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    SEC Form 10-Q filed by DENTSPLY SIRONA Inc.

    5/8/25 9:13:52 AM ET
    $XRAY
    Medical/Dental Instruments
    Health Care
    Get the next $XRAY alert in real time by email
    xray-20250331
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    UNITED STATES
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    FORM 10-Q
    x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
    EXCHANGE ACT OF 1934

    For the quarterly period ended March 31, 2025

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

    For the transition period from to
    Commission File Number 0-16211
    DENTSPLY SIRONA Inc.
    (Exact name of registrant as specified in its charter)
    Delaware
    39-1434669
    (State or other jurisdiction of
    (I.R.S. Employer
    incorporation or organization)
    Identification No.)
    13320 Ballantyne Corporate Place, Charlotte, North Carolina
    28277-3607
    (Address of principal executive offices)
    (Zip Code)
    (844) 848-0137
    (Registrant’s telephone number, including area code)

    Securities registered pursuant to Section 12(b) of the Act:
    Title of each classTrading SymbolName of each exchange on which registered
    Common Stock, par value $.01 per shareXRAYThe Nasdaq Stock Market LLC

    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  ☐

    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 during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes  x  No ☐

    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See 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
    Accelerated filer  ☐

    Non-accelerated filer  ☐

    Smaller reporting company  ☐

    Emerging growth company  ☐
    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

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

    Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date: At April 18, 2025, DENTSPLY SIRONA Inc. had 199,293,385 shares of common stock outstanding.



    DENTSPLY SIRONA Inc.

    TABLE OF CONTENTS
     
    PART I
    FINANCIAL INFORMATION
    Page
    Item 1
    Financial Statements (unaudited)
    4
    Consolidated Statements of Operations
    4
    Consolidated Statements of Comprehensive Income (Loss)
    5
    Consolidated Balance Sheets
    6
    Consolidated Statements of Changes in Equity
    7
    Consolidated Statements of Cash Flows
    8
    Notes to Unaudited Interim Consolidated Financial Statements
    8
    Item 2
    Management’s Discussion and Analysis of Financial Condition and Results of Operations
    30
    Item 3
    Quantitative and Qualitative Disclosures About Market Risk
    44
    Item 4
    Controls and Procedures
    44
    PART II
    OTHER INFORMATION
    Item 1
    Legal Proceedings
    45
    Item 1A
    Risk Factors
    45
    Item 2
    Unregistered Sales of Securities and Use of Proceeds
    45
    Item 5
    Other Information
    45
    Item 6
    Exhibits
    46
    Signatures
    47









    2


    General

    Unless otherwise stated herein or the context otherwise indicates, references throughout this Form 10-Q to “Dentsply Sirona,” or the “Company,” “we,” “us” or “our” refer to DENTSPLY SIRONA Inc., together with its subsidiaries on a consolidated basis.

    Forward-Looking Statements and Associated Risks

    All statements in this Form 10-Q 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, including those described in Part I, Item 1A, “Risk Factors” of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024 (the “2024 Form 10-K”) and other factors which may be described in the Company’s other filings with the Securities and Exchange Commission (the “SEC”). 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-Q or to reflect the occurrence of unanticipated events.

    Investors should understand it is not possible to predict or identify all such factors or risks. As such, you should not consider 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.

    Disclosure Regarding Trademarks

    This report includes trademarks, trade names and service marks that are our property or the property of other third parties. Solely for convenience, such trademarks and trade names sometimes appear without any “™” or “®” symbol. Failure to include such symbols is not intended to suggest, in any way, that we will not assert our rights or the rights of any applicable licensor, to these trademarks and trade names.


    3


    PART I – FINANCIAL INFORMATION

    Item 1 – Financial Statements

    DENTSPLY SIRONA INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF OPERATIONS
    (in millions, except per share amounts)
    (unaudited)
    Three Months Ended March 31,
    20252024
    Net sales$879 $953 
    Cost of products sold413 447 
    Gross profit466 506 
    Selling, general, and administrative expenses358 415 
    Research and development expenses
    36 42 
    Intangible asset impairments— 6 
    Restructuring and other costs9 1 
    Operating income63 42 
    Other income and expenses:
    Interest expense, net19 18 
    Other (income) expense, net— (7)
    Income before income taxes44 31 
    Provision for income taxes25 14 
    Net income19 17 
    Less: Net loss attributable to noncontrolling interests(1)(1)
    Net income attributable to Dentsply Sirona$20 $18 
    Earnings per common share attributable to Dentsply Sirona:
    Basic$0.10 $0.09 
    Diluted$0.10 $0.09 
    Weighted average common shares outstanding:
    Basic199.1 207.4 
    Diluted199.8 208.5 

    See accompanying Notes to Unaudited Interim Consolidated Financial Statements.
    4


    DENTSPLY SIRONA INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
    (in millions)
    (unaudited)
    Three Months Ended March 31,
    20252024
    Net income$19 $17 
    Other comprehensive income (loss), net of tax:
     Foreign currency translation gain (loss)87 (62)
     Net (loss) gain on derivative financial instruments(16)32 
    Total other comprehensive income (loss), net of tax71 (30)
    Total comprehensive income (loss)90 (13)
    Less: Comprehensive loss attributable to noncontrolling interests(1)(1)
    Total comprehensive income (loss) attributable to Dentsply Sirona$91 $(12)
    See accompanying Notes to Unaudited Interim Consolidated Financial Statements.
    5


    DENTSPLY SIRONA INC. AND SUBSIDIARIES
    CONSOLIDATED BALANCE SHEETS
    (in millions, except share and per share amounts)
    (unaudited)
    March 31, 2025December 31, 2024
    Assets
    Current Assets:
    Cash and cash equivalents$398 $272 
    Accounts and notes receivable-trade, net604 556 
    Inventories, net612 564 
    Prepaid expenses and other current assets364 354 
    Total Current Assets1,978 1,746 
    Property, plant, and equipment, net791 766 
    Operating lease right-of-use assets, net133 136 
    Identifiable intangible assets, net1,212 1,207 
    Goodwill1,632 1,597 
    Other noncurrent assets304 301 
    Total Assets$6,050 $5,753 
    Liabilities and Equity
    Current Liabilities:
    Accounts payable$276 $241 
    Accrued liabilities738 754 
    Income taxes payable37 45 
    Notes payable and current portion of long-term debt742 549 
    Total Current Liabilities1,793 1,589 
    Long-term debt1,593 1,586 
    Operating lease liabilities88 91 
    Deferred income taxes134 129 
    Other noncurrent liabilities432 415 
    Total Liabilities4,040 3,810 
    Commitments and contingencies (Note 14)
    Equity:
    Preferred stock, $1.00 par value; 0.25 million shares authorized; no shares issued
    — — 
    Common stock, $0.01 par value;
    3 3 
    400.0 million shares authorized, and 264.5 million shares issued at March 31, 2025 and December 31, 2024
    199.3 million and 198.8 million shares outstanding at March 31, 2025 and December 31, 2024
    Capital in excess of par value6,631 6,640 
    Accumulated deficit(848)(835)
    Accumulated other comprehensive loss(659)(730)
    Treasury stock, at cost, 65.2 million and 65.7 million shares at March 31, 2025 and December 31, 2024, respectively
    (3,117)(3,136)
    Total Dentsply Sirona Equity2,010 1,942 
    Noncontrolling interests— 1 
    Total Equity2,010 1,943 
    Total Liabilities and Equity$6,050 $5,753 
    See accompanying Notes to Unaudited Interim Consolidated Financial Statements.
    6


    DENTSPLY SIRONA INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY
    (in millions, except per share amounts)
    (unaudited)
    Common
    Stock
    Capital in
    Excess of
    Par Value
    (Accumulated
    Deficit)
    Retained
    Earnings
    Accumulated
    Other
    Comprehensive
    Loss
    Treasury
    Stock
    Total Dentsply Sirona
    Equity
    Noncontrolling
    Interests
    Total
    Equity
    Balance at December 31, 2024$3 $6,640 $(835)$(730)$(3,136)$1,942 $1 $1,943 
    Net income (loss)— — 20 — — 20 (1)19 
    Other comprehensive loss
    — — — 71 — 71 — 71 
    Stock-based compensation expense— 10 — — — 10 — 10 
    Funding of employee stock purchase plan— (3)— — 5 2 — 2 
    Restricted stock unit distributions— (17)— — 14 (3)— (3)
    Restricted stock unit dividends— 1 (1)— — — — — 
    Cash dividends declared ($0.16 per share)
    — — (32)— — (32)— (32)
    Balance at March 31, 2025$3 $6,631 $(848)$(659)$(3,117)$2,010 $— $2,010 


    Common
    Stock
    Capital in
    Excess of
    Par Value
    Retained
    Earnings
    Accumulated
    Other
    Comprehensive
    Loss
    Treasury
    Stock
    Total Dentsply Sirona
    Equity
    Noncontrolling
    Interests
    Total
    Equity
    Balance at December 31, 2023$3 $6,643 $205 $(636)$(2,922)$3,293 $1 $3,294 
    Net loss— — 18 — — 18 (1)17 
    Other comprehensive income— — — (30)— (30)— (30)
    Stock-based compensation expense— 11 — — — 11 — 11 
    Funding of employee stock purchase plan — — — — 3 3 — 3 
    Restricted stock unit distributions— (15)— — 11 (4)— (4)
    Cash dividends declared ($0.14 per share)
    — — (33)— — (33)— (33)
    Balance at March 31, 2024$3 $6,639 $190 $(666)$(2,908)$3,258 $— $3,258 

    See accompanying Notes to Unaudited Interim Consolidated Financial Statements.
    7



    DENTSPLY SIRONA INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (in millions)
    (unaudited)
    Three Months Ended March 31,
    20252024
    Cash flows from operating activities:
    Net income$19 $17 
    Adjustments to reconcile net loss to net cash provided by operating activities:
    Depreciation34 32 
    Amortization of intangible assets45 54 
    Indefinite-lived intangible asset impairment— 6 
    Deferred income taxes1 (9)
    Stock-based compensation expense10 11 
    Other non-cash expense9 19 
    Changes in operating assets and liabilities:
    Accounts and notes receivable-trade, net(31)27 
    Inventories, net(26)(5)
    Prepaid expenses and other current assets(1)(28)
    Other noncurrent assets4 (6)
    Accounts payable14 (28)
    Accrued liabilities(44)(50)
    Income taxes(12)(2)
    Other noncurrent liabilities(15)(13)
    Net cash provided by operating activities7 25 
    Cash flows from investing activities:
    Capital expenditures(19)(34)
    Cash received on derivative contracts1 — 
    Cash paid on derivative contracts— (9)
    Proceeds from sale of property, plant, and equipment1 — 
    Net cash used in investing activities(17)(43)
    Cash flows from financing activities:
    (Repayments) proceeds on short-term borrowings, net(272)23 
    Proceeds from 364-day bridge loan435 — 
    Cash dividends paid(32)(29)
    Repayments on long-term borrowings(2)(3)
    Cash paid for deferred financing costs(3)— 
    Other financing activities, net(3)(5)
    Net cash provided by (used in) financing activities123 (14)
    Effect of exchange rate changes on cash and cash equivalents13 (11)
    Net increase (decrease) in cash and cash equivalents126 (43)
    Cash and cash equivalents at beginning of period272 334 
    Cash and cash equivalents at end of period$398 $291 
    Supplemental disclosures of cash flow information:
    Interest paid, net of amounts capitalized$13 $15 
    Non-cash investing activities:
    Property, plant and equipment in accounts payable at end of period$22 $24 
    Exchange of inventory for naming and other rights$14 $— 
    See accompanying Notes to Unaudited Interim Consolidated Financial Statements.





