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DENTSPLY SIRONA Inc

For the period ended Dec 31, 2023. Filed Feb 29, 2024.

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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2023 · Filed Feb 29, 2024

XRAY$9.54+0.8%Stored close · as of Nov 9, 2026

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Contents

Item

NOTE 13 -ACCRUED LIABILITIES

Accrued liabilities were as follows:

Year Ended December 31,
(in millions)20232022
Payroll, commissions, bonuses, other cash compensation and employee benefits$161$156
Sales and marketing programs6865
Reserve for distributor rebates151163
Restructuring costs377
Accrued vacation and holidays3232
Professional and legal costs2527
Current portion of derivatives1819
General insurance1112
Warranty liabilities2422
Third party royalties57
Deferred income9184
Accrued interest99
Accrued property taxes66
Current operating lease liabilities5654
Other5564
Accrued liabilities$749$727

NOTE 14 -FINANCING ARRANGEMENTS

Short-Term Debt

Short-term debt was as follows:

Year Ended December 31,
2023 · 2022
Principal · Interest · Principal · Interest
(in millions except percentages) · Balance · Rate · Balance · Rate
Corporate commercial paper facility$2255.8%$955.1%
Other short-term borrowings204.9%224.6%
Add: Current portion of long-term debt771
Total short-term debt$322$118
Maximum month-end short-term debt outstanding during the year$399$395
Average amount of short-term debt outstanding during the year284289
Weighted-average interest rate on short-term debt at year-end5.7%5.0%

Short-Term Borrowings

On May 12, 2023, the Company entered into afive-year senior unsecured multi-currency revolving facility, for an aggregate principal amount of $700 million that expires on May 12, 2028. This new facility replaced the prior $700 million five-year senior unsecured multi-currency revolving facility that was scheduled to expire on July 26, 2024. The Company also has a $500 million commercial paper program. The $700 million multi-currency revolving credit facility 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 facility in the aggregate is $700 million. The Company had outstanding borrowings of $225 million and $95 million under the commercial paper facility at December 31, 2023 and December 31, 2022, respectively, andno outstanding borrowings under the multi-currency revolving credit facility. The Company also has access to $44 million in uncommitted short-term financing under lines of credit from various financial institutions, the availability of which is reduced by other short-term borrowings of $20 million.

At December 31, 2023, the Company had $499 million borrowings available under unused lines of credit, including lines available under its short-term arrangements and revolving credit agreement.

Long-Term Debt

Long-term debt was as follows:

Year Ended December 31,
20232022
PrincipalInterestPrincipalInterest
(in millions except percentages)BalanceRateBalanceRate
Private placement notes 70 million euros due October 2024$771.0%$751.0%
Private placement notes 25 million Swiss franc due December 2025300.9%270.9%
Private placement notes 97 million euros due December 20251072.1%1042.1%
Private placement notes 26 million euros due February 2026292.1%282.1%
Private placement notes 58 million Swiss franc due August 2026691.0%631.0%
Private placement notes 106 million euros due August 20261172.3%1142.3%
Private placement notes 70 million euros due October 2027771.3%751.3%
Private placement notes 8 million Swiss franc due December 202791.0%81.0%
Private placement notes 15 million euros due December 2027172.2%162.2%
Private placement notes 140 million Swiss franc due August 20281661.2%1511.2%
Private placement notes 70 million euros due October 2029771.5%751.5%
Fixed rate senior notes 750 million due June 20307503.3%7503.3%
Private placement notes 70 million euros due October 2030771.6%751.6%
Private placement notes 45 million euros due February 2031502.5%482.5%
Private placement notes 65 million Swiss franc due August 2031771.3%701.3%
Private placement notes 12.6 billion Japanese yen due September 2031891.0%961.0%
Private placement notes 70 million euros due October 2031771.7%751.7%
Other borrowings, various currencies and rates1421
Hedge accounting fair value adjustment(a)(28)(35)
$1,881$1,836
Less: Current portion
(included in “Notes payable and current portion of long-term debt” in the Consolidated Balance Sheets)771
Less: Long-term portion of deferred financing costs89
Long-term portion$1,796$1,826

(a) Represents the fair value of interest rate swap agreements entered into on a portion of the outstanding senior notes.

The Company’s multi-currency 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, 2023, the Company was in compliance with all debt covenants.

The contractual maturity dates of the Company’s long-term borrowings as of December 31, 2023 were as follows:

(in millions)
2024$77
2025148
2026218
2027103
2028166
2029 and beyond1,197
$1,909

Interest expense, net includes interest income of $16 million, $11 million and $3 million for the years ended December 31, 2023, 2022 and 2021, respectively, primarily relating to interest-bearing cash equivalents and customer financing for our direct-to-consumer aligner solutions.

NOTE 15 -EQUITY

On November 7, 2023, the Board of Directors approved an increase to the authorized share repurchase program of $1.0 billion. Share repurchases may 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 considers appropriate based upon prevailing market and business conditions and other factors. At December 31, 2023, the Company had authorization to repurchase $1.44 billion in shares of common stock remaining under the share repurchase program.

On March 3, 2023, the Company entered into an Accelerated Share Repurchase Agreement (“ASR Agreement”) with a financial institution to repurchase the Company’s common stock. The Company repurchased shares under the ASR Agreement as part of the share repurchase program described above. In 2023, the Company repurchased approximately 3.1 million shares delivered during March 2023 at a volume-weighted average price of $38.74 representing $120 million of the total anticipated repurchase. In April 2023, an additional 0.8 million shares were delivered upon the final settlement of the ASR Agreement resulting in a total of 3.9 million shares repurchased under the agreement.

