands, tubes and wires, had net sales of $132 
million in 2019. The portion of the laboratory business the Company is exiting manufactures removable dentures and related 
products  and  had  net  sales  of  $44  million  in  2019.  The  net  income  of  these  businesses  is  not  material  to  the  Company’s 
consolidated results.

41

As part of this restructuring plan, the Company has introduced five key operating principles in order to achieve this goal:

•

•

•

•

•

Approach  customers  as  one:  Put  the  customer  at  the  center  of  how  Dentsply  Sirona  is  organized.  The  Company  is
creating one integrated approach to customer service, direct and indirect selling, and clinical education to strengthen
the relationship with the customer and better serve the customers' needs.

Assume greater responsibility for Dentsply Sirona’s demand creation: To better support dealer partners and end-user
customers, the Company launched a sales force effectiveness program, with a view to improving returns on sales and
marketing investments.

Ensure that innovation is substantial and supported: Create a comprehensive R&D program that prioritizes spending
across the entire Company portfolio resulting in more impactful innovations each year.

Lead in clinical education: Dentsply Sirona is investing to further its leadership position through local training events
and enhancing online training presence to strengthen the relationship with the dental professionals.

Take advantage of scale: The Company is focused on integrating its dental product portfolios to unlock operational
efficiencies, including performance improvements in procurement, logistics, manufacturing, sales force and marketing
programs. In addition, Dentsply Sirona is taking significant measures to simplify the business. In combination, these
initiatives  will  improve  organizational  efficiency  and  better  leverage  the  Company’s  selling,  general  and
administrative infrastructure.

Impact of Foreign Currencies

Due  to  the  Company’s  significant  international  presence,  movements  in  foreign  currency  exchange  may  impact  the 
Consolidated Statements of 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  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.

42

RESULTS OF OPERATIONS

2020 Compared to 2019 

Net Sales

The  Company  presents  net  sales  comparing  the  current  year  periods  to  the  prior  year  periods.  In  addition,  the  Company 

also compares net sales on an organic sales basis, which is a Non-GAAP measure.

The Company defines "organic sales" as the increase or decrease in net sales excluding: (1) net sales from acquired and 
divested  businesses  recorded  prior  to  the  first  anniversary  of  the  acquisition  or  divestiture,  (2)  net  sales  attributable  to 
discontinued product lines in both the current and prior year periods, and (3) the impact of foreign currency translation, which is 
calculated by comparing current-period sales to prior-period sales, with both periods converted to the U.S. dollar rate at local 
currency foreign exchange rates for each month of the prior period.

The "organic sales" measure is not calculated in accordance with US GAAP; therefore, this item represents a Non-GAAP 
measure. This Non-GAAP measure may differ from those used by 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.  Organic  sales  is  an 
important  internal  measure  for  the  Company.  The  Company's  senior  management  receives  a  monthly  analysis  of  operating 
results that includes organic sales. The performance of the Company is measured on this metric along with other performance 
metrics.

The  Company  discloses  organic  sales  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.  The  Company  believes  that  this  information  is  helpful  in 
understanding underlying net sales trends.

(in millions, except percentages)

2020

Year Ended December 31,
$ Change

2019

% Change

Net sales

$ 

3,342  $ 

4,029  $ 

(687)

 (17.1%)

Net sales for the year ended December 31, 2020 were $3,342 million, a decrease of $687 million or 17.1% from the year 
ended  December  31,  2019.  The  decrease  in  net  sales  was  attributable  to  both  the  Consumables  and  the  Technologies  & 
Equipment segments which were impacted by reduced demand for dental related procedures primarily due to the impact of the 
COVID-19 pandemic. Net sales were positively impacted by approximately 0.3% due to the weakening of the U.S. dollar as 
compared  to  the  same  prior  year  period.  This  decrease  included  a  reduction  of  0.6%  from  divestitures  of  non-strategic 
businesses and a 0.1% decrease due to discontinued products. 

For  the  year  ended  December  31,  2020,  organic  sales  decreased  16.7%  as  compared  to  the  same  prior  year  period.  The 
decrease  in  organic  sales  was  attributable  to  both  the  Consumables  and  the  Technologies  &  Equipment  segments  and  was 
primarily due to the impact of the COVID-19 pandemic.

During the year ended December 31, 2020, the Company saw normal sales levels for the months of January and February 
and  started  to  experience  a  decline  in  sales  volume  during  March  which  continued  to  its  lowest  levels  in  April  as  certain 
countries in Asia and Europe began to issue stay-at-home and social distancing guidelines which were quickly adopted in the 
United States as well. The Company then began to see an increase in sales during May and June as most stay-at-home orders 
were lifted and dental practices started to re-open, particularly in the United States and Europe. During the last six months of 
2020, the Company continued to see demand improve.

43

Net Sales by Region

Net sales by geographic region were as follows:

(in millions, except percentages)

2020

2019

$ Change

% Change

Year Ended December 31,

United States

Europe

Rest of World

United States

$ 

1,109  $ 

1,373  $ 

1,387 

846 

1,614 

1,042 

(264)

(227)

(196)

 (19.2%)

 (14.1%)

 (18.8%)

Net sales for the year ended December 31, 2020 were $1,109 million, a decrease of $264 million or 19.2% from the year 
ended  December  31,  2019.  The  decrease  in  net  sales  was  attributable  to  both  the  Technologies  &  Equipment  and  the 
Consumables segments and was primarily due to the impact of the COVID-19 pandemic. The decrease included a reduction of 
0.5% from divestitures of non-strategic businesses and a decline of 0.6% due to discontinued products.

For  the  year  ended  December  31,  2020,  organic  sales  decreased  18.4%  as  compared  to  the  same  prior  year  period.  The 
decrease  in  organic  sales  was  attributable  to  both  the  Consumables  and  the  Technologies  &  Equipment  segments  and  was 
primarily due to the impact of the COVID-19 pandemic.

Europe

Net sales for the year ended December 31, 2020 were $1,387 million, a decrease of $227 million or 14.1% from the year 
ended  December  31,  2019.  The  decrease  in  net  sales  was  attributable  to  both  the  Technologies  &  Equipment  and  the 
Consumables segments and was primarily due to the impact of the COVID-19 pandemic. The year ended December 31, 2020 
was positively impacted by approximately 1.3% due to the weakening of the U.S. dollar as compared to the same prior year 
period. The decrease included a reduction of 0.9% from divestitures of non-strategic businesses and a decline of 0.1% due to 
discontinued products. 

For  the  year  ended  December  31,  2020,  organic  sales  decreased  14.4%  as  compared  to  the  same  prior  year  period.  The 
decrease  in  organic  sales  was  attributable  to  both  the  Technologies  &  Equipment  and  the  Consumables  segments  and  was 
primarily due to the impact of the COVID-19 pandemic.

Rest of World

Net sales for the year ended December 31, 2020 were $846 million, a decrease of $196 million or 18.8% from the year 
ended  December  31,  2019.  The  decrease  in  net  sales  was  attributable  to  both  the  Consumables  and  the  Technologies  & 
Equipment segments and was primarily due to the impact of the COVID-19 pandemic. The year ended December 31, 2020 was 
negatively  impacted  by  approximately  1.1%  due  to  the  strengthening  of  the  U.S.  dollar  as  compared  to  the  same  prior  year 
period. The decrease included a reduction of 0.2% from divestitures of non-strategic businesses offset by an increase of 0.5% 
from discontinued products. 

For  the  year  ended  December  31,  2020,  organic  sales  decreased  18.0%  as  compared  to  the  same  prior  year  period.  The 
decrease  in  organic  sales  was  attributable  to  both  the  Consumables  and  the  Technologies  &  Equipment  segments  and  was 
primarily due to the impact of the COVID-19 pandemic.

Gross Profit

(in millions, except percentages)

2020

Year Ended December 31,
$ Change

2019

% Change

Gross profit

$ 

1,657 

$ 

2,165 

$ 

(508)

 (23.5%)

Gross profit as a percentage of net sales

 49.6 %

 53.7 %

44

Gross profit as a percentage of net sales decreased by 410 basis points for the year ended December 31, 2020 as compared 

to the year ended December 31, 2019. 

For the year ended December 31, 2020, the decrease in the gross profit rate as compared to the year ended December 31, 
2019 was primarily driven by the decline in net sales and the resulting unfavorable manufacturing variances due to the impact 
of  the  COVID-19  pandemic,  as  well  as  accelerated  depreciation  and  inventory  write-downs  related  to  the  discontinuation  of 
product lines.

Operating Expenses

(in millions, except percentages)

2020

2019

$ Change

% Change

Year Ended December 31,

Selling, general and administrative expenses (“SG&A”)

$  1,435 

$  1,723 

$ 

Goodwill impairment

Restructuring and other costs

SG&A as a percentage of net sales

 NM - Not meaningful

SG&A Expenses

157 

77 

— 

81 

 42.9% 

 42.8% 

(288)

157 

(4)

 (16.7%)

NM

 (4.9%)

For the year ended December 31, 2020, SG&A, including research and development expenses, as a percentage of net sales 
increased 10 basis points for the year ended December 31, 2020 as compared to the year ended December 31, 2019. The higher 
rate was driven by the impact of lower sales which more than offsets the cost reduction measures implemented by the Company 
in response to the COVID-19 pandemic.

These cost reduction measures include, but are not limited to, the reduction of the following expense categories: marketing 

and promotion expenses, travel and meeting expenses, salary expenses, and professional services. 

Goodwill Impairment

For  the  year  ended  December  31,  2020,  the  Company  recorded  a  goodwill  impairment  charge  of  $157  million.  The 
impairment  charge  is  related  to  the  Equipment  &  Instruments  reporting  unit  within  the  Technologies  &  Equipment  segment 
recorded in the three months ended March 31, 2020. For further details see Item 8, Note 10, Goodwill and Intangible Assets, in 
the Notes to the Audited Consolidated Financial Statements of this Form 10-K.

Restructuring and Other Costs

The Company recorded restructuring and other costs of $77 million for the year ended December 31, 2020 compared to 

$81 million for the year ended December 31, 2019. 

During the year ended December 31, 2020, the Company recorded $26 million of restructuring costs primarily related to 
the  expansion  of  the  restructuring  plan  announced  in  August  2020.  The  Company  also  recorded  $51  million  of  other  costs, 
which consist primarily of impairment charges of $39 million related to indefinite-lived intangible assets and other impairments 
of $8 million. For further details see Item 8, Note 10, Goodwill and Intangible Assets, in the Notes to the Audited Consolidated 
Financial Statements of this Form 10-K.

During the year ended December 31, 2019, the Company recorded $34 million of restructuring costs. The Company also 
recorded  $47  million  of  other  costs,  which  consisted  primarily  of  fixed  asset  impairments  of  $33  million,  a  $5  million 
impairment  of  indefinite-lived  tradenames  and  trademarks  within  the  Technologies  &  Equipment  segment,  and  a  $4  million 
impairment of intangible assets related to discontinued product lines in the Consumables segment.

45

The Company announced on August 6, 2020 that it will exit its traditional orthodontics business as well as both exit and 
restructure  certain  portions  of  its  laboratory  business.  The  traditional  orthodontics  business  is  part  of  the  Technologies  & 
Equipment  segment  and  the  laboratory  business  is  part  of  the  Consumables  segment.  The  Company  expects  to  record 
restructuring charges in a range of $70 million to $80 million for inventory write-downs, severance costs, fixed asset write-offs, 
and other facility closure costs. The Company estimates that $45 million to $55 million of the restructuring charges will be non-
cash  charges  related  to  inventory  write-downs  and  fixed  asset  write-offs.  During  the  year  ended  December  31,  2020,  the 
Company recorded expenses of approximately $59 million related to these actions, of which, approximately $48 million were 
non-cash charges. 

Other Income and Expenses

(in millions, except percentages)

Net interest expense
Other expense (income), net 
Net interest and other expense

NM - Not meaningful

Net Interest Expense

2020

Year Ended December 31,
$ Change

2019

% Change

$ 

$ 

47  $ 
1 
48  $ 

28  $ 
(12)
16  $ 

19 
13
32 

 67.9% 
NM

Net  interest  expense  for  the  year  ended  December  31,  2020  increased  $19  million  as  compared  to  the  year  ended 
December  31,  2019.  Higher  average  debt  levels  in  2020  when  compared  to  the  prior  year  period  were  the  primary  driver 
resulting in higher net interest expense.

Other Expense (Income), Net

Other  expense  (income),  net  for  the  year  ended  December  31,  2020  increased  $13  million  compared  to  the  year  ended 
December 31, 2019. Other expense (income), net for the year ended December 31, 2020 includes foreign exchange gains of $13 
million, primarily on net investment hedges, offset by the non-operating losses of $14 million related to the divestitures of non-
strategic businesses. The net investment hedges were sold in April 2020 resulting in lower income for the year. Other expense 
(income),  net  for  the  year  ended  December  31,  2019  includes  foreign  exchange  gains  of  $27  million,  primarily  on  net 
investment hedges, offset by the non-operating losses of $15 million related to the divestitures of non-strategic businesses. 

Income Taxes and Net (Loss) Income

(in millions, except per share data and percentages)

Provision for income taxes

Effective income tax rate

Net (loss) income attributable to Dentsply Sirona

Net (loss) income per common share - diluted (a)

Year Ended December 31,
2019

$ Change

2020

$ 

23 

$ 

82 

$ 

(59) 

 (38.3%) 

 23.8% 

$ 

$ 

(83)

$

263 

$ 

(346) 

(0.38) 

$ 

1.17 

(a) For the year ended December 31, 2020, the Company's net loss per share was calculated on a non-diluted basis.

Provision for Income Taxes 

For  the  year  ended  December  31,  2020,  income  taxes  were  a  net  expense  of  $23  million.  During  the  year  ended 
December  31,  2020,  the  Company  recorded  $9  million  of  tax  expense  for  other  discrete  tax  matters.  The  Company  also 
recorded an $11 million tax benefit as a discrete item related to the indefinite-lived intangible asset impairment charge and $2 
million related to the asset impairment charge. Excluding these discrete tax items and adjusting pretax income to exclude the 
pretax  charge  related  to  the  impairment  of  the  intangible  assets  and  non-intangible  assets,  and  non-deductible  goodwill 
impairment charge, the Company's effective tax rate was 18.4%.

46

The Company continues to reassess the realizability of its deferred tax assets and, after weighing all positive and negative 

evidence, continues to maintain a valuation allowance on certain deferred tax assets. 

For  the  year  ended  December  31,  2019,  income  taxes  were  a  net  expense  of  $82  million.  During  the  year  ended 
December  31,  2019,  the  Company  recorded  the  following  discrete  tax  items:  $4  million  of  excess  tax  benefit  related  to 
employee  share-based  compensation,  tax  expense  of  $9  million  for  other  discrete  tax  matters,  and  tax  benefit  of  $4  million 
related to valuation allowance on foreign tax credits and other deferred tax assets. The Company also recorded a $10 million tax 
benefit  as  a  discrete  item  related  to  the  fixed  asset  impairment  charge,  $2  million  tax  benefit  related  to  the  indefinite-lived 
intangible asset impairment charge and $1 million tax benefit related to the definite-lived intangible asset impairment charge. 
Excluding  these  discrete  tax  items  and  adjusting  pretax  income  to  exclude  the  pretax  charge  related  to  impairment  of  fixed 
assets, impairment of the indefinite-lived intangible assets, and the losses related to the divestitures of non-strategic businesses, 
the Company’s effective tax rate was 24.3%.

Further  information  regarding  the  details  of  income  taxes  is  presented  in  Note  15,  Income  Taxes,  in  the  Notes  to 

Consolidated Financial Statements in Item 8 of this Form 10-K.

Operating Segment Results

Net Sales
(in millions, except percentages)

2020

Year Ended December 31,
$ Change

2019

% Change

Technologies & Equipment

$ 

1,961  $ 

2,283  $ 

Consumables

1,381 

1,746 

(322)

(365)

 (14.1%)

 (20.9%)

Segment Adjusted Operating Income (a)
(in millions, except percentages)

2020

Year Ended December 31,
$ Change

2019

% Change

Technologies & Equipment (b)

$ 

387  $ 

467  $ 

Consumables (b)

314 

440 

(80)

(126)

 (17.1%)

 (28.6%)

(a) See Note 5, Segment and Geographic Information, in the Notes to Consolidated Financial Statements in Item 8 of this Form 10-K for a reconciliation from
segment adjusted operating income to consolidated US GAAP income.
(b) Certain charges related to discontinuance of product lines which were previously reported in adjusted operating income for the reportable segments, $38
million in 2019, has been reclassified as pertaining to corporate results to conform to current year presentation and our internal reporting to our Chief Operating
Decision Maker package ("CODM"). This amount is not material to the measure of segment results for the years presented.

Technologies & Equipment 

Net sales for the year ended December 31, 2020 were $1,961 million, a decrease of $322 million or 14.1% from the year 
ended  December  31,  2019.  The  decrease  in  net  sales  was  across  all  dental  businesses  primarily  due  to  the  impact  of  the 
COVID-19  pandemic,  partially  offset  by  increased  sales  in  the  Healthcare  business.  Net  sales  were  positively  impacted  by 
approximately  0.6%  due  to  the  weakening  of  the  U.S.  dollar  over  the  prior  year.  The  decrease  included  a  reduction  of  1.0% 
from divestitures of non-strategic businesses and a 0.2% decrease due to discontinued products. 

For the year ended December 31, 2020, organic sales decreased 13.5% as compared to the prior year. Organic sales decline 

was across all regions and was primarily due to the impact of the COVID-19 pandemic.

Key  drivers  of  the  decrease  in  organic  sales  for  the  year  ended  December  31,  2020,  were  Implants,  Equipment  & 

Instruments, and Digital Dentistry businesses, partially offset by an increase in the Healthcare business.

Adjusted operating income decreased $80 million or 17.1% for the year ended December 31, 2020 as compared to the prior 
year.  The  decrease  in  operating  income  was  primarily  driven  by  lower  sales  volume  and  the  resulting  unfavorable 
manufacturing  variances  due  to  the  impact  of  the  COVID-19  pandemic,  partially  offset  by  cost  reduction  measures  in  both 
gross profit and SG&A.

47

Consumables 

Net sales for the year ended December 31, 2020 were $1,381 million, a decrease of $365 million or 20.9% from the year 
ended December 31, 2019. The decrease in net sales was across all businesses primarily due to the impact of the COVID-19 
pandemic. The decrease included a reduction of 0.1% from divestitures of non-strategic businesses.

For  the  year  ended  December  31,  2020,  organic  sales  decreased  20.8%  as  compared  to  the  prior  year.  The  decline  in 

organic sales was the result of lower demand in all regions primarily due to the impact of the COVID-19 pandemic.

Key drivers of the decrease in organic sales for the year ended December 31, 2020, were the Endodontic, Restorative, and 

Laboratory businesses.

Adjusted  operating  income  decreased  $126  million  or  28.6%  for  the  year  ended  December  31,  2020  as  compared  to  the 
prior  year.  The  decrease  in  operating  income  was  primarily  driven  by  lower  sales  volume  and  the  resulting  unfavorable 
manufacturing variances due to the impact of COVID-19 pandemic, partially offset by cost reduction measures in both gross 
profit and SG&A.

Discussion  of  the  results  of  operations  for  the  year  ended  December  31,  2018  was  included  in  Part  II,  Item  7 
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Company’s Form 10-K for 
the year ended December 31, 2019, as filed with the SEC on March 2, 2020. 

48

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

The preparation of the Company’s consolidated financial statements in conformity with US GAAP requires the Company 
to make estimates and assumptions about future events that affect the amounts reported in the consolidated financial 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.

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  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.

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 intangible asset evaluations 
and  appraisals,  and  evaluations  of  existing  contingencies,  liabilities,  and  product  line  integration  information.  If  the  initial 
valuation for an acquisition is incomplete by the end of the reporting period 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. More information on the assumptions used to 
estimate  the  fair  values  of  acquired  intangible  assets  is  included  in  Note  1,  Significant  Accounting  Policies,  in  the  Notes  to 
Consolidated Financial Statements in Item 8 of this Form 10-K.

Goodwill and Indefinite-Lived Intangible Assets

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  impairment  tests,  the  Company  also 
performs impairment assessments more frequently if events or changes in circumstances indicate that the goodwill or indefinite-
lived  assets  might  be  impaired.  If  the  carrying  value  of  a  reporting  unit  with  goodwill  exceeds  the  implied  fair  value  of  that 
reporting unit, an impairment charge is recognized for the excess amount. Similarly, if the carrying amount of an indefinite-
lived intangible asset exceeds its fair value, an impairment loss is recognized on the intangible.

Impairment Assessment

Assessment  of  the  potential  impairment  of  goodwill  and  indefinite-lived  intangible  assets  is  an  integral  part  of  the 
Company’s normal ongoing review of operations. Testing for potential impairment of these assets is dependent on significant 
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 technologies can significantly affect the outcome of impairment tests. Estimates 
based on these 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,  particularly  changes  in  the 
Company’s  discount  rates,  revenue  growth  rates,  and  operating  margins,  the  Company  may  be  required  to  recognize 
impairment charges. Information with respect to the Company’s significant accounting policies on goodwill and indefinite-lived 
intangible assets are included in Note 1, Significant Accounting Policies, in the Notes to Consolidated Financial Statements in 
Item 8 of this Form 10-K.

49

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 during the course of the year. Such indicators may include a decline in 
expected  cash  flows,  unanticipated  competition  or  slower  growth  rates,  among  others.  It  is  important  to  note  that  fair  values 
which could be realized in an actual transaction may differ from those used to evaluate the impairment of goodwill.

Goodwill is allocated among reporting units and evaluated for impairment at that level. The Company’s reporting units are 

either an operating segment or one level below its operating segments, as determined in accordance with ASC 350.

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”) as its valuation technique to measure the 
fair value for its reporting units when testing for impairment, as management believes forecasted operating cash flows are the 
best indicator of such fair value. The discounted cash flow model uses five- to ten- year forecasted cash flows plus a terminal 
value  based  on  a  multiple  of  earnings  or  by  capitalizing  the  last  period’s  cash  flows  using  a  perpetual  growth  rate.  The 
significant  assumptions  and  estimates  are  involved  in  the  application  of  the  DCF  model  to  forecast  operating  cash  flows 
include,  but  are  not  limited  to  the  discount  rates,  revenue  growth  rates,  perpetual  revenue  growth  rates,  and  future  operating 
margin  percentages  of  the  reporting  unit’s  business.  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.  In  the  development  of  the  forecasted  cash  flows,  the  Company  applies  revenue, 
gross profit, and operating expense assumptions taking into consideration historical trends as well as future expectations. The 
revenue growth rate assumptions were developed in consideration of future expectations which included, but were not limited 
to,  the  current  and  ongoing  impact  of  the  COVID-19  pandemic,  distribution  channel  changes,  impact  from  competition,  and 
new  product  development  changes  for  these  reporting  units.  The  Company  also  considers  the  current  and  projected  market 
conditions for dental and medical device industries, both in the U.S. and globally, when determining its assumptions. Operating 
cash flow assumptions may also be impacted by assumptions regarding benefits from restructuring initiatives, tax rates, capital 
spending and working capital changes. Discount rates are estimated for geographic regions and applied to the reporting units 
located within the regions. These rates are developed based on market participant data, which included assumptions regarding 
the Company’s weighted-average cost of capital adjusted for the relevant risk associated with business-specific characteristics 
and  the  uncertainty  related  to  the  reporting  unit's  ability  to  execute  on  the  projected  cash  flows.  The  Company  has  not 
materially changed its methodology for goodwill impairment testing for the years presented. 

The use of estimates and the development of assumptions results in uncertainties around forecasted cash flows. Due to the 
many  variables  inherent  in  the  estimation  of  a  reporting  unit’s  fair  value  and  the  relative  size  of  the  Company’s  recorded 
goodwill, differences in assumptions may have a material effect on the results of the Company’s impairment analysis. Should 
the Company’s analysis in the future indicate an increase in discount rates or a decline in the overall markets served by these 
reporting  units,  it  could  result  in  impairment  of  the  carrying  value  of  goodwill  to  its  implied  fair  value.  There  can  be  no 
assurance that the Company’s future goodwill impairment testing will not result in a material charge to earnings.

Annual Indefinite-Lived Intangible Asset Impairment Testing

Indefinite-lived intangible assets consist of tradenames and trademarks and are not subject to amortization; instead, they are 
tested for impairment annually as of April 30 or more frequently if events or circumstances indicate that the carrying value of 
indefinite-lived intangible assets may be impaired or if a decision is made to sell a business. A significant amount of judgment 
is involved in determining if an indicator of impairment has occurred during the course of the year. Such indicators may include 
a decline in expected cash flow, 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 and trademarks 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  rate,  which  is  based  on  the  estimated  rate  applied  against 
forecasted  sales,  is  tax-effected  and  discounted  at  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 key assumptions, including 
revenue growth rates, perpetual revenue growth rates, royalty rates, and discount rates. Other assumptions are consistent with 
those applied to goodwill impairment testing.

50

Goodwill and Indefinite-Lived Intangible Asset Impairment Results

During  the  three  months  ended  March  31,  2020,  prior  to  performance  of  the  annual  impairment  test,  the  Company 
concluded that due to the negative effects of the COVID-19 pandemic on revenue and profitability, a triggering event existed 
for four of the Company's five reporting units containing a goodwill balance as of March 31, 2020. The first quarter goodwill 
impairment test resulted in an impairment charge of $157 million in the Equipment & Instruments reporting unit. No goodwill 
impairment  was  identified  at  April  30,  2020  in  conjunction  with  the  annual  test  and  no  subsequent  triggering  events  were 
identified.  For  further  information,  see  Note  10,  Goodwill  and  Intangible  Assets,  in  the  Notes  to  Consolidated  Financial 
Statements in Item 8 of this Form 10-K. 

Indefinite-lived Intangible Assets

During  the  three  months  ended  March  31,  2020,  prior  to  performance  of  the  annual  test,  the  Company  identified  a 
triggering event, and consequently performed an interim impairment test which resulted in an impairment charge of $39 million 
which  was  recorded  in  Restructuring  and  other  costs  in  the  Consolidated  Statements  of  Operations.  The  impaired  indefinite-
lived  intangibles  assets  are  tradenames  and  trademarks  related  to  the  Equipment  &  Instruments  reporting  unit,  for  which  the 
tradenames and trademarks for one business unit in the Equipment & Instruments reporting unit makes up a significant portion 
of  the  Company's  total  $39  million  intangible  asset  impairment  charge.  The  impairment  charge  was  primarily  driven  by  a 
decline in forecasted sales due to the COVID-19 pandemic. 

During  the  twelve  months  ended  December  31,  2019,  the  Company  impaired  $5  million  of  product  tradenames  and 
trademarks within the Technologies & Equipment segment. The impaired indefinite-lived intangible assets are tradenames and 
trademarks held within the Equipment and Instrument reporting unit. The impairment was the result of a change in forecasted 
sales  related  to  divestitures  of  non-strategic  product  lines.  The  Company  previously  recorded  an  impairment  charge  of  $179 
million in the twelve months ended December 31, 2018 for the impairment of tradenames and trademarks related to the CAD/
CAM,  Imaging,  and  Instrument  businesses.  The  impairment  charge  was  primarily  driven  by  a  decline  in  forecasted  sales 
resulting from increased competition and the impact of low-cost competitive products. Consistent with the current year charges, 
these amounts were recorded in Restructuring and other costs in the Consolidated Statements of Operations. 

The Company also assessed the annual impairment of indefinite-lived intangible assets as of April 30, 2020, which largely 
consist of acquired tradenames and trademarks, in conjunction with the annual impairment tests of goodwill. The assumptions 
used  in  determining  the  fair  value  of  the  indefinite-lived  intangible  assets  contain  uncertainties,  and  any  changes  to  these 
assumptions could have a negative impact and result in a future impairment. At April 30, 2020, the Company did not identify 
any impairment triggers for the indefinite-lived intangible assets. For further information see Note 10, Goodwill and Intangible 
Assets, in the Notes to Consolidated Financial Statements in Item 8 of this Form 10-K. 