    8




    DENTSPLY SIRONA Inc. and Subsidiaries

    NOTES TO UNAUDITED INTERIM CONSOLIDATED FINANCIAL STATEMENTS

    NOTE 1 – BUSINESS AND BASIS OF PRESENTATION

    Basis of Presentation

    The accompanying unaudited interim consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“US GAAP”) and the rules of the U.S. Securities and Exchange Commission (“SEC”). In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for a fair statement of the results for interim periods have been included. Certain prior period amounts have been reclassified to conform to current year presentation. Results for interim periods should not be considered indicative of results for a full year. These financial statements and related notes contain the accounts of DENTSPLY SIRONA Inc. and subsidiaries (“Dentsply Sirona” or the “Company”) on a consolidated basis and should be read in conjunction with the consolidated financial statements and notes included in the Company’s most recent Form 10-K for the year ended December 31, 2024, filed with the Securities and Exchange Commission on February 27, 2025 (the “2024 Form 10-K”).

    Use of Estimates

    The preparation of financial statements in conformity with 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 net sales and expense during the reporting period. Actual results could differ materially from those estimates.

    Recently Adopted Accounting Pronouncements

    In December 2023, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2023-09, “Income Taxes (Topic 740): Improvements to Income Tax Disclosures,” which requires public entities to disclose additional income tax information, primarily related to the income tax rate reconciliation and income taxes paid on an annual basis. The amendments are intended to enhance the transparency and decision-usefulness of income tax disclosures. The Company has adopted this accounting standard as of January 1, 2025, which impacts annual disclosures only. This update did not have an impact to results of operations, financial position, or cash flows.

    Accounting Pronouncements Not Yet Adopted

    In November 2024, the FASB issued ASU No. 2024-03, “Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40) Disaggregation of Income Statement Expenses,” which requires disaggregated disclosure of income statement expenses for public business entities (“PBEs”). In January 2025, the FASB issued ASU No. 2025-01 “Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40),” which clarified the effective date for ASU No. 2024-03. These amendments are intended to provide more information about types of expenses in commonly presented expense captions. The amendments in this update are effective for annual periods beginning after December 15, 2026, and interim periods within fiscal years beginning after December 15, 2027, and early adoption is permitted. The Company is currently evaluating the impact on its consolidated financial statements and related disclosures.

    In November 2024, the FASB issued ASU No. 2024-04, “Debt—Debt with Conversion and Other Options (Subtopic 470-20) Induced Conversions of Convertible Debt Instruments,” which amends ASC 470-202 to clarify the requirements related to accounting for the settlement of a debt instrument as an induced conversion. The amendments in this update are effective for annual periods beginning after December 15, 2025, and interim periods within those annual reporting periods, and early adoption is permitted if the entity has also adopted ASU 2020-06 “Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging-Contracts in Entity’s Own Equity (Subtopic 815-40)” for that period. The Company is currently evaluating the impact on its consolidated financial statements and related disclosures.

    9


    Seasonality

    The Company’s business is subject to quarterly fluctuations in demand due to seasonality, which can impact the timing of the Company’s consolidated net sales, net income, and cash flows. Demand can fluctuate based on the timing of dental tradeshows and variability in dental patient traffic, which can be exacerbated by seasonal or severe weather patterns. Some dental practices in certain countries may also delay purchasing equipment and restocking consumables until year-end due to tax or other financial planning reasons. In addition, the timing of holidays and vacations, particularly throughout Europe, may shift demand across quarters. Sales for the industry and the Company are generally strongest in the second and fourth quarters and weaker in the first and third quarters, due to the effects of the items noted above. Because of the seasonal nature of the Company’s business, the results of operations for any fiscal quarter will not necessarily be indicative of results to be expected for other quarters or a full fiscal year.


    NOTE 2 - REVENUE RECOGNITION

    Revenues are derived primarily from the sale of dental equipment and dental and healthcare consumable products. Revenues are measured as the amount of consideration the Company expects to receive in exchange for transferring goods or providing services.

    Net sales disaggregated by product category were as follows:
    Three Months Ended March 31,
    (in millions)20252024
    Equipment & Instruments$134 $125 
    CAD/CAM101 122 
    Connected Technology Solutions235 247 
    Essential Dental Solutions353 364 
    Orthodontics59 98 
    Implants & Prosthetics158 173 
    Orthodontic and Implant Solutions217 271 
    Wellspect Healthcare74 71 
    Total net sales$879 $953 

    Net sales disaggregated by geographic region were as follows:
    Three Months Ended March 31,
    (in millions)20252024
    United States$302 $356 
    Europe362 376 
    Rest of World215 221 
    Total net sales$879 $953 

    Contract Assets and Liabilities

    The Company does not typically have contract assets in the normal course of its business. Contract liabilities, which represent billings in excess of revenue recognized, are primarily related to advanced billings for customer orthodontic aligner treatments where the performance obligation has not yet been satisfied, and deferred revenue associated with loyalty points
    10


    earned but not yet redeemed by customers under the Company’s loyalty point program. The Company recorded deferred revenue of $110 million and $49 million in Accrued liabilities and Other noncurrent liabilities, respectively, in the Consolidated Balance Sheets at March 31, 2025. The Company recorded deferred revenue of $95 million and $49 million in Accrued liabilities and Other noncurrent liabilities, respectively, in the Consolidated Balance Sheets at December 31, 2024. During the three months ended March 31, 2025, the Company recognized approximately $40 million of net sales, which was previously deferred as of December 31, 2024. During the three months ended March 31, 2024, the Company recognized approximately $41 million of net sales, which was previously deferred as of December 31, 2023. The Company expects to recognize most of the remaining deferred revenue in net sales within the next twelve months.

    Allowance for Doubtful Accounts

    Accounts and notes receivable-trade, net are stated net of allowances for doubtful accounts and trade discounts, which were $9 million at March 31, 2025 and $14 million at December 31, 2024. For the three months ended March 31, 2025 and 2024, changes to the provision for doubtful accounts, including write-offs of accounts receivable that were previously reserved, were not significant. Changes to this provision are included in Selling, general, and administrative expenses in the Consolidated Statements of Operations.

    NOTE 3 – STOCK-BASED COMPENSATION

    The amounts of stock-based compensation expense recorded in the Company's Consolidated Statements of Operations were as follows:
    Three Months Ended March 31,
    (in millions)20252024
    Cost of products sold
    $1 $1 
    Selling, general, and administrative expense9 10 
    Total stock-based compensation expense$10 $11 

    NOTE 4 – COMPREHENSIVE LOSS

    Changes in Accumulated other comprehensive income (loss) (“AOCI”), net of tax, by component for the three months ended March 31, 2025 and 2024 were as follows:

    (in millions)Foreign Currency Translation Gain (Loss)Gain (Loss) on Cash Flow HedgesGain (Loss) on Net Investment and Fair Value HedgesPension
    Liability Gain (Loss)
    Total
    Balance, net of tax, at December 31, 2024$(619)$(10)$(70)$(31)$(730)
    Other comprehensive (loss) income before reclassifications and tax impact75 — (21)— 54 
    Tax expense
    12 — 5 — 17 
    Other comprehensive (loss) income, net of tax, before reclassifications87 — (16)— 71 
    Amounts reclassified from accumulated other comprehensive income (loss), net of tax— — — — — 
    Net (decrease) increase in other comprehensive income87 — (16)— 71 
    Balance, net of tax, at March 31, 2025$(532)$(10)$(86)$(31)$(659)

    11


    (in millions)Foreign Currency Translation Gain (Loss)Gain (Loss) on Cash Flow HedgesGain (Loss) on Net Investment and Fair Value HedgesPension
    Liability Gain (Loss)
    Total
    Balance, net of tax, at December 31, 2023$(473)$(13)$(107)$(43)$(636)
    Other comprehensive income (loss) before reclassifications and tax impact(34)— 42 — 8 
    Tax benefit
    (28)— (10)— (38)
    Other comprehensive income (loss), net of tax, before reclassifications(62)— 32 — (30)
    Amounts reclassified from accumulated other comprehensive income (loss), net of tax— — — — — 
    Net increase (decrease) in other comprehensive income(62)— 32 — (30)
    Balance, net of tax, at March 31, 2024$(535)$(13)$(75)$(43)$(666)
    At March 31, 2025 and December 31, 2024, the cumulative tax adjustments were $135 million and $118 million, respectively, primarily related to foreign currency translation adjustments.

    The cumulative foreign currency translation adjustments included translation losses of $443 million and $552 million at March 31, 2025 and December 31, 2024, respectively, and cumulative losses on loans designated as hedges of net investments of $89 million and $67 million at March 31, 2025 and December 31, 2024, respectively.

    Reclassifications out of AOCI to the Consolidated Statements of Operations for the three months ended March 31, 2025 and 2024 were not significant.

    12


    NOTE 5 – EARNINGS PER COMMON SHARE

    The computations of basic and diluted earnings per common share were as follows:
    Basic earnings per common shareThree Months Ended March 31,
    (in millions, except per share amounts)20252024
    Net income attributable to Dentsply Sirona$20 $18 
    Weighted average common shares outstanding199.1 207.4 
    Basic earnings per common share$0.10 $0.09 
    Diluted earnings per common shareThree Months Ended March 31,
    (in millions, except per share amounts)20252024
    Net income attributable to Dentsply Sirona$20 $18 
    Weighted average common shares outstanding199.1 207.4 
    Incremental weighted average shares from assumed exercise of dilutive options from stock-based compensation awards0.8 1.1 
    Total weighted average diluted shares outstanding199.8 208.5 
    Diluted earnings per common share$0.10 $0.09 
    Weighted average shares excluded from diluted common shares outstanding due to antidilutive nature3.6 3.3 




    NOTE 6 – SEGMENT INFORMATION

    The Company’s reportable segment information was as follows:

    13


    Three Months Ended March 31,
    (in millions)2025
    Connected Technology SolutionsEssential Dental SolutionsOrthodontic and Implant SolutionsWellspect HealthcareTotal
    Net sales235 353 21774879
    Adjusted cost of products sold (a)
    $135 $124 9327
    Adjusted selling expenses (b)
    $57 $71 5413
    Adjusted G&A expenses (b)
    $19 $18 226
    Adjusted R&D expenses (c)
    $17 $5 112
    Segment adjusted operating income$7 $135 3726205
    Reconciling items (income) expense:
    Unallocated corporate costs (d)
    87
    Interest expense, net19
    Restructuring and other costs9
    Amortization of intangibles45
    Depreciation resulting from the fair value step-up of property, plant, and equipment from business combinations1
    Income before income taxes44
    (a) Adjusted cost of products sold represents expenses adjusted to exclude intangible amortization expense, step-up depreciation expense, and other restructuring costs.
    (b) Adjusted selling and adjusted G&A expenses represent expenses adjusted to exclude intangible amortization expense, other acquisition costs, step-up depreciation expense, and other restructuring costs.
    (c) Adjusted R&D expenses represent expenses adjusted to exclude other restructuring costs.
    (d) Unallocated corporate costs consist of general corporate expenses including corporate headcount costs, depreciation and amortization, unallocated professional service fees, and other operating costs which are not assigned to a specific segment.