(in millions, except per share amounts) · Initial Delivery · Final Settlement
Agreement DateAmount PaidShares ReceivedPrice per shareValue of Shares as a % of Contract ValueSettlement DateTotal Shares ReceivedAverage Price per Share
March 3, 2023$1503.1$38.7480%April 28, 20233.9$38.55

The ASR Agreement was accounted for as an initial delivery of common shares in a treasury stock transaction on March 6, 2023 of $121 million and a forward contract indexed to the Company’s common stock for an amount of common shares that was determined on the final settlement date. The forward contract met all applicable criteria for equity classification and was not accounted for as a derivative instrument for the quarter ended March 31, 2023. Therefore, the value of the forward contract of $30 million was recorded in Capital in excess of par value at March 31, 2023. Upon final settlement in April 2023, this amount was subsequently recorded as Treasury Stock in the Consolidated Balance Sheets. The initial delivery and final settlement of common stock reduced the weighted average common shares outstanding for both basic and diluted earnings per share. The forward contract did not impact the weighted average common shares outstanding for diluted earnings per share.

For the years ended December 31, 2023, 2022 and 2021, the Company repurchased outstanding shares of common stock at a cost of $300 million, $150 million and $200 million, respectively. For the year ended December 31, 2023, the treasury stock transactions resulted in an excise tax accrual of $3 million for public company stock repurchases established by the Inflation Reduction Act of 2022.

For the year ended December 31, 2023, stock options exercised and the proceeds received at exercise werenot significant. For the years ended December, 31, 2022 and 2021, the Company received proceeds of $6 million and $51 million, respectively, primarily as a result of stock options exercised in the amount of 0.1 million and 1.1 million in each of the years, respectively. It is the Company’s practice to issue shares from treasury stock when stock options are exercised and RSUs vest.

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

(in millions)Shares of Common StockShares of Treasury StockOutstandingShares
Balance at December 31, 2020264.5(45.8)218.7
Shares of treasury stock issued—2.22.2
Repurchase of common stock at an average cost of $57.47—(3.5)(3.5)
Balance at December 31, 2021264.5(47.1)217.4
Shares of treasury stock issued—0.90.9
Repurchase of common stock at an average cost of $48.22—(3.1)(3.1)
Balance at December 31, 2022264.5(49.3)215.2
Shares of treasury stock issued—0.80.8
Repurchase of common stock at an average cost of $34.20—(8.8)(8.8)
Balance at December 31, 2023264.5(57.3)207.2

NOTE 16 -INCOME TAXES

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

Year Ended December 31,
(in millions)202320222021
United States$(6)$(531)$51
Foreign(169)(524)494
Total (loss) income before income taxes$(175)$(1,055)$545

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

Year Ended December 31,
(in millions)202320222021
Current:
U.S. federal$1$1$1
U.S. state—44
Foreign86118154
Total$87$123$159
Deferred:
U.S. federal$4$(145)$10
U.S. state(3)(17)2
Foreign(131)(66)(37)
Total$(130)$(228)$(25)
Total (benefit) provision for income taxes$(43)$(105)$134

The reconciliation of the U.S. federal statutory tax rate to the effective rate were as follows:

Year Ended December 31,
(in millions, except percentages) · 2023 · 2022 · 2021
Statutory U.S. federal income tax rate$(37)21.0%$(222)21.0%$11421.0%
Effect of:
State income taxes, net of federal benefit(2)1.4(11)1.040.8
Federal benefit of R&D and foreign tax credits(17)10.0(8)0.8(5)(0.9)
US other permanent differences5(2.7)9(0.9)20.4
Tax effect of international operations(65)37.2(5)0.520.3
Global Intangible Low Taxed Income (GILTI)12(7.0)20(1.9)132.4
Foreign Derived Intangible Income (FDII)(9)5.2(8)0.8(7)(1.3)
Net effect of tax audit activity(6)3.215(1.4)91.6
Tax effect of enacted statutory rate changes on Non-U.S. jurisdictions1(0.4)(3)0.3101.9
Federal tax on unremitted earnings of certain foreign subsidiaries2(0.9)1(0.1)(1)(0.2)
Valuation allowance adjustments5(3.2)(9)0.8(9)(1.7)
Tax effect of impairment of goodwill and intangibles60(34.6)114(10.8)——
Other8(4.4)2(0.2)20.3
Effective income tax rate on operations$(43)24.8%$(105)9.9%$13424.6%

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

Year Ended December 31,
(in millions)20232022
Deferred tax assets
Employee benefit accruals$55$55
Inventory159
Miscellaneous accruals5137
Other4448
Lease right-of-use liability4648
Net unrealized gains/losses included in AOCI36—
Foreign tax credit and R&D carryforward4340
Tax loss carryforwards and other tax attributes948654
Total deferred tax assets$1,238$891
Less: Valuation allowances(863)(645)
Total deferred tax assets, net$375$246
Deferred tax liabilities
Identifiable intangible assets$(298)$(325)
Property, plant and equipment(38)(41)
Lease right-of-use asset(46)(47)
Net unrealized gains/losses included in AOCI—(13)
Taxes on unremitted earnings of foreign subsidiaries(8)(6)
Total deferred tax liabilities(390)(432)
Net deferred tax liabilities$(15)$(186)

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

Year Ended December 31,
(in millions)20232022
Assets
Other noncurrent assets$213$101
Liabilities
Deferred income taxes$228$287

The Company has $40 million of foreign tax credit carryforwards at December 31, 2023, of which $33 million will expire in 2025 and $7 million will expire at various times from 2028 through 2031.

The Company has tax loss carryforwards related to certain foreign and domestic subsidiaries of approximately $3,889 million at December 31, 2023, of which $3,671 million expires at various times through 2043 and $218 million may be carried forward indefinitely. These are reflected as deferred income tax assets at December 31, 2023, comprising of tax benefits of $873 million and $74 million, before valuation allowances, related to tax loss carryforwards and disallowed interest carryforwards, respectively. As of December 31, 2022 the Company’s deferred tax assets included$601 million of tax loss carryforwards and $53 million of disallowed interest carryforwards. The increase in tax loss carryforwards in 2023 is primarily a result of impairment losses.