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 time. If 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.

Income Taxes

Income  taxes  are  determined  using  the  liability  method  of  accounting  for  income  taxes.  The  Company’s  tax  expense 
includes  U.S.  and  international  income  taxes  plus  the  provision  for  U.S.  taxes  on  undistributed  earnings  of  international 
subsidiaries not deemed to be permanently invested.

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  consolidated 
financial statements the impact of a tax position if that position is more likely than not of being sustained upon examination by 
the taxing authorities based on the technical merits of the position.

51

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 December 31, 2020, the Company has a valuation allowance of $287 million against the 
benefit of certain deferred tax assets of foreign and domestic subsidiaries.

The  Company’s  tax  positions  are  subject  to  ongoing  examinations  by  the  tax  authorities.  The  Company  operates  within 
multiple  taxing  jurisdictions  throughout  the  world  and  in  the  normal  course  of  business  is  examined  by  taxing  authorities  in 
those jurisdictions. Adjustments to the uncertain tax positions are recorded when taxing authority examinations are completed, 
statutes of limitation are closed, changes in tax laws occur or as new information comes to light with regard to the technical 
merits of the tax position.

52

LIQUIDITY AND CAPITAL RESOURCES

Cash  provided  by  operating  activities  during  the  year  ended  December  31,  2020  was  $635  million,  an  increase  of  $2 
million as compared to $633 million during the year ended December 31, 2019. Working capital contributed $213 million of 
operating cash flow in 2020 compared to $9 million consumed in 2019. The Company's cash and cash equivalents increased by 
$33 million to $438 million during the year ended December 31, 2020.

For the year ended December 31, 2020, on a constant currency basis, the number of days for sales outstanding in accounts 
receivable decreased by 8 days to 54 days as compared to 62 days at December 31, 2019. On a constant currency basis, the 
number  of  days  of  sales  in  inventory  decreased  by  14  days  to  102  days  at  December  31,  2020  as  compared  to  116  days  at 
December 31, 2019. The Company calculates “constant currency basis” by removing the impact of foreign currency translation, 
which  is  calculated  by  comparing  current-period  sales,  accounts  receivables,  and  inventory  to  prior-period  sales,  accounts 
receivable, and inventory, with both periods converted to the U.S. dollar rate at local currency foreign exchange rates for each 
month of the prior period.

Cash  used  in  investing  activities  for  the  year  ended  December  31,  2020  included  acquisitions  of  $1,078  million,  capital 
expenditures  of  $87  million  and  cash  proceeds  from  net  investment  hedges  of  $58  million.  The  Company  expects  capital 
expenditures to be in the range of approximately $135 million to $160 million for the full year 2021.

Cash used in financing activities for the year ended December 31, 2020 was primarily related to a payment on a Treasury 

Rate Lock of $31 million, dividend payments of $88 million and net share repurchases of $140 million.

On March 9, 2020, the Company entered into an Accelerated Share Repurchase Transaction (“ASR Agreement") for $140 
million. The final amount repurchased was 3.7 million shares at a volume-weighted average price of $38.25 inclusive of a $0.63 
per  share  discount.  At  December  31,  2020,  the  Company  held  45.8  million  shares  of  treasury  stock.  The  Company  received 
proceeds of $11 million as a result of the exercise of 0.3 million shares of stock options during the year ended December 31, 
2020.  Including  prior  year  repurchases,  the  total  amount  repurchased  under  this  authorization  is  $650  million  leaving  $350 
million available to be repurchased. Additional share repurchases, if any, will be made through open market purchases, Rule 
10b5-1 plans, accelerated share repurchases, privately negotiated transactions, or other transactions in such amounts and at such 
times as the Company deems appropriate based upon prevailing market and business conditions and other factors.

The Company's total borrowings increased by $842 million for the year ended December 31, 2020. Dentsply Sirona's long-
term debt, including the current portion at December 31, 2020 and 2019, was $2,274 million and $1,433 million, respectively. 
The  Company's  long-term  debt,  including  the  current  portion,  increased  by  a  net  of  $841  million  during  the  year  ended 
December 31, 2020. This net change included a net increase in borrowings of $743 million, and an increase of $98 million due 
to exchange rate fluctuations on debt denominated in foreign currencies. 

In response to the COVID-19 pandemic, the Company took actions to strengthen its liquidity and financial flexibility. See 

Note 13, Financing Arrangements, to the Consolidated Financial Statements in Item 8 of this Form 10-K for more information.

During  the  year  ended  December  31,  2020,  the  Company's  ratio  of  net  debt  to  total  capitalization  increased  to  27.0% 
compared  to  16.8%  at  December  31,  2019.  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  has  access  to  a  $700  million  2018  Credit  Facility  through  July  28,  2024  and  a  separate  $310  million 
revolving  credit  facility  through  April  8,  2021.  These  facilities  are  unsecured  and  contain  certain  affirmative  and  negative 
covenants relating to the operations and financial condition of the Company. The most restrictive of these covenants pertain to 
asset dispositions and prescribed ratios of indebtedness to total capital and operating income plus depreciation and amortization 
to interest expense. The Company also has available an aggregate $500 million under a U.S. dollar commercial paper facility. 
The  $700  million  revolver  serves  as  a  back-up  to  the  commercial  paper  facility,  thus  the  total  available  credit  under  the 
commercial paper facility and the multi-currency revolving credit facilities in the aggregate is $700 million. At December 31, 
2020, there were no outstanding borrowings under both the $700 million and the $310 million multi-currency revolving credit 
facilities. The Company had no outstanding borrowings under the commercial paper facility at December 31, 2020.

53

The  Company’s  revolving  credit  facility,  term  loans  and  senior  notes  contain  certain  affirmative  and  negative  covenants 
relating to the Company's 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, in each case, as such terms are defined in 
the relevant agreement. Any breach of any such covenants or ratios would result in a default under 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, 2020, the 
Company was in compliance with these covenants.

The  Company  also  has  access  to  $48  million  in  uncommitted  short-term  financing  under  lines  of  credit  from  various 
financial institutions. The lines of credit have no major restrictions and are provided under demand notes between the Company 
and  the  lending  institutions.  At  December  31,  2020,  $3  million  was  outstanding  under  these  short-term  lines  of  credit.  At 
December  31,  2020,  the  Company  had  total  unused  lines  of  credit  related  to  the  revolving  credit  agreements  and  the 
uncommitted short-term lines of credit of $1,173 million.

The Company expects on an ongoing basis to be able to finance cash requirements, including capital expenditures, cash 
payments  related  to  restructuring  programs,  debt  service,  operating  leases  and  potential  future  acquisitions,  from  the  current 
cash,  cash  equivalents  and  short-term  investment  balances,  funds  generated  from  operations  and  amounts  available  under  its 
existing  credit  facilities.  The  Company  estimates  cash  payments  related  to  the  previously  announced  restructuring  to  be  in  a 
range from $50 million to $100 million in 2021. The Company's credit facilities are further discussed in Note 13, Financing 
Arrangements, to the Consolidated Financial Statements in Item 8 of this Form 10-K. As noted in the Company's Consolidated 
Statements  of  Cash  Flows  in  Item  8  of  this  Form  10-K,  the  Company  has  continued  to  generate  strong  cash  flows  from 
operations, which has been used to finance the Company's activities.

The cash held by foreign subsidiaries for permanent reinvestment is generally used to finance the subsidiaries' operating 
activities and future foreign investments. The Company has the ability to repatriate additional funds to the U.S., which could 
result in an adjustment to the tax liability for foreign withholding taxes, foreign and/or U.S. state income taxes, and the impact 
of  foreign  currency  movements.  At  December  31,  2020,  management  believed  that  sufficient  liquidity  was  available  in  the 
United  States  and  expects  this  to  remain  for  the  next  twelve  months.  The  Company  has  repatriated  and  expects  to  continue 
repatriating  certain  funds  from  its  non-U.S.  subsidiaries  that  are  not  needed  to  finance  local  operations,  however,  these 
particular repatriation activities have not and are not expected to result in a significant incremental tax liability to the Company. 

The  Company  continues  to  review  its  debt  portfolio  and  may  refinance  additional  debt  or  add  debt  in  the  near-term  as 
interest rates remain at historically low levels. The Company believes there is sufficient liquidity available for the next twelve 
months.

Off Balance Sheet Arrangements

At  December  31,  2020,  the  Company  held  $54  million  of  precious  metals  on  consignment  from  several  financial 
institutions.  Under  these  consignment  arrangements,  the  financial  institutions  own  the  precious  metal,  and,  accordingly,  the 
Company  does  not  report  this  consigned  inventory  as  part  of  its  inventory  on  the  Consolidated  Balance  Sheets.  These 
consignment  agreements  allow  the  Company  to  acquire  the  precious  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 could not obtain other 
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.  For  additional  details,  see  Item  7A  "Quantitative  and  Qualitative 
Disclosure About Market Risk - Consignment Arrangements" of this Form 10-K.

54

Contractual Obligations

The Company's scheduled contractual cash obligations at December 31, 2020 were as follows:

Contractual Obligations

(in millions)

Long-term borrowings, including finance leases
Operating leases
Interest on long-term borrowings, net
of interest rate swap agreements

Postemployment obligations
Precious metal consignment agreements

Within
1 Year

Years 2-3

Years 4-5

Greater
Than
5 Years

 Total

$ 

$ 

296  $ 
52 

57 
22 
54 
481  $ 

3  $ 
72 

233  $ 
36 

1,752  $ 
34 

87 
44 
— 

87 
46 
— 

206  $ 

402  $ 

202 
123 
— 
2,111  $ 

2,284 
194 

433 
235 
54 
3,200 

Due  to  the  uncertainty  with  respect  to  the  timing  of  future  cash  flows  associated  with  the  Company's  unrecognized  tax 
benefits at December 31, 2020, the Company is unable to make reasonably reliable estimates of the period of cash settlement 
with  the  respective  taxing  authority;  therefore,  $31  million  of  the  unrecognized  tax  benefit  has  been  excluded  from  the 
contractual obligations table above. See Note 15, Income Taxes, in the Notes to Consolidated Financial Statements in Item 8 of 
this Form 10-K.

NEW ACCOUNTING PRONOUNCEMENTS

Refer to Note 1, Significant Accounting Policies, in the Notes to Consolidated Financial Statements in Item 8 of this Form 

10-K for a discussion of recent accounting guidance and pronouncements.

55

Item 7A. Quantitative and Qualitative Disclosure About Market Risk

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 a combination of fixed and floating rate debt as well as interest rate swaps to adjust 
interest rate exposures when appropriate, based upon market conditions. The 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 transaction exposures 
through  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.

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  Company  hedges  various  currencies, 
primarily in euros, Swedish kronor, Canadian dollars, British pounds, Swiss francs, Japanese yen and Australian dollars. 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.

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.

The Company has numerous 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.  Currently,  the  Company  uses  both  derivative  and  non-derivative  financial  instruments,  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.

At December 31, 2020, 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 $5 million.

Interest Rate Risk Management

During  the  year  ended  December  31,  2019,  the  Company  early  terminated  its  existing  246  million  euro  cross  currency 
basis swap and entered into a new 263 million euro cross currency basis swap maturing in August 2021. The cross currency 
basis swap is designated as a hedge of net investments. This contract effectively converts the $296 million bond coupon from 
4.1% to 1.2%.

At December 31, 2020, an increase of 1% in the interest rates on the variable interest rate instruments would not have a 
significant impact on the Company’s annual interest expense as the Company’s debt portfolio comprises primarily of fixed rate 
debt at December 31, 2020.

56

Consignment Arrangements

The  Company  consigns  the  precious  metals  used  in  the  production  of  precious  metal  dental  alloy  products  from  various 
financial  institutions.  Under  these  consignment  arrangements,  the  banks  own  the  precious  metal,  and,  accordingly,  the 
Company  does  not  report  this  consigned  inventory  as  part  of  its  inventory  on  the  Consolidated  Balance  Sheet.  These 
agreements are cancellable 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  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 evaluates the impact of the precious metal price 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, 2020, the Company had approximately 36,000 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 $54 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, 2020, the average annual rate charged by the consignor 
banks was 0.9%. These compensatory payments are considered to be a cost of the metals purchased and are recorded as part of 
the cost of products sold.

57

Item 8. Financial Statements and Supplementary Data

1.

Financial Statements

The following consolidated financial statements of the Company are filed as part of this Form 10-K:

Management’s Report on Internal Control Over Financial Reporting

Report of Independent Registered Public Accounting Firm

Consolidated Statements of Operations - Years ended December 31, 2020, 2019, and 2018

Consolidated Statements of Comprehensive Income - Years ended December 31, 2020, 2019, and 2018

Consolidated Balance Sheets - December 31, 2020 and 2019

Consolidated Statements of Changes in Equity - Years ended December 31, 2020, 2019, and 2018

Consolidated Statements of Cash Flows - Years ended December 31, 2020, 2019, and 2018

Notes to Consolidated Financial Statements

2.

Financial Statement Schedule for the Years Ended December 31, 2020, 2019, and 2018.

The following financial 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 for the Years Ended December 31, 2020, 2019, and 2018.

Page

59

60

65

66

67

68

69

70

Page

131

58

Management’s Report on Internal Control Over Financial Reporting

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  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 of financial statements for external purposes in accordance 
with  accounting  principles  generally  accepted  in  the  United  States  of  America.  A  Company’s  internal  control  over  financial 
reporting includes those policies and procedures that pertain to the maintenance of records that, in reasonable detail, accurately 
and fairly reflect the transactions and dispositions of the assets of the Company; 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  provide  reasonable  assurance  regarding  prevention  or  timely  detection  of 
unauthorized  acquisition,  use,  or  disposition  of  the  Company’s  assets  that  could  have  a  material  effect  on  the  financial 
statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  In 
addition,  projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become 
inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Management of the Company has assessed the effectiveness of the Company’s internal control over financial reporting as 
of  December  31,  2020.  In  making  its  assessment,  management  used  the  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, 2020, 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.

In  conducting  management's  evaluation  as  described  above,  the  operations  of  the  Byte  business  acquired  December  31, 
2020, which were excluded from management's assessment of internal control over financial reporting, represent less than 1% 
of consolidated total assets, excluding the preliminary value of goodwill and intangible assets related to Byte, and less than 1% 
of the Company's consolidated revenues and operating income for the fiscal year ended December 31, 2020.

The effectiveness of the Company’s internal control over financial reporting as of December 31, 2020 has been audited by 

PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report, which appears herein.

/s/

Donald M. Casey, Jr.
Donald M. Casey, Jr.
Chief Executive Officer

March 1, 2021

/s/

Jorge M. Gomez
Jorge M. Gomez
Executive Vice President and
Chief Financial Officer
March 1, 2021

59

Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders
of DENTSPLY SIRONA Inc.

Opinions on the Financial Statements and Internal Control over Financial Reporting

We  have  audited  the  consolidated  financial  statements,  including  the  related  notes  and  financial  statement  schedule,  of 
DENTSPLY SIRONA Inc. and its subsidiaries (the “Company”) as listed in the accompanying index (collectively referred to as 
the  “consolidated  financial  statements”).  We  also  have  audited  the  Company's  internal  control  over  financial  reporting  as  of 
December 31, 2020, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee 
of Sponsoring Organizations of the Treadway Commission (COSO).  

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

Change in Accounting Principle

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

Basis for Opinions

The  Company's  management  is  responsible  for  these  consolidated  financial  statements,  for  maintaining  effective  internal 
control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting, included 
in  the  accompanying  Management’s  Report  on  Internal  Control  Over  Financial  Reporting.  Our  responsibility  is  to  express 
opinions  on  the  Company’s  consolidated  financial  statements  and  on  the  Company's  internal  control  over  financial  reporting 
based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United 
States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities 
laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audits  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  of  material  misstatement, 
whether  due  to  error  or  fraud,  and  whether  effective  internal  control  over  financial  reporting  was  maintained  in  all  material 
respects.  

Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement 
of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. 
Such  procedures  included  examining,  on  a  test  basis,  evidence  regarding  the  amounts  and  disclosures  in  the  consolidated 
financial  statements.  Our  audits  also  included  evaluating  the  accounting  principles  used  and  significant  estimates  made  by 
management,  as  well  as  evaluating  the  overall  presentation  of  the  consolidated  financial  statements.  Our  audit  of  internal 
control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the 
risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based 
on  the  assessed  risk.  Our  audits  also  included  performing  such  other  procedures  as  we  considered  necessary  in  the 
circumstances. We believe that our audits provide a reasonable basis for our opinions.

As described in Management’s Report on Internal Control Over Financial Reporting, management has excluded Straight Smile 
LLC (“Byte”) from its assessment of internal control over financial reporting as of December 31, 2020 because it was acquired 
by  the  Company  in  a  purchase  business  combination  during  2020.  We  have  also  excluded  Byte  from  our  audit  of  internal 
control  over  financial  reporting.  Byte  is  a  wholly-owned  subsidiary  whose  total  assets  and  total  revenues  excluded  from 
management’s assessment and our audit of internal control over financial reporting each represent less than 1% of the related 
consolidated financial statement amounts as of and for the year ended December 31, 2020.

60

Definition and Limitations of Internal Control over Financial Reporting

A  company’s  internal  control  over  financial  reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally 
accepted  accounting  principles.  A  company’s  internal  control  over  financial  reporting  includes  those  policies  and  procedures 
that  (i)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the  transactions  and 
dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit 
preparation  of  financial  statements  in  accordance  with  generally  accepted  accounting  principles,  and  that  receipts  and 
expenditures  of  the  company  are  being  made  only  in  accordance  with  authorizations  of  management  and  directors  of  the 
company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or 
disposition of the company’s assets that could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Also, 
projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become  inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial 
statements that were communicated or required to be communicated to the audit committee and that (i) relate to accounts or 
disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or 
complex  judgments.  The  communication  of  critical  audit  matters  does  not  alter  in  any  way  our  opinion  on  the  consolidated 
financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate 
opinions on the critical audit matters or on the accounts or disclosures to which they relate.

Goodwill Impairment Assessments – Implants and Equipment & Instruments Reporting Units

As  described  in  Notes  1  and  10  to  the  consolidated  financial  statements,  the  Company’s  consolidated  goodwill  balance  was 
$3,986 as of December 31, 2020, and the goodwill associated with the Implants and Equipment & Instruments reporting units 
were $1,232 million and $292 million, respectively. Management conducts an impairment test as of April 30 of each year, or 
more frequently if events or circumstances indicate that the carrying value of goodwill may be impaired. Management performs 
impairment tests by comparing the fair value of each reporting unit to its carrying amount to determine if there is a potential 
impairment. In the first quarter of 2020, management concluded that due to the negative effects of the COVID-19 pandemic on 
revenue  and  profitability,  a  triggering  event  existed  for  four  of  the  Company’s  five  reporting  units  containing  a  goodwill 
balance as of March 31, 2020. The first quarter goodwill impairment test resulted in an impairment charge of $157 million in 
the  Equipment  &  Instruments  reporting  unit.  Management  uses  a  discounted  cash  flow  model  as  its  valuation  technique  to 
measure the fair value for its reporting units. The discounted cash flow model uses five- to ten- year forecasted cash flows plus 
a terminal value based on a multiple of earnings or by capitalizing the last period’s cash flows using a perpetual growth rate. 
Management’s significant assumptions in the discounted cash flow models include, but are not limited to, the discount rates, 
revenue growth rates, perpetual revenue growth rates, and operating margin percentages of the reporting unit’s business. 

The principal considerations for our determination that performing procedures relating to the goodwill impairment assessments 
of  the  Implants  and  Equipment  &  Instruments  reporting  units  is  a  critical  audit  matter  are  the  significant  judgment  by 
management  when  developing  the  fair  value  of  the  reporting  units.  This  in  turn  led  to  a  high  degree  of  auditor  judgment, 
subjectivity,  and  effort  in  performing  procedures  and  evaluating  management’s  cash  flow  projections  and  significant 
assumptions  related  to  the  discount  rates,  revenue  growth  rates,  perpetual  revenue  growth  rates,  and  operating  margin 
percentages. Also, the audit effort involved the use of professionals with specialized skill and knowledge.

61

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall 
opinion  on  the  consolidated  financial  statements.  These  procedures  included  testing  the  effectiveness  of  controls  relating  to 
management’s  goodwill  impairment  assessments,  including  controls  over  the  valuation  of  the  Implants  and  Equipment  & 
Instruments  reporting  units.  These  procedures  also  included,  among  others,  testing  management’s  process  for  developing  the 
fair value estimates; evaluating the appropriateness of the discounted cash flow models; testing the completeness, accuracy, and 
relevance  of  underlying  data  used  in  the  models;  and  evaluating  the  significant  assumptions  used  by  management  related  to 
discount  rates,  revenue  growth  rates,  perpetual  revenue  growth  rates,  and  operating  margin  percentages.  Evaluating 
management’s assumptions related to revenue growth rates, perpetual revenue growth rates, and operating margin percentages 
involved  evaluating  whether  the  assumptions  used  by  management  were  reasonable  considering  (i)  the  current  and  past 
performance  of  the  reporting  units,  (ii)  the  consistency  with  external  market  and  industry  data,  and  (iii)  whether  these 
assumptions  were  consistent  with  evidence  obtained  in  other  areas  of  the  audit.  Professionals  with  specialized  skill  and 
knowledge were used to assist in the evaluation of the Company’s discounted cash flow models and the assumptions related to 
the discount rates and perpetual revenue growth rates.

Indefinite-lived  Intangible  Assets  Impairment  Assessments  –  Tradenames  and  Trademarks  for  one  Business  Unit  in  the 
Equipment & Instruments Reporting Unit

As described in Notes 1 and 10 to the consolidated financial statements, the Company’s consolidated indefinite-lived intangible 
asset  balance,  consisting  of  tradenames  and  trademarks,  was  $642  million  as  of  December  31,  2020.  The  balance  as  of 
December 31, 2020 related to the Equipment & Instruments reporting unit was $82 million, of which one business unit in the 
Equipment & Instruments reporting unit makes up a significant portion of the balance. Management conducts an impairment 
test as of April 30 of each year, or more frequently if events or circumstances indicate that the carrying value of indefinite-lived 
intangible assets may be impaired. Potential impairment is identified by comparing the fair value of an intangible asset to its 
carrying value. In the first quarter of 2020, the Company concluded that due to the negative effects of the COVID-19 pandemic 
on revenue and profitability, a triggering event existed for all but two of the Company’s indefinite-lived intangible assets as of 
March 31, 2020. The first quarter impairment test resulted in an intangible asset impairment charge of $39 million related to 
certain  tradenames  and  trademarks  related  to  the  Equipment  &  Instruments  reporting  unit,  for  which  the  tradenames  and 
trademarks  for  one  business  unit  in  the  Equipment  &  Instruments  reporting  unit  makes  up  a  significant  portion  of  the 
Company’s  total  $39  million  intangible  asset  impairment  charge.  Management  performs  impairment  tests  using  an  income 
approach, more specifically a relief from royalty method. In the development of the forecasted cash flows, management applies 
significant  judgment  to  determine  key  assumptions,  including  revenue  growth  rates,  perpetual  revenue  growth  rates,  royalty 
rates, and discount rates.

The principal considerations for our determination that performing procedures relating to the indefinite-lived intangible assets 
impairment assessments for tradenames and trademarks for one business unit in the Equipment & Instruments reporting unit is a 
critical  audit  matter  are  the  significant  judgment  by  management  when  developing  the  fair  value  of  the  tradenames  and 
trademarks. This in turn led to a high degree of auditor judgment, subjectivity and audit effort in performing procedures and 
evaluating  management’s  significant  assumptions  related  to  the  revenue  growth  rates,  perpetual  revenue  growth  rate,  royalty 
rate, and discount rate. Also, the audit effort involved the use of professionals with specialized skill and knowledge.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall 
opinion  on  the  consolidated  financial  statements.  These  procedures  included  testing  the  effectiveness  of  controls  relating  to 
management’s indefinite-lived intangible asset impairment assessments, including controls over development of the significant 
assumptions.  These  procedures  also  included,  among  others,  testing  management’s  process  for  developing  the  fair  value 
estimates; evaluating the appropriateness of the relief from royalty method; testing the completeness and accuracy of underlying 
data used in the models, and evaluating the significant assumptions used by management related to the revenue growth rates, 
perpetual revenue growth rate, royalty rate and discount rate. Professionals with specialized skill and knowledge were used to 
assist  in  the  evaluation  of  the  Company’s  relief  from  royalty  method  models  and  the  assumptions  related  to  the  perpetual 
revenue growth rate, royalty rate, and discount rate.

62

Certain Tax Positions Related to the IRS and Swedish Tax Agency 

As described in Notes 1, 15 and 20 to the consolidated financial statements, management 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. Management recognizes in the consolidated financial statements the impact of a tax position if that position is 
more likely than not of being sustained upon examination by the taxing authorities based on the technical merits of the position.
Management has recorded the full benefit of certain tax deductions taken in the United States and Sweden. As a result of an 
audit  by  the  Internal  Revenue  Service  (IRS)  for  2013  the  Company’s  worthless  stock  deduction  of  $546  million  has  been 
disallowed. If the worthless stock deduction was ultimately disallowed, the Company would be subject to additional income tax 
expense. In addition, the Swedish Tax Agency has disallowed certain of the Company’s interest expense deductions for the tax 
years  from  2013  to  2018.  If  such  interest  expense  deductions  were  disallowed,  the  Company  would  be  subject  to  additional 
income tax expense of $57 million.

The principal considerations for our determination that performing procedures relating to certain tax positions related to the IRS 
and Swedish Tax Agency is a critical audit matter are the significant judgment by management when determining uncertain tax 
positions,  which  in  turn  led  to  a  high  degree  of  auditor  judgment,  effort  and  subjectivity  in  performing  procedures  and 
evaluating audit evidence related to management’s timely identification and accurate measurement of uncertain tax positions. 
Also, the audit effort involved the use of professionals with specialized skill and knowledge. 

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall 
opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the 
identification,  recognition  and  measurement  of  the  uncertain  tax  positions.  These  procedures  also  included,  among  others, 
assessing  the  appropriateness  of  management’s  assessment  by  reviewing  the  technical  merits  of  the  tax  positions  taken, 
evaluating the tax documentation provided by management and evaluating the status and results of income tax audits with the 
relevant  tax  authorities.  Professionals  with  specialized  skill  and  knowledge  were  used  to  assist  in  the  evaluation  of 
management’s interpretation and application of relevant tax laws in United States and Swedish jurisdictions and in evaluating 
the reasonableness of management’s assessments of whether the tax positions are more-likely-than-not of being sustained.

Acquisition of Straight Smile LLC (“Byte”) - Valuation of Technology Know-how and Tradenames and Trademarks Intangible 
Assets

As described in Notes 1 and 4 to the consolidated financial statements, the Company completed the acquisition of Byte for net 
consideration of $1.0 billion on December 31, 2020, which resulted in $416 million of intangible assets being recorded. The 
intangible  assets  associated  with  the  technology  know-how  and  tradenames  and  trademarks  were  $210  million  and  $190 
million,  respectively.  Management  values  identified  intangible  assets  using  an  income  approach.  Technology  know-how  is 
valued  using  an  excess  earnings  method  and  tradename  and  trademark  assets  are  valued  using  a  relief-from-royalty  method. 
Management applied significant judgment in estimating the fair value of intangible assets acquired, which involved the use of 
significant  estimates  and  assumptions  with  respect  to  revenue  growth  rates,  EBITDA  margin  percentages,  royalty  rate, 
technology obsolescence factors, useful lives of the assets and discount rates used in computing present values. 