    14


    Three Months Ended March 31,
    (in millions)2024
    Connected Technology SolutionsEssential Dental SolutionsOrthodontic and Implant SolutionsWellspect HealthcareTotal
    Net sales247 364 271 71 953 
    Adjusted cost of products sold (a)
    146 139 100 26 
    Adjusted selling expenses (b)
    62 83 83 13 
    Adjusted G&A expenses (b)
    18 21 33 6 
    Adjusted R&D expenses (c)
    19 6 13 3 
    Segment adjusted operating income2 115 42 23 182 
    Reconciling items (income) expense:
    Unallocated corporate costs (d)
    79 
    Interest expense, net18 
    Other (income) expense, net(7)
    Goodwill and intangible asset impairments6 
    Restructuring and other costs1 
    Amortization of intangibles54 
    Income before income taxes31 
    (a) Adjusted cost of products sold represents expenses adjusted to exclude intangible amortization expense, step-up depreciation expense, and other restructuring costs.
    (b) Adjusted selling and adjusted G&A expenses represent expenses adjusted to exclude intangible amortization expense, other acquisition costs, step-up depreciation expense, and other restructuring costs.
    (c) Adjusted R&D expenses represent expenses adjusted to exclude other restructuring costs.
    (d) Unallocated corporate costs consist of general corporate expenses including corporate headcount costs, depreciation and amortization, unallocated professional service fees, and other operating costs which are not assigned to a specific segment.

    Depreciation and Amortization
    Three Months Ended March 31,
    (in millions)20252024
    Connected Technology Solutions4343 
    Essential Dental Solutions98 
    Orthodontic and Implant Solutions1925 
    Wellspect Healthcare25 
    All other (a)65 
    Total7986 
    (a) Includes unallocated corporate costs for depreciation and amortization.
    15


    NOTE 7 – INVENTORIES

    Inventories, net were as follows:
    (in millions)March 31, 2025December 31, 2024
    Raw materials and supplies$184 $172 
    Work-in-process80 72 
    Finished goods348 320 
    Inventories, net$612 $564 

    The Company's inventory reserve was $98 million at both March 31, 2025 and December 31, 2024.

    NOTE 8 – RESTRUCTURING AND OTHER COSTS

    Restructuring and other costs were recorded in the Consolidated Statements of Operations as follows:
    Three Months Ended March 31,
    (in millions)20252024
    Cost of products sold$— $— 
    Selling, general, and administrative expenses1 3 
    Restructuring and other costs9 1 
    Total restructuring and other costs$10 $4 
            

    Restructuring and other costs of $9 million recorded in the first three months of 2025 consisted primarily of employee severance benefits and other restructuring costs related to the plan approved by the Board of Directors of the Company on July 29, 2024 (the “2024 Plan”) and other restructuring actions, including the continuation of the global supply chain transformation initiatives from prior years.

    With the 2024 Plan, the Company seeks to improve operational performance and drive stockholder value creation. In connection with the 2024 Plan, which is expected to be substantially completed by the end of 2025, the Company anticipates a net reduction in the Company’s global workforce of approximately 2% to 4%. The proposed changes are subject to co-determination processes with employee representative groups in countries where required. Actions taken under the 2024 Plan will seek to further streamline the Company’s operations and global footprint, as well as improve alignment of the Company’s cost structure with its strategic growth objectives. As of March 31, 2025, the Company has incurred $30 million in restructuring charges under the 2024 Plan since its inception. In total, including the charges already incurred, the Company expects to incur between $35 million and $50 million in non-recurring restructuring charges under the 2024 Plan, primarily related to employee transition, severance payments, and employee benefits, which are expected to be expensed and paid in cash by the end of 2025.

    With the restructuring plan approved by the Board of Directors of the Company on February 14, 2023 (the “2023 Plan”), the Company sought to restructure the business through a new operating model with five global business units, optimize central functions and overall management infrastructure, and implement other efforts aimed at cost savings. The 2023 Plan’s annual cost savings target of $200 million has been substantially met, with the benefits mostly offset in the short term by additional investments in sales personnel, the Company’s new global Enterprise Resource Planning (“ERP”) system, and other transformation initiatives. As of March 31, 2025, the Company has incurred $86 million in restructuring charges under the 2023 Plan since its inception, primarily related to employee transition, severance payments, employee benefits, and facility closure costs, and $20 million in other non-recurring costs related to restructuring activities, which mostly consist of consulting, legal, and other professional service fees. Remaining restructuring charges attributable to the 2023 Plan are not expected to be material.

    The estimates of the charges and expenditures that the Company expects to incur in connection with the 2024 Plan, and the timing thereof, 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 additional charges or cash expenditures not currently contemplated due to unanticipated events that may occur, including in connection with the implementation of the 2024 Plan.

    16


    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 March 31, 2025 was as follows:

    Severance
    (in millions)2023 and Prior Plans2024 PlansOther ActionsTotal
    Balance at December 31, 2024$13 $19 $— $32 
    Provisions— 2 6 8 
    Amounts applied(6)(9)— (15)
    Change in estimates(1)— — (1)
    Balance at March 31, 2025$6 $12 $6 $24 
    Other Restructuring Costs
    (in millions)2023 and Prior Plans2024 PlansOther ActionsTotal
    Balance at December 31, 2024$1 $— $— $1 
    Provisions— — — — 
    Amounts applied— — — — 
    Balance at March 31, 2025$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, 2024ProvisionsAmounts
    Applied
    Change in EstimatesMarch 31, 2025
    Connected Technology Solutions$9 $2 $(7)$(1)$3 
    Essential Dental Solutions11 (2)(3)— 6 
    Orthodontic and Implant Solutions9 1 (2)— 8 
    Wellspect Healthcare3 1 (1)— 3 
    All Other1 6 (2)— 5 
    Total$33 $8 $(15)$(1)$25 

    NOTE 9 – 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 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 hedges of net investments, fair value hedges, and derivative instruments not designated as hedges for accounting purposes by derivative instrument type at March 31, 2025 and the notional amounts expected to mature during the next 12 months.
    17


    (in millions)Aggregate Notional AmountAggregate Notional Amount Maturing within 12 Months
    Hedges of Net Investments
    Foreign exchange forward contracts
    $830 $200 
    Cross currency basis swaps289 — 
    Total derivative instruments designated as hedges of net investments$1,119 $200 
    Fair Value Hedges
    Interest rate swaps$150 $— 
    Foreign exchange forward contracts — — 
    Total derivative instruments designated as fair value hedges$150 $— 
    Derivative Instruments not Designated as Hedges
    Foreign exchange forward contracts$732 $732 
    Total derivative instruments not designated as hedges$732 $732 

    Cash Flow Hedges

    Interest Rate Risk Management

    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 Notes due June 2030. This loss is amortized over the ten-year life of the notes. As of both March 31, 2025 and December 31, 2024, $16 million of this loss is remaining to be amortized from AOCI in future periods.

    AOCI Release

    Overall, the derivatives designated as cash flow hedges are considered to be highly effective for accounting purposes. At March 31, 2025, 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 4, Comprehensive Loss.

    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 foreign currency exchange rates. The Company employs both derivative and non-derivative financial instruments to hedge a portion of these exposures. 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 instrument is amortized on a straight-line basis in Other (income) expense, 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 currency 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 and foreign exchange rates. The effective portion of the change in the value of these derivatives is recorded in AOCI, net of tax effects.
    18



    Fair Value Hedges

    Interest Rate Risk Management

    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 (income) expense, 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.

    Gains and (losses) recorded in the Company’s Consolidated Statements of Operations related to the economic hedges not designated as hedges for the three months ended March 31, 2025 and 2024 were not significant.

    Derivative Instrument Activity

    The effect of derivative hedging instruments on the Consolidated Statements of Operations and Consolidated Statements of Comprehensive Loss were as follows:
    Three Months Ended March 31,
    20252024
    (in millions)Cost of products soldInterest expense, netOther (income) expense, netCost of products soldInterest expense, netOther (income) expense, net
    Total amounts of line items presented in the Statement of Operations in which the effects of cash flow, net investment or fair value hedges are recorded$413 $19 $— $447 $18 $(7)
    (Gain) loss on Cash Flow Hedges reclassified from AOCI into income
    Foreign exchange forward contracts$— $— $— $— $— $— 
    Interest rate swaps— 1 — — — — 
    (Gain) loss on Hedges of Net Investment
    Cross currency basis swaps$— $— $— $— $— $(1)
    Foreign exchange forward contracts— — (6)— — (6)
    (Gain) loss on Fair Value Hedges:
    Interest rate swaps$— $1 $— $— $2 $— 
    Foreign exchange forward contracts— — — — — (1)
    (Gain) loss on Derivative Instruments not Designated as Hedges
    Foreign exchange forward contracts$— $— $— $— $— $(1)
    19


    Amount of Gain or (Loss) Recognized in AOCIAmount of Gain or (Loss) Reclassified from AOCI into Income
    Three Months Ended March 31,Consolidated Statements of Operations LocationThree Months Ended March 31,
    (in millions)2025202420252024
    Hedges of Net Investments
    Cross currency basis swaps$(5)$4 Other expense (income), net$— $— 
    Foreign exchange forward contracts(16)38 Other expense (income), net— — 
    Consolidated Balance Sheets Location of Derivative Fair Values

    The fair value and the financial statement presentation of the Company's derivatives in the Consolidated Balance Sheets were as follows:
    March 31, 2025
    (in millions)Prepaid Expenses and Other Current AssetsOther Noncurrent AssetsAccrued LiabilitiesOther Noncurrent Liabilities
    Designated as Hedges:
    Foreign exchange forward contracts$3 $1 $— $3 
    Interest rate swaps— — 5 12 
    Cross currency basis swaps3 10 — — 
    Total$6 $11 $5 $15 
    Not Designated as Hedges:
    Foreign exchange forward contracts$14 $— $11 $— 
    Total$14 $— $11 $— 
    December 31, 2024
    (in millions)Prepaid Expenses and Other Current AssetsOther Noncurrent AssetsAccrued LiabilitiesOther Noncurrent Liabilities
    Designated as Hedges:
    Foreign exchange forward contracts$5 $9 $— $1 
    Interest rate swaps— — 4 17 
    Cross currency basis swaps4 14 — — 
    Total$9 $23 $4 $18 
    Not Designated as Hedges:
    Foreign exchange forward contracts$4 $— $8 $— 
    Total$4 $— $8 $— 

    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.