At December 31, 2023, the Company has recorded $791 million of valuation allowance to offset the tax benefit of net operating losses, $40 million to offset the tax benefit of foreign tax credits, and $32 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 increase in the valuation allowance is attributable to the increase in the tax loss carryforwards generated in 2023 as there is uncertainty that these assets can be realized in the future.

The Company has provided $8 million of withholding taxes on certain undistributed earnings of its foreign subsidiaries that the Company anticipates will be repatriated. Undistributed earnings of foreign subsidiaries and related companies that are considered to be permanently invested amountedto $2,303 million at December 31, 2023 and $2,492 million at December 31, 2022.

Tax Contingencies

The total amount of gross unrecognized tax benefits at December 31, 2023 is approximately $136 million, including interest of which, approximately $40 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. Expiration of statutes of limitations in various jurisdictions during the next twelve months could include unrecognized tax benefits of approximately $1 million, which, if recognized, would affect the effective income tax rate.

The total amount of accrued interest and penalties were $4 million and $6 million at December 31, 2023 and 2022, 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. The Company recognized a tax benefit of $2 million for the years ended December 31, 2023 and 2022 related to interest and penalties.

The increase in unrecognized tax benefits in 2023 is primarily related to a gain generated from an internal debt structuring in 2023. If this benefit was recognized, it would result in a reduction to deferred tax assets related to tax loss carryforwards, with an equal and offsetting reduction to the valuation allowance. Thus, the release of this reserve would not impact the effective tax rate.

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 United States, Germany, Sweden and Switzerland. The Company has concluded all U.S. federal income tax matters for years through 2014 with the Internal Revenue Service (“IRS”). The Company is currently under audit for the tax years 2015 and 2016. For additional information on the IRS audit, see Note 21, Commitments and Contingencies. The Company concluded audits in Germany through the tax year 2014 and is currently under audit for the years 2015 through 2017. The tax years 2018 through 2021 are subject to future potential audit adjustments in Germany.

The activity recorded for unrecognized tax benefits were as follows:

Year Ended December 31,
(in millions)202320222021
Unrecognized tax benefits at beginning of period$49$34$27
Gross change for prior-period positions1126
Gross change for current year positions9542
Decrease due to settlements and payments(9)——
Decrease due to statute expirations(4)——
Decrease due to effect from foreign currency translation—(1)(1)
Unrecognized tax benefits at end of period$132$49$34

NOTE 17 -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 Plan (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 may make a non-elective discretionary cash contribution of 3% of compensation to participant accounts. Additionally, each eligible participant who elects to contribute 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 $43 million, $41 million and $39 million for the years ended December 31, 2023, 2022, and 2021, respectively.

Defined Benefit Plans

The Company maintains defined benefit pension plans for certain employees in Austria, France, Germany, Indonesia, Italy, Japan, the Netherlands, Norway, Sweden, Switzerland, Taiwan, and the United States. These plans provide benefits based upon age, years of service and remuneration. Substantially all the German and Swedish plans are unfunded book reserve plans. Most employees and retirees outside the United States 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 or government bond yield 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, 2023 include a $35 million actuarial loss primarily attributable to the decrease 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 $3 million actuarial loss due to plan experience different than anticipated.

Significant changes in the retirement plan benefit obligations for the year ended December 31, 2022 include a $162 million actuarial gain primarily attributable to the increase 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 $1 million actuarial gain due to demographic assumption changes and a $14 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 United States. 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, 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, 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 2% 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.

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

Year Ended December 31,
(in millions)20232022
Change in Benefit Obligation
Benefit obligation at beginning of year$440$619
Service cost1012
Interest cost145
Participant contributions44
Actuarial losses (gains)38(149)
Effect of exchange rate changes26(35)
Plan curtailments and settlements—(1)
Benefits paid(21)(15)
Benefit obligation at end of year$511$440
Change in Plan Assets
Fair value of plan assets at beginning of year$182$212
Actual return on assets10(28)
Plan settlements—(1)
Effect of exchange rate changes17(5)
Employer contributions1515
Participant contributions44
Benefits paid(21)(15)
Fair value of plan assets at end of year$207$182
Funded status at end of year$(304)$(258)

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

Location In The · Year Ended December 31,
(in millions)Consolidated Balance Sheets20232022
Other noncurrent assets, netOther noncurrent assets$5$9
Deferred tax assetOther noncurrent assets116
Total assets$16$15
Current liabilitiesAccrued liabilities$(11)$(10)
Other noncurrent liabilitiesOther noncurrent liabilities(298)(257)
Deferred tax liabilityDeferred income taxes(2)(5)
Total liabilities$(311)$(272)
Accumulated other comprehensive incomeAccumulated other comprehensive loss367
Net amount recognized$(259)$(250)

Amounts recognized in AOCI were as follows:

Year Ended December 31,
(in millions)20232022
Net actuarial loss$48$12
Net prior service cost(3)(4)
Before tax AOCI$45$8
Less: Deferred taxes91
Net of tax AOCI$36$7

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

Year Ended December 31,
(in millions)20232022
Projected benefit obligation$323$283
Accumulated benefit obligation310272
Fair value of plan assets1515

Components of net periodic benefit cost were as follows:

Year Ended December 31, · Location in the Consolidated Statements of Operations
(in millions) · 2023 · 2022 · 2021
Service cost$4$5$7Cost of products sold
Service cost6710Selling, general and administrative expenses
Interest cost1453Other expense (income), net
Expected return on plan assets(6)(4)(4)Other expense (income), net
Amortization of prior service credit(1)(1)(1)Other expense (income), net
Amortization of net actuarial loss—812Other expense (income), net
Acquisitions/Divestitures——1Other expense (income), net
Curtailment and settlement gains—(1)(1)Other expense (income), net
Net periodic benefit cost$17$19$27