The  principal  considerations  for  our  determination  that  performing  procedures  relating  to  the  valuation  of  technology  know-
how  and  tradenames  and  trademarks  intangible  assets  in  the  acquisition  of  Byte  is  a  critical  audit  matter  are  the  significant 
judgment  by  management  when  developing  the  fair  value  measurement  of  the  technology  know-how  and  tradenames  and 
trademarks  intangible  assets  acquired.  This  in  turn  lead  to  a  high  degree  of  auditor  judgment,  subjectivity,  and  effort  in 
performing  procedures  and  evaluating  management’s  significant  assumptions  related  to  the  revenue  growth  rates,  EBITDA 
margin  percentages,  royalty  rate,  technology  obsolescence  factors,  useful  lives  and  discount  rates.  Also,  the  audit  effort 
involved the use of professionals with specialized skill and knowledge. 

63

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall 
opinion on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the 
acquisition  accounting,  including  controls  over  management’s  valuation  of  technology  know-how  and  tradenames  and 
trademarks  intangible  assets  and  controls  over  the  development  of  the  revenue  growth  rates,  EBITDA  margin  percentages, 
royalty  rate,  technology  obsolescence  factors,  useful  lives  and  discount  rates  assumptions  utilized  in  the  valuation  of  the 
intangible  assets.  These  procedures  also  included,  among  others  (i)  reading  the  purchase  agreement  and  (ii)  testing 
management’s  process  for  developing  the  fair  value  estimates.  Testing  management’s  process  included  evaluating  the 
appropriateness of the excess earnings and relief-from-royalty valuation methods, testing the completeness and accuracy of data 
provided  by  management,  and  evaluating  the  reasonableness  of  significant  assumptions  related  to  revenue  growth  rates, 
EBITDA  margin  percentages,  royalty  rate,  technology  obsolescence  factors,  useful  lives,  and  discount  rates.  Evaluating 
management’s assumptions related to the revenue growth rates, EBITDA margin percentages, technology obsolescence factors, 
discount rates, royalty rate, and useful lives involved evaluating whether the assumptions were reasonable considering (i) past 
performance of the acquired businesses, (ii) economic and industry forecasts, (iii) benchmarking of peer companies, and (iv), 
and considering whether they were consistent with evidence obtained in other areas of the audit. Professionals with specialized 
skill and knowledge were used to assist in the evaluation of the Company’s excess earnings and relief-from-royalty valuation 
methods and the assumptions related to the technology obsolescence factors, discount rates, royalty rate, and useful lives.

/s/

PricewaterhouseCoopers LLP
PricewaterhouseCoopers LLP
Charlotte, North Carolina
March 1, 2021

We have served as the Company’s auditor since 2000.

64

DENTSPLY SIRONA INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share amounts)

Net sales
Cost of products sold

Gross profit

Selling, general and administrative expenses
Goodwill impairment
Restructuring and other costs

Operating (loss) income

Other income and expenses:

Interest expense
Interest income
Other expense (income), net

(Loss) income before income taxes
Provision for income taxes

Net (loss) income

Less: Net income (loss) attributable to noncontrolling interests

Net (loss) income attributable to Dentsply Sirona

Net (loss) income per common share attributable to Dentsply Sirona:

Basic
Diluted

Weighted average common shares outstanding:

Basic
Diluted

Year Ended December 31,
2019

2018

2020

$ 

3,342  $ 
1,685 

4,029  $ 
1,864 

3,986 
1,918 

1,657 

2,165 

2,068 

1,435 
157 
77 

1,723 
— 
81 

1,719 
1,086 
221 

(12)

361

(958) 

48 
(1)
1 

(60)
23 

(83)

— 

30 
(2)
(12)

345
82 

263

— 

37 
(2) 
(35)

(958) 
53 

(1,011) 

— 

$ 

$ 
$ 

(83) $

263  $ 

(1,011) 

(0.38)  $ 
(0.38)  $ 

1.18  $ 
1.17  $ 

(4.51) 
(4.51) 

219.2 
219.2 

223.1 
224.4 

224.3 
224.3 

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

65

DENTSPLY SIRONA INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME 
 (in millions)

Net (loss) income

$ 

(83) $

263  $ 

(1,011) 

Year Ended December 31,

2020

2019

2018

Other comprehensive income (loss), net of tax:

Foreign currency translation adjustments

 Net (loss) gain on derivative financial instruments

 Net unrealized holding gain on available-for-sale securities

Pension liability adjustments

Total other comprehensive income (loss)

Total comprehensive income (loss)

Less: Comprehensive income attributable to noncontrolling interests

182 

(32)

— 

(13)

137 

54 

1 

(83)

(1)

— 

(36)

(120)

(180)

29 

(44) 

7 

(188)

143 

(1,199) 

1 

— 

Comprehensive income (loss) attributable to Dentsply Sirona

$ 

53  $ 

142  $ 

(1,199) 

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

66

DENTSPLY SIRONA INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in millions, except per share amounts)

Assets

Current Assets:

Cash and cash equivalents
Accounts and notes receivable-trade, net
Inventories, net
Prepaid expenses and other current assets, net

Total Current Assets

Property, plant and equipment, net
Operating lease right-of-use assets, net
Identifiable intangible assets, net
Goodwill, net
Other noncurrent assets, net

Total Assets

Liabilities and Equity
Current Liabilities:
Accounts payable
Accrued liabilities
Income taxes payable
Notes payable and current portion of long-term debt

Total Current Liabilities

Long-term debt
Operating lease liabilities
Deferred income taxes
Other noncurrent liabilities

Total Liabilities

Equity:

Preferred stock, $1.00 par value; 0.25 million shares authorized; no shares issued
Common stock, $0.01 par value;

400.0 million shares authorized at December 31, 2020 and 2019
264.5 million shares issued at December 31, 2020 and 2019
218.7 million and 221.3 million shares outstanding at December 31, 2020 and 2019, 
respectively

Capital in excess of par value
Retained earnings
Accumulated other comprehensive loss
Treasury stock, at cost, 45.8 million and 43.2 million shares at December 31, 2020 and 2019, 
respectively

Total Dentsply Sirona Equity

Noncontrolling interests
Total Equity

Total Liabilities and Equity

$ 

$ 

$ 

December 31,

2020

2019

438  $ 
673 
466 
214 
1,791 

791 
176 
2,504 
3,986 
94 
9,342  $ 

305  $ 
653 
60 
299 
1,317 

1,978 
130 
393 
554 
4,372 

— 
3 

405 
782 
562 
251 
2,000 

802 
159 
2,176 
3,397 
69 
8,603 

308 
629 
56 
2 
995 

1,433 
120 
480 
480 
3,508 

— 
3 

6,604 
1,233 
(464)

6,587 
1,404 
(600)

(2,409) 
4,967 

(2,301) 
5,093 

3 
4,970 
9,342  $ 

2 
5,095 
8,603 

$ 

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

67

DENTSPLY SIRONA INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

(in millions, except per share amounts)

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

Balance at December 31, 2017

$ 

3 

$ 

6,544 

$ 

2,316 

$ 

(291)

$

(1,956)  $ 

6,616 

$ 

Net loss

Other comprehensive loss

Exercise of stock options

Cumulative effect on adoption of ASC 606

Reclassification on adoption of ASU No. 
2016-16

Reclassification on adoption of ASU No. 
2018-02

Stock based compensation expense

Treasury shares purchased

Restricted stock unit distributions

Cash dividends ($0.35 per share)

Balance at December 31, 2018

Net income

Other comprehensive (loss) income

Divesture of noncontrolling interest

Exercise of stock options

Stock based compensation expense

Funding of employee stock ownership plan

Treasury shares purchased

Restricted stock unit distributions

Restricted stock units dividends

Cash dividends ($0.375 per share)

Balance at December 31, 2019

Net loss

Other comprehensive income

Exercise of stock options

Stock based compensation expense

Funding of Employee Stock Ownership Plan

Treasury shares purchased

Restricted stock unit distributions

Restricted stock units dividends

Cash dividends ($0.400 per share)

Balance at December 31, 2020

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(14)

— 

— 

— 

21 

— 

(29)

— 

(1,011) 

— 

—

(6)

(3)

8 

— 

— 

—

(78)

— 

(188)

— 

—

—

— 

— 

— 

— 

—

— 

—

39 

— 

— 

— 

— 

(250)

16 

— 

(1,011) 

(188)

25 

(6)

(3)

8 

21 

(250)

(13)

(78)

$ 

3 

$ 

6,522 

$ 

1,226 

$ 

(479)

$

(2,151)  $ 

5,121 

$ 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

13 

66 

1 

— 

(16)

1 

— 

263 

— 

— 

— 

— 

— 

— 

—

(1)

(84)

— 

(121)

— 

— 

— 

— 

— 

— 

—

—

— 

—

— 

96 

— 

4 

(260)

10 

— 

— 

263 

(121)

— 

109 

66 

5 

(260)

(6)

— 

(84)

12 

— 

—

— 

—

—

— 

— 

— 

—

—

12 

— 

1

(11)

— 

— 

— 

— 

—

— 

—

$ 

6,628 

(1,011) 

(188) 

25 

(6) 

(3) 

8 

21 

(250) 

(13) 

(78) 

$ 

5,133 

263 

(120) 

(11)

109 

66 

5 

(260) 

(6) 

— 

(84) 

$ 

3 

$ 

6,587 

$ 

1,404 

$ 

(600)

$

(2,301)  $ 

5,093 

$ 

2 

$ 

5,095 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

1 

47 

2 

— 

(34)

1 

— 

(83)

— 

— 

— 

— 

— 

—

(1)

(87)

—

136 

— 

— 

— 

— 

— 

—

—

— 

— 

10 

— 

3 

(140)

19 

— 

— 

(83)

136 

11 

47 

5 

(140)

(15)

— 

(87)

—

1 

— 

— 

— 

— 

—

— 

—

(83) 

137 

11 

47 

5 

(140) 

(15) 

— 

(87) 

$ 

3 

$ 

6,604 

$ 

1,233 

$ 

(464)

$

(2,409)  $ 

4,967 

$ 

3 

$ 

4,970 

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

68

DENTSPLY SIRONA INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in millions)

Cash flows from operating activities:
Net (loss) income
Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation
Amortization of intangible assets
Amortization of deferred financing costs
Fixed asset impairment
Goodwill impairment
Indefinite-lived intangible asset impairment
Definite-lived intangible asset impairment
Deferred income taxes
Stock based compensation expense
Restructuring and other costs - non-cash
Gain on sale of equity security
Other non-cash (income) expense
Loss on disposal of property, plant and equipment
Gain on divestiture of noncontrolling interest
Loss on sale on non-strategic businesses and product lines
Changes in operating assets and liabilities, net of acquisitions:

Accounts and notes receivable-trade, net
Inventories, net
Prepaid expenses and other current assets, net
Other noncurrent assets, net
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, net of cash acquired
Cash received on sale of non-strategic businesses or product lines
Purchases of short term investments
Liquidation of short term investments
Capital expenditures
Cash received on derivative contracts
Cash paid on derivative contracts
Expenditures for identifiable intangible assets
Proceeds from the sale of equity security
Proceeds from sale of property, plant and equipment, net
Net cash used in investing activities

Cash flows from financing activities:

Proceeds from long-term borrowings, net of deferred financing costs
Cash paid for deferred financing costs
Repayments on long-term borrowings, net
Net borrowings (repayments) on short-term borrowings
Payments on terminated derivative instruments
Proceeds from exercised stock options
Cash paid for acquisition of noncontrolling interests of consolidated subsidiaries
Cash paid for contingent consideration on prior acquisitions
Cash paid for treasury stock
Cash dividends paid
Net cash provided by (used in) financing activities
Effect of exchange rate changes on cash and cash equivalents
Net increase (decrease) in cash and cash equivalents

Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period

Supplemental disclosures of cash flow information:

Interest paid, net of amounts capitalized
Income taxes paid, net of refunds

Non-cash investing activities:

Property, plant and equipment in accounts payable at end of period
Exchange of inventory for naming rights

Year Ended December 31,

2020

2019

2018

$ 

(83)

$

263 

$ 

(1,011) 

142 
192 
5 
3 
157 
39 
— 
(64)
47 
10 
— 
(14)
1 
— 
1 

126 
124 
42 
1 
(23)
(17)
(39)
(15) 
635 

(1,078) 
1 
— 
— 
(87)
58 
(1)
— 
— 
1 
(1,106) 

1,448 
(6) 
(701)
2 
(30)
11 
(2)
(4)
(140)
(88)
490 
14 
33 

405 
438 

45 
82 

14 
4 

$ 

$ 
$ 

$ 
$ 

$ 

$ 
$ 

$ 
$ 

133 
190 
3 
33 
— 
5 
4 
(37)
66 
16 
— 
(20)
4 
(9)
2 

(91)
14 
13 
(9)
26 
45 
(16)
(2) 
633 

(3)
11 
— 
1 
(123)
40 
— 
— 
— 
5 
(69)

120 
(1) 
(251)
(69)
— 
109 
— 
(33)
(260)
(81)
(466)
(3) 
95 

310 
405 

30 
112 

14 
3 

$ 

$ 
$ 

$ 
$ 

133 
198 
3 
— 
1,086 
179 
— 
(62) 
21 
23 
(44) 
3 
5 
—
— 

24
(20) 
(27) 
(13)
7 
— 
12 
(17) 
500 

(130)
— 
(4) 
— 
(183) 
8 
(2) 
(5) 
54 
9 
(253)

— 
— 
(9) 
60
— 
28 
— 
— 
(250) 
(79) 
(250)
(8) 
(11) 

321 
310 

35 
105 

15 
— 

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

69

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 dental products 
and  technologies,  with  a  134-year  history  of  innovation  and  service  to  the  dental  industry  and  patients  worldwide.  The 
Company’s principal product categories include dental consumable products, dental equipment, dental technologies and certain 
healthcare consumable products. The Company sells its products in over 120 countries under some of the most well-established 
brand names in the industry.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of 
America (“US GAAP”) requires management to make estimates 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 materially from those estimates.

Specifically, for the year ended December 31, 2020, some of these estimates and assumptions were based on the potential 
impacts  of  the  COVID-19  pandemic.  The  full  extent  to  which  the  COVID-19  pandemic  will  directly  or  indirectly  have  a 
negative  material  impact  on  the  Company's  financial  condition,  liquidity,  or  results  of  operations,  is  highly  uncertain  and 
difficult to predict. More specifically, the demand for the Company's products has been, and continues to be, affected by social 
distancing guidelines, newly implemented dental practice safety protocols which reduce patient traffic, and patient reluctance to 
seek dental care. At this time, it is uncertain how long these impacts will continue. 

During the year the Company's business was impacted by COVID-19. The impact began in the early part of the first quarter 
as the Company began to experience declines in customer demand in Asia and then further in mid-March where it was most 
pronounced  in  Europe  and  where  the  Company  experienced  partial  or  country-wide  business  lockdowns  in  various  markets, 
including China, France, and Italy. The United States was most impacted in April and May. Most regions throughout the world 
continue  to  experience  localized  surges  of  COVID-19  cases  which  are  being  responded  to  by  governmental  authorities  with 
partial lockdowns. While the duration and severity of this continuing pandemic is uncertain, the Company currently expects that 
the  COVID-19  pandemic  may  have  a  negative  impact  on  its  operations  in  2021.  As  a  result  of  the  economic  uncertainties 
caused  by  the  COVID-19  pandemic,  the  Company  implemented  several  measures  to  improve  liquidity  and  operating  results, 
including  reduction  of  employee  hours  and  salaries,  furloughs,  suspended  hiring,  travel  bans,  delaying  some  of  its  planned 
capital expenditures, and deferring other discretionary spending for 2020. Many of these measures have been eased during the 
second  half  of  the  year  as  demand  for  the  Company's  products  has  improved.  The  Company  continues  to  monitor  the 
COVID-19 pandemic and may need to reduce operations in the event of a resurgence of COVID-19 or in the event of actions 
from governmental authorities to combat a resurgence. The Company believes it will be able to generate sufficient liquidity to 
satisfy its obligations and remain in compliance with the Company's existing debt covenants for the next twelve months.

At December 31, 2020, the Company's liquidity includes $438 million of cash and has access to a $700 million 2018 Credit 
Facility as well as other short-term credit facilities of approximately $400 million. (See Note 13, Financing Arrangements). At 
December 31, 2020, the Company is in compliance with all of its debt covenants and expects to remain in compliance with all 
covenants  for  the  next  twelve  months.  However,  if  recovery  from  the  pandemic  takes  longer  than  currently  estimated,  the 
Company may not be able to comply with its debt covenants and may have to seek covenant waivers. Inability to obtain debt 
covenant waivers may lead to default and acceleration of all of its outstanding debt, which could have a material adverse effect 
on liquidity.

Basis of Presentation

The consolidated financial statements include the results of the Company and its wholly-owned subsidiaries. All significant 

intercompany accounts and transactions are eliminated in consolidation.

For the year ended December 31, 2020, amounts recorded in the Consolidated Statements of Operations and Consolidated 
Statements  of  Comprehensive  Income  reflect  certain  adjustments  pertaining  to  prior  periods,  the  impact  of  which  are  not 
material to the financial statements for the years presented. These corrections, which primarily include adjustments to accruals 

70

recorded  through  cost  of  products  sold  and  selling,  general,  and  administrative  expenses,  resulted  in  a  net  $9  million  and 
$7 million decrease to pre-tax income and net income, respectively, in the twelve months ended December 31, 2020.

Investments  in  non-consolidated  affiliates,  joint  ventures  and  partnerships  where  the  Company  maintains  significant 

influence over an entity are accounted for using the equity method.

Cash and Cash Equivalents

Cash  and  cash  equivalents  include  deposits  with  banks  as  well  as  highly  liquid  time  deposits  with  original  maturities  of 

ninety days or less.

Short-term Investments

Short-term investments are highly liquid time deposits with original maturities greater than ninety days and with remaining 

maturities of one year or less.

Accounts and Notes Receivable

The  Company  establishes  an  allowance  for  doubtful  accounts  based  on  an  estimate  of  current  expected  credit  losses 
resulting from the inability of its customers to make required payments. The allowance is determined based on a combination of 
factors,  including  the  length  of  time  that  the  receivable  is  past  due,  history  of  write-offs,  and  the  Company's  knowledge  of 
circumstances  relating  to  specific  customers'  ability  to  meet  their  financial  obligations.  Provision  for  doubtful  accounts  are 
included  in  Selling,  General  and  Administrative  expenses  in  the  Consolidated  Statements  of  Operations.  For  customers  on 
credit terms, the Company performs ongoing credit evaluation of those customers’ financial condition and generally does not 
require collateral from them. 

Accounts  receivable  are  stated  net  of  allowances  for  doubtful  accounts  of  $18  million  and  $29  million  at  December  31, 
2020  and  2019,  respectively.  For  the  years  ended  December  31,  2020  and  2019,  the  Company  wrote-off  $12  million  and  $6 
million, respectively, of accounts receivable that were previously reserved. The Company increased the provision for doubtful 
accounts by $1 million and $10 million during 2020 and 2019, respectively. 

Inventories

Inventories are stated at the lower of cost and net realizable value. The cost of inventories is based upon the First In First 
Out Method ("FIFO") or average cost methods, except for $3 million and $5 million of inventories was determined by the last-
in, first-out (“LIFO”) method as of December 31, 2020 and 2019, respectively.

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, 2020 and 2019 by $22 million and $14 million, respectively.

The Company establishes reserves for inventory estimated to be excess, obsolete or unmarketable based upon assumptions 

about future demand, market conditions, and expiration of products.

Valuation of Goodwill and Indefinite-Lived and Definite-Lived Intangible Assets

Assessment of the potential impairment of goodwill and indefinite-lived and definite-lived intangible assets is an integral 
part of the Company’s normal ongoing review of operations. Testing for potential impairment of these assets is 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 technologies can significantly affect the outcome of impairment 
tests.  Estimates  based  on  these  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  result  the  Company  may  be  required  to 
recognize  impairment  charges.  Future  changes  in  the  environment  and  the  economic  outlook  for  the  assets  being  evaluated 
could  also  result  in  additional  impairment  charges  being  recognized.  The  following  information  outlines  the  Company’s 
significant accounting policies on long-lived assets by type.

71

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. The Company conducts an impairment test as of April 30 of each year, or 
more  frequently  if  events  or  circumstances  indicate  that  the  carrying  value  of  goodwill  may  be  impaired.  This  impairment 
assessment includes an evaluation of reporting units, which the Company has determined are either an operating segment or one 
level below its operating segments, as determined in accordance with ASC 350. The Company performs impairment tests by 
comparing  the  fair  value  of  each  reporting  unit  to  its  carrying  amount  to  determine  if  there  is  a  potential  impairment.  If  the 
carrying  value  of  a  reporting  unit  with  goodwill  exceeds  its  fair  value,  an  impairment  charge  is  recognized  for  the  excess 
amount. To determine the fair value of the Company’s reporting units, the Company uses a discounted cash flow model as its 
valuation  technique  to  measure  the  fair  value  for  its  reporting  units.  The  discounted  cash  flow  model  uses  five-  to  ten-year 
forecasted cash flows plus a terminal value based on a multiple of earnings or by capitalizing the last period’s cash flows using 
a perpetual growth rate. The Company's significant assumptions in the discounted cash flow models include, but are not limited 
to, the discount rates, revenue growth rates, perpetual revenue growth rates, and operating margin percentages of the reporting 
unit's business. The Company considers the current market conditions when determining its assumptions. Lastly, the Company 
reconciles  the  aggregate  fair  values  of  its  reporting  units  to  its  market  capitalization,  which  include  a  reasonable  control 
premium based on market conditions. Additional information related to the testing for goodwill impairment including results of 
the annual test performed at April 30, 2020 is provided in Note 10, Goodwill and Intangible Assets.

Indefinite-Lived Intangible Assets

Indefinite-lived intangible assets consist of tradenames and trademarks acquired during business combinations, and these 
are  not  subject  to  amortization.  Valuations  of  indefinite  life  intangibles  assets  acquired  are  based  on  information  and 
assumptions  available  at  the  time  of  their  acquisition,  using  income  and  market  approaches  to  determine  fair  value.  The 
Company conducts an impairment test as of April 30 of each year, or more frequently if events or circumstances indicate that 
the carrying value of indefinite-lived intangible assets may be impaired. Potential impairment is identified by comparing the fair 
value  of  an  intangible  asset  to  its  carrying  value.  The  Company  performs  impairment  tests  using  an  income  approach,  more 
specifically  a  relief  from  royalty  method.  In  the  development  of  the  forecasted  cash  flows,  the  Company  applies  significant 
judgment  to  determine  key  assumptions,  including  revenue  growth  rates,  perpetual  revenue  growth  rates,  royalty  rates,  and 
discount rates. If the carrying value exceeds the fair value, an impairment loss in the amount equal to the excess is recognized. 
Additional information related to the testing for indefinite-lived intangible asset impairment including results of the annual test 
performed at April 30, 2020 is provided in Note 10, Goodwill and Intangible Assets.

Definite-Lived Intangible Assets

Definite-lived  intangible  assets  primarily  consist  of  patents,  tradenames,  trademarks,  licensing  agreements,  technology 
know-how,  and  customer  relationships.  Valuation  of  definite-lived  intangibles  assets  acquired  in  business  combinations  are 
based  on  information  and  assumptions  available  at  the  time  of  acquisition,  using  income  and  market  model  approaches  to 
determine fair value. 

Identifiable  definite-lived  intangible  assets  are  amortized  on  a  basis  that  best  reflects  how  their  economic  benefits  are 
utilized over the life of the asset or on a straight-line basis if not materially different from actual utilization. The useful life is 
the  period  over  which  the  asset  is  expected  to  contribute  to  the  future  cash  flows  of  the  Company.  The  Company  uses  the 
following useful lives for its definite-lived intangible assets: 

Definite-lived Intangible Asset Type

Useful Life

Patents

Tradenames and trademarks

Licensing agreements

Customer relationships

Technology know-how

Up to date patent expires

Up to 20 years

Up to 20 years

Up to 15 years

Up to 10 years

When  the  expected  useful  life  of  an  intangible  is  not  known,  the  Company  will  estimate  its  useful  life  based  on  similar 
asset or asset groups, any legal, regulatory, or contractual provision that limits the useful life, the effect of economic factors, 
including obsolescence, demand, competition, and the level of maintenance expenditures required to obtain the expected future 
economic benefit from the asset.

72

These assets are reviewed for impairment whenever events or circumstances suggest that the carrying amount of the asset 
may  not  be  recoverable.  The  Company  closely  monitors  all  intangible  assets  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 of the asset is determined by using a discounted cash flows valuation. If impaired, the resulting charge reflects the excess 
of the asset’s carrying cost over its fair value.

Property, Plant and Equipment

Property, plant and equipment are stated at cost, net of accumulated depreciation. Assets acquired through acquisitions are 
recorded at fair value. Except for leasehold improvements, depreciation is computed by the straight-line method over the assets' 
estimated useful lives: 

Property, Plant, and Equipment Assets Type

Useful Life

Buildings

Machinery and Equipment

Leasehold Improvements

40 years

4 to 15 years

Shorter of the estimated useful life or the term of the lease

Maintenance  and  repairs  are  expensed  as  incurred;  replacements  and  major  improvements  are  capitalized.  If  events  or 
circumstances  exist  which  suggest  that  the  carrying  amount  of  the  asset  group  may  not  be  recoverable  the  asset  group  is 
reviewed  for  impairment  whenever  impairment  is  calculated  based  upon  an  evaluation  of  the  identifiable  undiscounted  cash 
flows as compared to the carrying value of the asset. If impaired, the resulting charge reflects the excess of the asset group’s 
carrying cost over its fair value.

Leases 

In  February  2016,  the  FASB  issued  ASU  No.  2016-02,  Leases  (Topic  842)  with  subsequent  amendments  (collectively, 
“ASC 842”). The Company adopted the new leasing standards on January 1, 2019 using the modified retrospective approach 
transition  method.  Results  for  reporting  periods  beginning  after  January  1,  2019  are  presented  under  ASC  842,  while  prior 
periods  are  not  adjusted  and  continue  to  be  reported  in  accordance  with  historic  accounting  under  ASC  840.  The  Company 
elected the package of practical expedients permitted under the transition guidance within the standard, which eliminates the 
reassessment of past leases, their classification and initial direct costs for existing leases. The Company did not elect to adopt 
the  hindsight  practical  expedient.  The  Company  recognized  material  right-of-use  assets  and  liabilities  in  the  Consolidated 
Balance Sheets for its operating lease commitments with terms greater than 12 months. The adoption of this standard was not 
material  to  retained  earnings.  2018  lease  expense  under  ASC  840  was  $39  million.  See  Note  9,  Leases  for  additional 
information.

Derivative Financial Instruments

The Company employs derivative financial instruments to hedge certain anticipated transactions, firm commitments, and 
assets  and  liabilities  denominated  in  foreign  currencies.  Additionally,  the  Company  utilizes  interest  rate  swaps  to  convert 
floating rate debt to fixed rate.

The  Company  records  all  derivative  instruments  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 that 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.

73

Pension and Other Postemployment Benefits

Some of the employees of the Company and its subsidiaries are covered by government or Company-sponsored defined 
benefit plans and defined contribution plans. Additionally, certain union and salaried employee groups in the United States are 
covered by postemployment healthcare plans. Costs for Company-sponsored defined benefit and postemployment benefit plans 
are  based  on  expected  return  on  plan  assets,  discount  rates,  employee  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 
the  Company’s  benefit  obligations  and  net  periodic  benefit  costs  associated  with  postemployment 
determining 
benefits.  Changes  in  these  assumptions  can  impact  the  Company’s  earnings.  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 16, Benefit Plans.

Accruals for Self-Insured Losses

The  Company  maintains  insurance  for  certain  risks,  including  workers’  compensation,  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, severity 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.

Litigation

The Company and its subsidiaries, from time to time, are parties to lawsuits arising from operations. The Company records 
liabilities when a loss is probable and can be reasonably estimated. If these estimates are in the form of ranges, the Company 
records the liabilities at the most likely outcome within the range. If no point within the range represents a better estimate of the 
probable loss, then the low point in the range is accrued. The ranges established by management are based on analysis made by 
internal and external legal counsel who considers information known at the time. If the Company determines that a contingency 
is 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  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.