    20


    Offsetting of financial assets and liabilities under netting arrangements at March 31, 2025 were as follows:
    Gross Amounts Not Offset in the Consolidated Balance Sheets
    (in millions)Gross Amounts RecognizedGross Amount Offset in the Consolidated Balance SheetsNet Amounts Presented in the Consolidated Balance SheetsFinancial InstrumentsCash Collateral Received/PledgedNet Amount
    Assets
    Foreign exchange forward contracts$18 $— $18 $(13)$— $5 
    Cross currency basis swaps13 — 13 (6)— 7 
    Total assets$31 $— $31 $(19)$— $12 
    Liabilities
    Foreign exchange forward contracts$14 $— $14 $(9)$— $5 
    Interest rate swaps17 — 17 (10)— 7 
    Total liabilities$31 $— $31 $(19)$— $12 

    Offsetting of financial assets and liabilities under netting arrangements at December 31, 2024 were as follows:
    Gross Amounts Not Offset in the Consolidated Balance Sheets
    (in millions)Gross Amounts RecognizedGross Amount Offset in the Consolidated Balance SheetsNet Amounts Presented in the Consolidated Balance SheetsFinancial InstrumentsCash Collateral Received/PledgedNet Amount
    Assets
    Foreign exchange forward contracts$18 $— $18 $(5)$— $13 
    Cross currency basis swaps18 — 18 (6)— 12 
    Total assets$36 $— $36 $(11)$— $25 
    Liabilities
    Foreign exchange forward contracts$9 $— $9 $(4)$— $5 
    Interest rate swaps21 — 21 (7)— 14 
    Total liabilities$30 $— $30 $(11)$— $19 

    21


    NOTE 10 – FAIR VALUE MEASUREMENT

    The estimated fair and carrying values of the Company's total debt were $2,243 million and $2,336 million, respectively, at March 31, 2025. At December 31, 2024, the estimated fair and carrying values were $2,037 million and $2,135 million, respectively. The fair value of long-term debt is determined by discounting future cash flows using interest rates available at March 31, 2025 and December 31, 2024 and interest rates for companies with similar credit ratings for issuances 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:
    March 31, 2025
    (in millions)TotalLevel 1Level 2Level 3
    Assets
    Cross currency basis swaps$13 $— $13 $— 
    Foreign exchange forward contracts18 — 18 — 
    Total assets$31 $— $31 $— 
    Liabilities
    Interest rate swaps$17 $— $17 $— 
    Foreign exchange forward contracts14 — 14 — 
    Contingent consideration on acquisitions4 — — 4 
    Total liabilities$35 $— $31 $4 
    December 31, 2024
    (in millions)TotalLevel 1Level 2Level 3
    Assets
    Cross currency basis swaps$18 $— $18 $— 
    Foreign exchange forward contracts18 — 18 — 
    Total assets$36 $— $36 $— 
    Liabilities
    Interest rate swaps$21 $— $21 $— 
    Foreign exchange forward contracts9 — 9 — 
    Contingent consideration on acquisitions4 — — 4 
    Total liabilities$34 $— $30 $4 

    Derivative valuations are based on observable inputs to the valuation model including interest rates, foreign currency exchange rates, and credit risks.

    There were no transfers between fair value measurement levels during the three months ended March 31, 2025.
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    NOTE 11 – INCOME TAXES

    The effective tax rates for the three months ended March 31, 2025 and 2024 were 56.8% and 44.9%, respectively. The increase in effective tax rate is primarily driven by additional valuation allowance recorded in the three months ended March 31, 2025.



    NOTE 12 – FINANCING ARRANGEMENTS

    The Company has a five-year senior unsecured multi-currency revolving facility, for an aggregate principal amount of $700 million, that expires on May 12, 2028. The Company also has a $700 million commercial paper program. The $700 million multi-currency revolving credit facility serves as a back-up to the commercial paper facility, resulting in an aggregate of $700 million as the total available credit under the commercial paper facility and the multi-currency revolving credit facility. The Company had outstanding borrowings of $140 million and $410 million under the commercial paper facility at March 31, 2025 and December 31, 2024, respectively, and no outstanding borrowings under the multi-currency revolving credit facility. The Company also has access to $33 million in uncommitted short-term financing available under lines of credit from various financial institutions, which is reduced by other outstanding short-term borrowings of $9 million.

    On March 19, 2025, the Company entered into a 364-day term loan of $435 million with a maturity date of March 18, 2026 (the “Bridge Loan”). Borrowings under the Bridge Loan will bear interest at a fluctuating rate per annum equal to, at the Company’s option, (i) the forward-looking Secured Overnight Financing Rate (such borrowings, “Term Benchmark Loans”), or (ii) a base rate, plus, in each case, an applicable margin calculated based on the Company’s credit ratings from Moody’s Investors Service, Inc. and Standard & Poor’s Ratings Services at the time and, in the case of Term Benchmark Loans, an adjustment of 10 basis points. In the event that the Bridge Loan remains outstanding for more than 90, 180, or 270 days, the Company will be obligated to pay duration fees of 0.50%, 0.75% and 1.00%, respectively, of the principal amounts outstanding on such dates. The net proceeds were $432 million, net of issuance fees totaling $3 million. The proceeds are being used to repay borrowings under the commercial paper facility and for other general corporate purposes.

    At March 31, 2025, the weighted-average interest rate for short-term debt, inclusive of the Bridge Loan, was 5.6%.

    At March 31, 2025, the Company had $584 million of borrowings available under lines of credit, including lines available under its short-term arrangements and revolving credit facility.

    The Company’s revolving credit facility, term loans, and senior notes contain certain affirmative and negative debt covenants relating to the Company's operations and financial condition. At March 31, 2025, the Company was in compliance with all debt covenants.

    Interest expense, net includes interest income of $4 million and $5 million for the three months ended March 31, 2025 and 2024, respectively. Interest income primarily relates to interest-bearing cash equivalents and customer financing for the Company’s direct-to-consumer aligner solutions.

    NOTE 13 – GOODWILL AND INTANGIBLE ASSETS

    The Company’s policy is to assess goodwill and indefinite-lived intangible assets for impairment annually as of April 1, with more frequent assessments if events or changes in circumstances indicate the asset might be impaired. Impairment charges are recorded in Goodwill and intangible asset impairment in the Consolidated Statement of Operations.

    For the three months ended March 31, 2025, the Company considered qualitative and quantitative factors to determine whether any events or changes in circumstances had resulted in a more likely than not impairment of any of its goodwill or indefinite-lived intangible assets during the course of the quarter, and concluded there were no such indicators.

    Impairment during the Three Months Ended March 31, 2024

    In the three months ended March 31, 2024, the Company identified indicators of a more likely than not impairment related to certain indefinite-lived imaging product trade names within the Connected Technology Solutions segment. The decline in fair value of these indefinite-lived trade names was driven by declines in volumes during the three months ended March 31, 2024, which was due in part to a loss in market share from competitive pricing pressures, as well as unfavorable economic conditions
    23


    in certain markets. These factors contributed to a reduction in forecasted revenues in the near term. The trade names were evaluated for impairment using an income approach, specifically a relief from royalty method. As a result, the Company recorded an indefinite-lived intangible asset impairment charge of $6 million for the three months ended March 31, 2024.
    A reconciliation of changes in the Company’s goodwill by reportable segment were as follows:

    (in millions)Connected Technology SolutionsEssential Dental SolutionsOrthodontic and Implant SolutionsWellspect HealthcareTotal
    Balance at December 31, 2024
    Goodwill$291 $829 $1,276 $265 $2,661 
    Accumulated impairment losses(291)— (773)— (1,064)
    Goodwill, net at December 31, 2024— 829 503 265 1,597 
    Impairment— — — — — 
    Foreign Currency Translation
    — 10 19 6 35 
    Balance at March 31, 2025
    Goodwill$291 $839 $1,295 $271 $2,696 
    Accumulated impairment losses$(291)$— $(773)$— $(1,064)
    Goodwill, net at March 31, 2025$— $839 $522 $271 $1,632 


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

    March 31, 2025December 31, 2024
    (in millions)Gross
    Carrying
    Amount
    Accumulated
    Amortization
    Net
    Carrying
    Amount
    Gross
    Carrying
    Amount
    Accumulated
    Amortization
    Net
    Carrying
    Amount
    Developed technology and patents$1,688 $(1,146)$542 $1,639 $(1,079)$560 
    Trade names and trademarks
    80 (74)6 79 (73)6 
    Licensing agreements43 (29)14 29 (28)1 
    Customer relationships1,049 (755)294 1,019 (716)303 
    Total definite-lived2,860 (2,004)856 2,766 (1,896)870 
    Indefinite-lived trade names and trademarks
    351 — 351 332 — 332 
    In-process R&D5 — 5 5 — 5 
    Total indefinite-lived356 — 356 337 — 337 
    Total identifiable intangible assets$3,216 $(2,004)$1,212 $3,103 $(1,896)$1,207 

    In the three months ended March 31, 2025, the Company acquired naming and certain other rights to a university dental laboratory in exchange for $14 million of equipment and consumable products to be transferred to the university through 2040. These rights were recorded as an intangible asset to be amortized over a fifteen-year period, with an offsetting contract liability that will be relieved as the products are provided to the university.

    24


    NOTE 14 – COMMITMENTS AND CONTINGENCIES

    Contingencies

    On December 19, 2018, a putative class action was filed in the U.S. District Court for the Eastern District of New York (the “EDNY Court”) against the Company and certain individual defendants. The case was narrowed following its inception. The plaintiff’s claims which, as discussed below, have now been settled in principal, are that the Company and certain individual defendants violated U.S. securities laws 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”) and that the defendants failed to disclose, among other things, that a distributor had purchased excessive inventory of legacy Sirona products. 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 May 6, 2016 and August 7, 2018. The plaintiff asserts claims on behalf of a putative class consisting of all purchasers of the Company's stock during the period from December 8, 2015 through August 6, 2018. 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 EDNY Court on March 29, 2023, and the Company’s answer to the second amended complaint was filed on May 12, 2023. Following additional motion practice—which remained outstanding with the EDNY Court—and discovery, the parties engaged in settlement discussions with the assistance of a mediator, and, in January 2025, reached a settlement in principal to resolve the case in full for $84 million, of which the Company expects to receive an offsetting insurance receivable of approximately $78 million while paying the rest in cash. The excess of the settlement liability over the corresponding insurance policy receivable resulted in $6 million of legal expense which was recorded during the year ended December 31, 2024. The settlement agreement, which was negotiated and signed in January, is pending approval by the EDNY Court. A motion for preliminary approval of the settlement was filed on March 17, 2025.

    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, 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 (the “SDNY Court”) 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 SDNY Court. On June 1, 2023, the SDNY Court consolidated the two separate actions under case No. 1:22-cv-06339 and appointed as lead plaintiffs for the putative class the City of Birmingham Retirement and Relief System, the El Paso Firemen & Policemen’s Pension Fund, and the Wayne County Employees’ Retirement System (collectively, the “Lead Plaintiffs”). 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 was granted as to Mr. Chadha and granted in part and denied in part as to the Company, Mr. Casey, and Mr. Gomez in a ruling by the SDNY Court on May 1, 2024. The Company’s answer to the Amended Complaint was filed on May 21, 2024. On November 15, 2024, Lead Plaintiffs filed a motion to certify the matter as a class action, to appoint Lead Plaintiffs as class representatives, and to appoint Robbins Geller Rudman & Dowd LLP as class counsel. Defendants’ opposition to Lead Plaintiffs’ motion was filed on December 20, 2024, and Lead Plaintiffs’ reply was filed on February 28, 2025.

    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 internal investigation by the Audit and Finance Committee of the Company’s Board of Directors. The Company continues to cooperate with the SEC regarding this matter.

    Separately, on July 13, 2023, Company stockholder George Presura filed a stockholder 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 “Presura Derivative Litigation”). The complaint, filed derivatively on behalf of the Company, asserts claims against current and former members of the Company’s Board of
    25


    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 Presura Derivative Litigation until the earlier of public announcement of a settlement of the Securities Litigation or resolution of the pending motion to dismiss in the Securities Litigation.