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

Year Ended December 31,
(in millions)202320222021
Net actuarial losses (gains)$37$(125)$(36)
Amortization1(7)(11)
Total recognized in AOCI$38$(132)$(47)
Total recognized in net periodic benefit cost and AOCI$55$(113)$(20)

Assumptions

The weighted average assumptions used to determine benefit obligations for the Company’s plans, principally in foreign locations were as follows:

Year Ended December 31,
202320222021
Interest crediting rate2.3%2.5%1.3%
Discount rate2.6%3.2%1.1%
Rate of compensation increase2.5%2.6%2.6%

The weighted average assumptions used to determine net periodic benefit cost for the Company’s plans, principally in foreign locations were as follows:

Year Ended December 31,
202320222021
Interest crediting rate2.5%1.3%1.3%
Discount rate3.2%1.1%0.6%
Expected return on plan assets3.2%2.2%2.2%
Rate of compensation increase2.6%2.6%2.4%
Measurement date12/31/202312/31/202212/31/2021

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, 2023 and 2022 are presented in the table below by asset category. Approximately 84% of the total plan assets are categorized as Level 1, as 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)TotalLevel 1Level 2Level 3
Assets Category
Cash and cash equivalents$7$7$—$—
Equity securities:
International6363——
Fixed income securities:
Fixed rate bonds (a)8484——
Other types of investments:
Mutual funds (b)1919——
Insurance contracts26——26
Hedge funds7——7
Real estate1——1
Total$207$173$—$34
(in millions)TotalLevel 1Level 2Level 3
Assets Category
Cash and cash equivalents$15$15$—$—
Equity securities:
International4949——
Fixed income securities:
Fixed rate bonds (a)6767——
Other types of investments:
Mutual funds (b)1717——
Insurance contracts24——24
Hedge funds9——9
Real estate1——1
Total$182$148$—$34

(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.

A reconciliation from December 31, 2021 to December 31, 2023 for the plan assets categorized as Level 3 were as follows:

(in millions)InsuranceContractsHedgeFundsRealEstateTotal
Balance at December 31, 2021$34$11$1$46
Actual return on plan assets:
Relating to assets still held at the reporting date(5)(1)—(6)
Purchases, sales and settlements, net(2)(1)—(3)
Effect of exchange rate changes(3)——(3)
Balance at December 31, 2022$24$9$1$34
Actual return on plan assets:
Relating to assets still held at the reporting date$2$—$—$2
Purchases, sales and settlements, net(1)(3)—(4)
Effect of exchange rate changes11—2
Balance at December 31, 2023$26$7$1$34

Fair values for Level 3 assets are determined as follows:

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.

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.

Cash Flows

In 2024, the Company expects to make employer contributions of $18 million to its defined benefit pension plans.

Estimated Future Benefit Payments

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

(in millions)PensionBenefits
2024$26
202527
202626
202727
202824
2029-2033124

NOTE 18 -RESTRUCTURING AND OTHER COSTS

Restructuring and other costs for the years ended December 31, 2023, 2022 and 2021 were as follows:

Affected Line Item in the Consolidated Statements of OperationsYear Ended December 31,
(in millions)202320222021
Cost of products sold$4$—$(3)
Selling, general, and administrative expenses3—6
Restructuring and other costs671417
Total Restructuring and other costs$74$14$20

Restructuring and other costs of $67 million recorded in the year ended December 31, 2023 consisted primarily of employee severance benefits and other restructuring costs related to the plan approved by the Board of Directors of the Company on February 14, 2023. This plan seeks to restructure the Company’s business to improve operational performance and drive shareholder value creation through a new operating model with four operating segments, optimization of central functions and overall management infrastructure, and other efforts aimed at cost savings. The restructuring plan anticipates a reduction in the Company’s global workforce of approximately 8% to 10%, subject to co-determination processes with employee representative groups in countries where required which are now substantially complete. The Company expects to incur between $115 and $135 million in non-recurring charges, comprising $80 to $100 million in restructuring expenditures and charges, primarily related to employee transition, severance payments, employee benefits and facility closure costs, and $35 million in other non-recurring costs which mostly consist of consulting, legal and other professional service fees. The plan is expected to be substantially completed by mid-2024. The estimates of these charges and their timing are subject to several assumptions, including local law requirements in various jurisdictions and co-determination aspects in countries where required. Actual amounts may differ materially from estimates. In addition, the Company may incur other charges or cash expenditures in connection with this plan which are not currently contemplated.

The liabilities associated with the Company’s restructuring plans are recorded in Accrued liabilities and Other noncurrent liabilities in the Consolidated Balance Sheets. Activity in the Company’s restructuring accruals at December 31, 2023 was as follows:

Severance
(in millions)2021 and Prior Plans2022 Plans2023 PlansTotal
Balance at December 31, 2022$4$3$—$7
Provisions and adjustments—26264
Amounts applied(2)(3)(24)(29)
Change in estimates—(2)(1)(3)
Balance at December 31, 2023$2$—$37$39
Other Restructuring Costs
(in millions)2021 and Prior Plans2022 Plans2023 PlansTotal
Balance at December 31, 2022$—$1$—$1
Provisions and adjustments1—910
Amounts applied(1)—(8)(9)
Change in estimates——(1)(1)
Balance at December 31, 2023$—$1$—$1

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

(in millions)December 31, 2022Provisions and AdjustmentsAmountsAppliedChange in EstimatesDecember 31, 2023
Connected Technology Solutions$3$18$(8)$—$13
Essential Dental Solutions425(10)(2)17
Orthodontic and Implant Solutions116(7)(1)9
Wellspect Healthcare—5(3)(1)1
All Other—10(10)——
Total$8$74$(38)$(4)$40

