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

OVERVIEW



The following Management's Discussion and Analysis of Financial Conditions and
Results of Operations ("MD&A") is intended to help the reader understand the
Company's operations and business environment. MD&A is provided as a supplement
to, and should be read in conjunction with, the Consolidated Financial
Statements and Notes to Consolidated Financial Statements contained in Items 8
of this Form 10-K. The following discussion includes forward-looking statements
that involve certain risks and uncertainties. See Part I, Item 1, "Business-
Forward-Looking Statements and Associated Risks" in the beginning of this Form
10-K. The MD&A includes the following sections:

•Business - a general description of Dentsply Sirona's business and how
performance is measured;
•Results of Operations - an analysis of the Company's consolidated results of
operations for the three years presented in the Consolidated Financial
Statements;
•Critical Accounting Judgements and Policies - a discussion of accounting
policies that require critical judgments and estimates; and
•Liquidity and Capital Resources - an analysis of cash flows; debt and other
obligations; off-balance sheet arrangements; and aggregate contractual
obligations.

2019 Operational Highlights



•For the year ended December 31, 2019, net sales increased 1.1% compared to the
year ended December 31, 2018. Net sales were negatively impacted by
approximately 3.3% due to the strengthening of the U.S. dollar over the prior
period. Net sales, on an internal sales growth basis (a non-US GAAP measure as
defined under the heading "Principal Measurements" below), increased 5.7% for
the year ended December 31, 2019 as compared to December 31, 2018.

•For the year ended December 31, 2019, the Company reported net income
attributable to Dentsply Sirona of $262.9 million as compared to the net loss
attributable to Dentsply Sirona of $1,011.0 million for the year ended December
31, 2018. The Company reported net earnings per share of $1.17 per share
compared to a net loss per share of $4.51 in the prior year. On an adjusted
basis (a non-US GAAP measure as defined under the heading "Net Income
attributable to Dentsply Sirona" below), full year 2019 net income increased
$95.4 million or 21.0% compared to the prior year and earnings per diluted share
increased 22.0% to $2.45 from $2.01 in the prior year.

•For the year ended December 31, 2019, cash from operations was $632.8 million as compared to $499.8 million in the prior year ended.



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


Company Profile

DENTSPLY SIRONA Inc. ("Dentsply Sirona" or the "Company"), is the world's
largest manufacturer of professional dental products and technologies, with a
133-year history of innovation and service to the dental industry and patients
worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive
solutions offering including dental equipment and dental consumable products
under a strong portfolio of world class brands. The Company also manufactures
and markets healthcare consumable products. As The Dental Solutions Company,
Dentsply Sirona's products provide innovative, high-quality and effective
solutions to advance patient care and deliver better, safer and faster
dentistry. Dentsply Sirona's worldwide headquarters is located in Charlotte,
North Carolina. The Company's shares of common stock are listed in the United
States on Nasdaq under the symbol XRAY.

BUSINESS

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


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

The Consumables segment is responsible for the worldwide design, manufacture,
sales and distribution of the Company's Dental Consumable Products which include
preventive, restorative, endodontic, and dental laboratory products.

Principal Measurements



The principal measurements used by the Company in evaluating its business are:
(1) constant currency sales growth by segment and geographic region; (2)
internal sales growth by segment and geographic region; and (3) adjusted
operating income and margins of each reportable segment, which excludes the
impacts of purchase accounting, corporate expenses, and certain other items to
enhance the comparability of results period to period. These principal
measurements are not calculated in accordance with accounting principles
generally accepted in the United States; therefore, these items represent non-US
GAAP measures. These non-US GAAP measures may differ from other companies and
should not be considered in isolation from, or as a substitute for, measures of
financial performance prepared in accordance with US GAAP.

The Company defines "constant currency" sales growth as the increase or decrease
in net sales from period to period excluding precious metal content and the
impact of changes in foreign currency exchange rates. This impact is calculated
by comparing current-period revenues to prior-period revenues, with both periods
converted to the U.S. dollar using local currency foreign exchange rates for
each month of the prior period, for the currencies in which the Company does
business. The Company defines "internal sales growth" as constant currency sales
growth excluding the impacts of net acquisitions and divestitures and
discontinued products.

Business Drivers



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

The Company has a focus on maximizing operational efficiencies on a global
basis. The Company has expanded the use of technology as well as process
improvement initiatives to enhance global efficiency. In addition, management
continues to evaluate the worldwide consolidation of operations and functions to
further reduce costs. While the Company continues consolidation initiatives
which can have an adverse impact on reported results, the Company expects that
the continued benefits from these global efficiency efforts will improve its
cost structure.

In connection with these initiatives, the Board of Directors of the Company
approved a plan to restructure the Company's business to drive revenue growth
and margin expansion and to simplify the organization, with the understanding
that the restructuring plan may continue to evolve as the Company progresses
through the continued planning and execution of the plan. The plan includes a
restructuring of the business through streamlining the organization and
consolidating functions. The restructuring plan anticipates a net reduction in
the Company's global workforce of approximately 6% to 8% from the November 2018
levels, and the Company will consult with employee representation in connection
with the execution of the restructuring plan where required. The Company's goal
is that the restructuring will result in annualized revenue growth of 3% to 4%,
an adjusted operating income margin of 20% by the end of the year 2020, an
adjusted operating income margin of 22% by the year 2022 and $200 million to
$225 million in net annual cost savings by 2021. As of December 31, 2019, the
Company has achieved savings of approximately $88 million and headcount
reduction of approximately 7%. The Company expects to incur approximately $275
million in one-time expenditures and charges. For the year ended December 31,
2019, the Company has recorded expenses and charges of approximately $192
million related to this restructuring plan, of which, approximately $73 million
were non-cash charges. There can be no assurance that the cost reductions and
results will be achieved.

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



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

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

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

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



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

Product innovation is a key component of the Company's overall growth strategy.
New advances in technology are anticipated to have a significant influence on
future products in the dentistry and consumable medical device markets in which
the Company operates. As a result, the Company continues to pursue research and
development initiatives to support technological development, including
collaborations with various research institutions and dental schools. In
addition, the Company licenses and purchases technologies developed by third
parties. Although the Company believes these activities will lead to new
innovative dental, healthcare consumable, and dental technology products; they
involve new technologies and there can be no assurance that commercialized
products will be developed.

The Company will continue to pursue opportunities to expand the Company's
product offerings, technologies, and sales and service infrastructure through
partnerships and acquisitions. Although the professional dental and the
consumable medical device markets in which the Company operates have experienced
consolidation, they remain fragmented. Management believes that there will
continue to be adequate opportunities to participate as a consolidator in the
industry for the foreseeable future.

The Company's business is subject to quarterly fluctuations of consolidated net
sales and net income. Price increases, promotional activities, as well as
changes in inventory levels at distributors contribute to this fluctuation. The
Company typically implements most of its price increases in October or January
of a given year across most of its businesses. Distributor inventory levels tend
to increase in the period leading up to a price increase and decline in the
period following the implementation of a price increase. Required minimum
purchase commitments under agreements with key distributors may increase
inventory levels in excess of retail demand. These net inventory changes have
impacted the Company's consolidated net sales and net income in the past, and
may continue to do so in the future, over a given period or multiple periods. In
addition, the Company may from time to time, engage in new distributor
relationships that could cause quarterly fluctuations of consolidated net sales
and net income. Distributor inventory levels may fluctuate, and may differ from
the Company's predictions, resulting in the Company's projections of future
results being different than expected. There can be no assurance that the
Company's dealers and customers will maintain levels of inventory in accordance
with the Company's predictions or past history, or that the timing of customers'
inventory build or liquidation will be in accordance with the Company's
predictions or past history. Any of these fluctuations could be material to the
Company's consolidated financial statements.