    Additionally, on March 26, 2024, Company stockholder Calvin Snee filed a stockholder derivative suit in the Delaware Court of Chancery captioned Calvin Snee, derivatively on behalf of Dentsply Sirona Inc. v. Donald M. Casey Jr., et al. and Dentsply Sirona Inc, No. 2024-0308 (the “Snee 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 Presura Derivative Litigation and the Securities Litigation, and it alleges that beginning in 2021, various of the defendants breached fiduciary duties, misappropriated information to conduct insider trading, and were unjustly enriched 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 May 2, 2024, the Delaware Court of Chancery issued an order consolidating and staying the Presura Derivative Litigation and Snee Derivative Litigation.

    On July 19, 2024, Company stockholder Frank Manfre filed a stockholder derivative suit in the Delaware Court of Chancery captioned Frank Manfre, derivatively on behalf of nominal defendant Dentsply Sirona Inc. v. Donald M. Casey Jr. et al. and Dentsply Sirona Inc., No. 2024-0763 (the “Manfre Derivative Litigation”). The complaint 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 complaint in this case contains allegations similar to those in the Snee Derivative Litigation, the Presura Derivative Litigation, and the Securities Litigation, and it alleges that beginning in 2021, various of the defendants breached fiduciary duties, misappropriated information to conduct insider trading, and were unjustly enriched 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 September 19, 2024, the Delaware Court of Chancery issued an order consolidating and staying the Manfre Derivative Litigation, Presura Derivative Litigation, and Snee Derivative Litigation.

    On November 26, 2024, the Company was named as a defendant in a putative class action filed in the SDNY Court captioned North Collier Fire Control and Rescue District Firefighters’ Retirement Plan v. Dentsply Sirona Inc., et al., No. 1:24-cv-09083 (the “North Collier Action”). On December 18, 2024, the Company was named as a defendant in a putative class action filed in the SDNY Court captioned Calvin v. Dentsply Sirona Inc., et al., No. 1:24-cv-09764 (the “Calvin Action”), and on December 19, 2024, the Company was named as a defendant in a putative class action filed in the SDNY Court captioned Key West Police & Fire Pension Fund v. Dentsply Sirona Inc., et al., No. 1:24-cv-09819 (the “Key West Action”). The complaints in these three cases allege that, for different alleged class periods over the period from May 6, 2021 through November 6, 2024, the Company and certain current and former officers violated U.S. securities laws by, among other things, making materially false and misleading statements or omissions, including regarding the performance of the Company’s Byte aligners business, following the Company’s acquisition of Byte LLC in December 2020. On February 21, 2025, the SDNY Court entered an order consolidating the North Collier Action, the Calvin Action, and the Key West Action under the caption In re Dentsply Sirona, Inc. Securities Litigation, No. 24-cv-9083 (the “2024 Securities Litigation”), and appointing HANSAINVEST Hanseatische Investment-Gesellschaft mit beschränkter Haftung and City of Miami General Employees’ & Sanitation Employees’ Retirement Trust as lead plaintiffs and Bernstein Litowitz Berger & Grossmann LLP as lead counsel for the consolidated case. An amended complaint is due May 9, 2025.

    Separately, on March 18, 2025, Company stockholder Kevin O’Connor filed a stockholder derivative suit in the SDNY Court captioned Kevin O’Connor, derivatively on behalf of Dentsply Sirona Inc. v. Simon D. Campion, et al. and Dentsply Sirona Inc., No. 1:25-cv-02246 (the “O’Connor 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. The derivative complaint in this case contains allegations similar to those in the 2024 Securities Litigation, and it alleges that during the period from December 1, 2022 through November 6, 2024, various of the defendants breached
    26


    fiduciary duties by, among other things, causing or allowing the Company to issue or make materially false and misleading statements concerning the Company’s financial condition and business operations as related to the acquisition of Byte LLC.

    Additionally, on April 9, 2025, Company stockholder William Andreotti filed a stockholder derivative suit in the SDNY Court captioned William Andreotti, Derivatively on Behalf of Dentsply Sirona, Inc. v. Simon D. Campion, et al. and Dentsply Sirona, Inc., No. 1:25-cv-02931 (the “Andreotti 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. The derivative complaint in this case contains allegations similar to those in the O’Connor Derivative Litigation and the 2024 Securities Litigation, and it alleges that beginning on December 1, 2022, various of the defendants breached fiduciary duties and were unjustly enriched by disseminating or approving materially false and misleading statements or omissions related to the acquisition of Byte LLC.

    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 execution of the SPA 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 DSI). Under the SPA, a portion of the purchase price equal to €7 million was required to be deposited into an escrow account (the “Escrow Account”) and 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. In connection with the closing of the share purchase transaction, the SPA was supplemented by a Facility Agreement, also dated October 8, 2012 (the “FA”), which specifically set out the mechanics of payment and release of the proceeds of the Escrow Account. The Austrian notary public, Mr. Gottfried Schachinger, acting as escrow agent, Mr. Gobbetti, and SIRONA Holdings GmbH, an affiliate of Sirona Dental Systems, Inc. which paid the €7 million into the Escrow Account, were parties to the FA. The FA is subject to Austrian law and to the jurisdiction of the Court of Salzburg in Austria.

    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 the positions of the parties. The parties also developed their arguments in several rounds of defensive briefs. The final submissions were completed on April 15, 2024 and the final hearing for discussion took place on May 8, 2024. On July 22, 2024, the arbitral tribunal rejected all of Mr. Gobbetti’s claims, ruling that the Company had met its contractual obligations under the SPA, particularly regarding the balance of the purchase price. The arbitral tribunal also dismissed Mr. Gobbetti’s claims in tort and those pertaining to the FA for lack of jurisdiction and lack of capacity for the Company to be sued. The arbitral tribunal observed that such claims should have been brought against SIRONA Holdings GmbH, which is a party to the FA but not to the SPA, before the Court of Salzburg in Austria based on the jurisdictional clause of the FA.

    Mr. Gobbetti appealed the ruling of the arbitral tribunal on December 2, 2024 before the Court of Appeals of Milan, Italy (the “Court of Appeals”) arguing that the ruling is null and void. According to Mr. Gobbetti, the arbitral tribunal did not grant him appropriate defense rights under the Italian Civil Code and did not fully address the merits of his claims, despite acknowledging jurisdiction. Mr. Gobbetti asked the Court of Appeals to directly sentence DSI to pay the €7 million, plus damages of €21 million and interest accruing until the time of payment. On April 17, 2025, DSI filed its statement of defense, asking the Court of Appeals to reject Mr. Gobbetti’s appeal and confirm the arbitral award in its entirety. The first hearing in the appeal proceedings took place on May 7, 2025, and the Court of Appeals concluded that there was no need to take additional evidence. A final hearing is scheduled for February 11, 2026.

    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, although the Company may elect to settle certain litigation matters, but there can be no assurance that the Company will be successful in any defense or that matters can be settled on terms favorable to the Company. If any of the lawsuits are decided adversely, the Company may be liable for significant damages directly or under its indemnification obligations, which could adversely affect the Company’s business, results of operations and cash flows. At this stage, the Company has accrued losses which are deemed probable, along with
    27


    related insurance receivables, but the Company is unable to assess whether any incremental 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”) is conducting an examination of the Company’s U.S. federal income tax returns for the tax years 2015 and 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 proposed adjustment, if sustained, would also result in a loss of foreign tax credits carried forward to later tax years. The Company believes that it accurately reported the federal income tax consequences of the internal restructuring and stock redemption in its tax returns and in April 2024, submitted an administrative protest with the IRS Independent Office of Appeals contesting the examination team’s proposed adjustments. The IRS examination team provided the Company with a rebuttal to the Company’s administrative protest during August 2024 and informed the Company that the dispute would be forwarded to the IRS Independent Office of Appeals.

    The General Public Prosecutor’s Office Frankfurt am Main is investigating a series of intercompany loans implemented in 2016 and 2017 as part of the post-merger integration activities of DENTSPLY International Inc. and Sirona Dental Systems, Inc. The Company is cooperating with the investigation. The Company believes that the transactions at issue complied with all applicable German laws. No charges have been filed against the Company or any individuals.

    The Company intends to vigorously defend its positions and pursue related appeals in the above-described pending matters and believes it is more likely than not that its positions will be sustained, although the Company may elect to settle certain matters. Unless otherwise disclosed herein, the Company has not accrued losses for these matters because the Company does not believe the risk of loss is probable and cannot estimate the range of any potential loss with any reasonable degree of accuracy.

    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, 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. Except as otherwise noted, the Company generally cannot predict what the eventual outcome of the above-described pending matters will be, what the timing of the ultimate resolution of these matters will be, or what the eventual loss, fines or penalties related to each pending matter may be. 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.

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    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 March 31, 2025, non-cancelable purchase commitments were as follows:

    (in millions)
    2025136 
    2026105 
    202770 
    202840 
    2029— 
    Thereafter— 
    Total$351 
    The above information should be read in conjunction with Part II, Item 7 “Contractual Obligations” and Part II, Item 8, Note 21, Commitments and Contingencies, in the 2024 Form 10-K.

    The table above includes commitments under the Company’s agreement with a cloud services provider supporting the Company’s digital platform which requires minimum purchases totaling $81 million through 2028.

    Indemnification

    In the normal course of business to facilitate sales of the Company’s products and services, the Company indemnifies certain parties, including customers, vendors, lessors, services providers, and others, with respect to certain matters, including, but not limited to, services to be provided by or for the Company, and intellectual property infringement claims made by third parties. In addition, the Company has entered into indemnification agreements with its directors and its executive officers that will require the Company, 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 of indemnification under these indemnification agreements due to the unique facts and circumstances involved in each particular agreement. Additionally, the Company has a limited history of prior indemnification claims, and the payments made under such agreements have not had a material effect on the Company’s results of operations, cash flows or financial position. Except as noted in the “Contingencies” section herein, as of March 31, 2025, the Company 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 the Company could be significant and could have a material adverse effect on the Company’s results of operations or cash flows in a particular period.
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    DENTSPLY SIRONA Inc. and Subsidiaries

    Item 2 – Management’s Discussion and Analysis of Financial Condition and Results of Operations

    Information included in or incorporated by reference in this Form 10-Q, and other filings with the SEC and the Company’s press releases or other public statements, contains or may contain forward-looking statements. Please refer to the discussion under the header “Forward-Looking Statements and Associated Risks” in the forepart of this Form 10-Q.

    Company Profile

    DENTSPLY SIRONA Inc. is the world’s largest diversified manufacturer of professional dental products and technologies, with a 138-year history of innovation and service to the dental industry, and a vision of improving oral health and continence care globally. Dentsply Sirona develops, manufactures, and markets comprehensive solutions, including technologically advanced dental equipment supported by cloud-enabled solutions, dental products, and healthcare consumable products in urology and enterology under a strong portfolio of world-class brands. Dentsply Sirona’s innovative products provide high-quality, effective, and connected solutions to advance patient care and deliver better, safer, and faster dentistry. 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.

    BUSINESS
    Segment Descriptions

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

    Connected Technology Solutions

    This segment includes the design, manufacture, and sales of the Company’s dental technology and equipment products. These products include the Equipment & Instruments and CAD/CAM product categories. Dental CAD/CAM technologies are products designed for dental professionals to support numerous digital workflows for procedures such as dental restorations through integrations with DS Core, our cloud-based platform.

    Essential Dental Solutions

    This segment includes the development, manufacture, and sales of the Company’s value-added endodontic, restorative, and preventive consumable products and small equipment used by dental professionals for the treatment of patients. Offerings in this segment also include specialized treatment products including products used in the creation of dental appliances.