The Company’s restructuring accruals at December 31, 2022 were as follows:

Severances
(in millions)2020 and Prior Plans2021 Plans2022 PlansTotal
Balance at December 31, 2021$5$9$—$14
Provisions and adjustments11911
Amounts applied(3)(6)(5)(14)
Change in estimates(2)(1)(1)(4)
Balance at December 31, 2022$1$3$3$7
Other Restructuring Costs
(in millions)2020 and Prior Plans2021 Plans2022 PlansTotal
Balance at December 31, 2021$4$—$—$4
Provisions and adjustments1225
Amounts applied(4)(2)(1)(7)
Change in estimates(1)——(1)
Balance at December 31, 2022$—$—$1$1

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

(in millions)December 31, 2021Provisions and AdjustmentsAmountsAppliedChange in EstimatesDecember 31, 2022
Connected Technology Solutions$7$5$(5)$(4)$3
Essential Dental Solutions54(5)—4
Orthodontic and Implant Solutions52(5)(1)1
Wellspect Healthcare11(2)——
All Other—4(4)——
Total$18$16$(21)$(5)$8

NOTE 19 -FINANCIAL INSTRUMENTS AND DERIVATIVES

Derivative Instruments and Hedging Activities

The Company’s operations 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 cash flows. The Company employs derivative financial instruments to hedge certain anticipated transactions, firm commitments, or assets and liabilities denominated in foreign currencies. Additionally, the Company utilizes interest rate swaps to convert fixed rate debt into variable rate debt or vice versa. The Company does not hold derivative instruments for trading or speculative purposes.

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, 2023 and the notional amounts expected to mature during the next 12 months:

Aggregate Notional AmountAggregate Notional Amount Maturing within 12 Months
(in millions)
Cash Flow Hedges
Foreign exchange forward contracts$23$23
Total derivative instruments designated as cash flow hedges$23$23
Hedges of Net Investments
Foreign exchange forward contracts$890$88
Cross currency basis swaps295—
Total derivative instruments designated as hedges of net investments$1,185$88
Fair Value Hedges
Foreign exchange forward contracts$24$24
Interest rate swaps250—
Total derivative instruments designated as fair value hedges$274$24
Derivative Instruments not Designated as Hedges
Foreign exchange forward contracts$658$658
Total derivative instruments not designated as hedges$658$658

Cash Flow Hedges

The Company hedges select anticipated foreign currency cash flows to reduce volatility in both cash flows and reported earnings. The Company designates certain foreign exchange forward contracts as cash flow hedges. As a result, the Company records the fair value of the contracts 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.

The Company enters into interest rate swap contracts 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 Treasury rate lock contract, which partially hedged the interest rate risk of the $750 million senior unsecured notes. This loss is amortized over theten-year life of the notes. As of December 31, 2023 and December 31, 2022, $19 million and $23 million, respectively, of this loss is remaining to be amortized from AOCI in future periods.

AOCI Release

Overall, the derivatives designated as cash flow hedges are highly effective for accounting purposes. At December 31, 2023, 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 5, 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 the aforementioned instruments, which are designated as hedges of net investments and the intrinsic value changes in these instruments are recorded on AOCI, net of tax effects. The time-value component of the fair value of the derivative instruments 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, considering the effective interest 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 July 2, 2021, the Company entered into a cross-currency basis swap of a notional amount of $300 million, which matures on June 3, 2030. The cross-currency basis swap is designated as a hedge of net investments. This contract effectively converts a portion of the $750 million bond coupon from 3.3% to 1.7%, which will result in a net reduction of Other expense (income), net.

On May 25, 2021, the Company re-established its euro net investment hedge portfolio by entering into eight foreign exchange forward contracts, each with a notional amount of 10 million euro. The original contracts have quarterly maturity dates through March 2023 and the Company entered into additional foreign exchange contracts as individual contracts within the portfolio matured. As of December 31, 2023, the euro net investment hedge portfolio has an aggregate notional value of 160 million euro with maturity dates through December 2025.

On July 20, 2023, the Company entered into a Swiss franc foreign exchange forward contract designated as a net investment hedge. The foreign exchange forward contract had a notional amount of 600 million Swiss francs. This net investment hedge was settled in September 2023 which resulted in cash receipts totaling $32 million. The Company subsequently entered into Swiss franc foreign exchange contracts designated as a net investment hedge with a total notional amount of 600 million Swiss francs. This portfolio of contracts has semi-annual maturity dates through July 2028.

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 these exposures. 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 Other expense (income), net in the Consolidated Statements of Operations. 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 operating activities in the Consolidated Statements of Cash Flows.

On July 1, 2021, the Company entered into variable interest rate swaps with a notional amount of $250 million, which effectively converted a portion of the underlying fixed rate of 3.3% on the $750 million Senior Notes due June 2030 to a variable interest rate. Of the $250 million notional amount, $100 million has a term offive-years maturing on June 1, 2026 and $150 million has a term ofnine years maturing on March 1, 2030.

On February 13, 2024, the Company paid $9 million to settle the variable interest rate swap with a notional amount of $100 million which was originally set to mature on June 1, 2026. This closure of the interest rate swap will result in a loss of $8 million being amortized over the remaining life of the Senior Notes due June 2030.

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 these instruments are included in operating activities in the Consolidated Statements of Cash Flows.