In 2018 and 2017 the Company was impacted by the transition in distribution
strategy with Patterson and Henry Schein. In 2017, the Company signed new
distribution agreements with Patterson and Henry Schein for the Company's
equipment products. The Company shipped initial stocking orders for the
equipment products to Henry Schein under the agreements primarily in the second
and third quarters of 2017 which resulted in unfavorable year-over-year sales
growth comparisons. Based on the Company's estimate, year-over-year changes in
distributor inventories associated with these agreements negatively impacted the
Company's reported sales growth for the year ended December 31, 2018 by
approximately $127 million. Based on the Company's estimate, distributor
inventories increased for the year ended December 31, 2017 by approximately $27
million as compared to a decrease of approximately $100 million for the full
year 2018. For more information about the drivers of our business and related
risks, see Part I, Item 1, "Business" and Part I, Item 1A, "Risk Factors."

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Impact of Foreign Currencies



Due to the Company's significant international presence, movements in foreign
currency exchange may impact the Consolidated Statements of Operations. With
approximately two-thirds of the Company's net sales located in regions outside
the United States, the Company's consolidated net sales are impacted negatively
by the strengthening or positively impacted by the weakening of the U.S. dollar.
Additionally, movements in certain foreign exchange rates may unfavorably or
favorably impact the Company's results of operations, financial condition and
liquidity as a number of the Company's manufacturing and distribution operations
are located outside of the U.S.

Reclassification of Prior Year Amounts



For the year ended December 31, 2019, certain reclassifications have been made
to data for the years ended December 31, 2018 and 2017 in order to conform to
the current year presentation. Specifically, during the three months ended March
31, 2019, the Company moved the dental laboratory business into the Consumables
segment as the products sold from this business are typically made on a
recurring basis and have similar sales and operating characteristics as the
other businesses in this segment. The Company moved the orthodontics business
into the Technologies & Equipment segment to take advantage of the synergies
related to digital planning and treatment within this segment. The Company also
moved the instruments business into the Technologies & Equipment segment in
order to take advantage of the synergies that stem from pairing equipment with
instruments, which are often sold in conjunction with each other. The segment
information reflects the revised structure for all periods shown.


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RESULTS OF OPERATIONS

2019 Compared to 2018

Net Sales

The discussion below summarizes the Company's sales growth which excludes
precious metal content, into the following components: (1) constant currency
sales growth by segment and geographic region and (2) internal sales growth by
segment and geographic region. These disclosures of net sales growth provide the
reader with sales results on a comparable basis between periods. These principal
measurements are not calculated in accordance with accounting principles
generally accepted in the United States; therefore, these items represent non-US
GAAP measures. These non-US GAAP measures may differ from other companies and
should not be considered in isolation from, or as a substitute for, measures of
financial performance prepared in accordance with US GAAP.

The Company defines "constant currency" sales growth as the increase or decrease
in net sales from period to period excluding precious metal content and the
impact of changes in foreign currency exchange rates. This impact is calculated
by comparing current-period revenues to prior-period revenues, with both periods
converted at the U.S. dollar to local currency foreign exchange rate for each
month of the prior period, for the currencies in which the Company does
business. The Company defines "internal sales growth" as constant currency sales
growth excluding the impacts of precious metals, net acquisitions and
divestitures and discontinued products.

Management believes that the presentation of net sales, excluding precious metal
content, provides useful information to investors because a portion of Dentsply
Sirona's net sales comprises of sales of precious metals generated through sales
of the Company's precious metal dental alloy products, which are used by third
parties to construct crown and bridge materials. Due to the fluctuations of
precious metal prices and because the cost of the precious metal content of the
Company's sales is largely passed through to customers and has minimal effect on
earnings, Dentsply Sirona reports net sales both with and without precious metal
content to show the Company's performance independent of precious metal price
volatility and to enhance comparability of performance between periods. The
Company uses its cost of precious metal purchased as a proxy for the precious
metal content of sales, as the precious metal content of sales is not separately
tracked and invoiced to customers. The Company believes that it is reasonable to
use the cost of precious metal content purchased in this manner since precious
metal dental alloy sale prices are typically adjusted when the prices of
underlying precious metals change.

The presentation of net sales, excluding precious metal content, is considered a
measure not calculated in accordance with US GAAP, and is therefore considered a
non-US GAAP measure. The Company provides the following reconciliation of net
sales to net sales, excluding precious metal content. The Company's definitions
and calculations of net sales, excluding precious metal content, and other
operating measures derived using net sales, excluding precious metal content,
may not necessarily be the same as those used by other companies.
                                                                 Year Ended December 31,
(in millions, except percentages)                    2019            2018   

$ Change % Change



Net sales                                        $ 4,029.2       $ 3,986.3       $  42.9           1.1  %
  Less: Precious metal content of sales               41.1            37.2           3.9          10.5  %
Net sales, excluding precious metal content      $ 3,988.1       $ 3,949.1       $  39.0           1.0  %



Reported net sales of $4,029.2 million increased by 1.1% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales,
excluding precious metal content, of $3,988.1 million, increased by 1.0% for the
year ended December 31, 2019 as compared to the year ended December 31, 2018.
Net sales, excluding precious metal content, were impacted by a 3.3% unfavorable
currency impact, resulting from the strengthening of the U.S. dollar. The
divestitures of non-strategic businesses and discontinued products reduced
reported sales growth by 1.6%. On an internal sales growth basis, excluding the
impact of currency, divestitures and discontinued products, net sales increased
5.7% which was attributable to the Technologies & Equipment segment, partially
offset by lower Consumables revenues.

Key drivers of the internal sales growth for the year ended December 31, 2019
were strong growth in Digital Dentistry and positive performance in Equipment &
Instruments and Healthcare, partially offset by declines in Consumables. The
year ended December 31, 2018 included an estimated decrease in inventory within
the Technologies & Equipment segment held at certain distributors of
approximately $100 million.

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The impact of divestitures of non-strategic product lines negatively impacted reported net sales by approximately $72 million for the full year of 2019.

A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content were as follows:



                                                                                Year Ended December 31,
(in millions, except percentages)                          2019               2018             $ Change             % Change

Net sales                                              $ 4,029.2          $ 3,986.3          $    42.9                     1.1  %
  Less: precious metal content of sales                     41.1               37.2                3.9                    10.5  %
Net sales, excluding precious metal content            $ 3,988.1          $ 3,949.1          $    39.0                     1.0  %
Acquisition related adjustments (a)                            -                6.4               (6.4)                     NM
Non-US GAAP, net sales, excluding precious metal
content                                                $ 3,988.1          $ 3,955.5          $    32.6                     0.8  %


(a) Represents an adjustment to reflect deferred revenue that was eliminated
under business combination accounting standards.
NM - Not meaningful

Sales Growth by Region

Net sales, excluding precious metal content, by geographic region were as follows:


                                                       Year Ended December 

31,


(in millions, except percentages)          2019            2018         $ Change      % Change

United States                          $ 1,367.2       $ 1,269.2       $  98.0          7.7   %

Europe                                   1,581.9         1,637.2         (55.3)        (3.4  %)

Rest of World                            1,039.0         1,042.7          (3.7)        (0.4  %)


A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content, by geographic region were as follows:


                                                                            Year Ended December 31, 2019
(in millions)                                        United States            Europe           Rest of World            Total

Net sales                                           $     1,372.9          $ 1,614.0          $     1,042.3          $ 4,029.2
  Less: precious metal content of sales                       5.7               32.1                    3.3               41.1
Net sales, excluding precious metal content         $     1,367.2          $ 1,581.9          $     1,039.0          $ 3,988.1



                                                                              Year Ended December 31, 2018
(in millions)                                          United States            Europe           Rest of World            Total

Net sales                                             $     1,274.3          $ 1,665.9          $     1,046.1          $ 3,986.3
  Less: precious metal content of sales                         5.1               28.7                    3.4               37.2
Net sales, excluding precious metal content           $     1,269.2

$ 1,637.2 $ 1,042.7 $ 3,949.1 Acquisition related adjustments (a)

                             6.4                  -                      -                6.4
Non-US GAAP, net sales, excluding precious
metal content                                         $     1,275.6

$ 1,637.2 $ 1,042.7 $ 3,955.5

(a) Represents an adjustment to reflect deferred revenue that was eliminated under business combination accounting standards.