    Orthodontic and Implant Solutions

    This segment includes the design, manufacture, and sales of the Company’s various digital implant systems and innovative dental implant products, digital dentures and dental professional-directed aligner solutions. Offerings in this segment also include application of our digital services and technology, including those provided by DS Core, our cloud-based platform.

    Wellspect Healthcare

    This segment includes the design, manufacture, and sales of the Company’s innovative continence care solutions for both urinary and bowel management. Wellspect is one of the world’s leading manufacturers of intermittent urinary catheters, with LoFric as its most known brand. To help those with chronic or severe constipation, Wellspect also offers an advanced irrigation system, Navina, which combines a high degree of user convenience, clinical effectiveness and connectivity into one smart system.

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    The impact of global economic conditions

    Various headwinds are expected to weigh on global growth throughout the remainder of 2025, due in large part to increasing uncertainties related to global trade policy and inflation. A number of key macroeconomic forecasts were sharply lowered in April 2025 in response to the potential for a severe escalation in global trade barriers and competition. Weaker overall growth in the United States and narrowing interest rate differentials suggest the potential for further depreciation of the U.S. dollar and heightened risk of recession. Markets in several other regions, including Europe, have continued to experience varying degrees of pressures inhibiting growth and face concerns about the systemic impacts of adverse economic conditions and geopolitical events. Changes in trade policy, supply chain constraints, higher energy costs, labor shortages, and geopolitical tensions in the Middle East and Ukraine have all contributed to the risk of higher inflation and general economic uncertainty across the industry and the regions in which the Company operates. In recent years the Company has experienced higher prices for certain raw materials, including electronic components, which have led to a negative impact on margins. Although the rate of inflation showed signs of slowing at the start of 2025, prices for both raw materials and wages are expected to remain high through the remainder of the year, and prices may potentially increase if trade conflicts deepen. The Company may not be successful in its efforts to fully mitigate or offset the impacts of cost inflation.

    The challenging macroeconomic conditions have also negatively impacted demand for the Company’s products and may continue to do so in the future. These conditions include a steep decline in measures of consumer confidence in the United States since the start of the year. Additionally, higher interest rates have put pressure on the ability and willingness of our customers to obtain financing for equipment purchases, which adversely affects volumes for these products. The higher cost of borrowing has also reduced patient demand for elective dental procedures, which affects sales of the Company’s offerings more broadly. The Company has also faced additional competitive pressure from dental practices for lower-priced options for equipment and other products, in particular imaging products and implants. While the Company has taken steps to address competitive pressures, such as the reintroduction of its Orthophos SL 2D and 3D products, these trends may continue. While patient volumes have largely remained stable in the United States, the impact of macroeconomic declines and high interest rates has been particularly apparent in Germany, which represented 11% of the Company’s sales for the three months ended March 31, 2025. Germany was in a recession for most of 2023, largely due to persistent high inflation and falling household spending. Although conditions, including inflation, marginally improved in 2024, economic forecasts by the German government project limited growth in 2025. The Company anticipates that the challenging macroeconomic and market conditions in Germany are likely to persist and may negatively impact sales of equipment in 2025, despite moderate growth in the first quarter.

    In anticipation of a continued inflationary trend and potentially deteriorating macroeconomic environment, we have attempted to mitigate these pressures through the following actions, among others:

    •Driving strategic procurement initiatives to leverage alternative sources of raw materials and transportation;
    •Implementing cost-containment measures, as well as intensifying continuous improvement and restructuring programs in our manufacturing and distribution facilities and other areas of our business, including the most recent restructuring plan approved by our Board of Directors on July 29, 2024;
    •Optimizing our customer management and implementing strategic investments in our commercial sales organization in key markets, particularly the United States; and
    •Refining our focus on developing a winning portfolio with global scale to maximize market share in a competitive pricing environment.

    Recent tariff policies

    As disclosed in Part I, Item 1A, “Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2024 (the “2024 Form 10-K”), the Company’s business is subject to risks related to, among other factors, tariffs and other trade protection measures put in the place by the United States and other countries. The U.S. government has recently implemented or is in the process of implementing various tariffs on the importation of goods from certain countries, a number of which are applicable to the Company’s supply chain, operations, and sales. On April 2, 2025, the United States announced a baseline 10% tariff on all foreign goods and incremental tariff rates on goods imported from specified nations, including China and those in the European Union. The announced tariffs incremental to the baseline were subsequently suspended for a period of 90 days; however, China’s tariff rate was raised to 145%.

    The tariffs enacted and proposed by the Trump Administration to date and retaliatory tariffs by other countries could make it significantly more difficult or costly for the Company to import certain products or materials to the United States, or export products or materials from the United States to other countries. Currently, a small portion of the products, materials, and
    31


    components used in our products are imported from China, and a significant share of the dental equipment that we sell in the United States is manufactured in Europe. Europe is also a major market for our products, while sales in China represent less than 5% of the Company’s global sales on an annual basis. If the United States’ previously announced incremental tariffs imposed on member states of the European Union go into effect, or if member states of the European Union subsequently impose retaliatory tariffs on the United States, there may be a material impact on our business and results of operations. We continue to monitor and evaluate the ongoing and potential impacts of the tariffs and changes in trade policy, whether implemented or proposed, on our supply chain, costs, sales and profitability. We seek to implement strategies that would mitigate such impacts, including by reviewing competitive pricing strategies to offset tariffs and evaluating potential sourcing options that work with our vendors and merchants to seek to minimize products sourced from high tariff rate countries, both for existing products and for new product development. The impact that these tariffs and changes in trade policy will ultimately have on our financial results remains unclear, including the impact on demand for our products in certain markets if prices rise as a consequence of import tariffs. For additional information, see Part I, Item 1A, “Risk Factors” in our 2024 Form 10-K.

    The impact of geopolitical conflicts

    In 2025, geopolitical conflicts are expected to continue to shape market dynamics and pose general threats to financial stability in affected regions, including ongoing tensions from the Russia-Ukraine conflict and the conflict in the Middle East. Overall, the Company’s operations in Russia, Ukraine, and Israel have not been materially impacted by these conflicts.

    The Company’s operations in Israel consist of two manufacturing facilities for implants products, with one site in northern Israel and one site in southern Israel, both of which remain open and continue to operate normally. For the three months ended March 31, 2025, net sales of products produced at these sites comprised approximately 4% of our consolidated net sales and 15% of the net sales of the Orthodontic and Implant Solutions segment. Net assets within Israel totaled $153 million as of March 31, 2025, consisting primarily of acquired technology, property, plant and equipment, inventory, and cash associated with our operations in the country.

    In May 2024, in response to ongoing military actions by Israel in the Gaza strip, the government of Turkey implemented restrictions on the import of goods manufactured within Israel for sale in the Turkish market, which were still in effect as of March 31, 2025. Sales of our products made in Israel and sold in Turkey have historically represented approximately 1% of our global sales of the Implant & Prosthetic Solutions reporting unit, but this product category is an area of relatively high potential growth. The loss of sales to Turkey in 2024 was partially offset by sales of implants produced outside of Israel. It is not clear when these restrictions will be lifted or if other countries will institute similar restrictions.

    In February 2022, because of the invasion of Ukraine by Russia, economic sanctions were imposed by the United States, the European Union, and certain other countries on Russian financial institutions and businesses. Due to the medical nature of our products, the current sanctions have not materially restricted our ability to continue selling many of our products to customers located in Russia. For the three months ended March 31, 2025, net sales in Russia and Ukraine were approximately 2% of our consolidated net sales, and net assets in these countries were $87 million as of March 31, 2025. These net assets include $49 million of cash and cash equivalents held within Russia as of March 31, 2025, as well as inventory and trade accounts receivable. Due to currency control measures imposed by the Russian government, which include restrictions on the ability of companies to repatriate or otherwise remit cash from their Russian-based operations to locations outside of Russia, we continue to be limited in our ability to transfer this cash balance out of Russia without incurring substantial costs. Additionally, beginning in September 2024, as a result of further restrictions by European financial institutions on receiving payments from Russia, our capacity to receive intercompany payments for the delivery of our products into Russia has been partially reduced, which further limits our ability to use cash received from sales in Russia for our general purposes. It is unclear whether the remaining financial institutions which the Company relies upon for bank transfers from Russia will ultimately be able to continue facilitating payments, or for how long. If these restrictions on cash transfers from Russia worsen, or if we are not able to obtain long-term relief from these restrictions, we may need to take additional actions, including potential suspension of our business in Russia.

    Distribution arrangements

    In July 2024, the Company delivered a one-year notice of non-renewal in connection with its non-exclusive distribution agreements with Patterson Companies, Inc. (“Patterson”) for the distribution of dental equipment in the United States and Canada. It is anticipated that Patterson will continue to be one of the Company’s two largest distributors as a percentage of the Company’s global revenue during the one-year notice period. The Company intends to continue to engage in discussions for new distribution agreements with Patterson. However, failure to successfully renegotiate the distribution agreements or secure potential new agreements with another distributor could have a material adverse effect on the Company’s business, operating
    32


    results and financial condition. The Company has not incurred any charges against earnings to date related to non-renewal of the distribution agreements. For additional information, see Part I, Item 1A, “Risk Factors” in our 2024 Form 10-K.

    RESULTS OF OPERATIONS, THREE MONTHS ENDED MARCH 31, 2025 COMPARED TO THREE MONTHS ENDED MARCH 31, 2024

    Net Sales

    The Company presents net sales comparing the current year periods to the prior year periods. In addition, the Company also presents changes in net sales on an organic sales basis, which is a Non-GAAP measure. The Company defines “organic sales” as the reported net sales adjusted for: (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 changes, which is calculated by translating current period net sales using the comparable prior period’s currency exchange rates.

    Our measure of organic sales 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, and its 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 changes in organic sales to allow investors to evaluate the performance of the Company’s operations exclusive of the items listed above that may 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 supplemental information is helpful in understanding underlying net sales trends.

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$879 $953 $(74)(7.7 %)
    Unfavorable foreign exchange impact(3.3 %)
    Organic sales(4.4 %)
    Percentages are based on actual values and may not reconcile due to rounding.

    The decrease in organic sales was driven by lower volumes in the Orthodontic and Implant Solutions segment as a result of the suspension of the sale and marketing of Byte aligner system and impression kits announced in October 2024, as well as lower volumes of implants and prosthetics products across all regions. These decreases were partially offset by growth in the Wellspect Healthcare segment.

    Net Sales by Segment

    Connected Technology Solutions

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$235 $247 $(12)(4.7 %)
    Unfavorable foreign exchange impact(4.2 %)
    Organic sales(0.5 %)
    Percentages are based on actual values and may not reconcile due to rounding.

    The decrease in organic sales was primarily due to lower volumes of CAD/CAM products across all three regions, driven
    33


    in part by lower demand and competitive pressures including pricing. The decrease was partially offset by higher volumes of imaging products across all three regions, as well as higher sales of treatment centers, which was primarily due to the timing of fulfilling a one-time order in Europe during the quarter.

    Essential Dental Solutions

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$353 $364 $(11)(2.7 %)
    Unfavorable foreign exchange impact(3.1 %)
    Organic sales0.4 %
    Percentages are based on actual values and may not reconcile due to rounding.

    The increase in organic sales was driven by growth in Europe and Rest of World, in part due to favorable pricing of restorative products, partially offset by lower volumes of endodontic and restorative products in the United States.