Foreign Currency Translation

The  functional  currency  for  foreign  operations,  except  for  those  in  highly  inflationary  economies,  generally  has  been 

determined to be the local currency.

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 in the Consolidated Balance Sheets. During the year ended December 31, 2020, the Company 
had losses of $54 million on its loans designated as hedges of net investments and translation gains of $235 million. During the 
year ended December 31, 2019, the Company had gains of $4 million on its loans designated as hedges of net investments and 
translation losses of $87 million.

Foreign currency gains and losses arising from transactions denominated in a currency other than the functional currency of 
the  entity  involved  and  remeasurement  adjustments  in  countries  with  highly  inflationary  economies  are  included  in  income. 
During the year ended December 31, 2020, 2019, 2018, net foreign currency gain of $13 million, gain of $27 million in 2019, 
and  loss  of  $6  million  in  2018,  respectively,  are  included  in  Other  expense  (income),  net  in  the  Consolidated  Statements  of 
Operations.

74

Revenue Recognition

Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring goods or 
providing  services.  Revenue  is  recognized  when  performance  obligations  under  the  terms  of  a  contract  with  a  customer  are 
satisfied; generally this occurs with the transfer of risk and/or control of products to its customers. Sales, value-added, and other 
taxes collected concurrent with revenue-producing activities are excluded from revenue.

For most of consumable, technology, and equipment products, the Company transfers control and recognizes revenue when 
products  are  shipped  from  the  Company's  manufacturing  facility  or  warehouse  to  the  customer  (distributors  and  direct  to 
dentists).  For  contracts  with  customers  that  contain  destination  shipping  terms,  revenue  is  not  recognized  until  risk  has 
transferred  and  the  goods  are  delivered  to  the  agreed  upon  destination.  The  amount  of  consideration  received  and  revenue 
recognized varies with changes in marketing incentives (e.g. discounts, rebates, free goods) and returns offered to customers 
and  their  customers.  When  the  Company  gives  customers  the  right  to  return  eligible  products  and  receive  credit,  returns  are 
estimated based on an analysis of historical experience. However, returns of products, excluding warranty-related returns, are 
infrequent  and  insignificant.  The  Company  adjusts  the  estimate  of  revenue  at  the  earlier  of  when  the  most  likely  amount  of 
consideration  can  be  estimated,  the  amount  expected  to  be  received  changes,  or  when  the  consideration  becomes  fixed. 
Consideration received from customers in advance of revenue recognition is classified as deferred revenue.

Depending  on  the  terms  of  the  arrangement,  the  Company  may  also  defer  the  recognition  of  a  portion  of  revenue  on  a 
relative  stand-alone  selling  price  basis  when  performance  obligations  are  not  yet  satisfied  (e.g.,  free  extended  maintenance/
service contracts, software and licenses, customer loyalty points and coupon programs). The Company uses an observable price, 
typically average selling price, to determine the stand-alone selling price for separate performance obligations. The Company 
determines  the  stand-alone  selling  price,  based  on  Company  geographic  sales  locations'  database  of  pricing  and  discounting 
practices for the specific product or service when  sold separately, and utilizes this data to arrive at average selling prices by 
product.  Revenue  is  then  allocated  proportionately,  based  on  the  determined  stand-alone  selling  price,  to  the  unsatisfied 
performance  obligation,  which  is  deferred  until  satisfied.  At  December  31,  2020,  the  Company  had  $41  million  of  deferred 
revenue recorded in Accrued liabilities in the Consolidated Balance Sheets. The Company expects to recognize significantly all 
of  the  deferred  revenue  within  the  next  twelve  months.  The  prior  year  amount  of  $29  million  was  recognized  in  the  current 
year.

The Company has elected to account for shipping and handling activities as a fulfillment cost within the cost of products 
sold, and records shipping and handling costs collected from customers in net sales. The Company has adopted two practical 
expedients: the “right to invoice” practical expedient, which allows us to recognize revenue in the amount of the invoice when it 
corresponds directly with the value of performance completed to date; and relief from considering the existence of a significant 
financing component when the payment for the good or service is expected to be one year or less.

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 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 or distributor's historical and estimated future product purchases.

Certain  of  the  Company’s  customers  are  offered  cash  rebates  based  on  targeted  sales  increases.  The  Company  estimates 
rebates based on the forecasted performance of a customer and their expected level of achievement within the rebate programs. 
In accounting for these rebate programs, the Company records an accrual and reduces net sales ratably as sales occur over the 
rebate period. The Company updates the accruals for these rebate 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  precious  metal  content  of  the  Company’s  sales  is  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.

75

Cost of Products Sold

Cost  of  products  sold  represents  costs  directly  related  to  the  manufacture  and  distribution  of  the  Company’s  products. 
Primary  costs  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.

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.  The  Company’s  warranty  expense  and 
warranty accrual were as follows:

(in millions)

Warranty Expense
Warranty Accrual

Selling, General and Administrative Expenses

December 31,
2019

2018

2020

$ 

29  $ 
18 

36  $ 
18 

24 
13 

Selling, general and administrative expenses represent indirect costs associated with generating revenues and in managing 
the  business  of  the  Company.  Such  costs  include  advertising  and  other  marketing  expenses,  salaries,  employee  benefits, 
incentive compensation, research and development, travel, office expenses, lease costs, amortization of capitalized software and 
depreciation of administrative facilities. Advertising cost are expensed as incurred.

Research and Development Costs

Research and development (“R&D”) costs relate primarily to salaries and direct overhead expenses associated with R&D 
activities. In addition, 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 related to software to be sold, leased, or otherwise marketed incurred 
prior  to  the  attainment  of  technological  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 included in Cost of products sold over the estimated life of the products. R&D costs 
were $115 million, $131 million and $161 million for the years ended December 31, 2020, 2019 and 2018, respectively, and are 
included in Selling, general and administrative expenses in the Consolidated Statements of Operations.

Stock Compensation

Stock-based compensation is measured at the grant date, fair value, and is recognized as an expense over the employee’s 
requisite service period (generally the vesting period of the equity awards). The compensation cost is only recognized for the 
portion of the awards that are expected to vest.

Stock options granted become exercisable as determined by the grant agreement and expire ten years after the date of grant 
under  these  plans.  Restricted  Stock  Units  ("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  RSUs,  the  vesting  period  is  referred  to  as  the  restricted  period.  In  addition  to  the  service  condition,  certain 
granted RSUs are subject to performance requirements that can vary between the first year and up to the final year of the RSU 
award. If targeted performance is not met the RSU granted is adjusted to reflect the achievement level. Upon the expiration of 
the applicable restricted period and the satisfaction of all conditions imposed, the restrictions on RSUs will lapse, and 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 expensed as compensation over their respective vesting periods or to 
the  eligible  retirement  date  if  shorter.  The  Company  records  forfeitures  on  stock-based  compensation  as  the  participant 
terminates rather than estimating forfeitures.

76

During  2019,  the  Company  granted  certain  performance-based  RSUs  issued  under  the  2016  Omnibus  Incentive  Plan  to 
provide performance targets for the Company's previously disclosed three year restructuring program announced in November 
2018.  The  adjusted  operating  income  margin  performance  target  approximates  the  adjusted  operating  income  margin  targets 
previously disclosed by the Company as part of its effort to support revenue growth and margin expansion. For vesting to occur 
an  adjusted  operating  income  margin  target  must  be  achieved  over  a  period  of  four  consecutive  quarters,  and  an  adjusted 
operating  income  margin  above  that  target  threshold  as  measured  at  the  end  of  the  subsequent  quarter,  all  calculated  on  a 
trailing four quarter basis. The performance period began on January 1, 2019 and concludes on December 31, 2022. Under this 
program the Company could issue up to 3 million shares of common stock if all performance targets are met within the period. 
See Note 14 Equity for more information.

Income Taxes

The Company’s tax expense includes U.S. and international income taxes plus the provision for U.S. 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  consolidated 
financial statements the impact of a tax position if that position is more likely than not of being sustained upon examination by 
the taxing authorities based on the technical merits of the position.

The  Company’s  tax  positions  are  subject  to  ongoing  examinations  by  the  tax  authorities.  The  Company  operates  within 
multiple  taxing  jurisdictions  throughout  the  world  and  in  the  normal  course  of  business  is  examined  by  taxing  authorities  in 
those jurisdictions. Adjustments to the uncertain tax positions are recorded when taxing authority examinations are completed, 
statutes of limitation are closed, changes in tax laws occur or as new information comes to light with regard to the technical 
merits of the tax position.

Earnings Per Share

Basic earnings per share are calculated by dividing net earnings attributable to Company’s shareholders by the weighted 
average  number  of  shares  outstanding  for  the  period.  Diluted  earnings  per  share  is  calculated  by  dividing  net  earnings 
attributable to Company’s shareholders by the weighted average number of shares outstanding for the period, adjusted for the 
effect of an assumed exercise of all dilutive options outstanding at the end of the period, unless the impact of including these 
options is anti-dilutive.

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  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.

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 values include: tangible and intangible asset 
valuations  and  appraisals,  and  evaluations  of  existing  contingencies,  liabilities,  and  product  line  information.  If  the  initial 
valuation for an acquisition is incomplete by the end of the reporting period 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. If the subsequent actual results and updated 
projections  of  the  underlying  business  activity  change  compared  with  the  assumptions  and  projections  used  to  develop  these 
values, we could record impairment charges.

77

On December 31, 2020, the Company acquired Straight Smile LLC ("Byte"), a leading provider in the direct-to-consumer, 
doctor-directed clear aligner market. The Company acquired all of the outstanding membership interests of Byte for total cash 
consideration of approximately $1.0 billion. The purchase price allocation resulted in the recording of $631 million of goodwill 
and $416 million of amortizable intangible assets, including tradenames, technology know-how, and non-compete agreements. 
The Company values identified intangible assets using an income approach. Technology know-how is valued using an excess 
earnings method. Tradename and trademark assets are valued using a relief-from-royalty method. Non-compete agreements are 
valued using a with-and-without method. The Company applied significant judgment in estimating the fair value of intangible 
assets acquired, which involved the use of significant estimates and assumptions with respect to revenue growth rates, EBITDA 
margin  percentages,  royalty  rate,  technology  obsolescence  factors,  useful  lives  of  the  assets  and  discount  rates  used  in 
computing  present  values.  In  addition,  the  estimates  of  useful  lives  of  these  acquired  intangibles  are  used  to  calculate 
depreciation  and  amortization  expense.  If  the  estimates  of  the  economic  lives  change,  depreciation  or  amortization  expenses 
could be increased or decreased, or the acquired asset could be impaired. For additional information related to accounting for 
acquisitions, see Note 4, Business Combinations. 

Noncontrolling Interests

The  Company  reports  noncontrolling  interest  (“NCI”)  in  a  subsidiary  as  a  separate  component  of  Equity  in  the 
Consolidated Balance 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. 

Segment Reporting

The  Company  has  numerous  operating  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.  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 advantageous market for the asset or liability in an orderly transaction between market participants on the 
measurement date in current markets. The accounting guidance establishes a hierarchical disclosure framework associated with 
the level of pricing observability utilized in measuring financial instruments at fair value. The three broad levels defined by the 
fair value hierarchy are as follows:

Level 1 - Quoted prices are available in active markets for identical assets or liabilities as of the reported date.

Level  2  -  Pricing  inputs  are  other  than  quoted  prices  in  active  markets,  which  are  either  directly  or  indirectly 
observable as of the reported date. These financial instruments include derivative instruments 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  financial 
instrument. 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.

78

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 records its derivatives and contingent 
considerations on a recurring fair value basis.

The  Company  believes  the  carrying  amounts  of  cash  and  cash  equivalents,  accounts  receivable  (net  of  allowance  for 
doubtful accounts), prepaid expenses and other 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  has  presented  the 
required disclosures in Note 19, Fair Value Measurement.

Non-Recurring Basis

When events or circumstances require an asset or liability to be measured at fair valued that otherwise is generally recorded 
based on another valuation method, such as, net realizable value, the Company will utilize the valuation techniques described 
above. The Company records its business combinations and impairments on a non-recurring basis. 

Recently Adopted Accounting Pronouncements

In  June  2016,  the  FASB  issued  ASU  No.  2016-13  "Financial  Instruments—Credit  Losses  (Topic  326):  Measurement  of 
Credit Losses on Financial Instruments." This newly issued accounting standard changes the recognition and measurement of 
credit losses, including trade accounts receivable. Under current accounting standards, a loss is recognized when loss becomes 
probable of occurring. The new standard broadens the information that an entity must consider when developing expected credit 
loss  estimates.  The  amendments  in  this  update  are  effective  for  fiscal  years  and  interim  periods  ending  after  December  15, 
2019.  Early  adoption  is  permitted.  The  amendments  in  this  update  should  be  applied  on  a  prospective  basis  for  all  periods 
presented with a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the 
guidance is effective. The Company adopted this accounting standard on January 1, 2020. The adoption of this standard did not 
materially impact the Company's consolidated financial statements or related disclosures.

In  August  2018,  the  FASB  issued  ASU  No.  2018-14  "Compensation  -  Retirement  Benefits  -  Defined  Benefit  Plans  - 
General (Subtopic 715-20): Disclosure Framework - Changes to the Disclosure Requirements for Defined Benefit Plans." This 
newly  issued  accounting  standard  changes  disclosure  requirements  for  defined  benefit  plans,  including  removal  and 
modification  of  existing  disclosures.  The  amendments  in  this  update  are  effective  for  fiscal  years  ending  after  December  15, 
2020.  Early  adoption  is  permitted.  The  amendments  in  this  update  should  be  applied  on  a  retrospective  basis  for  all  periods 
presented. The Company adopted this accounting standard on January 1, 2020. The adoption of this standard did not materially 
impact the Company’s disclosures.

In  December  2019,  the  FASB  issued  ASU  No.  2019-12  "Income  Taxes  (Topic  740):  Simplifying  the  Accounting  for 
Income Taxes." This newly issued accounting standard simplifies key provisions for accounting for income taxes, as part of the 
FASB's  initiative  to  reduce  complexity  in  accounting  standards.  The  amendments  eliminate  certain  exceptions  related  to  the 
approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the recognition 
of deferred tax liabilities for outside basis differences. The amendments also clarify and simplify other aspects of the accounting 
for income taxes. The amendments in this update are effective for interim and fiscal period beginning after December 31, 2020. 
The Company adopted this accounting standard on January 1, 2020. The adoption of this standard did not materially impact the 
Company’s consolidated financial statements or related disclosures.

Accounting Pronouncements Not Yet Adopted

In  March  2020,  the  FASB  issued  ASU  No.  2020-04  "Reference  Rate  Reform  (Topic  828):  Facilitation  of  the  Effects  of 
Reference  Rate  Reform  on  Financial  Reporting."  Specifically,  there  is  risk  of  cessation  of  the  London  Interbank  Offer  Rate 
("LIBOR"). The Company has certain variable interest rate debt that uses LIBOR as a reference rate. The guidance provided by 
this accounting standard may be used for contracts entered into on or before December 31, 2022 on a prospective basis. The 
Company  is  currently  assessing  the  impact  that  this  standard  will  have  on  its  consolidated  financial  statements  and  related 
disclosures.

79

NOTE 2 - EARNINGS PER COMMON SHARE

The computation of basic and diluted earnings (loss) per common share for the years ended December 31 were as follows:

Basic (Loss) Earnings Per Common Share

(in millions, except per share amounts)

Net (loss) income attributable to Dentsply Sirona

Weighted average common shares outstanding

(Loss) earnings per common share - basic

Diluted (Loss) Earnings Per Common Share

(in millions, except per share amounts)

Net (loss) income attributable to Dentsply Sirona

2020

2019

2018

(83) $

263  $ 

(1,011) 

219.2 

223.1 

224.3 

(0.38)  $ 

1.18  $ 

(4.51) 

2020

2019

2018

(83)  $ 

263  $ 

(1,011) 

$ 

$ 

$ 

Weighted average common shares outstanding
Incremental weighted average shares from assumed exercise of 
dilutive options from stock-based compensation awards

Total weighted average diluted shares outstanding

219.2 

— 

219.2 

223.1 

1.3 

224.4 

224.3 

— 

224.3 

(Loss) earnings per common share - diluted

$ 

(0.38)  $ 

1.17  $ 

(4.51) 

The calculation of weighted average diluted common shares outstanding excluded 0.9 million and 1.6 million of potentially 

diluted common shares because the Company reported a net loss for year ended December 31, 2020 and 2018, respectively. 

Stock  options  and  RSUs  of  3.1  million,  3.1  million,  and  3.5  million  equivalent  shares  of  common  stock  that  were 
outstanding during the years ended December 31, 2020, 2019, and 2018, respectively were excluded from the computation of 
weighted average diluted shares outstanding because their effect would be antidilutive. 

On  March  9,  2020,  the  Company  entered  into  an  accelerated  share  repurchase  agreement  with  a  financial  institution 
pursuant  to  an  Accelerated  Share  Repurchase  Transaction  (“ASR  Agreement")  to  purchase  $140  million  of  the  Company's 
common stock. Pursuant to the terms of the ASR Agreement, the Company delivered $140 million cash to a financial institution 
and received an initial delivery of 2.7 million shares of the Company’s common stock on March 9, 2020 based on a closing 
market  price  of  $42.12  per  share  and  the  applicable  contractual  discount.  The  Company  received  an  additional  1.0  million 
shares on May 12, 2020, upon termination of the ASR Agreement. The average price per share for the total shares purchased 
under the ASR Agreement was $38.88 per share.

80

NOTE 3 - COMPREHENSIVE (LOSS) INCOME

AOCI includes foreign currency translation adjustments related to consolidation of the Company’s foreign subsidiaries, 
fair value adjustments related to the Company’s derivative financial instruments, and actuarial gains and losses related to the 
Company's  pension  plans.  These  changes  are  recorded  in  AOCI  net  of  any  related  tax  adjustments.  For  the  years  ended 
December 31, 2020, 2019 and 2018, these tax adjustments were $216 million, $173 million and $158 million, respectively, 
primarily related to foreign currency translation adjustments.

The  cumulative  foreign  currency  translation  adjustments  included  translation  losses  of  $25  million  and  $260  million  at 
December  31,  2020  and  2019,  respectively,  and  which  included  losses  of  $162  million  and  $108  million,  at  December  31, 
2020 and 2019, respectively, on loans designated as hedges of net investments.

Changes in AOCI, net of tax, by component for the years ended December 31, 2020 and 2019 were as follows:

(in millions)

Foreign 
Currency 
Translation 
Gain (Loss) 

Gain and 
(Loss) on 
Cash Flow 
Hedges

Gain and 
(Loss) on Net 
Investment 
and Fair 
Value 
Hedges

Pension 
Liability 
Gain (Loss)

Total

Balance, net of tax, at December 31, 2019

$ 

(368) $

(11) $

(101) $

(120) $

(600) 

Other comprehensive income (loss) before 
reclassifications and tax impact

Tax benefit
Other comprehensive income (loss), net of 
tax, before reclassifications
Amounts reclassified from accumulated 
other comprehensive income, net of tax
Net increase (decrease) in other 
comprehensive income

151 

30 

(17)

1 

(23)

5 

(26)

7 

85

43 

$ 

181  $ 

(16) $

(18) $

(19) $

128 

— 

181 

2 

(14)

(25) $

— 

(18)

6 

(13)

(119) $

(133) $

8 

136

(464) 

Balance, net of tax, at December 31, 2020

$ 

(187) $

(in millions)

Foreign 
Currency 
Translation 
Gain (Loss)

Gain and 
(Loss) on 
Cash Flow 
Hedges

Gain and 
(Loss) on Net 
Investment 
and Fair 
Value 
Hedges

Pension 
Liability 
Gain (Loss)

Total

Balance, net of tax, at December 31, 2018

$ 

(284) $

1  $ 

(112) $

(84) $

(479) 

Other comprehensive (loss) income before 
reclassifications and tax impact

Tax benefit (expense)
Other comprehensive (loss) income, net of 
tax, before reclassifications
Amounts reclassified from accumulated 
other comprehensive income, net of tax

Net (decrease) increase in other 
comprehensive income

(88)

4 

(17)

4 

18 

(7)

(54)

14

(141)

15 

$ 

(84) $

(13) $

11  $ 

(40) $

(126) 

— 

(84)

1 

(12)

— 

11 

4 

(36)

5 

(121)

Balance, net of tax, at December 31, 2019

$ 

(368) $

(11) $

(101) $

(120) $

(600) 

81

Reclassification out of AOCI to the Consolidated Statements of Operations for the years ended December 31, 2020, 2019, 

and 2018 were as follows:

Details about AOCI Components

Amounts Reclassified from AOCI

Year Ended December 31,

2020

2019

2018

Affected Line Item in the 
Consolidated Statements of 
Operations

(in millions)

Loss on derivative financial instruments:

Interest rate swaps

Foreign exchange forward contracts

Net loss before tax

Tax impact

Net loss after tax

$ 

$ 

$ 

Realized gain on available-for-sale securities:

Available -for-sale-securities

Tax impact

Net gain after tax

$ 

$ 

(4) $

2 

(2) $

— 

(2) $

—  $ 

— 

—  $ 

(2) $

1 

(1) $

— 

(1) $

—  $ 

— 

—  $ 

Amortization of defined benefit pension and other postemployment benefit items:

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

$ 

$ 

$ 

$ 

1  $ 

(9)

(8) $

2 

(6) $

1  $ 

(6)

(5) $

1 

(4) $

(8) $

(5) $

(2) Interest expense

(9) Cost of products sold

(11) 

1  Provision for income taxes

(10) 

45  Other expense (income), net

(1) Provision for income taxes

44 

—  (a)

(6) (a)

(6) 

2  Provision for income taxes

(4) 

30 

(a) These  AOCI  components  are  included  in  the  computation  of  net  periodic  benefit  cost  for  the  years  ended  December  31,  2020,  2019,  and  2018,
respectively.

82

NOTE 4 - BUSINESS COMBINATIONS

Acquisitions

2020 Transactions

On December 31, 2020, the effective date of the transaction, the Company acquired 100% of the outstanding interests of 
Byte,  a  privately-held  company,  for  approximately  $1.0  billion  using  cash  on  hand.  Byte  is  a  doctor-directed,  direct-to-
consumer, clear aligner business. The acquisition is expected to enhance scale and accelerate the growth and profitability of the 
Company's combined clear aligners business. 

The preliminary fair values of the assets acquired and liabilities assumed in connection with the Byte acquisition for the 

year ended December 31, 2020 were as follows:

(in millions)

Cash and cash equivalents

Current assets

Intangible assets
Current liabilities

Long-term assets (liabilities), net

Net assets acquired

Goodwill

Purchase consideration

$ 

13 

15 

416 
(32) 

2 

414 

631 

$ 

1,045 

The  purchase  price  has  been  allocated  on  the  basis  of  the  preliminary  estimates  of  fair  values  of  assets  acquired  and 
liabilities  assumed,  which  resulted  in  the  recording  of  $631  million  in  goodwill.  The  amount  of  goodwill  is  considered  to 
represent the value associated with workforce and synergies the two companies anticipate realizing as a combined company, 
including alignment with the Company’s existing clear aligner business, and is deductible for tax purposes. Final consideration 
is  subject  to  a  post-closing  adjustment  for  the  change  in  working  capital  to  the  date  of  closing,  which  is  expected  to  be 
completed by the end of the first quarter of 2021. Management is continuing to finalize its valuation of certain assets including 
other intangible assets and will conclude its valuation no later than one year from the acquisition date.

Intangible assets acquired were as follows:

(in millions, except for useful life)

Amount

Weighted Average
Useful Life
(in years)

Non-compete agreements

Technology know-how
Tradenames and trademarks

Total

$ 

$ 

16 

210 
190 
416 

5

10
20

The  results  of  operations  for  this  business  upon  the  effective  date  of  the  transaction  have  been  included  in  the 
accompanying financial statements. These results, as well as the historical results for the Byte business for the both the years 
ended December 31, 2020 and 2019, are not material in relation to the Company’s net sales and earnings for those periods. The 
Company  therefore  does  not  believe  this  acquisition  represents  a  material  transaction  requiring  the  supplemental  pro-forma 
information prescribed by ASC 805 and accordingly, this information is not presented.

83

2018 Transactions

On May 1, 2018, the Company acquired all of the outstanding shares of privately held OraMetrix, Inc. for $120 million, 
with  an  additional  payment  totaling  $30  million,  subject  to  meeting  certain  earn-out  provisions.  During  the  year  ended 
December  31,  2019,  the  Company  paid  the  earn-out  provision.  OraMetrix  specializes  in  orthodontic  treatment  planning 
software,  wire  bending,  and  clear  aligner  manufacturing  and  is  headquartered  in  Richardson,  Texas.  The  Company  recorded 
$58 million in goodwill related to the fair value of assets acquired and liabilities assumed and the consideration given for the 
acquisition.  The  purchase  price  has  been  assigned  on  the  basis  of  the  fair  values  of  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. The goodwill is not expected to be deductible for tax purposes.

Intangible assets acquired were as follows:

(in millions, except for useful life)

Customer relationships
Developed technology and patents
Tradenames and trademarks

Total

Weighted Average
Useful Life
(in years)

15
15
Indefinite

18 
65 
14 
97 

Amount

$ 

$ 

The results of operation for this business have been included in the accompanying financial statements as of the effective 
date of the transaction. The purchase price has been assigned on the basis of the fair values of assets acquired and liabilities 
assumed. This transaction was not material to the Company’s net sales and net loss attributable to Dentsply Sirona for the year 
ended December 31, 2018.

Acquisition-related costs incurred for the year ended December 31, 2020 were $16 million, consisting primarily of legal 
and professional fees in relation to the Byte acquisition, and are recorded in Selling, general and administrative expenses in the 
Consolidated Statements of Operations. Acquisition-related costs were immaterial for the years ended December 31, 2019 and 
2018. 

Investment in Affiliates 

During the three months ended December 31, 2020, the Company paid $45 million for a minority ownership position in a 
privately-held dental services company. The investment is recorded as an equity-method investment and recorded in Other non-
current  assets,  net  in  the  Consolidated  Balance  Sheets.  The  Company's  share  of  earnings  from  this  investment,  which  are 
immaterial  to  the  year  ended  December  31,  2020,  are  included  in  the  Other  income  and  expense  line  item  within  the 
Consolidated Statements of Operations.

During the year ended December 31, 2018, the Company sold its direct investment in DIO Corporation, which resulted in a 

gain of $44 million was recorded in Other expense (income), net in the Consolidated Statements of Operations.

84

NOTE 5 - SEGMENT AND GEOGRAPHIC INFORMATION

The Company’s two operating segments are organized primarily by product and generally have overlapping geographical 
presence,  customer  bases,  distribution  channels,  and  regulatory  oversight.  These  operating  segments  also  comprise  the 
Company’s  reportable  segments  in  accordance  with  how  the  Company’s  chief  operating  decision-maker  regularly  reviews 
financial results and uses this information to evaluate the Company’s performance and allocate resources.

The  Company  evaluates  performance  of  the  segments  based  on  the  net  sales  and  adjusted  operating  income.  Segment 
adjusted  operating  income  is  defined  as  operating  income  before  income  taxes  and  before  certain  corporate  headquarters 
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.

A  description  of  the  products  and  services  provided  within  each  of  the  Company’s  two  reportable  segments  is  provided 

below.

Technologies & Equipment

This segment is responsible for the design, manufacture, and sales of the Company’s Dental Technology and Equipment 
Products and Healthcare Consumable Products. These products include dental implants, CAD/CAM systems, orthodontic clear 
aligners products, imaging systems, treatment centers, instruments, as well as consumable medical device products.

Consumables

This segment is responsible for the design, manufacture, and sales of the Company’s Dental Consumable Products which 

include preventive, restorative, endodontic, and dental laboratory products.

The Company’s segment information for the years ended December 31 was as follows:

Net Sales
(in millions)

Technologies & Equipment

Consumables

Total net sales

Depreciation and Amortization
(in millions)

Technologies & Equipment

Consumables
All Other (a)

Total

(a) Includes amounts recorded at Corporate headquarters.