United States



Reported net sales of $1,372.9 million, increased by 7.7% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales,
excluding precious metal content, of $1,367.2 million, increased by 7.7% for the
year ended December 31, 2019 as compared to the year ended December 31, 2018.
The year ended December 31, 2018 included an estimated decrease of approximately
$100 million in inventory held at certain distributors as discussed above. The
divestitures of non-strategic businesses and discontinued products reduced
reported sales growth by 1.7%. On an internal sales growth basis, excluding the
impact of currency, divestitures and discontinued products, net sales increased
by 9.0%, which was driven by the Technologies & Equipment segment, partially
offset by lower Consumables segment revenues.

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Europe



Reported net sales of $1,614.0 million, decreased by 3.1% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales,
excluding precious metal content, of $1,581.9 million decreased by 3.4% for the
year ended December 31, 2019 as compared to the year ended December 31, 2018.
Net sales, excluding precious metal content, were impacted by a 5.3% unfavorable
currency impact due to the strengthening of the U.S. dollar. The divestitures of
non-strategic businesses and discontinued products reduced reported sales growth
by 0.9%. On an internal sales growth basis, excluding the impact of currency,
divestitures and discontinued products, net sales increased by 2.8%, which was
driven by the Technologies & Equipment segment, while the Consumables segment
revenue remained relatively flat.

Rest of World



Reported net sales of $1,042.3 million, decreased by 0.4% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales,
excluding precious metal content, of $1,039.0 million, decreased by 0.4% for the
year ended December 31, 2019 as compared to the year ended December 31, 2018.
Net sales, excluding precious metal content, were impacted by a 4.2% unfavorable
currency impact due to the strengthening of the U.S. dollar. The divestitures of
non-strategic businesses and discontinued products reduced reported sales growth
by 2.5%. On an internal sales growth basis, excluding the impact of currency,
divestitures and discontinued products, net sales increased by 6.3%, which was
driven primarily by the Technologies & Equipment segment while the Consumables
segment revenues were slightly positive.

Gross Profit


                                                                                 Year Ended December 31,
(in millions, except percentages)                            2019               2018            $ Change             % Change

Gross profit                                             $ 2,165.1          $ 2,067.8          $   97.3                    4.7  %

Gross profit as a percentage of net sales,
including precious metal content                              53.7  %            51.9  %
Gross profit as a percentage of net sales,
excluding precious metal content                              54.3  %       

52.4 %





Gross profit as a percentage of net sales, excluding precious metal content,
increased by 190 basis points for the year ended December 31, 2019 as compared
to the year ended December 31, 2018. The increase in the gross profit rate was
primarily driven by cost savings initiatives including headcount reductions, the
reclassification of $18.1 million of expenses to SG&A, see Item 8, Note 21,
Quarterly Financial Information, in the Notes to the Audited Consolidated
Financial Statements of this Form 10-K for further details, and the benefit from
divesting non-strategic businesses with a lower gross profit rate as compared to
the year ended December 31, 2018.


Operating Expenses


                                                                                       Year Ended December 31,
(in millions, except percentages)                                 2019               2018              $ Change             % Change

Selling, general and administrative expenses ("SG&A") $ 1,723.5

      $ 1,719.1          $       4.4                   0.3  %
Goodwill impairment                                                   -            1,085.8             (1,085.8)                   NM
Restructuring and other costs                                      80.7              221.0               (140.3)                   NM

SG&A as a percentage of net sales, including precious metal content

                                                      42.8  %            43.1  %
SG&A as a percentage of net sales, excluding precious
metal content                                                      43.2  %            43.5  %


NM - Not meaningful

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SG&A Expenses



SG&A expenses, including R&D expenses, as a percentage of net sales, excluding
precious metal content, for the year ended December 31, 2019 decreased 30 basis
points compared to the year ended December 31, 2018. The lower rate was driven
primarily by higher sales, the favorable rate impact as a result of divesting
non-strategic businesses, and cost saving initiatives all of which impacted the
rate by approximately 280 basis points as compared to the year ended
December 31, 2018. These favorable impacts were mostly offset by higher
incentive compensation costs of approximately $52 million, the reclassification
of $18.1 million of expenses from gross profit, see Item 8, Note 21, Quarterly
Financial Information, in the Notes to the Audited Consolidated Financial
Statements of this Form 10-K for further details, and $11.0 million related to
certain executive severance costs as compared to the year ended December 31,
2018.

Goodwill Impairment

For the year ended December 31, 2018, the Company recorded a goodwill impairment
charge of $1,085.8 million, related to two reporting units in the Technologies &
Equipment segment. For further information see Item 8, Note 10, Goodwill and
Intangible Assets, in the Notes to the Audited Consolidated Financial Statements
of this Form 10-K.

Restructuring and Other Costs

The Company recorded restructuring and other costs of $80.7 million for the year
ended December 31, 2019 as compared to $221.0 million for the year ended
December 31, 2018. The Company recorded $33.5 million in net restructuring costs
during the year ended December 31, 2019 compared to $32.1 million in net
restructuring costs during the year ended December 31, 2018.

During the year ended December 31, 2019, the Company recorded other costs of
$47.2 million which consisted of fixed asset impairment charges of $32.8 million
and impairment charges of $9.1 million related to impairments of both
indefinite-lived and definite-lived intangible assets. These impairment charges
are related to discontinued product lines.

During the year ended December 31, 2018, the Company recorded other costs of
$188.9 million which consisted of impairment charges of $179.2 million and $9.7
million primarily related to legal settlements. For further information on the
impairment charges, see Item 8, Note 10, Goodwill and Intangible Assets, in the
Notes to the Audited Consolidated Financial Statements of this Form 10-K.

Other Income and Expenses


                                                    Year Ended December 31,

(in millions, except percentages) 2019 2018 $ Change


    % Change

Net interest expense                   $ 27.0       $ 35.2       $  (8.2)       (23.3  %)
Other expense (income), net             (11.5)       (34.9)         23.4           NM

Net interest and other expense $ 15.5 $ 0.3 $ 15.2




NM - Not meaningful


Net Interest Expense

Net interest expense for the year ended December 31, 2019 decreased $8.2 million
as compared to the year ended December 31, 2018. The Company maintained lower
average debt levels during the year ended December 31, 2019 when compared to the
prior year resulting in lower net interest expense.

Other Expense (Income), Net
Other expense (income), net for the year ended December 31, 2019 increased $23.4
million compared to the year ended December 31, 2018. Other expense (income),
net for the year ended December 31, 2019 includes foreign exchange gains of
$26.9 million, primarily on net investment hedges, offset by the non-operating
losses of $15.4 million related to the divestitures of non-strategic businesses.
Other expense (income), net for the year ended December 31, 2018 includes other
non-operating income of $40.7 million, primarily from a gain of $44.1 million
from the sale of marketable securities, partially offset by $5.8 million of
foreign exchange loss.