Derivative Instrument Activity

The effect of derivative hedging instruments on the Consolidated Statements of Operations and Consolidated Statements of Comprehensive Income:

Year Ended December 31, 2023Year Ended December 31, 2022Year Ended December 31, 2021
(in millions)Cost of products soldInterest expense, netOther (income) expense, netCost of products soldInterest expense, netOther (income) expense, netCost of products soldInterest expense, netOther (income) expense, net
Total amounts of line items presented in the Consolidated Statements of Operations in which the effects of cash flow, net investment or fair value hedges are recorded$1,879$81$9$1,795$65$53$1,884$61$2
(Gain) loss on Cash Flow Hedges
Foreign exchange forward contracts$1$—$—$(3)$—$—$1$—$—
Interest rate swaps—3——3——4—
(Gain) loss on Hedges of Net Investment
Cross currency basis swaps$—$—$(5)$—$—$(5)$—$—$(6)
Foreign exchange forward contracts——(12)——(2)——(1)
(Gain) loss on Fair Value Hedges:
Interest rate swaps$—$11$—$—$1$—$—$(1)$—
Foreign exchange forward contracts—————(27)——(24)
(Gain) loss on Derivative Instruments not Designated as Hedges
Foreign exchange forward contracts$—$—$8$—$—$(4)$—$—$9
Amount of Gain or (Loss) Recognized in AOCI · Amount of Gain or (Loss) Reclassified from AOCI into Income
Year Ended December 31, · Consolidated Statements of Operations Location · Year Ended December 31,
(in millions) · 2023 · 2022 · 2021 · 2023 · 2022 · 2021
Cash Flow Hedges
Foreign exchange forward contracts$—$(1)$3Cost of products sold$(1)$3$(3)
Interest rate swaps———Interest expense, net(3)(3)(4)
Hedges of Net Investments
Cross currency basis swaps$(18)$30$13Other expense (income), net$—$—$—
Foreign exchange forward contracts(29)1110Other expense (income), net———
Fair Value Hedges
Interest rate swaps$—$—$—Other expense (income), net$—$—$—
Foreign exchange forward contracts2(2)(1)Interest expense, net———

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)PrepaidExpensesand OtherCurrent AssetsOtherNoncurrentAssetsAccruedLiabilitiesOtherNoncurrentLiabilities
Designated as Hedges:
Foreign exchange forward contracts$3$—$4$47
Interest rate swaps——919
Cross currency basis swaps44——
Total$7$4$13$66
Not Designated as Hedges:
Foreign exchange forward contracts$5$—$5$—
Total$5$—$5$—
(in millions)PrepaidExpensesand OtherCurrent AssetsOtherNoncurrentAssetsAccruedLiabilitiesOtherNoncurrentLiabilities
Designated as Hedges:
Foreign exchange forward contracts$32$3$5$2
Interest rate swaps——925
Cross currency basis swaps422——
Total$36$25$14$27
Not Designated as Hedges:
Foreign exchange forward contracts$3$—$5$—
Total$3$—$5$—

Balance Sheet Offsetting

Substantially all 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, 2023 were as follows:

Gross Amounts Not Offset in the Consolidated Balance Sheets
(in millions)Gross Amounts RecognizedGross Amounts Offset in the Consolidated Balance SheetsNet Amounts Presented in the Consolidated Balance SheetsFinancial InstrumentsCash Collateral Received/PledgedNet Amount
Assets
Foreign exchange forward contracts$8$—$8$(5)$—$3
Cross currency basis swaps8—8(4)—4
Total assets$16$—$16$(9)$—$7
Liabilities
Foreign exchange forward contracts$56$—$56$(7)$—$49
Interest rate swaps28—28(2)—26
Total liabilities$84$—$84$(9)$—$75

Offsetting of financial assets and liabilities under netting arrangements at December 31, 2022 were as follows:

Gross Amounts Not Offset in the Consolidated Balance Sheets
(in millions)Gross Amounts RecognizedGross Amounts Offset in the Consolidated Balance SheetsNet Amounts Presented in the Consolidated Balance SheetsFinancial InstrumentsCash Collateral Received/PledgedNet Amount
Assets
Foreign exchange forward contracts$38$—$38$(7)$—$31
Cross currency basis swaps26—26(12)—14
Total assets$64$—$64$(19)$—$45
Liabilities
Foreign exchange forward contracts$12$—$12$(10)$—$2
Interest rate swaps34—34(9)—25
Total liabilities$46$—$46$(19)$—$27

NOTE 20 -FAIR VALUE MEASUREMENT

The estimated fair value and carrying value of the Company’s total debt was $2,018 million and $2,118 million, respectively, at December 31, 2023. At December 31, 2022, the estimated the fair value and carrying value was $1,769 million and $1,944 million, respectively. 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, 2023 to companies with similar credit ratings for issues with similar terms and maturities. It is considered a Level 2 fair value measurement for disclosure purposes.

Assets and liabilities measured at fair value on a recurring basis

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)TotalLevel 1Level 2Level 3
Assets
Cross currency interest rate swaps$8$—$8$—
Foreign exchange forward contracts8—8—
Total assets$16$—$16$—
Liabilities
Interest rate swaps$28$—$28$—
Foreign exchange forward contracts56—56—
Contingent considerations on acquisitions4——4
Total liabilities$88$—$84$4
(in millions)TotalLevel 1Level 2Level 3
Assets
Cross currency interest rate swaps$26$—$26$—
Foreign exchange forward contracts38—38—
Total assets$64$—$64$—
Liabilities
Interest rate swaps$34$—$34$—
Foreign exchange forward contracts12—12—
Contingent considerations on acquisitions4——4
Total liabilities$50$—$46$4

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 foreign exchange forward contracts that are considered hedges of net investment in foreign operations. Both types of designated derivative instruments are further discussed in Note 19, Financial Instruments and Derivatives.

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, 2023 are related to earn-out obligations from acquisitions and licensing arrangements. 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)Level 3
Balance, December 31, 2021$10
Payments(6)
Balance, December 31, 2022$4
Payments—
Balance, December 31, 2023$4

There were no additional purchases or transfers of Level 3 financial instruments in 2023 and 2022.