Year Ended December 31,
2019

2018

2020

1,961  $ 

1,381 
3,342  $ 

2,283  $ 

1,746 
4,029  $ 

2,168 

1,818 
3,986 

Year Ended December 31,
2019

2020

2018

261  $ 

61 
12 
334  $ 

258  $ 

54 
11 

323  $ 

238 

91 
2 
331 

$ 

$ 

$ 

$ 

85

Segment Adjusted Operating Income
(in millions)

Technologies & Equipment (a)

Consumables (a)

Segment adjusted operating income

Reconciling items (income) expense:

All other (a) (b)
Goodwill impairment
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 equipment from business combinations

(Loss) income before income taxes

Year Ended December 31,
2019

2020

2018

$ 

$ 

387  $ 

314 
701  $ 

467  $ 

440 
907  $ 

281 
157 
77 
48 
(1)
1 
192 

269 
— 
81 
30 
(2)
(12)
189 

$ 

6 
(60) $

7 
345  $ 

312 

462 
774 

220 
1,086 
221 
37 
(2) 
(35)
198 

7 
(958) 

(a) Certain  charges  related  to  discontinuance  of  product  lines  which  were  previously  reported  in  adjusted  operating  income  for  the  reportable  segments,
$38  million  in  2019  and  $36  million  in  2018,  have  been  reclassified  to  the  “All  other”  category  to  conform  to  current  year  presentation  and  our  internal
reporting  to  our  Chief  Operating  Decision  Maker  package  ("CODM").  These  amounts  are  not  material  to  the  measure  of  segment  results  for  the  years
presented.
(b) Includes the results of unassigned Corporate headquarters costs and inter-segment eliminations.

Capital Expenditures
(in millions)

Technologies & Equipment

Consumables
All Other (a)

Total

(a) Includes capital expenditures of Corporate headquarters.

Assets
(in millions)

Technologies & Equipment
Consumables
All Other (a)

Total

Year Ended December 31,
2019

2020

2018

$ 

$ 

50  $ 

26 
11 
87  $ 

73  $ 

34 
16 

123  $ 

126 

43 
14 
183 

Year Ended December 31,

2020

2019

$ 

$ 

7,014  $ 
2,172 
156 
9,342  $ 

5,927 
2,443 
233 
8,603 

(a) Includes the results of unassigned Corporate headquarters costs and inter-segment eliminations.

86

Geographic Information

The  following  table  sets  forth  information  about  the  Company’s  operations  in  different  geographic  areas  for  the  years 
ended  December  31,  2020,  2019,  and  2018.  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.

(in millions)

2020

Net sales
Property, plant, and equipment, net

2019

Net sales
Property, plant, and equipment, net

2018

Net sales
Property, plant, and equipment, net

United
States

Germany

Sweden

Other
Foreign

Consolidated

1,109  $ 
145 

439  $ 
337 

53  $ 
110 

1,741  $ 
199 

3,342 
791 

1,375  $ 
168 

478  $ 
327 

56  $ 
99 

2,120  $ 
208 

4,029 
802 

1,270  $ 
211 

494  $ 
340 

55  $ 
99 

2,167  $ 
221 

3,986 
871 

$ 

$ 

$ 

Product and Customer Information

Net sales by product category were as follows:

(in millions)

Dental technology and equipment products
Dental consumables products
Healthcare consumable products

Total net sales

Dental Technology and Equipment Products

Year Ended December 31,
2019

2020

2018

$ 

$ 

1,674  $ 
1,337 
331 
3,342  $ 

2,005  $ 
1,688 
336 
4,029  $ 

1,897 
1,740 
349 
3,986 

Dental technology products consist of basic and high-tech dental equipment such as treatment centers, imaging equipment, 
dental  handpieces  and  computer  aided  design  and  machining  "CAD/CAM"  systems  equipment  for  dental  practitioners.  The 
product  category  also  includes  high-tech  and  state-of-art  dental  implants  and  related  scanning  equipment  and  treatment 
software,  orthodontic  clear  aligner  products  and  appliances  for  dental  practitioners  and  specialists.  The  Company  offers  the 
broadest line of products to fully outfit a dental practitioner’s office.

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  products  designed  for  dental  offices  used  for  dental  restorations,  which 
includes several types of restorations, such as inlays, onlays, veneers, crowns, bridges, copings and bridge frameworks made 
from  ceramic,  metal  or  composite  blocks.  This  product  line  also  includes  high-tech  CAD/CAM  techniques  of  chairside 
economical  restoration  of  aesthetic  ceramic  dentistry,  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.

87

Dental Consumable Products

Dental  consumable  products  consist  of  value-added  dental  supplies  and  small  equipment  used  in  dental  offices  for  the 
treatment  of  patients.  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.

Dentsply Sirona’s dental supplies include endodontic (root canal) instruments and materials, dental anesthetics, prophylaxis 
paste,  dental  sealants,  impression  materials,  restorative  materials,  tooth  whiteners  and  topical  fluoride.  Small  equipment 
products include intraoral curing light systems, dental diagnostic systems and ultrasonic scalers and polishers.

The  Company’s  products  used  in  dental  laboratories  include  dental  prosthetics,  including  artificial  teeth,  precious  metal 
dental alloys, dental ceramics and crown and bridge materials. Dental laboratory equipment products include laboratory-based 
CAD/CAM milling systems, amalgamators, mixing machines and porcelain furnaces.

Healthcare Consumable Products

Healthcare consumable products consist mainly of urology catheters, medical drills and other non-medical products.

Concentration Risk

For the year ended December 31, 2020, two customers each accounted for approximately 14% and 10% of consolidated net 
sales. At December 31, 2020, one customer accounted for approximately 18% of the consolidated accounts receivable balance. 
For  the  year  ended  December  31,  2019,  one  customer  accounted  for  approximately  13%  of  consolidated  net  sales.  At 
December 31, 2019, two customers accounted for approximately 12% and 17% of the consolidated accounts receivable balance. 
For  the  year  ended  December  31,  2018,  one  customer  accounted  for  approximately  10%  of  consolidated  net  sales.  At 
December 31, 2018, two customers accounted for approximately 10% and 13% of the consolidated accounts receivable balance. 
For the years ended December 31, 2020, 2019, and 2018, third party export sales from the U.S. were less than ten percent of 
consolidated net sales.

88

NOTE 6 - OTHER EXPENSE (INCOME), NET

Other expense (income), net, were as follows:

(in millions)

Foreign exchange transaction (gain) loss
Other expense (income), net

Total other expense (income), net

Year Ended December 31,
2019

2018

2020

$ 

$ 

(13) $
14 
1  $ 

(27) $
15 
(12) $

6 
(41) 
(35) 

89

NOTE 7 - INVENTORIES, NET

Inventories, net of inventory valuation reserves, were as follows:

(in millions)

Finished goods
Work-in-process
Raw materials and supplies
Inventories, net

Year Ended December 31,

2020

2019

$ 

$ 

264  $ 
68 
134 
466  $ 

356 
83 
123 
562 

The  Company’s  inventory  valuation  reserve  was  $117  million  and  $85  million  at  December  31,  2020  and  2019, 
respectively.  The  increase  in  the  inventory  reserve  is  primarily  due  to  the  full  year  2020  restructuring  plans,  see  Note  17, 
Restructuring and Other Costs.

90

NOTE 8 - PROPERTY, PLANT AND EQUIPMENT, NET

Property, plant and equipment, net, were as follows:

(in millions)

Assets, at cost:

Land
Buildings and improvements
Machinery and equipment
Construction in progress

Less: Accumulated depreciation
Property, plant and equipment, net

Year Ended December 31,

2020

2019

$ 

$ 

$ 

54  $ 
595 
1,414 
120 
2,183  $ 
1,392 

791  $ 

52 
554 
1,327 
102 
2,035 
1,233 
802 

91

NOTE 9 - LEASES

The Company leases real estate, automobiles and equipment under various operating and finance leases. Operating lease 
right-of-use assets and liabilities are recognized at commencement date based on the present value of lease payments over the 
lease term. As the implicit rate is not readily determinable in most of the Company’s lease agreements, the Company uses its 
estimated secured incremental borrowing rate, based on the information available, at commencement of the lease to determine 
the present value of lease payments. Lease expense is recognized on a straight-line basis over the lease term. Leases with an 
initial  term  of  12  months  or  less  are  not  recorded  on  the  balance  sheet.  Beginning  January  1,  2019,  any  new  real  estate  and 
equipment operating lease agreements with lease and non-lease components, were accounted for as a single lease component; 
auto leases were accounted for as separate lease components.

The  Company  determines  if  an  arrangement  is  a  lease  or  contains  a  lease  at  inception.  The  Company’s  leases  have 
remaining lease terms of approximately 1 year to 10 years. Many of the Company's real estate and equipment leases have one or 
more options to renew, with terms that can extend primarily from 1 year to 3 years, which are not included in the initial lease 
term.  The  Company  does  not  have  lease  agreements  with  residual  value  guarantees,  sale-and-leaseback  terms,  or  material 
restrictive covenants. The Company does not have any material sublease arrangements.

The net present value of finance and operating lease right-of-use assets and liabilities were as follows:

(in millions, except percentages)

Location in the Consolidated Balance Sheets

2020

2019

Year Ended December 31,

Assets

Finance leases

Operating leases

Total right-of-use assets

Liabilities

Current liabilities

Operating leases

Noncurrent liabilities

Finance leases

Operating leases

Total lease liabilities

Property, plant, and equipment, net

Operating lease right-of-use assets, net

$ 

$ 

1 

176 

177 

$ 

$ 

1 

159 

160 

Accrued liabilities

$ 

48 

$ 

44 

Long-term debt

Operating lease liabilities

1 

130 

179 

$ 

1 

120 

165 

$ 

Supplemental information:

Weighted-average discount rate

Finance leases

Operating leases

Weighted-average remaining lease term in years

Finance leases

Operating leases

 3.7 %

 3.0 %

6.5

5.2

 3.6 %

 2.9 %

7.0

5.3

92

The lease cost recognized in the Consolidated Statements of Operations for the year ended December 31, 2020 and 2019 

were as follows:

(in millions)

Operating lease cost

Short-term lease cost

Variable lease cost

Total lease cost

2020

2019

$ 

$ 

57  $ 

1 

9 

67  $ 

55 

1 

10 

66 

The contractual maturity dates of the remaining lease liabilities for the year ended December 31, 2020 were as follows:

(in millions)

Finance Leases

Operating Leases

Total

2021

2022

2023

2024

2025

2026 and beyond

Total lease payments

Less imputed interest

Present value of lease liabilities

$ 

—  $ 

52  $ 

— 

— 

— 

— 

1 

1  $ 

— 

1  $ 

41 

31 

22 

14 

34 

194  $ 

16 

178  $ 

$ 

$ 

52 

41 

31 

22 

14 

35 

195 

16 

179 

93

The supplemental cash flow information for the year ended December 31, 2020 and 2019 were as follows:

(in millions)

2020

2019

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows paid for operating leases

Right-of-use assets obtained in exchange for new lease liabilities:

Operating leases

$ 

$ 

56  $ 

43  $ 

53 

35 

94

NOTE 10 - GOODWILL AND INTANGIBLE ASSETS

2020 Annual Goodwill Impairment Testing

The Company performed the required annual impairment tests of goodwill at April 30, 2020 on its five reporting units. To 
determine the fair value of these reporting units, the Company uses a discounted cash flow model as its valuation technique to 
measure the fair value for its reporting units. The discounted cash flow model uses five- to ten- year forecasted cash flows plus 
a terminal value based on a multiple of earnings or by capitalizing the last period’s cash flows using a perpetual growth rate. 
The Company's significant assumptions in the discounted cash flow models include, but are not limited to, the discount rates, 
revenue growth rates, perpetual revenue growth rates, and operating margin percentages of the reporting unit's business. The 
Company considered the current market conditions when determining its assumptions. The total forecasted cash flows for each 
of  the  reporting  units  were  discounted  using  rates  ranging  between  9.0%  to  11.5%.  Further,  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. The revenue growth rate assumptions were developed in consideration of future expectations which include, 
but were not limited to, distribution channel changes, impact from competition, and new product development changes for these 
reporting  units.  The  Company  also  considered  the  current  and  projected  market  and  economic  conditions  amid  the  ongoing 
COVID-19 pandemic for the dental industry both in the U.S. and globally, when determining its assumptions. As a result of the 
annual tests of goodwill performed at April 30, 2020, no impairment was identified. 

The  use  of  estimates  and  the  development  of  assumptions  results  in  uncertainties  around  forecasted  cash  flows.  For  this 
reason, in conjunction with the annual test, the Company applied a hypothetical sensitivity analysis to its reporting units. If the 
discount rate of these reporting units had been hypothetically increased by 100 basis points at April 30, 2020, or, in a separate 
test, each reporting unit were subject to a 10% hypothetical reduction in fair value, it is noted that the Implants reporting unit 
within the Company's Technologies & Equipment segment would have a fair value that would approximate book value. For the 
Equipment & Instruments reporting unit that recorded goodwill impairment at March 31, 2020 as described below, the implied 
fair  value  continues  to  approximate  net  book  value  at  April  30,  2020,  and  therefore  this  reporting  unit  is  sensitive  to  any 
unfavorable change in assumptions. Goodwill associated with the Implants and Equipment & Instruments reporting units was 
$1,232 million and $292 million, respectively as of December 31, 2020.

 During the time subsequent to the annual evaluation, and at December 31, 2020, the Company considered  whether any 
events or changes in circumstances had resulted in the likelihood that the goodwill of any of its reporting units may have been 
impaired. It is management's assessment that no such events have occurred. A change in any of the estimates and assumptions 
used  in  the  annual  test,  as  well  as  further  unfavorable  changes  in  the  ongoing  COVID-19  pandemic,  a  decline  in  the  overall 
markets  served  by  these  reporting  units,  among  other  factors,  could  have  a  negative  material  impact  to  the  fair  value  of  the 
reporting units and could result in a future impairment charge. There can be no assurance that the Company’s future goodwill 
impairment testing will not result in a material charge to earnings.

2020 Annual Indefinite-Lived Intangibles Impairment Testing

The  Company  also  assessed  the  annual  impairment  of  indefinite-lived  intangible  assets  at  April  30,  2020,  which  largely 
consists of acquired tradenames and trademarks, in conjunction with the annual impairment tests of goodwill. As a result of the 
annual impairment test of indefinite-lived intangible assets, no impairment was identified. The Company applied a hypothetical 
sensitivity analysis. With the exception of the previously impaired intangible assets, it was noted that is the fair value of each of 
these indefinite-lived intangibles assets had been hypothetically reduced by 10% or the discount rate had been hypothetically 
increased  by  100  basis  points  at  April  30,  2020,  the  fair  value  of  these  assets  would  still  exceed  their  book  value.  For  the 
indefinite-lived intangible assets that were previously impaired at March 31, 2020 as described below, which are comprised of 
certain tradenames and trademarks related to the Equipment & Instruments reporting unit, the implied fair values continue to 
approximate  net  book  values  at  April  30,  2020  and  are  therefore  sensitive  to  any  unfavorable  changes  in  assumptions.  At 
December  31,  2020,  the  remaining  indefinite-lived  tradenames  and  trademarks  related  to  the  Equipment  &  Instruments 
reporting  unit  was  $82  million,  of  which  one  business  unit  in  the  Equipment  &  Instruments  reporting  unit  makes  up  a 
significant portion of the balance.

Should  the  Company’s  analysis  in  the  future  indicate  additional  unfavorable  impacts  related  to  the  ongoing  COVID-19 
pandemic, an increase in discount rates, or a decline in the use of the tradenames and trademarks, any of which could have a 
negative  material  impact  to  the  implied  fair  values  and  could  result  in  a  future  impairment  to  the  carrying  value  of  the 
indefinite-lived  intangible  assets.  There  can  be  no  assurance  that  the  Company’s  future  indefinite-lived  intangible  asset 
impairment testing will not result in a material charge to earnings. 

95

March 31, 2020 Impairment

In the first quarter of 2020, the Company concluded that due to the negative effects of the COVID-19 pandemic on revenue 
and profitability, a triggering event existed for four of the Company’s five reporting units containing a goodwill balance as of 
March 31, 2020. The Company had experienced a meaningful decrease in customer demand for its products as a result of stay-
at-home orders, travel restrictions, and social distancing guidelines set forth by governmental authorities throughout the world 
in response to the COVID-19 pandemic. These actions meaningfully impacted end-user demand for routine dental procedures 
in most of the Company's markets. The Company updated its future forecasted revenues, operating margins, and discount rates 
for all four of the reporting units which were impacted by the continuing pandemic. Based on the Company's best estimates and 
assumptions  at  March  31,  2020,  the  Company  believed  forecasted  future  revenue  growth  related  to  the  Equipment  & 
Instruments reporting unit will experience an extended recovery period in returning to the pre-COVID-19 levels. The Company 
believed that dental practitioners will focus their initial post-COVID-19 equipment spending on products that deliver short-term 
revenue gains for their practices before replacing the Imaging, Treatment Center, and Instruments products that comprise the 
Equipment  &  Instruments  reporting  unit.  After  this  extended  recovery  period,  the  Company  expects  the  growth  rates  of  the 
Equipment & Instruments reporting unit to return to pre-COVID-19 levels. 

To  determine  the  fair  value  of  each  of  the  four  reporting  units  for  which  a  triggering  event  was  concluded  to  exist,  the 
Company used a discounted cash flow model consistent with the valuation approach described above for the annual impairment 
test, and utilized discount rates for each of the reporting units which ranged between 9.5% to 11.5%.

As  a  result  of  these  models  which  included  updates  to  the  estimates  and  assumptions  resulting  from  the  ongoing 
COVID-19 pandemic the Company determined that the goodwill associated with the Equipment & Instruments reporting unit 
was impaired and recorded an impairment charge of $157 million. This reporting unit is within the Technologies & Equipment 
segment.  Based  on  the  quantitative  assessments  performed  for  the  three  other  reporting  units,  the  Company  believed  that  its 
adjusted long-term forecasted cash flows did not indicate that the fair value of these reporting units may be below their carrying 
value.

Additionally, the Company also concluded in the first quarter of 2020 that due to the negative effects of the COVID-19 
pandemic  on  revenue  and  profitability,  a  triggering  event  also  existed  for  all  but  two  of  the  Company’s  indefinite-lived 
intangible  assets  as  of  March  31,  2020.  In  preparing  the  financial  statements  for  the  three  months  ended  March  31,  2020  in 
conjunction with the goodwill impairment, the Company tested the indefinite-lived intangible assets related to the businesses 
within  the  four  reporting  units  for  impairment.  The  Company  performed  impairment  tests  using  an  income  approach,  more 
specifically  a  relief  from  royalty  method.  In  the  development  of  the  forecasted  cash  flows,  the  Company  applied  significant 
judgment to determine key assumptions, including royalty rates, and discount rates. Royalty rates used are consistent with those 
assumed for the original purchase accounting valuation. If the carrying value exceeds the fair value, an impairment loss in the 
amount  equal  to  the  excess  is  recognized.  The  first  quarter  impairment  test  resulted  in  an  impairment  charge  of  $39  million 
related to certain tradenames and trademarks related to the Equipment & Instruments reporting unit.

 This impairment charge was recorded in Restructuring and other costs in the Consolidated Statements of Operations. The 
impairment charge was driven by a decline in forecasted sales as a result of the COVID-19 pandemic as discussed above, as 
well as an unfavorable change in the discount rates. The Company utilized discount rates ranging from 10.0% to 17.5%. The 
assumptions and estimates used in determining the fair value of the indefinite-lived intangible assets contain uncertainties and 
any changes to these assumptions and estimates, including unfavorable changes related to the COVID-19 pandemic, could have 
a  negative  impact  and  result  in  a  material  future  impairment  charge  to  the  Company's  results  of  operations.  Based  on  the 
quantitative assessments performed for the indefinite-lived intangible assets related to the businesses in the three other reporting 
units,  the  Company  believed  that  its  adjusted  long-term  forecasted  cash  flows  did  not  indicate  that  the  fair  value  of  the 
indefinite-lived intangible assets may be below their carrying value.

2019 Annual Goodwill Impairment Testing

Effective January 1, 2019, the Company realigned certain businesses between segments resulting in a change from eleven 
reporting  units  to  five.  As  a  result,  the  Company  transferred  goodwill  between  segments  due  to  these  changes.  Affected 
reporting  units,  including  the  CAD/CAM  and  Treatment  Center  reporting  units  in  the  Technologies  &  Equipment  segment, 
were  tested  for  potential  impairment  of  goodwill  before  the  transfers.  No  goodwill  impairment  was  identified  due  to  the 
realignment.  The  Company  further  performed  the  required  annual  impairment  tests  of  goodwill  at  April  30,  2019  on  all  five 
reporting units. The performance of the Company’s annual impairment test did not result in any impairment of the Company’s 
goodwill.

96

2019 Indefinite-Lived Intangibles Impairment

During the three months ended March 31, 2019, the Company impaired $5 million of product tradenames and trademarks 
within the Technologies & Equipment segment. The impairment was the result of a change in forecasted sales related to the 
divestitures of non-strategic product lines. The Company further assessed the annual impairment of the remaining indefinite-
lived intangible assets at April 30, 2019, which largely consists of acquired tradenames and trademarks, in conjunction with the 
annual  impairment  tests  of  goodwill.  The  performance  of  the  Company’s  annual  impairment  test  did  not  result  in  any 
impairment of the Company’s indefinite-lived intangible assets.

2018 Goodwill Impairment

In  connection  with  the  April  30,  2018  annual  impairment  test  of  goodwill  the  Company  determined  that  the  goodwill 
associated with the CAD/CAM, Imaging, and Orthodontics businesses, all within the Technologies & Equipment segment, was 
impaired. As a result, the Company recorded a goodwill impairment charge of $1,086 million. The 2018 goodwill impairment 
charges  were  driven  by  lower  than  expected  sales  growth  and  operating  margins,  in  turn  driven  by  transition  of  distribution 
relationships for the equipment businesses and increased price competition.

2018 Indefinite-Lived Intangibles Impairment 

As  a  result  of  the  annual  impairment  tests  of  indefinite-lived  intangible  assets  as  of  April  30,  2018,  the  Company 
previously recorded an impairment charge of $179 million in the twelve months ended December 31, 2018 which was recorded 
in Restructuring and other costs in the Consolidated Statements of Operations. The impaired indefinite-lived intangible assets 
were tradenames and trademarks related to the CAD/CAM, Imaging, and Instrument businesses. The impairment charge was 
primarily driven by a decline in forecasted sales resulting from increased competition and the impact of low-cost competitive 
products.

A reconciliation of changes in the Company’s goodwill by reportable segment were as follows (the segment information 

below reflects the current structure for all periods shown):

(in millions)

Balance at December 31, 2018

Acquisition activity

Divestiture of business

Effect of exchange rate changes

Balance at December 31, 2019

Acquisition activity

Impairment

Effect of exchange rate changes

Balance at December 31, 2020

Technologies & 
Equipment

Consumables

Total

$ 

$ 

$ 

2,545  $ 

886  $ 

3,431 

3 

(4)

(28)

— 

—

(5)

2,516  $ 

881  $ 

631 

(157)

102 

— 

—

13 

3,092  $ 

894  $ 

3 

(4) 

(33) 

3,397 

631 

(157) 

115 

3,986 

The gross carrying amount of goodwill and the cumulative goodwill impairment were as follows:

Year Ended December 31,

2020

2019

(in millions)

Gross 
Carrying 
Amount

Cumulative 
Impairment

Net 
Carrying 
Amount

Gross 
Carrying 
Amount

Cumulative 
Impairment

Net 
Carrying 
Amount

Technologies & Equipment

Consumables

Total effect of cumulative impairment

$ 

$ 

5,985  $ 

(2,893)  $ 

3,092  $ 

5,253  $ 

(2,737)  $ 

2,516 

894 
6,879  $ 

— 
(2,893)  $ 

894 
3,986  $ 

881 
6,134  $ 

— 
(2,737)  $ 

881 
3,397 

97

Identifiable definite-lived and indefinite-lived intangible assets at were as follows:

Year Ended December 31,

2020

2019

Gross
Carrying
Amount

Accumulated
Amortization

Net
Carrying
Amount

Gross
Carrying
Amount

Accumulated
Amortization

Net
Carrying
Amount

1,681  $ 
273 
37 
1,142 
3,133  $ 

(677) $
(70)
(30)
(494)
(1,271)  $ 

1,004  $ 

203
7
648

1,862  $ 

1,371  $ 
79 
36 
1,070 
2,556  $ 

(518) $
(63)
(28)
(399)
(1,008)  $ 

853 
16
8
671
1,548 

642  $ 

—  $ 

642  $ 

628  $ 

—  $ 

628 

3,775  $ 

(1,271)  $ 

2,504  $ 

3,184  $ 

(1,008)  $ 

2,176 

(in millions) 

Patents
Tradenames and trademarks
Licensing agreements
Customer relationships

Total definite-lived

Indefinite-lived tradenames 
and trademarks

Total identifiable intangible 
assets

$ 

$ 

$ 

$ 

Amortization  expense  for  identifiable  definite-lived  intangible  assets  for  the  years  ended  December  31,  2020,  2019  and 
2018  was  $192  million,  $190  million  and  $198  million,  respectively.  The  annual  estimated  amortization  expense  related  to 
these intangible assets for each of the five succeeding calendar years is $216 million, $215 million, $217 million, $219 million 
and $223 million for 2021, 2022, 2023, 2024 and 2025, respectively.

98

NOTE 11 - PREPAID EXPENSES AND OTHER CURRENT ASSETS

Prepaid expenses and other current assets were as follows:

(in millions)

Prepaid expenses
Accrued value-added tax on purchases
Deposits
Other current assets

Prepaid expenses and other current assets

Year Ended December 31,

2020

2019

$ 

$ 

79  $ 
36 
33 
66 
214  $ 

81 
46 
40 
84 
251 

99

NOTE 12 - ACCRUED LIABILITIES

Accrued liabilities were as follows:

(in millions)

Payroll, commissions, bonuses, other cash compensation and employee benefits
Sales and marketing programs
Reserve for dealer rebates
Restructuring costs
Accrued vacation and holidays
Professional and legal costs
Current portion of derivatives
General insurance
Warranty liabilities
Third party royalties
Deferred income
Accrued interest
Accrued property taxes

Current operating lease liabilities
Other
 Accrued liabilities

Year Ended December 31,

2020

2019

$ 

$ 

142  $ 
21 
134 
31 
41 
33 
32 
12 
18 
11 
41 
13 
13 

48 
63 
653  $ 

179 
17 
125 
28 
37 
36 
3 
12 
18 
11 
29 
11 
11 

44 
68 
629 

100

NOTE 13 - FINANCING ARRANGEMENTS

Short-Term Debt

Short-term debt was as follows:

(in millions except percentages)

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

Short-Term Borrowings

Year Ended December 31,

2020

2019

Principal

Interest

Principal

Interest

Balance

Rate

Balance

Rate

 3.7% 

$ 

$ 

$ 

3 

296 

299 

299 

95 

 1.9%  $ 

$ 

$ 

2 

— 

2 

148 

50 

 1.9% 

 3.7% 

The Company has access to a $700 million multi-currency revolving credit facility ("2018 Credit Facility") through July 
28,  2024.  The  facility  is  unsecured  and  contains  certain  affirmative  and  negative  covenants  relating  to  the  operations  and 
financial condition of the Company. The most restrictive of these covenants pertain to asset dispositions and prescribed ratios of 
indebtedness to total capital and operating income, plus depreciation and amortization to interest expense. The credit facility 
serves as a back-stop facility for the Company's commercial paper program.

The  Company  has  a  $500  million  commercial  paper  facility.  As  of  December  31,  2020  and  2019,  the  Company  had  no 
outstanding borrowings under this commercial paper facility. The average balance outstanding for the commercial paper facility 
during the year ended December 31, 2020 was $2 million.