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Income Taxes and Net Income


                                                                                Year Ended December 31,
(in millions, except per share data and percentages)                  2019               2018              $ Change

Provision (benefit) from income taxes                              $   82.3          $     52.5          $    29.8

Effective income tax rate                                              23.8  %               NM

Net income (loss) attributable to Dentsply Sirona                  $  262.9

$ (1,011.0) $ 1,273.9



Net income (loss) per common share - diluted                       $   1.17          $    (4.51)


NM - Not meaningful

Provision for Income Taxes

For the year ended December 31, 2019, income taxes were a net expense of $82.3
million. During the year ended December 31, 2019, the Company recorded the
following discrete tax items: $4.1 million of excess tax benefit related to
employee share-based compensation, tax expense of $0.2 million related to
enacted statutory rate changes, tax expense of $9.1 million for other discrete
tax matters, and tax benefit of $4.3 million related to valuation allowance on
foreign tax credits and other deferred tax assets. The Company also recorded a
$10.3 million tax benefit as a discrete item related to the fixed asset
impairment charge, $1.5 million tax benefit related to the indefinite-lived
intangible asset impairment charge and $1.0 million tax benefit related to the
definite-lived intangible asset impairment charge. Excluding these discrete tax
items and adjusting pretax income to exclude the pretax charge related to
impairment of fixed assets, impairment of the indefinite-lived intangible
assets, and the losses related to the divestitures of non-strategic businesses,
the Company's effective tax rate was 24.3%

The Company continues to reassess the realizability of its deferred tax assets
and, after weighing all positive and negative evidence, continues to maintain a
valuation allowance on certain deferred tax assets. However, the Company has
outlined its global business improvement plans, and the benefits of these plans
could give rise to a change of the valuation allowance in the next 12 months.

For the year ended December 31, 2018, income taxes were a net expense of $52.5
million. During the year ended December 31, 2018, the Company recorded the
following discrete tax items: $4.3 million of excess tax benefit related to
employee share-based compensation, tax benefit of $3.3 million related to
enacted statutory rate changes, tax expense of $8.3 million for other discrete
tax matters, $4.1 million tax benefit related to U.S. tax reform, and tax
expense of $54.8 million related to valuation allowance on foreign tax credits
and other deferred tax assets. The Company also recorded a $50.4 million tax
benefit as a discrete item related to the indefinite-lived intangible asset
impairment charge, $1.1 million for the fixed asset impairment charge, and $3.3
related to tax-deductible goodwill for the twelve months ended December 31,
2018. In addition, the Company also recorded $2.5 million of tax expense as a
discrete item related to the gain on sale of marketable securities. Excluding
these discrete tax items and adjusting pretax income for the gain on the sale of
marketable securities, net of tax and adjusting for the pretax loss related to
the impairment of indefinite-lived intangible assets, and tax deductible and
non-deductible goodwill impairment charges, the Company's effective tax rate was
20.0%.

Further information regarding the details of income taxes is presented in Note
15, Income Taxes, in the Notes to Consolidated Financial Statements in Item 8 of
this Form 10-K.

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

                                       40
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Undistributed earnings of foreign subsidiaries and related companies that are
deemed to be permanently invested amounted to $1,575.2 million at December 31,
2019 and $1,137.2 million at December 31, 2018. The Act imposed U.S. tax on all
post-1986 foreign unrepatriated earnings accumulated through December 31, 2017.
Unrepatriated earnings generated after December 31, 2017, are now subject to tax
in the current year. All undistributed earnings are still subject to certain
taxes upon repatriation, primarily where foreign withholding taxes apply. It is
not practicable to calculate the unrecognized deferred tax liability on
undistributed earnings.

For the GILTI provision of the Act, the Company has made the policy election to record any liability associated with GILTI in the period in which it is incurred.

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

Net Income (Loss) attributable to Dentsply Sirona



In addition to the results reported in accordance with US GAAP, the Company
provides adjusted net income attributable to Dentsply Sirona and adjusted
earnings per diluted common share ("adjusted EPS"). The Company discloses
adjusted non-US GAAP net income to allow investors to evaluate the performance
of the Company's operations exclusive of certain items that impact the
comparability of results from period to period and may not be indicative of past
or future performance of the normal operations of the Company and certain large
non-cash charges related to intangible assets either purchased or acquired
through a business combination. The Company believes that this information is
helpful in understanding underlying operating trends and cash flow generation.

Adjusted non-US GAAP net income and adjusted EPS are important internal measures
for the Company. Senior management receives a monthly analysis of operating
results that includes adjusted non-US GAAP net income and adjusted EPS and the
performance of the Company is measured on this basis along with other
performance metrics.

The adjusted non-US GAAP net income consists of net income attributable to Dentsply Sirona adjusted to exclude the following:



(1) Business combination related costs and fair value adjustments. These
adjustments include costs related to integrating and consummating mergers and
recently acquired businesses, as well as costs, gains and losses related to the
disposal of businesses or significant product lines. In addition, this category
includes the roll off to the consolidated statements of operations of fair value
adjustments related to business combinations, except for amortization expense
noted below. These items are irregular in timing and as such may not be
indicative of past and future performance of the Company and are therefore
excluded to allow investors to better understand underlying operating trends.

(2) Restructuring program related costs and other costs. These adjustments
include costs related to the implementation of restructuring initiatives as well
as certain other costs. These costs can include, but are not limited to,
severance costs, facility closure costs, lease and contract terminations costs,
related professional service costs, duplicate facility and labor costs
associated with specific restructuring initiatives, as well as, legal
settlements and impairments of assets. These items are irregular in timing,
amount and impact to the Company's financial performance. As such, these items
may not be indicative of past and future performance of the Company and are
therefore excluded for the purpose of understanding underlying operating trends.

(3) Amortization of purchased intangible assets. This adjustment excludes the
periodic amortization expense related to purchased intangible assets.
Amortization expense has been excluded from adjusted net income attributed to
Dentsply Sirona to allow investors to evaluate and understand operating trends
excluding these large non-cash charges.

(4) Credit risk and fair value adjustments. These adjustments include both the
cost and income impacts of adjustments in certain assets and liabilities
including the Company's pension obligations, that are recorded through net
income which are due solely to the changes in fair value and credit risk. These
items can be variable and driven more by market conditions than the Company's
operating performance. As such, these items may not be indicative of past and
future performance of the Company and therefore are excluded for comparability
purposes.

(5) Gain on sale of marketable securities. This adjustment represents the gain on the sale of marketable securities held by the Company. The gain has been excluded from adjusted net income attributed to Dentsply Sirona to allow investors to evaluate and understand operating trends excluding this gain.


                                       41
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(6) Income tax related adjustments. These adjustments include both income tax
expenses and income tax benefits that are representative of income tax
adjustments mostly related to prior periods, as well as the final settlement of
income tax audits, and discrete tax items resulting from the implementation of
restructuring initiatives and the vesting and exercise of employee share-based
compensation. These adjustments are irregular in timing and amount and may
significantly impact the Company's operating performance. As such, these items
may not be indicative of past and future performance of the Company and
therefore are excluded for comparability purposes.

Adjusted EPS is calculated by dividing adjusted non-US GAAP net income by
diluted weighted-average common shares outstanding. The "adjusted EPS" and
"adjusted non-US GAAP net income" measurements are not calculated in accordance
with accounting principles generally accepted in the United States; therefore,
these items represent non-US GAAP measures. These non-US GAAP measures may
differ from other companies and should not be considered in isolation from, or
as a substitute for, measures of financial performance prepared in accordance
with US GAAP. Income tax related adjustments may include the impact to adjust
the interim effective income tax rate to the expected annual effective tax rate.