NOTE 21 -COMMITMENTS AND CONTINGENCIES

Contingencies

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 2016 merger of Sirona Dental Systems Inc. (“Sirona”) with DENTSPLY International Inc. (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. The Plaintiffs did not appeal the Appellate Division decision.

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 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. The plaintiff filed its second amended complaint on January 22, 2021, and the Company filed a motion to dismiss the second amended complaint on March 8, 2021, with briefing on the motion fully submitted on May 21, 2021. The Company’s motion to dismiss was denied in a ruling by the Court on March 29, 2023 and the Company’s answer to the second amended complaint was filed on May 12, 2023. On September 29, 2023, the plaintiff filed a motion for class certification. The Company’s opposition to the plaintiff’s motion for class certification was filed on February 8, 2024, with briefing on the plaintiff’s motion to be fully completed by April 10, 2024.

On June 2, 2022, the Company was named as a defendant in a putative class action filed in the U.S. District Court for the Southern District of Ohio captioned City of Miami General Employees’ & Sanitation Employees’ Retirement Trust v. Casey, Jr. et al., No. 2:22-cv-02371 (S.D. Ohio), and on July 28, 2022, the Company was named as a defendant in a putative class action filed in the U.S. District Court for the Southern District of New York captioned San Antonio Fire and Police Pension Fund v. Dentsply Sirona Inc. et al., No. 1:22-cv-06339 (together, the “Securities Litigation”). The complaints in the Securities Litigation are substantially similar and both allege that, during the period from June 9, 2021 through May 9, 2022, the Company, Mr. Donald M. Casey Jr., the Company’s former Chief Executive Officer, and Mr. Jorge Gomez, the Company’s former Chief Financial Officer, violated U.S. securities laws by, among other things, making materially false and misleading statements or omissions, including regarding the manner in which the Company recognized revenue tied to distributor rebate and incentive programs. On March 27, 2023, the Court in the Southern District of Ohio ordered the transfer of the putative class action to the Southern District of New York (the “Court”). On June 1, 2023, the Court consolidated the two separate actions under case No. 1:22-cv-06339 and appointed the City of Birmingham Retirement and Relief System, the El Paso Firemen & Policemen’s Pension Fund, and the Wayne County Employees’ Retirement System as Lead Plaintiffs for the putative class. Lead Plaintiffs filed an amended class action complaint on July 28, 2023 (the “Amended Complaint”). In addition to asserting the same claims against the Company, Mr. Casey, and Mr. Gomez, the Amended Complaint added the Company’s former Chief Accounting Officer, Mr. Ranjit S. Chadha, as a defendant (collectively, “Defendants”). On October 10, 2023, Defendants filed a motion to dismiss the Amended Complaint. Lead Plaintiffs’ opposition to Defendants’ motion to dismiss was filed on December 8, 2023, and Defendants’ reply was filed on January 8, 2024. The motion to dismiss is still pending.

In addition to the Securities Litigation, as previously disclosed, the Company voluntarily contacted the SEC following the Company’s announcement on May 10, 2022, of the Audit and Finance Committee’s internal investigation. The Company continues to cooperate with the SEC regarding this matter.

Separately, on July 13, 2023, Dentsply Sirona stockholder George Presura filed a shareholder derivative suit in the Delaware Court of Chancery captioned George Presura, Derivatively on Behalf of Nominal Defendant Dentsply Sirona Inc. v. Donald M. Casey Jr. et al. and Dentsply Sirona, Inc., No. 2023-0708-NAC (the “Derivative Litigation”). The complaint, filed derivatively on behalf of the Company, asserts claims against current and former members of the Company’s Board of Directors and current and former executive officers, including Messrs. Casey and Gomez. The derivative complaint in this case contains allegations similar to those in the Securities Litigation, and it alleges that during the period from June 9, 2021 through July 13, 2023, various of the defendants breached fiduciary duties, committed corporate waste, and misappropriated information to conduct insider trading by making materially false and misleading statements or omissions regarding the Company’s recognition of revenue tied to distributor rebate and incentive programs and distributor inventory levels. On August 4, 2023, the Delaware Court of Chancery stayed the Derivative Litigation until the earlier of a public announcement of a settlement of the Securities Litigation or a resolution of the pending motion to dismiss in the Securities Litigation.

On March 21, 2023, Mr. Carlo Gobbetti filed a claim in the Milan Chamber of Arbitration against Dentsply Sirona Italia S.r.l. (“DSI”), Italy, a wholly owned subsidiary of the Company, seeking a total of €28 million for the alleged failure to pay a portion of the purchase price pursuant to a Share Purchase Agreement, dated October 8, 2012 (the “SPA”), in which Sirona Dental Systems, S.r.l., which at the time of the SPA’s execution was a wholly-owned subsidiary of Sirona Dental Systems, Inc., acquired all of the shares of MHT S.p.A., an Italian corporation, from Mr. Gobbetti, and various other sellers. Sirona Dental Systems S.r.l. merged into Dentsply Italia S.r.l. in 2018 (the surviving entity is now Dentsply Sirona Italia S.r.l.). In connection with the closing of that transaction, SIRONA Dental Systems GmbH paid an amount equal to €7 million into an escrow account (the “Escrow Account”). The proceeds of the Escrow Account were to be released to Mr. Gobbetti and the other sellers upon the satisfaction of certain conditions, including the delivery by July 2013 of a new prototype of an MHT S.p.A. camera which had to meet certain specifications. Mr. Gobbetti claims that he is entitled to receive the €7 million outstanding balance of the purchase price under the SPA, plus €21 million for damages incurred as a consequence of the failure to make the payment. Mr. Gobbetti claims that he has a right to receive the full purchase price under the SPA even if the conditions set out in the SPA to deliver a prototype of the MHT S.p.A. camera by July 2013 were not met. On May 15, 2023, DSI filed its initial statement of defense denying that Mr. Gobbetti and the other sellers were entitled to receive the funds deposited in the Escrow Account and further disputing the allegations. Following the constitution of the arbitral tribunal, hearings were held on September 13, 2023 and January 19, 2024, to illustrate and discuss their respective positions. The Parties were also permitted to further develop their arguments in one additional round of defensive briefs. On January 29, 2024, the Parties filed a statement setting out their final pleadings. The Arbitral Court eventually decided that the procedural issues raised by DSI (jurisdiction, capacity to be sued) will be considered together with the merits and granted the Parties final deadlines to file their respective final briefs (March 29, 2024) and replies (April 15, 2024). The final hearing has been scheduled for May 8, 2024.