In  response  to  the  COVID-19  pandemic,  the  Company  took  the  following  actions  during  the  year  ended  December  31, 

2020 to strengthen its liquidity and financial flexibility:

•

•

•

On April 9, 2020, the Company entered into a $310 million 364-day revolving credit facility with a maturity date of
April 8, 2021. The 364-day revolving credit facility mirrors the original five-year facility in all major respects and is
unsecured. As of December 31, 2020 there were no outstanding borrowings under this facility.

On April 17, 2020, the Company provided a notice to the administrative agent to draw down the full available amount
under  the  2018  Credit  Facility.  The  Company  had  previously  not  drawn  down  any  sums  under  this  facility.  The
borrowings  incurred  interest  at  the  rate  of  adjusted  LIBOR  plus  1.25%.  The  Company  subsequently  repaid  the
$700 million revolver borrowing on May 26, 2020.

On May 26, 2020, the Company issued $750 million of senior unsecured notes with a final maturity date of June 1,
2030  at  a  semi-annual  coupon  rate  of  3.25%.  The  net  proceeds  were  $748  million,  net  of  discount  of  $2  million.
Issuance fees totaled $6 million. The Company paid $31 million to settle the $150 million notional Treasury Rate Lock
("T-Lock")  contract  which  partially  hedged  the  interest  rate  risk  of  the  note  issuance,  see  Note  18,  Financial
Instruments and Derivatives. This cost will be amortized over the ten-year life of the notes. The proceeds were used to
repay the $700 million borrowed against the 2018 Credit Facility and the remaining proceeds will be used for working
capital and other general corporate purposes.

•

Various other credit facilities:

◦

◦

On May 5, 2020, the Company entered into a 40 million euro 364-day revolving credit facility with a maturity
date of April 30, 2021. As of December 31, 2020 there were no outstanding borrowings under this facility.
On  May  12,  2020  the  Company  entered  into  a  30  million  euro  364-day  revolving  credit  facility  with  a
maturity  date  of  May  6,  2021.  As  of  December  31,  2020  there  were  no  outstanding  borrowings  under  this
facility.

101

◦

On June 11, 2020, the Company entered into a 3.3 billion Japanese yen 364-day revolving credit facility with
a maturity date of June 11, 2021. As of December 31, 2020 there were no outstanding borrowings under this
facility.

These  agreements  are  unsecured  and  contain  certain  affirmative  and  negative  covenants  relating  to  the  operations  and 

financial condition of the Company.

Long-Term Debt

Long-term debt was as follows:

(in millions except percentages)

Fixed rate senior notes $450 million due August 2021
Private placement notes 70 million euros due October 2024
Private placement notes 25 million Swiss franc due December 2025
Private placement notes 97 million euros due December 2025
Private placement notes 26 million euros due February 2026
Private placement notes 58 million Swiss franc due August 2026
Private placement notes 106 million euros due August 2026
Private placement notes 70 million euros due October 2027
Private placement notes 8 million Swiss franc due December 2027
Private placement notes 15 million euros due December 2027
Private placement notes 140 million Swiss franc due August 2028
Private placement notes 70 million euros due October 2029
Fixed rate senior notes 750 million due June 2030
Private placement notes 70 million euros due October 2030
Private placement notes 45 million euros due February 2031
Private placement notes 65 million Swiss franc due August 2031
Private placement notes 12.6 billion Japanese yen due September 2031
Private placement notes 70 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

Year Ended December 31,

2020

2019

Principal

Interest

Principal

Interest

Balance

Rate

Balance

Rate

 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% 
 1.0% 
 1.7% 

$ 

$ 

$ 

296 
85 
28 
118 
32 
65 
129 
85 
8 
18 
158 
85 
750 
85 
55 
73 
122 
85 
7 
2,284 

296 
10 
1,978 

 4.1%  $ 
 1.0% 
 0.9% 
 2.1% 
 2.1% 
 1.0% 
 2.3% 
 1.3% 
 1.0% 
 2.2% 
 1.2% 
 1.5% 
 3.3% 
 1.6% 
 2.5% 
 1.3% 
 1.0% 
 1.7% 

$ 

$ 

296 
78 
26 
109 
29 
60 
119 
78 
8 
17 
145 
78 
— 
78 
51 
67 
116 
79 
4 
1,438 

— 
5 
1,433 

At December 31, 2020, the Company had $1,173 million borrowings available under unused lines of credit, including lines 

available under its short-term arrangements and revolving credit agreement.

The  Company’s  revolving  credit  facility,  term  loans  and  senior  notes  contain  certain  affirmative  and  negative  covenants 
relating to the Company's operations and financial condition. At December 31, 2020, the Company was in compliance with all 
debt covenants.

102

The table below reflects the contractual maturity dates of the various long-term borrowings as follows:

(in millions)
2021
2022
2023
2024
2025
2025 and beyond

December 31, 2020
296 
$ 
3 
— 
86 
147 
1,752 
2,284 

$ 

103

NOTE 14 - EQUITY

At December 31, 2020, the Company had authorization to purchase $1.0 billion in shares of common stock under the share 
repurchase program and has $350 million remaining under this program. Share repurchases will be made through open market 
purchases,  Rule  10b5-1  plans,  accelerated  share  repurchase  transactions  and  other  structured  share  repurchases,  privately 
negotiated transactions or other transactions in such amounts and at such times as the Company deems appropriate based upon 
prevailing  market  and  business  conditions  and  other  factors.  For  the  years  ended  December  31,  2020,  2019  and  2018,  the 
Company  repurchased  outstanding  shares  of  common  stock  at  a  cost  of  $140  million,  $260  million  and  $250  million, 
respectively. 

For the years ended December 31, 2020, 2019 and 2018, the Company received proceeds of $11 million, $109 million and 
$28  million,  respectively,  primarily  as  a  result  of  stock  options  exercised  in  the  amount  of  0.3  million,  2.7  million  and  1.0 
million  in  each  of  the  years,  respectively.  It  is  the  Company’s  practice  to  issue  shares  from  treasury  stock  when  options  are 
exercised.

Total outstanding shares of common stock and treasury stock were as follows:

(in millions)

Balance at December 31, 2017

Shares of treasury stock issued

Repurchase of common stock at an average cost of $45.92

Balance at December 31, 2018

Shares of treasury stock issued
Repurchase of common stock at an average cost of $54.18

Balance at December 31, 2019

Shares of treasury stock issued
Repurchase of common stock at an average cost of $38.25

Balance at December 31, 2020

Shares of 
Common Stock

Shares of 
Treasury Stock

Outstanding
Shares

264.5 
— 

— 

264.5 
— 
— 

264.5 
— 
— 
264.5 

(37.7) 
1.6 

(5.4) 

(41.5) 
3.1 
(4.8) 

(43.2) 
1.1 
(3.7) 
(45.8) 

226.8 
1.6 

(5.4) 

223.0 
3.1 
(4.8) 

221.3 
1.1 
(3.7) 
218.7 

The  Company  maintains  the  2016  Omnibus  Incentive  Plan  (the  “Plan”)  under  which  it  may  grant  non-qualified  stock 
options  (“NQSOs”),  incentive  stock  options,  restricted  stock,  RSUs  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 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 million shares of common stock in any calendar year. The number of shares available for 
grant under the 2016 Plan at December 31, 2020 is 25 million.

Total stock based compensation expense and the tax related benefit were as follows:

(in millions)

Stock option expense
RSU expense
Total stock based compensation expense

Related deferred income tax benefit

Year End December 31,
2019

2020

2018

$ 

$ 

$ 

7  $ 
39 
46  $ 

7  $ 
58 
65  $ 

5  $ 

8  $ 

7 
13 
20 

2 

For  the  years  ended  December  31,  2020,  2019,  and  2018,  $45  million,  $63  million  and  $18  million,  respectively,  was 
recorded in Selling, general and administrative expense and $1 million, $2 million and $1 million, respectively, was recorded in 
Cost  of  products  sold.  For  the  year  ended  December  31,  2018,  the  Company  recorded  $1  million  in  Restructuring  and  other 
costs in the Consolidated Statements of Operations. 

104

There  were  1.3  million  non-qualified  stock  options  unvested  at  December  31,  2020.  The  remaining  unamortized 
compensation  cost  related  to  non-qualified  stock  options  is  $8  million,  which  will  be  expensed  over  the  weighted  average 
remaining vesting period of the options, or 1.8 years. The unamortized compensation cost related to RSUs is $70 million, which 
will be expensed over the remaining weighted average restricted period of the RSUs, or 2.1 years.

The Company uses the Black-Scholes option-pricing model to estimate the fair value of each option awarded. The average 

assumptions used to determine compensation cost for the Company’s NQSOs issued were as follows:

Weighted average fair value per share
Expected dividend yield
Risk-free interest rate
Expected volatility
Expected life (years)

Year End December 31,
2019

2020

2018

$ 

$ 

10.03 
 0.84% 
 0.77% 
 24.0% 
5.49

$ 

12.20 
 0.71% 
 2.36% 
 22.6% 
6.00

12.38 
 0.64% 
 2.72% 
 19.7% 
6.07

The total intrinsic value of options exercised for the years ended December 31, 2020, 2019 and 2018 was $3 million, $37 

million and $22 million, respectively.

The total fair value of shares vested for the years ended December 31, 2020, 2019 and 2018 was $54 million, $44 million 

and $48 million, respectively.

The NQSO transactions for the year ended December 31, 2020 were as follows:

(in millions, except per share amounts)

Shares

Outstanding

Weighted
Average
Exercise
Price

Aggregate
Intrinsic
Value

Shares

Exercisable

Weighted
Average
Exercise
Price

Aggregate
Intrinsic
Value

December 31, 2019

3.8  $ 

50.02  $ 

28 

2.7  $ 

48.85  $ 

23 

Granted

Exercised

Cancelled

0.7 

(0.3) 

(0.2) 

47.84 

39.59 

56.21 

December 31, 2020

4.0  $ 

50.01  $ 

17 

2.7  $ 

50.28  $ 

12 

The  weighted  average  remaining  contractual  term  of  all  outstanding  options  is  5.3  years  and  the  weighted  average 

remaining contractual term of exercisable options is 3.9 years.

Information about NQSOs outstanding for the year ended December 31, 2020 were as follows:

Range of Exercise Prices
(in millions, except per share amounts 
and life)

Number
Outstanding
at
December 31, 
2020

Outstanding

Weighted
Average
Remaining
Contractual
Life
(in years)

Exercisable

Weighted
Average
Exercise
Price

Number
Exercisable
at
December 31, 
2020

Weighted
Average
Exercise
Price

30.01 

40.01 

50.01 

60.01 

-

-

-

-

40.00

50.00

60.00

70.00

0.4 

2.0 

1.2 

0.4 

4.0 

1.5 $ 

6.3

4.8

5.2

5.3 $ 

37.54 

46.83 

54.82 

62.26 

50.01 

0.4  $ 

0.9 

1.0 

0.4 

2.7  $ 

37.55 

45.22 

54.69 

62.25 

50.28 

105

The unvested RSU transactions for the year ended December 31, 2020 were as follows:

(in millions, except per share amounts)

Unvested at December 31, 2019

Granted

Vested

Forfeited

Unvested at December 31, 2020

Unvested Restricted Stock Units
Weighted 
Average
Grant Date
Fair Value

Shares

4.5  $ 

1.0 

(0.9) 

(0.4) 

4.2  $ 

47.79 

49.40 

49.74 

46.16 

47.29 

106

NOTE 15 - INCOME TAXES 

The components of income (loss) before income taxes were as follows:

(in millions)

United States
Foreign

Year Ended December 31,
2019

2020

2018

$ 

$ 

(109) $
49 
(60) $

(110) $
455 
345  $ 

(279) 
(679) 
(958) 

The components of the provision (benefit) for income taxes from operations were as follows:

(in millions)

Current:

U.S. federal
U.S. state
Foreign

Total

Deferred:

U.S. federal
U.S. state
Foreign

Total

Year Ended December 31,
2019

2020

2018

$ 

$ 

$ 

$ 

$ 

(5) $
1 
91 
87  $ 

—  $ 
(2)
(62)
(64) $

23  $ 

(11) $
1 
129 
119  $ 

(2) $
2
(37)
(37) $

82  $ 

10 
3 
102 
115 

46 
(3) 
(105) 
(62) 

53 

The reconciliation of the U.S. federal statutory tax rate to the effective rate were 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
US other permanent differences
Tax effect of international operations
Global Intangible Low Taxed Income (GILTI)
Foreign Derived Intangible Income (FDII)
Net effect of tax audit activity
Tax effect of enacted statutory rate changes on Non-U.S. jurisdictions
Federal tax on unremitted earnings of certain foreign subsidiaries
Valuation allowance adjustments
U.S. tax reform - net impacts
Tax effect of impairment of goodwill and intangibles
Other

Year Ended December 31,
2019

2020

2018

 21.0% 

 21.0% 

 21.0% 

 2.3 
 15.8 
 (5.6) 
 4.7 
 (10.9) 
 9.9 
 (6.9) 
 (0.2) 
 (4.6) 
 (12.9) 
 — 
 (51.0) 
 0.1 

 0.7 
 (2.0) 
 0.8 
 0.4 
 3.7 
 (0.1) 
 0.4 
 0.1 
 0.1 
 (1.3) 
 — 
 (0.2) 
 0.2 

 (0.1) 
 1.0 
 (0.1) 
 1.4 
 (1.1) 
 — 
 (1.0) 
 0.3 
 (0.1) 
 (5.7) 
 0.4 
 (22.2) 
 0.7 

Effective income tax rate on operations

 (38.3%) 

 23.8% 

 (5.5%) 

107

The tax effect of significant temporary differences giving rise to deferred tax assets and liabilities were as follows:

(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
Lease right-of-use asset
Lease right-of-use liability
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
Subtotal
Valuation allowances
Total

Year Ended December 31,

2020

2019

Deferred Tax 
Asset

Deferred Tax
Liability

Deferred Tax 
Asset

Deferred Tax
Liability

$ 

$ 

$ 

8  $ 
58 
25 
— 
3 
11 
11 
98 
— 
— 
42 
1 
60 
9 
7 
— 
280 
613  $ 
(287)
326  $ 

—  $ 
— 
— 
613 
— 
— 
— 
— 
50 
42 
— 
— 
— 
— 
— 
6 
— 

711  $ 

—

711  $ 

11  $ 
56 
15 
— 
3 
21 
— 
46 
— 
— 
40 
1 
73 
4 
6 
— 
269 
545  $ 
(288)
257  $ 

— 
— 
— 
631 
— 
— 
2 
— 
50 
39 
— 
— 
— 
— 
— 
3 
— 
725 
—
725 

Deferred  tax  assets  and  liabilities  are  included  in  the  following  Consolidated  Balance  Sheets  line  items  at  December  31 

were as follows:
(in millions)

Assets
Other noncurrent assets, net
Liabilities
Deferred income taxes

2020

2019

$ 

$ 

8  $ 

393  $ 

12 

480 

The Company has $57 million of foreign tax credit carryforwards at December 31, 2020, of which $8 million will expire in 

2024, $39 million will expire in 2025, and $10 million will expire at various times from 2027 through 2030.

The  Company  has  tax  loss  carryforwards  related  to  certain  foreign  and  domestic  subsidiaries  of  approximately  $1,278 
million at December 31, 2020, of which $1,025 million expires at various times through 2040 and $253 million may be carried 
forward indefinitely. Included in deferred income tax assets at December 31, 2020 are tax benefits totaling $232 million, before 
valuation allowances, for the tax loss carryforwards. In addition the Company has recorded a deferred tax asset of $48 million, 
related to tax attributes.

The  Company  has  recorded  $214  million  of  valuation  allowance  to  offset  the  tax  benefit  of  net  operating  losses,  $57 
million to offset the tax benefit of foreign tax credits, and $16 million of valuation allowance for other deferred tax assets. The 
Company has recorded these valuation allowances due to the uncertainty that these assets can be realized in the future.

The Company has provided $6 million of withholding taxes on certain undistributed earnings of its foreign subsidiaries that 

the Company anticipates will be repatriated.

108

Tax Contingencies

The  total  amount  of  gross  unrecognized  tax  benefits  at  December  31,  2020  is  approximately  $31  million,  of  this  total, 
approximately  $30  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  could  include  unrecognized  tax 
benefits of approximately $6 million. Of this approximately $5 million represents the amount of unrecognized tax benefits that, 
if recognized would affect the effective income tax rate.

The  total  amount  of  accrued  interest  and  penalties  were  $4  million  and  $3  million  at  December  31,  2020  and  2019, 
respectively. The Company has 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, 2020 and 2018, 
the Company recognized income tax expense of $2 million and $1 million respectively, related to interest and penalties. During 
the year ended December 31, 2019, the Company recognized income tax benefit of $2 million 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. The 
significant  jurisdictions  include  the  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 
and  2015  and  2016.  For  further  information  on  the  Internal  Revenue  Service  (“IRS”)  Audit,  see  Note  20,  Commitments  and 
Contingencies.  The  tax  years  2014  through  2019  are  subject  to  future  potential  tax  audit  adjustments.  The  Company  has 
concluded audits in Germany through the tax year 2014 and is currently under audit for the years 2015 through 2017. The tax 
year 2018 is subject to future potential audit adjustments in Germany. The taxable years that remain open for Sweden are 2013 
through 2019. For information related to Sweden, see Note 20, Commitments and Contingencies. The taxable years that remain 
open for Switzerland are 2010 through 2019.

The activity recorded for unrecognized tax benefits were as follows:

(in millions) 

2020

2019

2018

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

U.S. Federal Legislative Changes

$ 

$ 

24  $ 
1 
1 
— 
— 
1 
— 

27  $ 

28  $ 
— 
— 
(4)
— 
— 
— 

24  $ 

21 
8 
— 
—
— 
— 
(1) 

28 

On December 22, 2017, the Tax Cuts and Jobs Act (the "Act" or "U.S. tax reform") was enacted. U.S. tax reform, among 
other things, reduced the U.S. federal income tax rate to 21% in 2018 from 35%, instituted a dividends received deduction for 
foreign earnings with a related tax for the deemed repatriation of unremitted foreign earnings and created a new U.S. minimum 
tax on earnings of foreign subsidiaries. In addition, the SEC staff issued Staff Accounting Bulletin No. 118 (“SAB 118”), which 
provides guidance on accounting for enactment effects of the Act and provides a measurement period of up to one year from the 
Act’s enactment date for companies to complete their accounting under Accounting Standards Codification No. 740 “Income 
Taxes”, (“ASC 740”). In accordance with SAB 118, income tax effects of the Act were refined upon obtaining, preparing, and 
analyzing  additional  information  during  the  measurement  period.  At  December  31,  2018  the  Company  had  completed  its 
accounting for the tax effects of the Act.

Undistributed earnings of foreign subsidiaries and related companies that are deemed to be permanently invested amounted 
to $1,807 million at December 31, 2020 and $1,575 million at December 31, 2019. The Act imposed U.S. tax on all post-1986 
foreign unrepatriated earnings accumulated through December 31, 2017. Unrepatriated earnings generated after December 31, 
2017, are now subject to tax in the current year. All undistributed earnings are still subject to certain taxes upon repatriation, 
primarily  where  foreign  withholding  taxes  apply.  It  is  not  practicable  to  calculate  the  unrecognized  deferred  tax  liability  on 
undistributed earnings.

109

For  the  GILTI  provision  of  the  Act,  the  Company  has  made  the  policy  election  to  record  any  liability  associated  with 

GILTI in the period in which it is incurred.

The U.S. Department of the Treasury continues to issue interpretative guidance and regulations associated with the Act. 

In March 2020, in response to the impact of the COVID-19 pandemic in the U.S. and across the globe, the U.S. Congress 
passed  the  Coronavirus  Aid,  Relief  and  Economic  Security  (CARES)  Act.  In  December  2020,  the  U.S.  Congress  passed  a 
second relief package, Consolidated Appropriations Act, 2021. The enactment period impacts to the Company were immaterial 
to income tax expense.

110

NOTE 16 - BENEFIT PLANS

Defined Contribution Plans

The Company maintains both U.S. and non-U.S. employee defined contribution plans. The primary U.S. plan, the Dentsply 
Sirona Inc. 401(k) Savings (the "Plan"), allows eligible employees to contribute a portion of their cash compensation to the plan 
on  a  tax-deferred  basis,  and  in  most  cases,  the  Company  provides  a  matching  contribution.  The  Plan  includes  various 
investment  funds.  The  Company  makes  a  discretionary  cash  contribution  that  is  initially  targeted  to  be  3%  of  compensation. 
Each  eligible  participant  who  elects  to  defer  to  the  Plan  will  receive  a  matching  contribution  of  100%  on  the  first  1% 
contributed and 50% on the next 5% contributed for a total maximum matching contribution of 3.5%. In addition to the primary 
U.S.  plan,  the  Company  also  maintains  various  other  U.S.  and  non-U.S.  defined  contribution  and  non-qualified  deferred 
compensation plans. The annual expenses, net of forfeitures, were $36 million, $35 million and $35 million for the years ended 
December 31, 2020, 2019, and 2018, respectively.

Defined Benefit 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.  The  United  States  and  other  foreign  pension  plans  are  not  significant  individually  or  in  the  aggregate. 
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.

The  Company  predominantly  derives  its  discount  rates  by  applying  the  specific  spot  rates  along  the  yield  curve  to  the 
relevant  projected  cash  flows;  or,  in  markets  where  there  is  an  absence  of  a  sufficiently  deep  corporate  bond  market,  it  uses 
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.  For  the  large  defined  benefits  pension  plans,  the  Company  uses  a  spot  rate 
approach for the estimation of the Service Cost and Interest Cost components of benefit cost by applying the specific spot rates 
along the yield curve to the relevant projected cash flows.

Significant changes in the retirement plan benefit obligations for the year ended December 31, 2020 include a $31 million 
actuarial  loss  primarily  attributable  to  the  change  in  discount  rates,  the  effect  of  which  is  slightly  offset  by  the  change  in 
inflation and salary increase assumptions in some plans.

Significant changes in the retirement plan benefit obligations for the year ended December 31, 2019 include a $68 million 
actuarial  loss  primarily  attributable  to  the  change  in  discount  rates,  the  effect  of  which  is  slightly  offset  by  the  change  in 
inflation  and  salary  increase  assumptions  in  some  plans.  The  changes  also  include  a  $2  million  actuarial  gain  due  to 
demographic assumption changes and a $13 million actuarial loss due to plan experience different than anticipated.

Defined Benefit Pension Plan Assets

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  of  employees,  pensioners  and  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 25% in all other types of investments. Equity securities include investments in companies located both in 
and outside the U.S. Equity securities in the defined benefit pension plans do not include Company common stock contributed 
directly  by  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  maintained  in  Austria,  France,  Germany,  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, the plans’ assets were invested in the following 
investment categories: interest-bearing cash, U.S. and foreign equities, foreign fixed income securities (primarily corporate and 
government bonds), insurance company contracts, real estate and hedge funds.

111

Reconciliation  of  changes  in  the  defined  benefit  obligations,  fair  value  of  assets  and  statement  of  funded  status  were  as 

follows:

(in millions)

Change in Benefit Obligation
Benefit obligation at beginning of year

Service cost
Interest cost
Participant contributions
Actuarial losses (gains)
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
Effect of exchange rate changes
Employer contributions
Participant contributions
Benefits paid

Fair value of plan assets at end of year

Funded status at end of year

Year Ended December 31,

2020

2019

$ 

$ 

$ 

$ 

$ 

578  $ 
16 
5 
4 
31 
59 
(1)
(17)
675  $ 

185  $ 
9 
— 
17 
15 
4 
(17)
213  $ 

512 
14 
8 
4 
79 
(7) 
(23)
(9)
578 

173 
24 
(23) 
2 
14 
4 
(9)
185 

(462) $

(393) 

The amounts recognized in the accompanying Consolidated Balance Sheets, net of tax effects, were as follows: 

(in millions)

Deferred tax asset

Total assets

Current liabilities
Other noncurrent liabilities
Deferred tax liability

Total liabilities

Location In The
Consolidated Balance Sheets

Year Ended December 31,

2020

2019

Other noncurrent assets, net

Accrued liabilities
Other noncurrent liabilities
Deferred income taxes

$ 
$ 

$ 

$ 

49  $ 
49  $ 

(10)
(452)
(1)
(463) $

139 
(275) $

40 
40 

(9)
(384)
(1)
(394) 

113 
(241) 

Accumulated other comprehensive income
Net amount recognized

Accumulated other comprehensive loss

112

Amounts recognized in AOCI were as follows:

(in millions)

Net actuarial loss
Net prior service cost
Before tax AOCI
Less: Deferred taxes
Net of tax AOCI

Year Ended December 31,

2020

2019

$ 

$ 

$ 

191  $ 
(4)
187  $ 
48 
139  $ 

156 
(4)
152 
39 
113 

Information for pension plans with a projected or accumulated benefit obligation in excess of plan assets were as follows:

(in millions)

Projected benefit obligation
Accumulated benefit obligation
Fair value of plan assets

Year Ended December 31,
2019
2020

$ 

484  $ 
455 
26 

398 
371 
8 

Components of net periodic benefit cost were as follows:

(in millions)

Service cost

Service cost

Interest cost

Expected return on plan assets

Amortization of prior service credit

Amortization of net actuarial loss
Curtailment and settlement (gains) 
loss

Year Ended December 31,

2020

2019

2018

Location in Consolidated

Statements of Operations

$ 

6  $ 

6  $ 

6  Cost of products sold

10 

5 

(4)

(1)

9 

— 

8 

8 

(5)

(1)

6 

6 

10  Selling, general and administrative expenses

7  Other expense (income), net

(5) Other expense (income), net

—  Other expense (income), net

6  Other expense (income), net

(1) Other expense (income), net

Net periodic benefit cost

$ 

25  $ 

28  $ 

23 

Other changes in plan assets and benefit obligations recognized in AOCI were as follows:

(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

Year Ended December 31,

2020

2019

2018

$ 

$ 

$ 

43  $ 

53  $ 

— 

(9)

34  $ 

59  $ 

— 

(5)

48  $ 

76  $ 

(6) 

(3) 

(6) 

(15) 

8 

113

Assumptions

The weighted average assumptions used to determine benefit obligations for the Company’s plans, principally in foreign 

locations were as follows:

Interest crediting rate

Discount rate

Rate of compensation increase

Year Ended December 31,

2020

2019

2018

 1.3% 

 0.6% 

 2.4% 

 1.3% 

 1.0% 

 2.5% 

 1.5% 

 1.8% 

 2.5% 

The  weighted  average  assumptions  used  to  determine  net  periodic  benefit  cost  for  the  Company’s  plans,  principally  in 

foreign locations were as follows:

Interest crediting rate

Discount rate

Expected return on plan assets

Rate of compensation increase

Measurement date

Year Ended December 31,

2020

2019

2018

 1.3% 

 1.0% 

 2.3% 

 2.5% 

 1.3% 

 1.8% 

 2.9% 

 2.5% 

 1.5% 

 1.6% 

 2.9% 

 2.5% 

12/31/2020

12/31/2019

12/31/2018

To develop the assumptions for the expected long-term rate of return on assets, the Company 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.

Fair Value Measurements of Plan Assets

The fair value of the Company’s pension plan assets at December 31, 2020 and 2019 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.

(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
Total

December 31, 2020

Total

Level 1

Level 2

Level 3

$ 

16  $ 

16  $ 

—  $ 

58 

65 

20 
5 
37 
12 
213  $ 

58 

65 

20 
— 
— 
— 

159  $ 

— 

— 

— 
5 
— 
— 
5  $ 

$ 

114

— 

— 

— 

— 
— 
37 
12 
49 

(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
Total

December 31, 2019

Total

Level 1

Level 2

Level 3

$ 

13  $ 

13  $ 

—  $ 

56 

55 

18 
4 
30 
9 
185  $ 

56 

55 

18 
— 
— 
— 

142  $ 

— 

— 

— 
4 
— 
— 
4  $ 

$ 

— 

— 

— 

— 
— 
30 
9 
39 

(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.
(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.