                                                                               Year Ended December 31, 2019
                                                                                                    Per Diluted
(in millions, except per share amounts)                                       Net Income            Common Share

Net income attributable to Dentsply Sirona                                $        262.9           $      1.17
Pre-tax non-US GAAP adjustments:
Amortization of purchased intangible assets                                 

189.6


Restructuring program related costs and other costs                         

183.3


Business combination related costs and fair value adjustments               

9.5


Credit risk and fair value adjustments                                      

5.3



Tax impact of the pre-tax non-US GAAP adjustments (a)                       

(101.7)


Subtotal non-US GAAP adjustments                                          $        286.0           $      1.28

Income tax related adjustments                                                       1.0                     -
Adjusted non-US GAAP net income                                           $        549.9           $      2.45

(a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US GAAP adjustments were generated.





For the year ended December 31, 2019, the following table presents the details
of the "Restructuring program and related costs and other costs" line item of
the above table and the affected line item in the Consolidated Statements of
Operations:

                                                                                   Sale or
                                                                               Discontinuation
                                                      Separation Costs        of Non-Strategic
                                                         Related to              Business or              Costs Related to              Professional                Incentive
(in millions)                Asset Impairments           Executives             Product Lines           Restructuring Plans            Services Costs             Compensation             Other            Total

Cost of products sold       $              -          $            -          $         24.0          $              -               $           -             $           -             $   1.3          $  25.3
SG&A                                       -                     9.6                    10.8                         -                        40.0                      15.1                 3.0             78.5
Restructuring and
other costs                             41.7                       -                     0.8                      32.2                           -                         -                 6.0             80.7
Interest expense,
Interest income, and
Other expense
(income), net                              -                       -                    (6.9)                                                    -                         -                 5.7             (1.2)
Total                       $           41.7          $          9.6          $         28.7          $           32.2               $        40.0             $        15.1             $  16.0          $ 183.3



                                       42

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Year End December 31, 2018


                                                                                                      Per Diluted
(in millions, except per share amounts)                                     

Net (Loss) Income Common Share



Net loss attributable to Dentsply Sirona                                   $      (1,011.0)          $     (4.51)
Pre-tax non-US GAAP adjustments:
Restructuring program related costs and other costs                         

1,353.1


Amortization of purchased intangible assets                                 

197.9


Business combination related costs and fair value adjustments               

22.8


Credit risk and fair value adjustments                                      

14.5


Gain on sale of marketable securities                                       

(44.1)


Tax impact of the pre-tax non-US GAAP adjustments (a)                       

(130.2)


Subtotal non-US GAAP adjustments                                           $       1,414.0           $      6.26

Adjustment for calculating non-US GAAP net income per diluted common share (b)

                                                                                                   0.23
Income tax related adjustments                                                        51.5                  0.03
Adjusted non-US GAAP net income                                            $         454.5           $      2.01

(a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the non-US
GAAP adjustments were generated.
(b) The Company had a net loss for the year ended December 31, 2018, but had net income on a non-US GAAP basis. The
shares used in calculating diluted non-US GAAP net income per share includes the dilutive effect of common stock.

Shares used in calculating diluted GAAP net loss per share                                                 224.3

Shares used in calculating diluted non-US GAAP net income per share.

                                226.0



Adjusted Operating Income and Margin



Adjusted operating income and margin is another important internal measure for
the Company. Operating income in accordance with US GAAP is adjusted for the
items noted above which are excluded on a pre-tax basis to arrive at adjusted
operating income, a non-US GAAP measure. The adjusted operating margin is
calculated by dividing adjusted operating income by net sales, excluding
precious metal content.

Senior management receives a monthly analysis of operating results that includes
adjusted operating income. The performance of the Company is measured on this
basis along with the adjusted non-US GAAP earnings noted above as well as other
performance metrics. This non-US GAAP measure may differ from other companies
and should not be considered in isolation from, or as a substitute for, measures
of financial performance prepared in accordance with US GAAP.

                                                                                   Year Ended December 31, 2019
                                                                                                     Percentage of Net
                                                                                                      Sales, Excluding
                                                                                                       Precious Metal
(in millions, except percentages)                                           Operating Income              Content

Operating income                                                           $      360.9                           9.0  %
Amortization of purchased intangible assets                                       189.6                           4.8  %
Restructuring program related costs and other costs                               184.5                           4.6  %
Business combination related costs and fair value adjustments                       7.1                           0.2  %

Adjusted non-US GAAP Operating Income                                      $      742.1                          18.6  %



                                       43

--------------------------------------------------------------------------------


                                                                                  Year Ended December 31, 2018
                                                                                                   Percentage of Net
                                                                                                    Sales, Excluding
                                                                           Operating (Loss)          Precious Metal
(in millions, except percentages)                                               Income                  Content

Operating loss                                                             $    (958.1)                      (24.3  %)
Restructuring program related costs and other costs                            1,353.1                        34.3   %
Amortization of purchased intangible assets                                      197.9                         5.0   %
Business combination related costs and fair value adjustments                     21.3                         0.5   %

Adjusted non-US GAAP Operating Income                                      $     614.2                        15.5   %



Operating Segment Results

Net Sales, Excluding Precious Metal Content                        Year Ended December 31,
(in millions, except percentages)                      2019            2018 

$ Change % Change



Technologies & Equipment                           $ 2,283.2       $ 2,167.7       $ 115.5          5.3   %

Consumables                                          1,704.9         1,781.4         (76.5)        (4.3  %)



Segment Operating Income                             Year Ended December 31,
(in millions, except percentages)         2019          2018        $ Change      % Change

Technologies & Equipment               $ 431.4       $ 277.9       $ 153.5         55.2   %

Consumables                              437.1         459.9         (22.8)        (5.0  %)


A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content, by segment were as follows:


                                                                      Year Ended December 31, 2019
                                                        Technologies &
(in millions)                                             Equipment            Consumables             Total

Net sales                                              $     2,283.2          $   1,746.0          $   4,029.2
  Less: precious metal content of sales                            -                 41.1                 41.1
Net sales, excluding precious metal content            $     2,283.2          $   1,704.9          $   3,988.1



                                                                       Year Ended December 31, 2018
                                                         Technologies &
(in millions)                                              Equipment             Consumables             Total

Net sales                                               $     2,167.7          $    1,818.6          $   3,986.3
  Less: precious metal content of sales                             -                  37.2                 37.2
Net sales, excluding precious metal content             $     2,167.7          $    1,781.4          $   3,949.1
Acquisition related adjustments (a)                               6.4                     -                  6.4
Non-US GAAP net sales, excluding precious metal
content                                                 $     2,174.1

$ 1,781.4 $ 3,955.5

(a) Represents an adjustment to reflect deferred revenue that was eliminated under business combination accounting standards.


                                       44
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Technologies & Equipment



Reported net sales of $2,283.2 million, increased by 5.3% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales
were impacted by a 3.5% unfavorable currency impact, resulting from the
strengthening of the U.S. dollar. The divestitures of non-strategic businesses
and discontinued products reduced reported sales growth by 3.0%. On an internal
sales growth basis, excluding the impact of currency, divestitures and
discontinued products, net sales increased by 11.5%, with all three major
geographic regions experiencing positive sales growth.

Key drivers of the internal sales growth for the year ended December 31, 2019,
were strong growth in Digital Dentistry, increases in Equipment & Instruments,
and positive Healthcare performance. The growth in Digital Dentistry was
significantly driven by new product sales in the CAD/CAM business.

The year ended December 31, 2018 included an estimated decrease in inventory
held at certain distributors of approximately $100 million which impacted the
Digital Dentistry and Equipment & Instruments businesses.