    Orthodontic and Implant Solutions

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$217 $271 $(54)(20.0 %)
    Unfavorable foreign exchange impact(2.3 %)
    Organic sales(17.7 %)
    Percentages are based on actual values and may not reconcile due to rounding.

    The decrease in organic sales was primarily driven by weaker sales of aligners in the United States, which were negatively impacted by the suspension of the sale and marketing of Byte aligner system and impression kits announced in October 2024, as well as a decrease in volume for implants and prosthetics products across all three regions. The decrease was partially offset by higher volumes of orthodontic products in Europe. Additionally, during the three months ended March 31, 2025, the Company refined its estimate of expected customer refunds for the Byte aligner business, resulting in an $8 million favorable adjustment to net sales.

    Wellspect Healthcare

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$74 $71 $3 3.4 %
    Unfavorable foreign exchange impact(4.6 %)
    Organic sales8.0 %
    Percentages are based on actual values and may not reconcile due to rounding.

    The increase in organic sales was due to higher volumes across all regions, particularly in Europe and the United States, driven in part by new product launches.
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    Net Sales by Region

    United States

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$302 $356 $(54)(15.2 %)
    Unfavorable foreign exchange impact(0.3 %)
    Organic sales(14.9 %)
    Percentages are based on actual values and may not reconcile due to rounding.

    The decrease in organic sales was primarily due to the suspension of the sale and marketing of Byte aligner system and impression kits announced in October 2024. The decrease was also due to lower volumes for CAD/CAM equipment, implants products, and endodontic and restorative products. These decreases were partially offset by higher volumes for preventive products, imaging equipment, and Wellspect Healthcare products.

    Organic sales of CAD/CAM were negatively affected by wholesale volumes for CAD/CAM products relative to the three months ended March 31, 2024 due in part to timing of distributor orders. Volumes for CAD/CAM products during the three months ended March 31, 2025 included a seasonal build of inventory held by distributors of approximately $4 million compared to a higher build of approximately $9 million for the three months ended March 31, 2024.

    Volumes for imaging products in the three months ended March 31, 2025 were positively impacted by a build in distributor inventory of approximately $6 million, compared to a decrease of approximately $7 million in the three months ended March 31, 2024, while retail sales during the quarter were comparatively lower.

    Distributor inventory levels for both CAD/CAM and imaging products at March 31, 2025 approximate historical averages.

    Europe

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$362 $376 $(14)(3.4 %)
    Unfavorable foreign exchange impact(4.5 %)
    Organic sales1.1 %
    Percentages are based on actual values and may not reconcile due to rounding.

    The increase in organic sales was primarily due to higher volumes of imaging equipment and treatment centers within the Connected Technology Solutions segment, higher volumes and favorable pricing of restorative products in the Essential Dental Solutions segment, and higher volumes in the Wellspect Healthcare business, primarily driven by new product launches. These increases were partially offset by lower volumes of CAD/CAM equipment and implants and prosthetics products.

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    Rest of World

    A reconciliation of net sales to organic sales is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Net sales$215 $221 $(6)(2.8 %)
    Unfavorable foreign exchange impact(5.9 %)
    Organic sales3.1 %
    Percentages are based on actual values and may not reconcile due to rounding.

    The increase in organic sales was primarily driven by higher volumes of treatment center and imaging products and growth in the Wellspect Healthcare segment. These increases were partially offset by lower volumes for endodontic products and CAD/CAM products, and unfavorable pricing for implants and prosthetics products.


    Gross Profit
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Gross profit$466 $506 $(40)(7.9 %)
    Gross profit as a percentage of net sales53.0 %53.1 %(10) bps
    Percentages are based on actual values and may not reconcile due to rounding.

    Gross profit as a percentage of net sales for the three months ended March 31, 2025 showed a slight decline as the unfavorable absorption on lower volumes, foreign currency translation, and unfavorable mix of endodontic, CAD/CAM, and implants products were mostly offset by the impact of the one-time benefits to revenue noted above and a decrease in warranty costs.

    Operating Expenses
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Selling, general, and administrative expenses ("SG&A")$358 $415 $(57)(13.6 %)
    Research and development expenses ("R&D")36 42 (6)(14.8 %)
    Intangible asset impairments— 6 (6)NM
    Restructuring and other costs9 1 8 NM
    SG&A as a percentage of net sales40.7 %43.5 %(280) bps
    R&D as a percentage of net sales4.1 %4.4 %(30) bps
    Percentages are based on actual values and may not reconcile due to rounding.
    NM - Not meaningful

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    SG&A Expenses

    The decrease in SG&A expenses for the three months ended March 31, 2025 was primarily driven by lower headcount costs for Byte and lower sales and advertising costs for Byte products after the suspension of the sale and marketing of Byte aligner systems and impression kits announced in October 2024. The decrease was also due to lower headcount costs as a result of restructuring activities.

    R&D Expenses

    For the three months ended March 31, 2025, R&D expenses decreased as the Company continues to prioritize a disciplined approach with ongoing investments in digital workflow solutions, product development initiatives, and software development, including clinical application suite and cloud deployment. The Company expects to continue to maintain a level of investment in R&D that is at least 4% of annual net sales.

    Goodwill and Intangible Asset Impairments

    For the three months ended March 31, 2025, no goodwill or intangible asset impairment charges were recorded. For the three months ended March 31, 2024, the Company recorded an intangible asset impairment charge of $6 million. The charge was related to indefinite-lived imaging product trade names within the Connected Technology Solutions segment. For further information see Note 13, Goodwill and Intangible Assets, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q.

    Restructuring and Other Costs

    For the three months ended March 31, 2025 and March 31, 2024, the Company recorded restructuring and other costs of $9 million and $1 million, respectively. The expenses in 2025 primarily consist of costs in connection with various restructuring initiatives. The expenses in 2024 consisted primarily of severance costs in conjunction with the restructuring plan announced in February 2023. For further details refer to Material Trends in Capital Resources below, and Note 8, Restructuring and other costs, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q.

    Segment Adjusted Operating Income
    Three Months Ended March 31,
    (in millions, except percentages)(a)
    20252024$ Change% Change
    Connected Technology Solutions$7 $2 $5 370.4 %
    Essential Dental Solutions135 115 20 17.1 %
    Orthodontic and Implant Solutions37 42 (5)(11.5 %)
    Wellspect Healthcare26 23 3 14.2 %
    Percentages are based on actual values and may not reconcile due to rounding.
    (a) See Note 6, Segment Information, in the Notes to Unaudited Consolidated Financial Statements in Part I, Item 1 of this Form 10-Q for a reconciliation from segment adjusted operating income to consolidated US GAAP income.

    Connected Technology Solutions

    The increase in segment adjusted operating income for the three months ended March 31, 2025 is due to improved margins primarily as a result of lower product warranty costs. The increase was partially offset by the lower organic sales noted above.

    Essential Dental Solutions

    The increase in segment adjusted operating income for the three months ended March 31, 2025 is due to lower headcount costs and professional service costs, favorable pricing particularly in Europe, and higher organic sales noted above.

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    Orthodontic and Implant Solutions

    The decrease in segment adjusted operating income for the three months ended March 31, 2025 is due to the lower organic sales for direct-to-consumer aligners and implants and prosthetics products noted above. The decreases were partially offset by lower headcount costs and professional service costs, as well as an adjustment to net sales for estimated customer refunds for the Byte aligner business as noted above.

    Wellspect Healthcare

    The increase in segment adjusted operating income for the three months ended March 31, 2025 is due to the increase in organic sales noted above, as well as margin improvement due to the favorable manufacturing leverage from higher volumes.

    Other Income and Expense
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change% Change
    Interest expense, net$19 $18 $1 9.1 %
    Other (income) expense, net— (7)7 NM
    Net interest and other expense (income)$19 $11 $8 
    Percentages are based on actual values and may not reconcile due to rounding.
    NM - Not meaningful

    Interest expense, net

    Interest expense, net for the three months ended March 31, 2025 increased compared to the three months ended March 31, 2024 primarily due to a higher average carrying balance of short-term borrowings.

    Other (income) expense, net

    Other (income) expense, net for the three months ended March 31, 2025 compared to the three months ended March 31, 2024 is as follows:
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change
    Foreign exchange gains$(2)$(9)$7 
    Defined benefit pension plan expenses2 2 — 
    Other (income) expense, net$— $(7)$7 
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    Income Taxes and Net Income
    Three Months Ended March 31,
    (in millions, except percentages)20252024$ Change
    Provision for income taxes$25 $14 $11 
    Effective income tax rate56.8 %44.9 %
    Net loss attributable to Dentsply Sirona$20 $18 $2 
    Diluted earnings per common share$0.10 $0.09 
    Percentages are based on actual values and may not reconcile due to rounding.

    Provision for income taxes

    The effective tax rates for the three months ended March 31, 2025 and 2024 were 56.8% and 44.9%, respectively. The increase in effective tax rate is primarily driven by additional valuation allowance recorded in the three months ended March 31, 2025.


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    CRITICAL ACCOUNTING ESTIMATES

    Goodwill and Indefinite-Lived Intangible Assets

    Goodwill represents the excess cost over the fair value of the identifiable net assets of business acquired and is allocated among the Company's reporting units. Indefinite-lived intangible assets consist of trade names, trademarks, and in-process R&D. Neither goodwill nor indefinite-lived intangible assets are amortized; instead, they are tested for impairment annually at April 1 or more frequently if events or circumstances indicate that the carrying value may be impaired, or if a decision is made to sell, discontinue, or divest a business. Judgment is involved in determining if an indicator of impairment has occurred during the year. Such indicators may include a decline in expected cash flows, unanticipated competition, increased interest rates, or slower growth rates, among others.

    For the three months ended March 31, 2025, the Company considered qualitative and quantitative factors to determine whether any events or changes in circumstances had resulted in a more likely than not impairment of any of its goodwill or indefinite-lived intangible assets during the course of the quarter, and concluded there were no such indicators. As of March 31, 2025 the estimated fair value of the Implant & Prosthetic Solutions reporting unit within the Orthodontic and Implant Solutions segment exceeded its carrying value by less than 10%. The Company performed a hypothetical sensitivity analysis, based on the last impairment test performed as of December 31, 2024, by increasing the discount rate by 50 basis points. An increase of the discount rate by 50 basis points would result in a material impairment of the Implant & Prosthetic Solutions reporting unit, and therefore this reporting unit remains at-risk for future goodwill impairment. Additionally, the fair values of certain indefinite-lived intangible assets within the Orthodontic and Implant Solutions and Connected Technology Solutions segments continue to approximate carrying value. Any deviation in actual financial results compared to the forecasted financial results or valuation assumptions used in the annual or interim tests, a decline in equity valuations, increases in interest rates, or changes in the use of intangible assets, among other factors, could have a material adverse effect to the fair value of either the reporting units or intangible assets and could result in a future impairment charge. Goodwill associated with the Implant & Prosthetic Solutions reporting unit was $522 million at March 31, 2025, and the carrying values of the at-risk indefinite-lived intangible assets within the Orthodontic and Implant Solutions and Connected Technology Solutions segments were $83 million and $159 million, respectively, at March 31, 2025.

    For further information see Note 13, Goodwill and Intangible Assets, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q, and Critical Accounting Estimates in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the 2024 Form 10-K.