A reconciliation from December 31, 2019 to December 31, 2020 for the plan assets categorized as Level 3 were as follows:

(in millions)

Balance at December 31, 2019

Actual return on plan assets:

Relating to assets still held at the reporting date

Purchases, sales and settlements, net

Effect of exchange rate changes

Balance at December 31, 2020

(in millions)

Balance at December 31, 2018

Actual return on plan assets:

Relating to assets still held at the reporting date

Purchases, sales and settlements, net

Effect of exchange rate changes

Balance at December 31, 2019

Fair values for Level 3 assets are determined as follows:

December 31, 2020
Hedge
Funds

Insurance
Contracts

Total

$ 

30  $ 

9  $ 

3 

— 

4 

— 

2 

1 

$ 

37  $ 

12  $ 

December 31, 2019
Hedge
Funds

Insurance
Contracts

Total

$ 

28  $ 

7  $ 

4 

(1)

(1)

(1)

3

—

$ 

30  $ 

9  $ 

39 

3 

2 

5 

49 

35 

3

2 

(1) 

39 

Hedge  Funds:  The  investments  are  valued  using  the  net  asset  value  provided  by  the  administrator  of  the  fund,  which  is 

based on the fair value of the underlying securities.

Real Estate: Investment is stated by its appraised value.

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.

115

Cash Flows

In 2021, the Company expects to make employer contributions of $17 million to its defined benefit pension plans.

Estimated Future Benefit Payments

Total benefits expected to be paid from the plans in the future were as follows:

(in millions)

2021

2022

2023

2024

2025

2026-2030

Pension
Benefits

$ 

22 

21 

21 

21 

23 

121 

116

NOTE 17 - RESTRUCTURING AND OTHER COSTS

During  the  year  ended  December  31,  2020,  the  Company  recorded  restructuring  and  other  costs  of  $123  million  which 
consists  primarily  of  inventory  write-downs  of  $31  million,  accelerated  depreciation  of  $14  million,  severance  costs  of 
$23 million, indefinite-lived intangible asset impairment of $39 million, and other impairments of $8 million.

During  the  year  ended  December  31,  2019,  the  Company  recorded  restructuring  and  other  costs  of  $128  million,  which 
consists  primarily  of  inventory  write-downs  of  $20  million,  accelerated  depreciation  of  $3  million,  severance  costs  of 
$37 million, fixed asset impairments of $33 million, and $9 million related to impairments of both definite-lived and indefinite-
lived intangible assets.

During  the  year  ended  December  31,  2018,  the  Company  recorded  restructuring  and  other  costs  of  $262  million  which 
consists  primarily  of  inventory  write-downs  of  $13  million,  accelerated  depreciation  of  $11  million,  severance  costs  of 
$25 million, and indefinite-lived intangible asset impairment charges of $179 million. 

The details of total restructuring and other costs for the years ended 2020, 2019 and 2018 were as follows:

Affected Line Item in the Consolidated Statements of Operations

Year Ended December 31,

(in millions)

Cost of products sold

Selling, general, and administrative expenses

Restructuring and other costs

Other income and expenses

Total restructuring and other costs

2020

2019

2018

$ 

44  $ 

25  $ 

2 

77 

— 

23 

81 

(1)

$ 

123  $ 

128  $ 

21 

15 

226 

—

262 

In  November  2018,  the  Board  of  Directors  of  the  Company  approved  a  plan  to  restructure  the  Company’s  business  to 
support  revenue  growth  and  margin  expansion  and  to  simplify  the  organization.  In  July  2020,  the  Board  of  Directors  of  the 
Company  approved  an  expansion  of  this  plan  that  further  optimizes  the  Company’s  product  portfolio  and  reduces  operating 
expenses.  The  Company  had  initially  anticipated  one-time  expenditures  and  charges  of  approximately  $275  million.  The 
program expansion is expected to result in total charges of approximately $375 million. There can be no assurance that the cost 
reductions and results will be achieved.

The Company announced on August 6, 2020 that it will exit its traditional orthodontics business as well as both exit and 
restructure  certain  portions  of  its  laboratory  business.  The  traditional  orthodontics  business  is  part  of  the  Technologies  & 
Equipment  segment  and  the  laboratory  business  is  part  of  the  Consumables  segment.  The  Company  is  exiting  several  of  its 
facilities and reducing its workforce by approximately 4% to 5%. The Company expects to record restructuring charges in a 
range of $70 million to $80 million for inventory write-downs, severance costs, fixed asset write-offs, and other facility closure 
costs. During the year ended December 31, 2020, the Company recorded expenses of approximately $59 million related to these 
actions  which  consists  primarily  of  inventory  write-downs  of  approximately  $31  million,  accelerated  depreciation  of 
approximately $14 million, and severance costs of approximately $9 million. These expenses are included in the above table.

The Company's restructuring accruals at December 31, 2020 were as follows:

(in millions)

Balance at December 31, 2019
Provisions and adjustments
Amounts applied
Change in estimates

Balance at December 31, 2020

Severance

2018 and 
Prior Plans

2019 Plans

2020 Plans

Total

7  $ 
2 
(4)
— 
5  $ 

20  $ 

2 
(8)
(7)
7  $ 

—  $ 
28 
(9)
(2)
17  $ 

27 
32 
(21)
(9) 
29 

$ 

$ 

117

(in millions)

Balance at December 31, 2019
Provisions and adjustments
Amounts applied

Balance at December 31, 2020

Other Restructuring Costs

2018 and 
Prior Plans

2019 Plans

2020 Plans

Total

$ 

$ 

3  $ 
— 
— 
3  $ 

—  $ 

1 
(1)
—  $ 

—  $ 

3 
(1)
2  $ 

3 
4 
(2) 
5 

The  cumulative  amounts  for  the  provisions  and  adjustments  and  amounts  applied  for  all  the  plans  by  segment  were  as 

follows:

(in millions)

Technologies & Equipment
Consumables
All Other
Total

December 
31, 2019

Provisions 
and
 Adjustments

Amounts
Applied

Change in 
Estimates

December 
31, 2020

$ 

$ 

19  $ 
11 
— 
30  $ 

16  $ 
16 
4 

36  $ 

(12) $
(8)
(3)
(23) $

(7) $
(2)
—
(9) $

The Company's restructuring accruals at December 31, 2019 were as follows:

(in millions)

Balance at December 31, 2018
Provisions and adjustments
Amounts applied
Change in estimates

Balance at December 31, 2019

(in millions)

Balance at December 31, 2018
Provisions and adjustments
Amounts applied

Balance at December 31, 2019

Severances

2017 and 
Prior Plans

2018 Plans

2019 Plans

Total

$ 

$ 

27  $ 
4 
(22)
(7)
2  $ 

16  $ 

1 
(12)
—
5  $ 

—  $ 
31 
(9)
(2)
20  $ 

Other Restructuring Costs

2017 and 
Prior Plans

2018 Plans

2019 Plans

Total

$ 

$ 

3  $ 
2 
(2)
3  $ 

—  $ 

1 
(1)
—  $ 

—  $ 

3 
(3)
—  $ 

The  cumulative  amounts  for  the  provisions  and  adjustments  and  amounts  applied  for  all  the  plans  by  segment  were  as 

follows:

(in millions)

December 
31, 2018

Provisions 
and
 Adjustments

Amounts
Applied

Change in 
Estimates

December 
31, 2019

Technologies & Equipment (a)
Consumables (a)

All Other

Total

$ 

$ 

33  $ 
13 

— 

46  $ 

118

24  $ 
17 

1 

42  $ 

(33) $
(15)

(1)

(49) $

(5) $
(4)

—

(9) $

19 
11 

— 

30 

16 
17 
1 
34 

43 
36 
(43)
(9)
27 

3 
6 
(6)
3 

NOTE 18 - 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  and  interest  rates.  These  financial  exposures  are  monitored  and  managed  by  the 
Company  as  part  of  its  overall  risk  management  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 has utilized interest rate swaps to convert variable rate debt to fixed rate debt. 
The Company does not hold derivative instruments for trading or speculative purposes.

Derivative Instruments

The  following  summarizes  the  notional  amounts  of  cash  flow  hedges,  hedges  of  net  investments,  fair  value  hedges,  and 
derivative instruments not designated as hedges for accounting purposes, by derivative instrument type at December 31, 2020 
and the notional amounts expected to mature during the next 12 months:

(in millions)

Cash Flow Hedges

Foreign exchange forward contracts

Total derivative instruments designated as cash flow hedges

Hedges of Net Investments

Cross currency basis swaps

Total derivative instruments designated as hedges of net investments

Fair Value Hedges

Foreign exchange forward contracts

Total derivative instruments designated as fair value hedges

Derivative Instruments not Designated as Hedges

Foreign exchange forward contracts

Total derivative instruments not designated as hedges

Aggregate
 Notional
 Amount

Aggregate 
Notional Amount 
Maturing within 
12 Months

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

369  $ 

369  $ 

322 

322  $ 

63  $ 

63  $ 

276  $ 

276  $ 

281 

281 

322 

322 

44 

44 

276 

276 

119

Cash Flow Hedges

Foreign Exchange Risk Management

The  Company  uses  a  program  to  hedge  select  anticipated  foreign  currency  cash  flows  to  reduce  volatility  in  both  cash 
flows  and  reported  earnings.  The  Company  accounts  for  the  designated  foreign  exchange  forward  contracts  as  cash  flow 
hedges.  As  a  result,  the  Company  records  the  fair  value  of  the  contracts  primarily  through  AOCI  based  on  the  assessed 
effectiveness  of  the  foreign  exchange  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 reported 
on  a  straight-line  basis  in  Cost  of  products  sold  in  the  Consolidated  Statements  of  Operations  in  the  period  which  it  is 
applicable. Any cash flows associated with these instruments are included in operating activities in the Consolidated Statements 
of Cash Flows. 

These foreign exchange forward contracts generally have maturities up to 18 months, which is the period over which the 
Company  is  hedging  exposures  to  variability  of  cash  flows  and  the  counterparties  to  the  transactions  are  typically  large 
international financial institutions.

Interest Rate Risk Management

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 
operating activities in the Consolidated Statements of Cash Flows.

On  May  26,  2020,  the  Company  paid  $31  million  to  settle  the  $150  million  notional  T-Lock  contract,  which  partially 
hedged the interest rate risk of the $750 million senior unsecured notes. This loss will be amortized over the ten-year life of the 
notes.

AOCI Release

Overall, the derivatives designated as cash flow hedges are considered to be highly effective for accounting purposes. At 
December 31, 2020, the Company expects to reclassify $3 million of deferred net losses on cash flow hedges recorded in AOCI 
in  the  Consolidated  Statements  of  Operations  during  the  next  12  months.  For  the  rollforward  of  derivative  instruments 
designated as cash flow hedges in AOCI see Note 3, Comprehensive (Loss) Income.

Hedges of Net Investments in Foreign Operations

The  Company  has  significant  investments  in  foreign  subsidiaries.  The  net  assets  of  these  subsidiaries  are  exposed  to 
volatility in currency exchange rates. The Company employs both derivative and non-derivative financial instruments to hedge 
a portion of this exposure. 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, which are designated as hedges of net investments and are included in AOCI. The time-
value  component  of  the  fair  value  of  the  derivative  is  reported  on  a  straight-line  basis  in  Other  expense  (income),  net  in  the 
Consolidated Statements of Operations in the applicable period. Any cash flows associated with these instruments are included 
in  investing  activities  in  the  Consolidated  Statements  of  Cash  Flows  except  for  derivative  instruments  that  include  an  other-
than-insignificant  financing  element,  for  which  all  cash  flows  are  classified  as  financing  activities  in  the  Consolidated 
Statements of Cash Flows.

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 reporting date, taking into account the effective 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.

On  April  7,  2020,  the  Company  terminated  its  entire  foreign  exchange  forward  contracts  net  investment  hedge  portfolio 
early which resulted in a $48 million cash receipt. The Company elected to enter into this transaction to convert the favorable 
gain position into additional liquidity.

120

Fair Value Hedges

The Company has intercompany loans denominated in Swedish kronor that are exposed to volatility in currency exchange 
rates.  The  Company  employs  derivative  financial  instruments  to  hedge  this  exposure.  The  Company  accounts  for  these 
designated  foreign  exchange  forward  contracts  as  fair  value  hedges.  The  Company  measures  the  effectiveness  of  fair  value 
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  recorded  in  the  Consolidated  Statements  of  Operations.  Any  cash  flows 
associated with these instruments are included in operating activities in the Consolidated Statements of Cash Flows.

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 Company primarily uses 
foreign exchange forward contracts to hedge these risks. The gains and losses on these derivative transactions offset the gains 
and losses generated by the revaluation of the underlying non-functional currency balances and are recorded in Other expense 
(income),  net  in  the  Consolidated  Statements  of  Operations.  Any  cash  flows  associated  with  the  foreign  exchange  forward 
contracts and interest rate swaps not designated as hedges are included in operating activities in the Consolidated Statements of 
Cash Flows.

Derivative Instrument Activity

The  amount  of  gains  and  losses  recorded  in  AOCI  in  the  Consolidated  Balance  Sheets,  Cost  of  products  sold,  Interest 
expense,  and  Other  expense  (income),  net  in  the  Company’s  Consolidated  Statements  of  Operations  related  to  all  derivative 
instruments were as follows:

Year Ended December 31, 2020

(in millions)

Gain (Loss) 
in AOCI

Consolidated Statements of 
Operations Location

Cash Flow Hedges

Foreign exchange forward 
contracts

Interest rate swaps

Total for cash flow hedging

Hedges of Net Investments

Cross currency basis swaps
Foreign exchange forward 
contracts

Total for net investment 
hedging

$ 

$ 

$ 

(2) Cost of products sold

(16)

Interest expense

(18) 

(26)

Interest expense

6  Other expense (income), net

$ 

(20) 

Fair Value Hedges

Foreign exchange forward 
contracts

Total for fair value hedging

$ 

$ 

(3)

Interest expense

(3) 

Effective 
Portion 
Reclassified 
from AOCI 
into Income 
(Expense)

Ineffective 
Portion 
Recognized in 
Income 
(Expense)

Recognized in 
Income 
(Expense)

$ 

$ 

$ 

$ 

$ 

$ 

2  $ 

(4)

(2) $

4  $ 

—

4  $ 

—  $ 

—  $ 

— 

6 

—  $ 

6  $ 

—  $ 

—  $ 

3  $ 

3  $ 

— 

— 

— 

9 

— 

9 

— 

— 

121

Year Ended December 31, 2019

(in millions)

Cash Flow Hedges

Foreign exchange forward 
contracts

Interest rate swaps

Total for cash flow hedging

Hedges of Net Investments

Cross currency basis swaps
Foreign exchange forward 
contracts

Gain (Loss) 
in AOCI

Consolidated Statements of 
Operations Location

$ 

$ 

$ 

(6) Cost of products sold

(11)

Interest expense

(17) 

9 

Interest expense

9  Other expense (income), net

Total for net investment hedging $ 

18 

Fair Value Hedges

Foreign exchange forward 
contracts

Total for fair value hedging

.

$ 

$ 

3 

3 

Interest expense

Effective 
Portion 
Reclassified 
from AOCI 
into Income 
(Expense)

Ineffective 
Portion 
Recognized 
in Income 
(Expense)

Recognized 
in Income 
(Expense)

$ 

$ 

$ 

$ 

$ 

$ 

1  $ 

(2)

(1) $

2  $ 

—

2  $ 

—  $ 

—  $ 

— 

—  $ 

22 

22  $ 

—  $ 

—  $ 

3  $ 

3  $ 

— 

— 

— 

8 

— 

8 

— 

— 

Year Ended December 31, 2018

(in millions)

Cash Flow Hedges

Foreign exchange forward 
contracts

Interest rate swaps

Total for cash flow hedging

Hedges of Net Investments

Cross currency basis swaps

Foreign exchange forward 
contracts

Gain (Loss) 
in AOCI

Consolidated Statements of 
Operations Location

$ 

$ 

$ 

5  Cost of products sold

Interest expense
Other expense (income), net

— 

5 

15 

Interest expense

Other expense (income), net

21  Other expense (income), net

Total for net investment hedging

$ 

36 

Effective 
Portion 
Reclassified 
from AOCI 
into Income 
(Expense)

Ineffective 
Portion 
Recognized 
in Income 
(Expense)

Recognized 
in Income 
(Expense)

$ 

$ 

$ 

$ 

(9) $

—  $ 

(2)
— 

—
1 

(11) $

1  $ 

—  $ 

—  $ 

(3)

— 

—

16 

(3) $

16  $ 

— 

— 
— 

— 

7 

— 

— 

7 

122

(in millions)

Consolidated Statements of 
Operations Location

Gain (Loss) Recognized

December 31, 

2020

2019

2018

Derivative Instruments not Designated as Hedges

 Foreign exchange forward contracts

Other expense (income), net

Total for instruments not designated as hedges

$ 

$ 

7  $ 

7  $ 

(3) $

(3) $

(6) 

(6) 

Consolidated Balance Sheets Location of Derivative Fair Values

The fair value and the location of the Company's derivatives in the Consolidated Balance Sheets were as follows: 

(in millions)

Designated as Hedges:

Foreign exchange forward contracts

Cross currency basis swaps

Total

Not Designated as Hedges:

Foreign exchange forward contracts

Total

(in millions)

Designated as Hedges:

Foreign exchange forward contracts
Interest rate swaps

Cross currency basis swaps

Total

Not Designated as Hedges:

Foreign exchange forward contracts

Total

Year Ended December 31, 2020

Prepaid
Expenses
and Other
Current Assets

Other
Noncurrent
Assets

Accrued
Liabilities

Other
Noncurrent
Liabilities

$ 

$ 

$ 

$ 

5  $ 

— 

5  $ 

3  $ 

3  $ 

2  $ 

— 

2  $ 

—  $ 

—  $ 

10  $ 

20 

30  $ 

2  $ 

2  $ 

3 

— 

3 

— 

— 

Year Ended December 31, 2019

Prepaid
Expenses
and Other
Current Assets

Other
Noncurrent
Assets

Accrued
Liabilities

Other
Noncurrent
Liabilities

$ 

$ 

$ 

$ 

27  $ 
— 

— 

27  $ 

2  $ 

2  $ 

11  $ 
— 

7 

18  $ 

—  $ 

—  $ 

1  $ 
— 

— 

1  $ 

2  $ 

2  $ 

2 
11 

— 

13 

— 

— 

123

Balance Sheet Offsetting

Substantially  all  of  the  Company’s  derivative  contracts  are  subject  to  netting  arrangements;  whereby  the  right  to  offset 
occurs  in  the  event  of  default  or  termination  in  accordance  with  the  terms  of  the  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, 2020 were as follows:

Gross Amounts Not Offset 
in the Consolidated Balance 
Sheets

Gross 
Amounts 
Offset in the 
Consolidated 
Balance 
Sheets

Net 
Amounts 
Presented in 
the 
Consolidated 
Balance 
Sheets

Gross 
Amounts 
Recognized

Financial 
Instruments 

Cash 
Collateral 
Received/
Pledged

Net Amount

$ 

$ 

$ 

$ 

9  $ 

9  $ 

—  $ 

—  $ 

9  $ 

9  $ 

(9) $

(9) $

—  $ 

—  $ 

15  $ 

20 

35  $ 

—  $ 

— 

—  $ 

15  $ 

20 

35  $ 

—  $ 

(7)

(7) $

—  $ 

—

—  $ 

— 

— 

15 

13 

28 

(in millions)

Assets

Foreign exchange forward 
contracts

Total assets

Liabilities

Foreign exchange forward 
contracts

Cross currency basis swaps

Total liabilities

Offsetting of financial assets and liabilities under netting arrangements at December 31, 2019 were as follows:

Gross Amounts Not Offset 
in the Consolidated Balance 
Sheets

Gross 
Amounts 
Offset in the 
Consolidated 
Balance 
Sheets

Net 
Amounts 
Presented in 
the 
Consolidated 
Balance 
Sheets

Gross 
Amounts 
Recognized

Financial 
Instruments

Cash 
Collateral 
Received/
Pledged

Net Amount

$ 

$ 

$ 

$ 

39  $ 

7 

46  $ 

3  $ 

11 

14  $ 

—  $ 

— 

—  $ 

—  $ 

— 

—  $ 

124

39  $ 

7 

46  $ 

3  $ 

11 

14  $ 

(8) $

(1)

(9) $

(3) $

(6)

(9) $

—  $ 

—

—  $ 

—  $ 

—

—  $ 

31 

6 

37 

— 

5 

5 

(in millions)

Assets

Foreign exchange forward 
contracts

Cross currency basis swaps

Total assets

Liabilities

Foreign exchange forward 
contracts

Interest rate swaps

Total liabilities

NOTE 19 - FAIR VALUE MEASUREMENT

Assets and liabilities measured at fair value on a recurring basis

The Company estimated the fair value and carrying value of its total long-term debt, including current portion, was $2,509 
million and $2,281 million, respectively, at December 31, 2020. At December 31, 2019, the Company estimated the fair value 
and carrying value was $1,441 million. The fair value of long-term debt is based on recent trade information in the financial 
markets  of  the  Company’s  public  debt  or  is  determined  by  discounting  future  cash  flows  using  interest  rates  available  at 
December 31, 2020 to companies with similar credit ratings for issues with similar terms and maturities. It is considered a Level 
2 fair value measurement. 

The interest rate on the outstanding principal of the $450 million Senior Notes is a fixed rate of 4.1% and the interest rate 
on the outstanding principal of the $750 million Senior Notes is a fixed rate of 3.3%. The fair value of each of the Senior Notes 
is based on interest rates at December 31, 2020. For additional details on interest rates of long-term debt, please see Note 13, 
Financing Arrangements.

The Company’s financial assets and liabilities set forth by level within the fair value hierarchy that were accounted for at 

fair value on a recurring basis were as follows:

(in millions)

Assets

Foreign exchange forward contracts

Total assets

Liabilities

Cross currency interest rate swaps
Foreign exchange forward contracts
Contingent considerations on acquisitions

Total liabilities

(in millions)

Assets

Cross currency interest rate swaps
Foreign exchange forward contracts

Total assets

Liabilities

Interest rate swaps
Foreign exchange forward contracts
Contingent considerations on acquisitions

Total liabilities

Year Ended December 31, 2020

Total

Level 1

Level 2

Level 3

10  $ 
10  $ 

—  $ 
—  $ 

10  $ 
10  $ 

20  $ 
15 
5 
40  $ 

—  $ 
— 
— 
—  $ 

20  $ 
15 
— 
35  $ 

Year Ended December 31, 2019

Total

Level 1

Level 2

Level 3

7  $ 
40 

47  $ 

11  $ 
4 
9 
24  $ 

—  $ 
— 

—  $ 

—  $ 
— 
— 
—  $ 

7  $ 
40 

47  $ 

11  $ 

4 
— 
15  $ 

— 
— 

— 
— 
5 
5 

— 
— 

— 

— 
— 
9 
9 

$ 
$ 

$ 

$ 

$ 

$ 

$ 

$ 

Derivative  valuations  are  based  on  observable  inputs  to  the  valuation  model  including  interest  rates,  foreign  currency 
exchange  rates,  and  credit  risks.  The  Company  utilizes  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 18, Financial Instruments and Derivatives.

125

Assets and liabilities measured at fair value on a recurring basis using significant unobservable inputs (level 3)

The Company’s Level 3 liabilities at December 31, 2020 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, December 31, 2018
Unrealized gain:
 Reported in Other expense (income), net
 Payments
Effect of exchange rate changes
Balance, December 31, 2019
Unrealized gain:
 Reported in Other expense (income), net
Payments

Effect of exchange rate changes
Balance, December 31, 2020

Level 3

9 

2 
(2) 
— 
9 

— 
(4) 
— 
5 

$ 

$ 

$ 

There were no additional purchases, issuances or transfers of Level 3 financial instruments in 2020 and 2019. 

126

NOTE 20 - COMMITMENTS AND CONTINGENCIES

As previously disclosed, in 2017, the Division of Enforcement of the SEC asked the Company to provide documents and 
information  relating  to  the  Company’s  accounting  and  disclosures  related  to  various  matters  including  the  Company’s 
distributors and their levels of inventory. On December 16, 2020, the Company and the SEC entered into a settlement resolving 
this matter. Pursuant to the administrative order settling this matter, under which the Company neither admitted nor denied the 
SEC’s findings (except as to the SEC’s jurisdiction), the Company agreed to cease and desist from committing or causing any 
violations and any future violations of Section 13(a) of the Exchange Act and Rules 12b-20 and 13a-13 thereunder, and pay a 
$1 million civil penalty. The $1 million settlement amount, which had previously been recorded as an accrued liability within 
the Company’s consolidated balance sheet as of December 31, 2019, was paid in December 2020.

On  January  11,  2018,  Tom  Redlich,  a  former  employee,  filed  a  lawsuit  against  the  Company,  demanding  supplemental 
compensation  pursuant  to  an  agreement  allegedly  entered  into  with  Sirona  Dental  GmbH  which  was  intended  to  entice  Mr. 
Redlich to continue to work for the company for no less than eight years following the date of this agreement. The Company 
filed its response on April 4, 2018, denying the authenticity and enforceability of, and all liability under, the alleged agreement. 
Mr. Jost Fischer, upon invitation of the Company, joined the litigation against Mr. Redlich as a third party. In his submission to 
the Court, Mr. Fischer disputed the central allegations raised by Mr. Redlich in his lawsuit. The Court held several hearings in 
the matter, and then closed the hearings in June 2019 pending the Court’s decision on the capacity of Mr. Fischer to enter into a 
binding agreement of the type alleged by Mr. Redlich in the manner alleged. On November 5, 2019, the Company received the 
Court’s judgment rejecting Mr. Redlich’s lawsuit and dismissing his claims. Mr. Redlich appealed in December 2019 and the 
Company filed its response in January 2020 seeking to uphold the Court’s ruling. On February 27, 2020, the Company received 
the  Appellate  Court’s  decision  rejecting  Mr.  Redlich’s  appeal  and  upholding  the  decision  of  the  lower  court  dismissing  his 
claims. The Court of Appeals has denied Mr. Redlich the right to file a further appeal in this matter, however, on March 23, 
2020, Mr. Redlich filed an extraordinary appeal with the Austrian Supreme Court which will assess the appeal. If the Austrian 
Supreme Court accepts Mr. Redlich’s extraordinary appeal, the Company will then file its response.

On  January  25,  2018,  Futuredontics,  Inc.,  a  former  wholly-owned  subsidiary  of  the  Company,  received  service  of  a 
purported class action lawsuit brought by Henry Olivares and other similarly situated individuals in the Superior Court of the 
State  of  California  for  the  County  of  Los  Angeles.  In  January  2019,  an  amended  complaint  was  filed  adding  another  named 
plaintiff,  Rachael  Clarke,  and  various  claims.  The  plaintiff  class  alleges  several  violations  of  the  California  wage  and  hours 
laws,  including,  but  not  limited  to,  failure  to  provide  rest  and  meal  breaks  and  the  failure  to  pay  overtime.  The  parties  have 
engaged in written and other discovery. On February 5, 2019, Plaintiff Calethia Holt (represented by the same counsel as Mr. 
Olivares and Ms. Clarke) filed a separate representative action in Los Angeles Superior Court alleging a single violation of the 
Private Attorneys’ General Act that is based on the same underlying claims as the Olivares/Clarke lawsuit. On April 5, 2019, 
Plaintiff Kendra Cato filed a similar action in Los Angeles Superior Court alleging a single violation of the Private Attorneys’ 
General Act that is based on the same underlying claims as the Olivares/Clarke lawsuit. The Company has agreed to resolve all 
three actions (Olivares, Holt, and Cato), the parties to each action are in the process of finalizing the settlement terms, and the 
parties will then seek court approval of the settlements. The expected settlement amount, which is immaterial to the financial 
statements,  has  been  recorded  as  an  accrued  liability  within  the  Company's  consolidated  balance  sheet  as  of  December  31, 
2020.