Except as noted above, no specific amounts of damages have been alleged in these lawsuits. The Company will continue to incur legal fees in connection with these pending cases, including expenses for the reimbursement of legal fees of present and former officers and directors under indemnification obligations. The expense of continuing to defend such litigation may be significant. The Company intends to defend these lawsuits vigorously, but there can be no assurance that the Company will be successful in any defense. If any of the lawsuits are decided adversely, the Company may be liable for significant damages directly or under our indemnification obligations, which could adversely affect our business, results of operations and cash flows. At this stage, the Company is unable to assess whether any material loss or adverse effect is reasonably possible as a result of these lawsuits or estimate the range of any potential loss.

The Internal Revenue Service (“IRS”) conducted an examination of the U.S. federal income tax returns for tax years 2012 through 2014. In February 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 Independent Office of Appeals (the “Appeals Office”) in October 2020, and in November 2020 submitted a supplemental response to questions raised by the Appeals Office. During the first quarter of 2023, after an extended review by the Appeals Office, the Company received a notice from the IRS, allowing the Company’s worthless stock deduction for tax year 2013. As a result, the Company received a refund of $5 million for tax year 2012 with no further adjustments to the 2013 or 2014 tax return.

The IRS is conducting an examination of our U.S. federal income tax returns for the tax years 2015 through 2016. The Company received a Notice of Proposed Adjustment in April 2023 and a Revenue Agent Report in January 2024 from the IRS examination team proposing an adjustment related to an internal reorganization completed in 2016 with respect to the integration of certain operations of Sirona Dental Systems, Inc. following its acquisition in 2016. Although the proposed adjustment does not result in any additional federal income tax liability for the internal reorganization, if sustained, the proposed adjustment would result in the Company owing additional federal income taxes on a distribution of $451 million related to a stock redemption that occurred after the internal reorganization was completed in 2016. The amount of additional federal income taxes due for 2016 is approximately $2 million, excluding interest. The proposed adjustment, if sustained, would also result in a loss of foreign tax credits carried forward to later tax years. We believe that we accurately reported the federal income tax consequences of the internal restructuring and stock redemption in our tax returns and will submit an administrative protest with the IRS Independent Office of Appeals contesting the examination team’s proposed adjustments. We intend to vigorously defend our reported positions and believe that it is more likely than not that our position will be sustained. 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 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.

The Company intends to vigorously defend its positions and pursue related appeals, where appropriate, in the above-described pending matters.

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 because 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, consequential, and compensatory damages. Except as otherwise noted, the Company generally cannot predict the eventual outcomes, the timing of the ultimate resolutions, or the eventual loss, fines or penalties related to these pending matters. 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

Purchase Commitments

The Company has certain non-cancelable future commitments primarily related to long-term supply contracts for key components and raw materials. At December 31, 2023, non-cancelable purchase commitments are as follows:

(in millions)
2024$193
202577
202659
20276
2028—
Thereafter—
Total$335

Off-Balance Sheet Arrangements

As of December 31, 2023, we had no material off-balance sheet arrangements that have, or are reasonably likely to have, a current or future material effect on our consolidated financial condition, results of operations, liquidity, capital expenditures or capital resources other than certain items disclosed in the sections above.

Indemnification

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

It is not possible to make a reasonable estimate of the maximum potential amount under these indemnification agreements due to the unique facts and circumstances involved in each agreement. Additionally, we have a limited history of prior indemnification claims and the payments made under such agreements have not had a material effect on our results of operations, cash flows or financial position. Except as noted in the “Contingencies” section herein, as of December 31, 2023, we did not have any material indemnification claims that were probable or reasonably possible. However, to the extent that valid indemnification claims arise in the future, future payments by us could be significant and could have a material adverse effect on our results of operations or cash flows in a particular period.

SCHEDULE II

VALUATION AND QUALIFYING ACCOUNTS

FOR THE YEARS ENDED DECEMBER 31, 2023, 2022, and 2021

Additions
DescriptionBalance atBeginningof PeriodCharged(Credited)To CostsAnd ExpensesCharged toOtherAccountsWrite-offsNet ofRecoveriesTranslationAdjustmentBalanceat Endof Period
(in millions)
Allowance for doubtful accounts:
For the Year Ended December 31,
2021$18$2$(3)$(2)$(2)$13
2022137(2)(3)(1)14
2023146(1)(3)117
Inventory valuation reserve:
For the Year Ended December 31,
2021$117$17$—$(41)$(7)$86
20228620—(17)(7)82
20238239—(18)4107
Deferred tax asset valuation allowance:
For the Year Ended December 31,
2021$287$(10)$—$(3)$(7)$267
2022 (a)2673382(1)(6)645
20236452794(70)5863

(a) The increase charged to other accounts represents an increase in deferred tax assets related to the re-establishment of Luxembourg net operating loss carryforwards for which a corresponding increase to the valuation allowance was also recorded, with no net impact to tax expense.

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