Operating income increased $153.5 million or 55.2% for the year ended December 31, 2019 as compared to the year ended December 31, 2018. The increase in operating income was primarily related to higher sales and costs savings initiatives, partially offset by higher selling expenses and incentive compensation costs, compared to the year ended December 31, 2018.

Consumables



Reported net sales of $1,746.0 million, decreased by 4.0% for the year ended
December 31, 2019 as compared to the year ended December 31, 2018. Net sales,
excluding precious metal content, of $1,704.9 million, decreased by 4.3% for the
year ended December 31, 2019 as compared to the year ended December 31, 2018.
Net sales, excluding precious metal content, were impacted by a 3.0% unfavorable
currency impact, resulting from the strengthening of the U.S. dollar. On an
internal sales growth basis, excluding the impact of currency, net sales,
excluding precious metal content, decreased 1.3% which was primarily driven by
the U.S. region, partially offset by the Rest of World region.

Key drivers of the decline in internal sales growth for the year ended December 31, 2019, were the Laboratory and Endodontic businesses partially offset by growth in the Restorative business.



Operating income decreased $22.8 million or 5.0% for the year ended December 31,
2019 as compared to the year ended December 31, 2018. The decrease in operating
income was primarily related to lower sales, unfavorable manufacturing
variances, and the impact of higher incentive compensation costs, partially
offset by cost savings initiatives and favorable product pricing.


                                       45
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RESULTS OF OPERATIONS

2018 Compared to 2017

Net Sales
                                                                 Year Ended December 31,
(in millions, except percentages)                    2018            2017   

$ Change % Change



Net sales                                        $ 3,986.3       $ 3,993.4

$ (7.1) (0.2 %)


  Less: Precious metal content of sales               37.2            40.5          (3.3)        (8.1  %)
Net sales, excluding precious metal content      $ 3,949.1       $ 3,952.9

$ (3.8) (0.1 %)





Net sales, excluding precious metal content, for the year ended December 31,
2018 were $3,949.1 million, a decrease of $3.8 million from the year ended
December 31, 2017. Net sales, excluding precious metal content, was negatively
impacted, based on the Company's estimate, by approximately $127 million as a
result of net changes in equipment inventory levels in the current year as
compared to the prior year at certain distributors primarily in the United
States, which the Company believes is primarily related to the transition in
distribution strategy (see "Business Drivers" under this section for further
detail). Based on the Company's estimate, distributor inventories increased for
the year ended December 31, 2017 by approximately $27 million as compared to a
decrease of approximately $100 million for the full year 2018.

For the year ended December 31, 2018, net sales, excluding precious metal
content, decreased 1.3% on a constant currency basis. This includes a benefit of
0.5% from net acquisitions which leads to negative internal sales growth of
1.8%. Net sales, excluding precious metal content, were positively impacted by
approximately 1.3% due to the weakening of the U.S. dollar over the prior year
period. The negative internal sales growth was attributable to the Technologies
& Equipment segment, partially offset by the Consumables segment.

A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content, for the years ended December 31, 2018 and 2017, respectively, were as follows:


                                                                                     December 31,
(in millions, except percentages)                         2018               2017             $ Change             % Change

Net sales                                             $ 3,986.3          $ 3,993.4          $    (7.1)                  (0.2  %)
  Less: precious metal content of sales                    37.2               40.5               (3.3)                  (8.1  %)
Net sales, excluding precious metal content           $ 3,949.1          $ 3,952.9          $    (3.8)                  (0.1  %)
Acquisition/merger related adjustments (a)                  6.4                4.0                2.4                     NM
Non-US GAAP combined business, net sales,
excluding precious metal content                      $ 3,955.5          $ 3,956.9          $    (1.4)                  (0.1  %)


(a) For 2018, amounts represent an adjustment to reflect deferred revenue and
for 2017, amounts represents an adjustment to reflect deferred subscription and
warranty revenue which was eliminated under business combination accounting
standards to make the non-US GAAP results comparable for both years.
NM - Not meaningful

Sales Growth by Region

Net sales, excluding precious metal content, for the years ended December 31, 2018 and 2017, respectively, by geographic region were as follows:


                                                                    December 31,
(in millions, except percentage amounts)          2018            2017         $ Change      % Change

United States                                 $ 1,269.2       $ 1,366.8       $ (97.6)        (7.1  %)

Europe                                          1,637.2         1,575.2          62.0          3.9   %

Rest of World                                   1,042.7         1,010.9          31.8          3.1   %





                                       46

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A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content, by geographic region for the year ended December 31, 2018 and 2017, respectively, were as follows:


                                                                                    December 31, 2018
(in millions)                                          United States            Europe           Rest of World            Total

Net sales                                             $     1,274.3

$ 1,665.9 $ 1,046.1 $ 3,986.3 Less: precious metal content of sales

                           5.1               28.7                    3.4               37.2
Net sales, excluding precious metal content           $     1,269.2

$ 1,637.2 $ 1,042.7 $ 3,949.1



Acquisition related adjustments (a)                             6.4                  -                      -                6.4

Non-US GAAP combined business, net sales,
excluding precious metal content                      $     1,275.6

$ 1,637.2 $ 1,042.7 $ 3,955.5

(a) Represents an adjustment to reflect deferred revenue that was eliminated under business combination accounting standards to make the 2018 and 2017 non-U.S. GAAP combined business results comparable.


                                                                                    December 31, 2017
(in millions)                                          United States            Europe           Rest of World            Total

Net sales                                             $     1,372.5

$ 1,606.2 $ 1,014.7 $ 3,993.4 Less: precious metal content of sales

                           5.7               31.0                    3.8               40.5
Net sales, excluding precious metal content           $     1,366.8

$ 1,575.2 $ 1,010.9 $ 3,952.9 Merger related adjustments (a)

                                  4.0                  -                      -                4.0
Non-US GAAP combined business, net sales,
excluding precious metal content                      $     1,370.8

$ 1,575.2 $ 1,010.9 $ 3,956.9

(a) Represents an adjustment to reflect deferred subscription and warranty revenue that was eliminated under business combination accounting standards to make the 2018 and 2017 non-US GAAP results comparable.

United States



Reported net sales decreased by 7.2% for the year ended December 31, 2018 as
compared to the year ended December 31, 2017. Reported net sales, excluding
precious metal content, decreased by 7.1% for the year ended December 31, 2018
as compared to the year ended December 31, 2017. The decrease in net sales,
excluding precious metal content, was unfavorably impacted, based on the
Company's estimate, by approximately $127 million as a result of net changes in
equipment inventory levels in the current year as compared to the prior year at
two distributors in the United States related to the transition in distribution
strategy as discussed above. Based on the Company's estimate, distributor
inventories increased for the year ended December 31, 2017 by approximately $27
million as compared to a decrease of approximately $100 million for the full
year 2018.

For the year ended December 31, 2018, net sales, excluding precious metal
content, including acquisition related adjustments, decreased 6.8% on a constant
currency basis. This includes a benefit of 0.9% from net acquisitions which
results in a negative internal sales growth rate of 7.7%. The negative internal
sales growth in this region was driven by lower sales in the Technologies &
Equipment segment. Based on the Company's assessment, the internal sales growth
was impacted as a result of the net changes in equipment inventory levels in the
current year over the prior year as discussed above. The impact from net changes
in inventory levels was entirely within the Technologies & Equipment segment.

Europe



Reported net sales increased by 3.7% for the year ended December 31, 2018 as
compared to the year ended December 31, 2017. Reported net sales, excluding
precious metal content, increased by 3.9% for the year ended December 31, 2018
as compared to the year ended December 31, 2017.