On  June  7,  2018,  and  August  9,  2018,  two  putative  class  action  suits  were  filed,  and  later  consolidated,  in  the  Supreme 
Court of the State of New York, County of New York claiming that the Company and certain individual defendants, violated 
U.S. securities laws (the "State Court Action") by making material misrepresentations and omitting required information in the 
December 4, 2015 registration statement filed with the SEC in connection with the Merger. The amended complaint alleges that 
the  defendants  failed  to  disclose,  among  other  things,  that  a  distributor  had  purchased  excessive  inventory  of  legacy  Sirona 
products  and  that  three  distributors  of  the  Company's  products  had  been  engaging  in  anticompetitive  conduct.  The  plaintiffs 
seek  to  recover  damages  on  behalf  of  a  class  of  former  Sirona  shareholders  who  exchanged  their  shares  for  shares  of  the 
Company's stock in the Merger. On September 26, 2019, the Court granted the Company's motion to dismiss all claims and a 
judgment  dismissing  the  case  was  subsequently  entered.  On  February  4,  2020,  the  Court  denied  plaintiffs'  post-judgment 
motion  to  vacate  or  modify  the  judgment  and  to  grant  them  leave  to  amend  their  complaint.  The  plaintiffs  appealed  the 
dismissal and the denial of the post-judgment motion to the Supreme Court of the State of New York, Appellate Division, First 
Department, and the Company cross-appealed select rulings in the Court's decision dismissing the action. The plaintiffs' appeals 
and  the  Company's  cross-appeal  were  consolidated  and  argued  on  January  12,  2021.  On  February  2,  2021,  the  Appellate 
Division issued its decision upholding the dismissal of the State Court Action with prejudice on statute of limitations grounds.

127

On December 19, 2018, a related putative class action was filed in the U.S. District Court for the Eastern District of New 
York  against  the  Company  and  certain  individual  defendants  (the  "Federal  Class  Action").  The  plaintiff  makes  similar 
allegations  and  asserts  the  same  claims  as  those  asserted  in  the  State  Court  Action.  In  addition,  the  plaintiff  alleges  that  the 
defendants violated U.S. securities laws by making false and misleading statements in quarterly and annual reports and other 
public  statements  between  February  20,  2014,  and  August  7,  2018.  The  plaintiff  asserts  claims  on  behalf  of  a  putative  class 
consisting of (a) all purchasers of the Company's stock during the period February 20, 2014 through August 7, 2018 and (b) 
former shareholders of Sirona who exchanged their shares of Sirona stock for shares of the Company's stock in the Merger. The 
Company  moved  to  dismiss  the  amended  complaint  on  August  15,  2019.  On  January  8,  2021,  the  parties  filed  a  stipulation, 
which  is  subject  to  the  Court's  approval,  (1)  withdrawing  the  Company's  motion  to  dismiss  without  prejudice,  (2)  allowing 
plaintiff  to  file  a  second  amended  complaint  by  January  22,  2021,  and  (3)  providing  for  a  briefing  schedule  on  a  motion  to 
dismiss that will be completed by May 13, 2021. The plaintiff filed its second amended complaint on January 22, 2021, and the 
Company intends to move to dismiss the second amended complaint. 

On April 29, 2019, two purported stockholders of the Company filed a derivative action on behalf of the Company in the 
U.S. District Court for the District of Delaware against the Company's directors (the "Stockholder's Derivative Action"). Based 
on allegations similar to those asserted in the class actions described above, the plaintiffs allege that the directors caused the 
Company  to  misrepresent  its  business  prospects  and  thereby  subjected  the  Company  to  multiple  securities  class  actions  and 
other  litigation.  On  September  20,  2019,  the  plaintiffs  in  the  Stockholder's  Derivative  Action  filed  an  amended  derivative 
complaint on behalf of the Company in the U.S. District Court for the District of Delaware against the Company's directors. 
The plaintiffs assert claims for breach of fiduciary duty, unjust enrichment, waste of corporate assets, and violations of the U.S. 
securities  laws.  The  plaintiffs  seek  relief  that  includes,  among  other  things,  monetary  damages  and  various  corporate 
governance reforms. The Company filed a motion to dismiss, and on July 31, 2020 the Magistrate Judge issued a report and 
recommendation to the District Court Judge recommending dismissal of the case with prejudice. On September 25, 2020, the 
District  Court  Judge  issued  an  order  adopting  the  Magistrate  Judge’s  report  dismissing  the  case,  but  without  prejudice,  and 
provided the plaintiffs with three weeks to file a motion to amend their complaint. On October 16, 2020, the plaintiffs filed a 
notice  advising  the  Court  that  they  would  not  be  amending  their  complaint.  On  October  23,  2020,  the  Court  issued  an  order 
dismissing the case with prejudice as to the plaintiffs. The same day, the plaintiffs submitted a letter to the Board of Directors 
demanding  that  the  Board  investigate  and  commence  legal  proceedings  against  the  same  current  and  former  directors  and 
officers of the Company previously named as defendants in the Stockholder's Derivative Action on the basis of the same claims 
alleged in the Stockholder's Derivative Action. On November 6, 2020, the Company sent a letter to counsel for the plaintiffs 
stating that the Board would consider the litigation demand and respond with its decision.

The Company intends to defend itself vigorously in these actions.

As a result of an audit by the IRS for fiscal years 2012 through 2013, on February 11, 2019, the IRS issued to the Company 
a “30-day letter” and a Revenue Agent’s Report (“RAR”), relating to the Company’s worthless stock deduction in 2013 in the 
amount of $546 million. The RAR disallows the deduction and, after adjusting the Company’s net operating loss carryforward, 
asserts that the Company is entitled to a refund of $5 million for 2012, has no tax liability for 2013, and owes a deficiency of 
$17 million in tax for 2014, excluding interest. In accordance with ASC 740, the Company recorded the tax benefit associated 
with  the  worthless  stock  deduction  in  the  Company’s  2012  financial  statements.  In  March  2019,  the  Company  submitted  a 
formal protest disputing on multiple grounds the proposed taxes. The Company and its advisors discussed its position with the 
IRS Appeals Office Team on October 28, 2020 and, on November 13, 2020, submitted a supplemental response to questions 
raised by the Appeals Team. The Company’s position continues to be reviewed by the IRS Appeals Office team. The Company 
believes the IRS' position is without merit and believes that it is more likely-than-not the Company’s position will be sustained 
in 2021 upon further review by the IRS Appeals Office Team. The Company has not accrued a liability relating to the proposed 
tax  adjustments.  However,  the  outcome  of  this  dispute  involves  a  number  of  uncertainties,  including  those  inherent  in  the 
valuation  of  various  assets  at  the  time  of  the  worthless  stock  deduction,  and  those  relating  to  the  application  of  the  Internal 
Revenue Code and other federal income tax authorities and judicial precedent. Accordingly, there can be no assurance that the 
dispute with the IRS will be resolved favorably. If determined adversely, the dispute would result in a current period charge to 
earnings and could have a material adverse effect in the consolidated results of operations, financial position, and liquidity of 
the Company.

128

The Swedish Tax Agency has disallowed certain of the Company’s interest expense deductions for the tax years from 2013 
to 2018. If such interest expense deductions were disallowed, the Company would be subject to an additional $57 million in tax 
expense. The Company has appealed the disallowance to the Swedish Administrative Court. With respect to such deductions 
taken  in  the  tax  years  from  2013  to  2014,  the  Court  ruled  against  the  Company  on  July  5,  2017.  On  August  7,  2017,  the 
Company  appealed  the  unfavorable  decision  of  the  Swedish  Administrative  Court.  On  November  5,  2018,  the  Company 
delivered its final argument to the Administrative Court of Appeals at a hearing. The European Union Commission has taken 
the  view  that  Sweden’s  interest  deduction  limitation  rules  are  incompatible  with  European  Union  law  and  supporting  legal 
opinions,  and  therefore  the  Company  has  not  paid  the  tax  or  made  provision  in  its  financial  statements  for  such  potential 
expense. This view has now been confirmed by the European Union Court of Justice in a preliminary ruling requested by the 
Swedish Supreme Administrative Court in a pending case. The Company intends to vigorously defend its position and pursue 
related appeals.

In addition to the matters disclosed above, the 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 for damages arising out of the use of the 
Company’s  products  and  services  and  claims  relating  to  intellectual  property  matters  including  patent  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  include  claims  for  punitive  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.

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.

Commitments

From  time  to  time,  the  Company  enters  into  long-term  inventory  purchase  commitments  with  minimum  purchase 
requirements for raw materials and finished goods to ensure the availability of products for production and distribution. Future 
minimum annual payments for inventory purchase commitments were immaterial as of December 31, 2020.

129

NOTE 21 - SUBSEQUENT EVENTS

On  January  6,  2021  the  Company  entered  into  foreign  exchange  forward  contracts  with  a  notional  value  of  SEK 
1.3 billion as a result of an increased exposure to intercompany loans denominated in Swedish kronor. The foreign exchange 
forwards are designated as fair value hedges.

On January 21, 2021, the Company paid $95 million, with the potential for additional earn-out provision payments of up 
to $10 million, to acquire 100% of the outstanding shares of a Datum Dental, Ltd., a privately-owned producer and distributor 
of specialized regenerative dental material based in Israel. The Company is in the process of determining fair values of assets 
acquired and liabilities assumed.

130

SCHEDULE II

DENTSPLY SIRONA INC. AND SUBSIDIARIES
VALUATION AND QUALIFYING ACCOUNTS
FOR THE YEARS ENDED DECEMBER 31, 2020, 2019, and 2018

Description

(in millions)

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

Additions

Allowance for doubtful accounts:

For the Year Ended December 31,

2018

2019

2020

$ 

22  $ 

6  $ 

1  $ 

(2) $

(2) $

25 

29 

10 

1 

1 

(2)

(6)

(12)

(1)

2 

Deferred tax asset valuation allowance:

For the Year Ended December 31,

2018

2019

2020

$ 

3,015  $ 

108  $ 

—  $ 

(2,769)  $ 

(66) $

288 

288 

8 

(5)

— 

—

(6) 

(2)

(2) 

6

25 

29 

18 

288 

288 

287 

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A. Controls and Procedures

Conclusion Regarding the Effectiveness of Disclosure Controls and Procedures

The  Company’s  management,  with  the  participation  of  the  Company’s  Chief  Executive  Officer  and  Chief  Financial 
Officer, evaluated the effectiveness of 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 end of the period covered by this report. Based on 
that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that the Company’s disclosure controls and 
procedures as of the end of the period covered by this report were effective to provide reasonable assurance that the information 
required to be disclosed by the Company in reports filed under the Securities Exchange Act of 1934, as amended, is recorded, 
processed, 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.

Management’s Annual Report on Internal Control Over Financial Reporting

Management’s report on the Company’s internal control over financial reporting is included under Item 8 of this Form 10-

K.

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, 2020 that have materially affected, or are reasonably likely to materially affect, its internal control over 
financial reporting.

131

Item 9B. Other Information

Not Applicable

132

Item 10. Directors, Executive Officers and Corporate Governance

PART III

The  information  required  under  this  item  is  set  forth  in  the  2021  Proxy  Statement,  which  is  incorporated  herein  by 

reference.

Code of Ethics

The  Company  has  a  Code  of  Ethics  and  Business  Conduct  that  applies  to  the  Chief  Executive  Officer,  Chief  Financial 
Officer,  Chief  Accounting  Officer  and  the  Board  of  Directors  and  substantially  all  of  the  Company’s  management  level 
employees. A copy of the Code of Ethics and Business Conduct 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  Ethics  and  Business 
Conduct that relates to any element enumerated in Item 406(b) of Regulation S-K, and any waiver from a provision of the Code 
of  Ethics  and  Business  Conduct  granted  to  any  director,  principal  executive  officer,  principal  financial  officer,  principal 
accounting  officer,  or  any  of  the  Company’s  other  executive  officers,  in  the  Investor  Relations  section  of  the  Company’s 
website at www.dentsplysirona.com, within four business days following the date of such amendment or waiver.

Item 11. Executive Compensation 

The  information  required  under  this  item  is  set  forth  in  the  2021  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  2021  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 2021 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 2021 Proxy Statement, which is incorporated herein by 

reference.

133

Item 15. Exhibits and Financial Statement Schedule 

PART IV

a.

1.

Documents filed as part of this Report

Financial Statements:

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

2.

Financial Statement Schedules:

The following financial statement schedule is included in this report: Schedule II - Valuation and Qualifying Accounts
for the Years Ended December 31, 2020, 2019 and 2018.

All  other  schedules  for  which  provision  is  made  in  the  applicable  accounting  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.

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

2.2

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. (14)
Equity Purchase Agreement, dated as of December 31, 2020, by and among Dentsply Sirona Inc., Straight 
Smile, LLC, the members of Straight Smile, LLC and Member Representative SSB, LLC (37)

3.1 (a) Second Amended and Restated Certificate of Incorporation (17)

(b) Certificate of Amendment to Second Amended and Restated Certificate of Incorporation of Dentsply Sirona

Inc., dated as of May 23, 2018 (22)
Fifth Amended and Restated By-Laws, dated as of February 14, 2018 (20)

3.2

4.1 (a) 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)) (3)

(b) 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.)
(13)

4.2 (a) United States Commercial Paper Dealer Agreement dated as of August 18, 2011 between the Company and 

J.P. Morgan Securities LLC (13)

(b) 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 (13)

4.3

4.4

$700 Million Credit Agreement, dated as of July 27, 2018 final maturity in July 26, 2024, 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, and Wells Fargo Bank, N.A., Commerzbank AG, 
New York Branch, MUFG Bank, Ltd., Unicredit Bank AG New York Branch, and TD Bank, N.A. as co-
documentation agents, and J.P. Morgan Chase Bank, N.A. and Citibank, N.A., as Joint Bookrunners and Joint 
Lead Arrangers (23)
Description of the Registrant's Securities (31)

134

Exhibit 
Number

4.5

4.6

Form of Indenture (10)

Description

Supplemental Indenture, dated August 23, 2011 between DENTSPLY International Inc., as Issuer and Wells 
Fargo, National Association, as Trustee (11)

4.7 (a) 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 (13)

(b) 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 (15)
United States Commercial Paper issuing and paying Agency Agreement dated as of November 4, 2014, 
between the Company and U.S. Bank N.A. (13)
Note  Purchase  Agreement,  dated  December  11,  2015,  by  and  among  the  Company,  Metropolitan  Life 
Insurance Company, Prudential Retirement Insurance and Annuity Company, C.M. Life Insurance Company, 
The Northwestern Mutual Life Insurance Company, The Lincoln National Life Insurance Company, Manulife 
Life  Insurance  Company,  Manufacturers  Life  Reinsurance  Limited,  Nationwide  Life  Insurance  Company, 
United of Omaha Life Insurance Company and the other purchasers listed in Schedule A thereto (15)
Note Purchase Agreement, dated October 27, 2016, by and among the Company, Metropolitan Life Insurance 
Company,  New  York  Life  Insurance  Company,  Nationwide  Life  Insurance  Company,  The  Northwestern 
Mutual  Life  Insurance  Company,  Massachusetts  Mutual  Life  Insurance  Company,  Allianz  Life  Insurance 
Company  of  North  America,  Hartford  Life  and  Accident  Insurance  Company,  The  Lincoln  National  Life 
Insurance  Company,  The  Guardian  Life  Insurance  Company  of  America,  Great-West  Life  &  Annuity 
Insurance  Company,  The  Prudential  Insurance  Company  of  America,  and  the  other  purchasers  listed  in 
Schedule A thereto (17)

Note Purchase Agreement, dated June 24, 2019, by and among the Company and Brighthouse Life Insurance 
Company,  Metlife  Insurance  K.K.,  The  Northwestern  Mutual  Life  Insurance  Company,  Hartford  Fire 
Insurance Company, and Hartford Life and Accident Insurance Company. (28)

Indenture,  dated  as  of  May  26,  2020,  between  DENTSPLY  SIRONA  Inc.  and  Wells  Fargo  Bank,  National 
Association. (34)
First Supplemental Indenture, dated as of May 26, 2020, between DENTSPLY SIRONA Inc. and Wells Fargo 
Bank, National Association. (34)
Form of 3.250% Notes due 2030 (included in Exhibit 4.13). (34)

Opinion of Skadden, Arps, Slate, Meagher & Flom LLP (34)

2002 Amended and Restated Equity Incentive Plan* (5)

Restricted Stock Unit Deferral Plan* (15)

4.8

4.9

4.10

4.11

4.12

4.13

4.14

5.1

10.1

10.2

10.3 (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 (1)

(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 (1)
DENTSPLY Supplemental Saving Plan Agreement dated as of December 10, 2007* (5)

DENTSPLY SIRONA Inc. Directors' Deferred Compensation Plan, as amended and restated January 1, 2019* 
(25)
DENTSPLY SIRONA Inc. Supplemental Executive Retirement Plan, as amended and restated January 1, 
2019* (25)
Incentive Compensation Plan, amended and restated* (9)

AZ Trade Marks License Agreement, dated January 18, 2001 between AstraZeneca AB and Maillefer 
Instruments Holdings, S.A. (1)

10.4

10.5

10.6

10.7

10.8

10.9 (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 (4)

(b) Precious metal inventory Purchase and Sale Agreement dated December 20, 2001 between JPMorgan Chase

Bank and the Company (2)

(c) Precious metal inventory Purchase and Sale Agreement dated December 20, 2001 between Mitsui & Co.,

Precious Metals Inc. and the Company (2)

135

Exhibit
Number

10.10

10.11

10.12

10.13

10.14

10.15

Description

(d) Precious metal inventory Purchase and Sale Agreement dated January 30, 2002 between Commerzbank AG

(formerly known as Dresdner Bank AG), Frankfurt, and the Company (5)

(e) 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 (12)

(f) Precious metal inventory Purchase and Sale Agreement dated April 29, 2013 between The Toronto-Dominion

Bank and the Company (12)
2010 Equity Incentive Plan, amended and restated* (15)

DENTSPLY SIRONA Inc. 2016 Omnibus Incentive Plan, as amended and restated effective February 14, 
2018* (21)
Amended and Restated U.S. Distributorship Agreement, dated May 31, 2012, by and between Patterson 
Companies, Inc. and Sirona Dental Systems, Inc. (16)
Amended and Restated U.S. CAD-CAM Distributorship Agreement, dated May 31, 2012, by and between 
Patterson Companies, Inc. and Sirona Dental Systems GmbH (16)
Sirona Dental Systems, Inc. Equity Incentive Plan, as Amended* (17)

Sirona Dental Systems, Inc. 2015 Long-Term Incentive Plan* (17)

10.16 (a) Employment Agreement, dated October 10, 2017, between DENTSPLY SIRONA Inc. and Nicholas W. 

Alexos* (18)

(b) First Amendment dated as of March 5, 2019 to Employment Agreement by and between DENTSPLY

SIRONA Inc. and Nicholas W. Alexos* (26)

(c) Separation and Release of Claims Agreement, between DENTSPLY SIRONA Inc. and Nicholas W. Alexos,

dated May 24, 2019* (27)

10.17 (a) Employment Agreement, dated October 10, 2017, between DENTSPLY SIRONA Inc. and Keith Ebling* (21)

(b) First Amendment dated as of March 5, 2019 to Employment Agreement by and between DENTSPLY

SIRONA Inc. and Keith J. Ebling* (26)

10.18 (a) Employment Agreement, dated February 12, 2018, between DENTSPLY SIRONA Inc. and Donald M. Casey 

Jr.* (19)

(b) First Amendment to Employment Agreement, dated August 3, 2018, by and between DENTSPLY SIRONA

Inc. and Donald M. Casey Jr.* (25)

(c) Second Amendment dated as of March 5, 2019 to Employment Agreement by and between DENTSPLY

SIRONA Inc. and Donald M. Casey, Jr.* (26)
Form of DENTSPLY SIRONA Inc. Indemnification Agreement* (20)

Form of Option Grant Notice Under the DENTSPLY SIRONA Inc. 2016 Omnibus Incentive Plan as amended 
and restated* (20)
Form of Restricted Share Unit Grant Notice Under the DENTSPLY SIRONA Inc. 2016 Omnibus Incentive 
Plan as amended and restated* (20)
Form of Performance Restricted Share Unit Grant Notice Under the DENTSPLY SIRONA Inc. 2016 Omnibus 
Incentive Plan as amended and restated* (20)
Employee Stock Purchase Plan, dated May 23, 2018* (24)

10.19

10.20

10.21

10.22

10.23

10.24 (a) Non-Employee Director Compensation Policy, effective March 27, 2019* (30)

(b) Non-Employee Director Compensation Policy, effective May 22, 2019* (29)

(c) Non-Employee Director Compensation Policy, effective January 1, 2020* (31)

(d) Non-Employee Director Compensation Policy, effective September 30, 2020* (36)

Form of Performance Restricted Stock Unit Award Agreement* (26)

Form of Restricted Share Unit Grant Notice for Directors under the DENTSPLY SIRONA Inc. 2016 Omnibus 
Incentive Plan as amended and restated* (29)
Amended and Restated Restricted Stock Unit Deferral Plan, effective July 31, 2019* (29)

Offer Letter, dated June 27, 2019, between DENTSPLY SIRONA Inc. and Jorge Gomez* (29)

First Amendment to Employment Agreement, dated August 6, 2018, between DENTSPLY SIRONA Inc. and 
William E. Newell* (35)
Employment Agreement, dated May 27, 2017, between DENTSPLY SIRONA Inc. and William E. Newell* 
(35)

136

10.25

10.26

10.27

10.28

10.29

10.30

Exhibit
Number

10.31

10.32

10.33

21.1

23.1

23.2

31.1

31.2

32

101.INS

101.SCH

101.CAL

101.DEF

101.LAB

101.PRE

Description

Separation Agreement with General Release, dated July 20, 2020, by and between William E. Newell and 
DENTSPLY SIRONA Inc* (35)
364-Day Credit Agreement, dated as of April 9, 2020, among DENTSPLY SIRONA Inc., JPMorgan Chase
Bank, N.A., as Administrative Agent, Citibank, N.A., as Syndication Agent, and the lenders party thereto (32)
Employment Agreement, dated October 28, 2019, between Dentsply Sirona Deutschland GmbH and Walter 
Petersohn (33)
Subsidiaries of the Company (Filed herewith)

Consent of Independent Registered Public Accounting Firm - PricewaterhouseCoopers LLP (Filed herewith)

Consent of Skadden, Arps, Slate, Meagher & Flom LLP (included in Exhibit 5.1) (34)

Section 302 Certification Statements Chief Executive Officer (Filed herewith)

Section 302 Certification Statements Chief Financial Officer (Filed herewith)

Section 906 Certification Statement (Furnished herewith)

Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because 
its XBRL tags are embedded within the Inline XBRL document)
XBRL Taxonomy Extension Schema Document

XBRL Taxonomy Extension Calculation Linkbase Document

XBRL Taxonomy Extension Definition Linkbase Document

XBRL Extension Labels Linkbase Document

XBRL Taxonomy Extension Presentation Linkbase Document

104

Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

*Management contract or compensatory plan.

(1)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2000, File 0-16211.

(2)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2001, File 0-16211.

(3)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2002, File 0-16211.

(4)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2006, File no. 0-16211.

(5)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2007, File No. 0-16211.

(6)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2008, File No. 0-16211.

(7)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2009, File no. 0-16211.

(8)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2010, File no. 0-16211.

(9)

Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2011, File no. 0-16211.

(10) Incorporated by reference to exhibit included in the Company’s Registration Statement on Form S-3 dated August 15, 2011 (No. 333-176307).

(11) Incorporated by reference to exhibit included in the Company’s Form 8-K dated August 29, 2011, File no. 0-16211.

(12) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2013, File no. 0-16211.

(13) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2014, File no. 0-16211.

(14) Incorporated by reference to exhibit included in the Company’s Form 8-K dated September 16, 2015, File no. 0-16211.

(15) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2015, File no. 0-16211.

(16) 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).

(17) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2016, File no. 0-16211.

(18) Incorporated by reference to exhibit included in the Company’s Form 8-K, dated November 3, 2017, File no.0-16211.

(19) Incorporated by reference to exhibit included in the Company’s Form 8-K, dated January 17, 2018, File no.0-16211.

(20) Incorporated by reference to exhibit included in the Company’s Form 8-K, dated February 15, 2018, File no.0-16211.

(21) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2017, File no. 0-16211.

137

(22) Incorporated by reference to exhibit included in the Company’s Form 8-K, dated May 23, 2018, File no.0-16211.

(23) Incorporated by reference to exhibit included in the Company’s Form 8-K, dated July 30, 2018, File no.0-16211.

(24) Incorporated by reference to exhibit included in the Company’s Form 10-Q for the quarterly period ended June 30, 2018, File no. 0-16211.

(25) Incorporated by reference to exhibit included in the Company's Form 10-K for the fiscal year ended December 31, 2018, File no. 0-16211.

(26) Incorporated by reference to exhibit included in the Company's Form 8-K, dated March 8, 2019, File no. 0-16211.

(27) Incorporated by reference to exhibit included in the Company's Form 8-K, dated May 31, 2019, File no. 0-16211.

(28) Incorporated by reference to exhibit included in the Company's Form 8-K, dated June 26, 2019, File no. 0-16211.

(29) Incorporated by reference to exhibit included in the Company's Form 10-Q for the quarterly period ended June 30, 2019, File no. 0-16211.

(30) Incorporated by reference to exhibit included in the Company’s Form 10-Q for the quarterly period ended March 31, 2019, File no. 0-16211.

(31) Incorporated by reference to exhibit included in the Company’s Form 10-K for the fiscal year ended December 31, 2019, File no. 0-16211.

(32) Incorporated by reference to exhibit included in the Company's Form 8-K, dated April 9, 2020, File no. 0-16211.

(33) Incorporated by reference to exhibit included in the Company’s Form 10-Q for the quarterly period ended March 31, 2020, File no. 0-16211.

(34) Incorporated by reference to exhibit included in the Company's Form 8-K, dated May 26, 2020, File no. 0-16211.

(35) Incorporated by reference to exhibit included in the Company’s Form 10-Q for the quarterly period ended June 30, 2020, File no. 0-16211

(36) Incorporated by reference to exhibit included in the Company’s Form 10-Q for the quarterly period ended September 30, 2020, File no. 0-16211.

(37) Incorporated by reference to exhibit included in the Company's Form 8-K, dated January 4, 2021, File no. 0-16211.

138

Item 16. Form 10-K Summary

None.

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused 

this report to be signed on its behalf by the undersigned, thereunto duly authorized.

DENTSPLY SIRONA Inc.  

By:

/s/ Donald M. Casey, Jr.
Donald M. Casey, Jr.
Chief Executive Officer

Date:

March 1, 2021

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the registrant and in the capacities and on the dates indicated.

/s/

/s/

/s/

/s/

/s/

Donald M. Casey, Jr.
Donald M. Casey, Jr.
Chief Executive Officer and Director
(Principal Executive Officer)

Jorge M. Gomez
Jorge M. Gomez
Executive Vice President and
Chief Financial Officer
(Principal Financial Officer)

Ranjit S. Chadha
Ranjit S. Chadha
Chief Accounting Officer
(Principal Accounting Officer)

Eric K. Brandt
Eric K. Brandt
Chairman of the Board of Directors

Dr. Michael C. Alfano
Dr. Michael C. Alfano
Director

/s/ Willie A. Deese
Willie A. Deese
Director

/s/

Betsy D. Holden

Betsy D Holden

Director

139

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021

Date

/s/

/s/

/s/

/s/

/s/

/s/

/s/

Clyde R. Hosein
Clyde R. Hosein
Director

Harry M Jansen Kraemer, Jr.
Harry M. Jansen Kraemer, Jr.
Director

Arthur D. Kowaloff
Arthur D. Kowaloff
Director

Gregory T. Lucier
Gregory T. Lucier
Director 

Francis J. Lunger
Francis J. Lunger
Director

Leslie F. Varon
Leslie F. Varon
Director

Janet S. Vergis
Janet S. Vergis
Director

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

March 1, 2021
Date

140