    LIQUIDITY AND CAPITAL RESOURCES

    Three Months Ended March 31,
    (in millions)20252024$ Change
    Cash (used in) provided by:
    Operating activities$7 $25 $(18)
    Investing activities(17)(43)26 
    Financing activities123 (14)137 
    Effect of exchange rate changes on cash and cash equivalents13 (11)24 
    Net (decrease) increase in cash and cash equivalents$126 $(43)$169 
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    Cash provided by operating activities decreased compared to the three months ended March 31, 2024, primarily as a result of changes in working capital, including higher accounts receivable due largely to timing of sales and customer remittances and higher build of inventory during the current period, partially offset by lower payments to vendors during the current period due to timing. At March 31, 2025, the number of days for sales outstanding in accounts receivable increased by 4 days to 59 days as compared to 55 days at December 31, 2024, and the number of days of sales in inventory increased by 8 days to 132 days at March 31, 2025 as compared to 124 days at December 31, 2024.

    The cash used in investing activities decreased compared to the three months ended March 31, 2024, due to lower capital expenditures of $15 million and no cash paid on the settlement of derivatives, compared to $9 million paid for the interest rate swap closure in the prior year. The Company estimates capital expenditures to be in the range of approximately $160 million to $190 million for the full year 2025 and expects these investments to include expenses for the ongoing implementation of a new global Enterprise Resource Planning (“ERP”) system, equipment upgrades, and capacity expansion to support product innovation and consolidate operations for enhanced efficiencies.

    On March 19, 2025, the Company entered into a 364-day term loan of $435 million with a maturity date of March 18, 2026 (the “Bridge Loan”). Borrowings under the Bridge Loan will bear interest at a fluctuating rate per annum equal to, at the Company’s option, (i) the forward-looking Secured Overnight Financing Rate (such borrowings, “Term Benchmark Loans”), or (ii) a base rate, plus, in each case, an applicable margin calculated based on the Company’s credit ratings from Moody’s Investors Service, Inc. and Standard & Poor’s Ratings Services at the time and, in the case of Term Benchmark Loans, an adjustment of 10 basis points. In the event that the Bridge Loan remains outstanding for more than 90, 180, or 270 days, the Company will be obligated to pay duration fees of 0.50%, 0.75% and 1.00%, respectively, of the principal amounts outstanding on such dates. The net proceeds were $432 million, net of issuance fees totaling $3 million. The proceeds are being used to repay borrowings under the commercial paper facility and for other general corporate purposes.

    Cash provided by financing activities increased compared to the three months ended March 31, 2024 primarily as a result of the Company entering into the Bridge Loan. The increase in cash provided by financing activities was partially offset by repayments on the commercial paper facility.

    On November 7, 2023, the Board of Directors approved an increase to the authorized share repurchase program of $1.0 billion. At March 31, 2025, the Company had $1.19 billion of authorization remaining available for share repurchases. Additional share repurchases, if any, 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. The Company is restricted from making share repurchases during the duration of the Bridge Loan. At March 31, 2025, the Company held 65.2 million shares of treasury stock.

    The Company's ratio of total net debt to total capitalization was as follows:
    (in millions, except percentages)March 31, 2025December 31, 2024
    Notes payable and current portion of debt
    $742 $549 
    Long-term debt1,593 1,586 
    Less: Cash and cash equivalents398 272 
    Net debt1,937 1,863 
    Total equity2,010 1,943 
    Total capitalization$3,947 $3,806 
    Total net debt to total capitalization ratio49.1 %48.9 %

    At March 31, 2025, the Company had $584 million of borrowings available under lines of credit, including lines available under its short-term arrangements and revolving credit facility. The Company’s borrowing capacity includes a $700 million multi-currency credit facility which expires in May 2028. The Company also has access to an aggregate $700 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 facility in the aggregate is
    41


    $700 million. The Company had $140 million outstanding borrowings under the commercial paper facility at March 31, 2025 resulting in $560 million remaining available under the revolving credit and commercial paper facilities. The Company also has access to $33 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. The lines of credit have no major restrictions and are provided under demand notes between the Company and the lending institutions. At March 31, 2025, the Company had $9 million outstanding under short-term borrowing arrangements. 

    The Company’s revolving credit facility, term loans and senior notes contain certain covenants relating to the Company’s operations and financial condition. The most restrictive of these covenants are: (1) a ratio of total debt outstanding to total capital not to exceed 0.6, and (2) a ratio of 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 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 March 31, 2025, the Company was in compliance with these covenants.

    The Company expects on an ongoing basis to be able to finance operating cash requirements, capital expenditures, and debt service from the current cash, cash equivalents, cash flows from operations and amounts available under its existing borrowing facilities. The Company’s credit facilities are further discussed in Note 12, Financing Arrangements, to the Unaudited Consolidated Financial Statements of this Form 10-Q.

    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 cash to the United States, 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 March 31, 2025, management believed that sufficient liquidity was available in the United States and expects this to continue 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. Repatriation activities both performed and contemplated to date have not resulted in, and are not expected to result in, any 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 based on strategic capital management. The Company believes there is sufficient liquidity available for the next twelve months.

    Restructuring Plans

    On July 29, 2024, the Board of Directors of the Company approved a plan to restructure the Company’s business to improve operational performance and drive stockholder value creation (the “2024 Plan”). In connection with the 2024 Plan, the Company anticipates a net reduction in the Company’s global workforce of approximately 2% to 4%. The Company anticipates that the 2024 Plan will be substantially completed by the end of 2025 and result in $80 million to $100 million in annual cost savings. The proposed changes are subject to co-determination processes with employee representative groups in countries where required.

    As of March 31, 2025, in connection with the 2024 Plan, the Company has incurred $30 million in restructuring charges from inception, primarily related to employee transition, severance payments and employee benefits, which are expected to be expensed and paid in cash in 2024 and 2025. Actions taken under the 2024 Plan will seek to streamline the Company’s operations and global footprint, as well as improve alignment of the Company’s cost structure with its strategic growth objectives. In total, including the charges already incurred, the Company expects to incur between $35 million and $50 million in non-recurring restructuring charges under the 2024 Plan.
    42



    On February 14, 2023, the Board of Directors of the Company approved a plan to restructure the Company’s business through a new operating model with five global business units, optimize central functions and overall management infrastructure, and implement other efforts aimed at cost savings (the “2023 Plan”). The Company estimated a reduction in its global workforce of approximately 8% to 10% and annual cost savings of approximately $200 million pursuant to the 2023 Plan. The target for cost savings has been substantially met, with the benefits mostly offset in the short term by additional investments in sales personnel, the Company’s new global ERP system, and other transformation initiatives. During the course of 2023 and 2024, the Company incurred $86 million in restructuring charges in conjunction with the 2023 Plan, primarily related to employee transition, severance payments, employee benefits, and facility closure costs, and $20 million in other non-recurring costs related to restructuring activities which mostly consist of consulting, legal and other professional service fees. Remaining restructuring charges attributable to the 2023 Plan are not expected to be material.

    The estimates of the charges and expenditures that the Company expects to incur in connection with the 2024 Plan, and the timing thereof, 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 additional charges or cash expenditures not currently contemplated due to unanticipated events that may occur, including in connection with the implementation of the 2024 Plan. For further details refer to Note 8, Restructuring and Other Costs, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q.


    NEW ACCOUNTING PRONOUNCEMENTS

    Refer to Part I, Item 1, Note 1, Business and Basis of Presentation, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q for a discussion of recent accounting pronouncements.

    43


    Item 3 – Quantitative and Qualitative Disclosures about Market Risk

    There have been no material changes from the information provided in Part II, Item 7A, “Quantitative and Qualitative Disclosures About Market Risk,” in our 2024 Form 10-K.

    Item 4 – 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, who is also serving as the Company’s principal financial officer, evaluated the effectiveness of the Company’s disclosure controls and procedures as of the end of the period covered by this report. Based on that evaluation, the Chief Executive Officer concluded that 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 were effective to provide reasonable assurance that the information required to be disclosed by the Company in reports filed or submitted 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, as appropriate to allow timely decisions regarding required disclosure.

    Changes in Internal Control Over Financial Reporting

    The Company has committed to a multi-year project to implement a new ERP system using a global platform. The implementation is underway and is expected to continue to occur in phases over the next several years. In connection with the ERP implementation, we are updating and will continue to update our internal control over financial reporting, as necessary, to accommodate modifications to our business processes and accounting procedures.

    Except with respect to the continued implementations of the new ERP system, there have been no changes in our internal control over financial reporting during the three months ended March 31, 2025 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. We will continue to evaluate any further changes that could materially affect, or are reasonably likely to materially affect, our internal control over financial reporting over the course of the implementation of the new ERP system and other related systems.

    44


    PART II – OTHER INFORMATION

    Item 1 – Legal Proceedings

    Refer to Part I, Item 1, Note 14 Commitments and Contingencies, in the Notes to Unaudited Consolidated Financial Statements of this Form 10-Q.

    Item 1A – Risk Factors

    There have been no material changes to the risk factors as disclosed in Part I, Item 1A, “Risk Factors” in the
    Company’s Form 10-K for the year ended December 31, 2024.

    Item 2 – Unregistered Sales of Securities and Use of Proceeds

    During the three months ended March 31, 2025, the Company had no repurchases of common shares under the stock repurchase program.
    On November 7, 2023, the Board of Directors approved an increase to the authorized share repurchase program of $1.0 billion. At March 31, 2025, the Company had authorization to repurchase $1.19 billion in shares of common stock remaining under the share repurchase program. As mentioned above, the Company is restricted from making share repurchases during the duration of the Bridge Loan, which has a final maturity date of March 18, 2026.

    Item 5 - Other Information

    Rule 10b5-1 Trading Plans

    During the three months ended March 31, 2025, none of the Company’s directors or executive officers (as defined in Rule 16a-1(f) under the Exchange Act) adopted or terminated any contract, instruction or written plan for the purchase or sale of Company securities that was intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) or any “non-Rule 10b5-1 trading arrangement” as defined in Item 408(c) of Regulation S-K.
    45


    Item 6 – Exhibits
    Exhibit NumberDescription
    10.1
    Amendment to the Dentsply Sirona Inc. Supplemental Executive Retirement Plan* (Filed herewith)
    10.2Bridge Loan Agreement, dated as of March 19, 2025, among Dentsply Sirona Inc., the lenders party thereto, Goldman Sachs Bank USA, as Administrative Agent and Goldman Sachs Bank USA, as Sole Bookrunner and Sole Lead Arranger (1)
    10.3
    Assignment and Assumption and Amendment to Credit Agreement, dated as of March 31, 2025, among Dentsply Sirona, Inc., PNC Bank, National Association, Commerzbank AG, New York Branch, Truist Bank, and Goldman Sachs Bank USA (Filed herewith)
    31.1
    Section 302 Certification Statement of the Chief Executive Officer (Filed herewith)
    32
    Section 906 Certification Statement (Furnished herewith)
    101.INSXBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document
    101.SCHXBRL Taxonomy Extension Schema Document
    101.CALXBRL Taxonomy Extension Calculation Linkbase Document
    101.DEFXBRL Taxonomy Extension Definition Linkbase Document
    101.LABXBRL Extension Labels Linkbase Document
    101.PREXBRL Taxonomy Extension Presentation Linkbase Document
    104Cover 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 8-K, dated March 19, 2025, File no. 0-16211.




    46



    Signatures

    Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Company has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


    DENTSPLY SIRONA Inc.
    /s/Simon D. CampionMay 8, 2025
    Simon D. CampionDate
    President and
    Chief Executive Officer

    47
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