For the year ended December 31, 2018, net sales, excluding precious metal
content, were increased 0.3% on a constant currency basis offset by a benefit of
0.3% from net acquisitions. Internal sales growth was led by the Consumables
segment, offset by the negative internal sales growth in the Technologies &
Equipment segment.

                                       47
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Rest of World



Reported net sales increased by 3.1% for the year ended December 31, 2018 as
compared to the year ended December 31, 2017. Reported net sales, excluding
precious metal content, increased by 3.1% for the year ended December 31, 2018
as compared to the year ended December 31, 2017.

For the year ended December 31, 2018, net sales, excluding precious metal
content, increased 3.8% on a constant currency basis. This includes a benefit of
0.4% from net acquisitions, which results in internal sales growth of 3.4%. The
internal sales growth in this region was driven by growth in both the
Technologies & Equipment and Consumables segment.

Gross Profit


                                                                                 Year Ended December 31,
(in millions, except percentages)                            2018               2017            $ Change             % Change

Gross profit                                             $ 2,067.8          $ 2,188.5          $ (120.7)                 (5.5  %)
Gross profit as a percentage of net sales,
including precious metal content                              51.9  %            54.8  %
Gross profit as a percentage of net sales,
excluding precious metal content                              52.4  %       

55.4 %





Gross profit as a percentage of net sales, excluding precious metal content,
decreased by 300 basis points for the year ended December 31, 2018 as compared
to the year ended December 31, 2017. The decrease in the gross profit rate was
primarily driven by higher manufacturing costs, unfavorable product pricing
including the impact of geographic sales mix, business combination related costs
and product line eliminations, and the effect of dealer destocking, which
collectively impacted the gross profit rate by approximately 350 basis points,
partially offset by the benefit of the Company's global efficiency initiatives
as compared to the year ended December 31, 2017.

Operating Expenses


                                                                                     Year Ended December 31,
(in millions, except percentages)                                 2018               2017            $ Change           % Change

Selling, general and administrative expenses ("SG&A") $ 1,719.1

      $ 1,674.7          $  44.4                  2.7   %
Goodwill impairment                                             1,085.8             1650.9           (565.1)               (34.2  %)
Restructuring and other costs                                     221.0              425.2           (204.2)                  NM

SG&A as a percentage of net sales, including precious metal content

                                                      43.1  %            41.9  %
SG&A as a percentage of net sales, excluding precious
metal content                                                      43.5  %            42.4  %


NM - Not meaningful

SG&A Expenses

SG&A expenses, including R&D expenses, as a percentage of net sales, excluding
precious metal content, for the year ended December 31, 2018 increased 110 basis
points compared to the year ended December 31, 2017.The higher rate was
primarily driven by increased compensation costs and selling and marketing
expenses as compared to the year ended December 31, 2017.

Goodwill impairment



For the year ended December 31, 2018, the Company recorded a goodwill impairment
charge of $1,085.8 million related to two reporting units in the Technologies &
Equipment segment. For the year ended December 31, 2017, the Company recorded a
goodwill impairment charge of $1,650.9 million, related to two reporting units
in the Technologies & Equipment segment. For further information see Note 10,
Goodwill and Intangible Assets, in the Notes to the Audited Consolidated
Financial Statements in Item 8 of this Form 10-K.

                                       48
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Restructuring and Other Costs



The Company recorded restructuring and other costs of $221.0 million for the
year ended December 31, 2018 compared to $425.2 million for the year ended
December 31, 2017. The Company recorded $32.1 million in net restructuring costs
during the year ended December 31, 2018 compared to $55.4 million in net
restructuring costs during the year ended December 31, 2017.

During the year ended December 31, 2018, the Company recorded other costs of
$188.9 million which consisted of impairment charges of $179.2 million and $9.7
million primarily related to legal settlements. For further information on the
impairment charges, see Note 10, Goodwill and Intangible Assets, and Note 20,
Commitments and Contingencies, each in the Notes to the Audited Consolidated
Financial Statements in Item 8 of this Form 10-K.

During the year ended December 31, 2017, the Company recorded other costs of
$369.8 million which consisted of impairment charges of $346.7 million and legal
settlements of $23.1 million.

Other Income and Expenses


                                                    Year Ended December 31,

(in millions, except percentages) 2018 2017 $ Change


    % Change

Net interest expense                   $ 35.2       $ 35.9       $  (0.7)        (1.9  %)
Other expense (income), net             (34.9)         5.3         (40.2)          NM

Net interest and other expense $ 0.3 $ 41.2 $ (40.9)




NM - Not meaningful

Net Interest Expense

Net interest expense for the year ended December 31, 2018 decreased $0.7 million
as compared to the year ended December 31, 2017. Lower average interest rates
partially offset by increased debt levels in 2018 when compared to the prior
year resulted in the decrease in net interest expense.

Other Expense (Income), Net



Other expense (income), net for the year ended December 31, 2018 decreased $40.2
million compared to the year ended December 31, 2017. Other expense (income),
net for the year ended December 31, 2018 includes foreign exchange loss of $5.8
million and $40.7 million of other non-operating income including a gain of
$44.1 million from the sale of marketable securities. Other income, net for the
year ended December 31, 2017 was $5.3 million, includes foreign exchange loss of
$1.7 million and $3.6 million of other non-operating expenses.

Income Taxes and Net Income


                                                                                 Year Ended December 31,
(in millions, except per share data and percentages)                   2018                2017             $ Change

Provision (benefit) for income taxes                               $     52.5          $    (53.2)         $  105.7

Effective income tax rate                                              NM                     3.3  %

Net loss attributable to Dentsply Sirona                           $ 

(1,011.0) $ (1,550.0) $ 539.0



Net loss per common share - diluted                                $    (4.51)         $    (6.76)


NM - Not meaningful

                                       49

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Provision for Income Taxes



For the year ended December 31, 2018, income taxes were a net expense of $52.5
million. During the year ended December 31, 2018, the Company recorded the
following discrete tax items: $4.3 million of excess tax benefit related to
employee share-based compensation, tax benefit of $3.3 million related to
enacted statutory rate changes, tax expense of $8.3 million for other discrete
tax matters, $4.1 million tax benefit related to U.S. tax reform, and tax
expense of $54.8 million related to valuation allowance on foreign tax credits
and other deferred tax assets. The Company also recorded a $50.4 million tax
benefit as a discrete item related to the indefinite-lived intangible asset
impairment charge, $1.1 million for the fixed asset impairment charge, and $3.3
related to tax-deductible goodwill for the twelve months ended December 31,
2018. In addition, the Company also recorded $2.5 million of tax expense as a
discrete item related to the gain on sale of marketable securities. Excluding
these discrete tax items and adjusting pretax income for the gain on the sale of
marketable securities, net of tax and adjusting for the pretax loss related to
the impairment of indefinite-lived intangible assets, and tax deductible and
nondeductible goodwill impairment charges, the Company's effective tax rate was
20.0%.

For the year ended December 31, 2017, income taxes were a net benefit of $53.2
million. During the year, the Company recorded the following discrete tax items,
$20.5 million of excess tax benefit related to employee share based
compensation, tax expense of $12.0 million related primarily to state valuation
allowances, $3.6 million related to enacted statutory rate changes, $1.0 million
related to other discrete tax matters and $20.1 million related to US Tax
Reform. The Company also recorded a $99.1 million tax benefit related to the
intangible asset impairment charge recorded during the twelve months ended
December 31, 2017. Excluding these discrete tax items and adjusting pretax loss
to exclude the pretax loss related to the impairment of the intangible assets
and non-deductible goodwill impairment charge the Company's effective tax rate
was 7.54%. The effective tax rate was favorably impacted by the Company's change
in the mix of consolidated earnings.

Further information regarding the details of income taxes is presented in Note
15, Income Taxes, in the Notes to Consolidated Financial Statements in Item 8 of
this Form 10-K.

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

Undistributed earnings of foreign subsidiaries and related companies that are
deemed to be permanently invested amounted to $1,137.2 million at December 31,
2018 and $1,071.1 million at December 31, 2017. The Act imposed U.S. tax on all
post-1986 foreign unrepatriated earnings accumulated through December 31, 2017.
Unrepatriated earnings generated after December 31, 2017, are now subject to tax
in the current year. All undistributed earnings are still subject to certain
taxes upon repatriation, primarily where foreign withholding taxes apply. It is
not practicable to calculate the unrecognized deferred tax liability on
undistributed earnings.

For the GILTI provision of the Act, the Company has made the policy election to record any liability associated with GILTI in the period in which it is incurred.

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

Net (Loss) Income attributable to Dentsply Sirona



In addition to the results reported in accordance with US GAAP, the Company
provides adjusted net income attributable to Dentsply Sirona and adjusted
earnings per diluted common share ("adjusted EPS"). The Company discloses
adjusted non-US GAAP net income to allow investors to evaluate the performance
of the Company's operations exclusive of certain items that impact the
comparability of results from period to period and may not be indicative of past
or future performance of the normal operations of the Company and certain large
non-cash charges related to intangible assets either purchased or acquired
through a business combination. The Company believes that this information is
helpful in understanding underlying operating trends and cash flow generation.

                                       50
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Adjusted non-GAAP net income and adjusted EPS are important internal measures for the Company. Senior management receives a monthly analysis of operating results that includes adjusted non-GAAP net income and adjusted EPS and the performance of the Company is measured on this basis along with other performance metrics.

Year Ended December 31, 2018


                                                                                                 Per Diluted
(in millions, except per share amounts)                               Net 

(Loss) Income Common Share



Net loss attributable to Dentsply Sirona                             $       (1,011.0)          $     (4.51)
Pre-tax non-US GAAP adjustments:
Restructuring program related costs and other costs                         

1,353.1


Amortization of purchased intangible assets                                 

197.9


Business combination related costs and fair value adjustments               

22.8


Credit risk and fair value adjustments                                      

14.5


Gain on sale of marketable securities                                       

(44.1)


Tax impact of the pre-tax non-US GAAP adjustments (a)                       

(130.2)


Subtotal non-US GAAP adjustments                                     $        1,414.0           $      6.26

Adjustment for calculating non-US GAAP net income per diluted common share (b)

                                                                                       0.23
Income tax related adjustments                                                   51.5                  0.03
Adjusted non-US GAAP net income                                      $          454.5           $      2.01

(a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the
non-US GAAP adjustments were generated.
(b) The Company had a net loss for the year ended December 31, 2018, but had net income on a non-US GAAP
basis. The shares used in calculating diluted non-US GAAP net income per share includes the dilutive effect
of common stock.
Shares used in calculating diluted GAAP net loss per share                                            224.3
Shares used in calculating diluted non-US GAAP net income per
share                                                                                                 226.0



                                                                           Year Ended December 31, 2017
                                                                                                 Per Diluted
(in millions, except per share amounts)                               Net 

(Loss) Income Common Share



Net loss attributable to Dentsply Sirona                             $       (1,550.0)          $     (6.76)
Pre-tax non-US GAAP adjustments:
Restructuring program related costs and other costs                         

2,119.3


Amortization of purchased intangible assets                                 

189.1


Business combination related costs and fair value adjustments               

38.5


Credit risk and fair value adjustments                                      

4.9


Tax impact of the pre-tax non-US GAAP adjustments (a)                       

(199.8)


Subtotal non-US GAAP adjustments                                     $        2,152.0           $      9.26

Adjustments for calculating non-US GAAP net income per diluted common share (b)

                                                                                       0.09
Income tax related adjustments                                                   16.2                  0.07
Adjusted non-US GAAP net income                                      $          618.2           $      2.66
(a) The tax amount was calculated using the applicable statutory tax rate in the tax jurisdiction where the
non-US GAAP adjustments were generated.
(b) The Company had a net loss for the year ended December 31, 2017, but had net income on a non-US GAAP
basis. The shares used in calculating diluted non-US GAAP net income per share includes the dilutive effect
of common stock.
Shares used in calculating diluted GAAP net loss per share                                            229.4
Shares used in calculating diluted non-US GAAP net income per
share                                                                                                 232.7


Adjusted Operating Income and Margin



Adjusted operating income and margin is another important internal measure for
the Company. Operating income in accordance with US GAAP is adjusted for the
items noted above which are excluded on a pre-tax basis to arrive at adjusted
operating income, a non-US GAAP measure. The adjusted operating margin is
calculated by dividing adjusted operating income by net sales, excluding
precious metal content.

                                       51
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Senior management receives a monthly analysis of operating results that includes
adjusted operating income. The performance of the Company is measured on this
basis along with the adjusted non-US GAAP earnings noted above as well as other
performance metrics. This non-US GAAP measure may differ from other companies
and should not be considered in isolation from, or as a substitute for, measures
of financial performance prepared in accordance with US GAAP.

                                                                                  Year Ended December 31, 2018
                                                                                                   Percentage of Net
                                                                                                    Sales, Excluding
                                                                           Operating (Loss)          Precious Metal
(in millions, except percentage of net sales amount)                            Income                  Content

Operating loss attributable to Dentsply Sirona                             $    (958.1)                      (24.3  %)
Restructuring program related costs and other costs                            1,353.1                        34.3   %
Amortization of purchased intangible assets                                      197.9                         5.0   %
Business combination related costs and fair value adjustments                     21.3                         0.5   %

Adjusted non-US GAAP Operating Income                                      $     614.2                        15.5   %



                                                                                   Year Ended December 31, 2017
                                                                                                    Percentage of Net
                                                                                                     Sales, Excluding
                                                                           Operating (Loss)           Precious Metal
(in millions, except percentage of net sales amounts)                           Income                   Content

Operating loss attributable to Dentsply Sirona                             $   (1,562.3)                      (39.5  %)
Restructuring program related costs and other costs                             2,119.9                        53.6   %
Amortization of purchased intangible assets                                       189.1                         4.8   %
Business combination related costs and fair value adjustments                      37.7                         0.9   %
 Credit risk and fair value adjustments                                             7.0                         0.2   %
Adjusted non-US GAAP Operating Income                                      $      791.4                        20.0   %



Operating Segment Results

Net Sales, Excluding Precious Metal Content                        Year Ended December 31,
(in millions, except percentages)                      2018            2017 

$ Change % Change



Technologies & Equipment                           $ 2,167.7       $ 2,202.8       $ (35.1)        (1.6  %)

Consumables                                          1,781.4         1,750.1          31.3          1.8   %




Segment Operating Income                              Year Ended December 31,
(in millions, except percentages)         2018          2017        $ Change       % Change

Technologies & Equipment               $ 277.9       $ 393.9       $ (116.0)       (29.4  %)

Consumables                              459.9         495.5          (35.6)        (7.2  %)




                                       52

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A reconciliation of reported net sales to non-US GAAP net sales, excluding precious metal content, by segment for the years ended December 31, 2018 and 2017, respectively, were as follows:



                                                                             December 31, 2018
                                                       Technologies &
(in millions)                                            Equipment              Consumables              Total

Net sales                                              $      2,167.7          $     1,818.6          $   3,986.3
Less: precious metal content of sales                               -                   37.2                 37.2
Net sales, excluding precious metal content            $      2,167.7

$ 1,781.4 $ 3,949.1



Acquisition related adjustments (a)                               6.4                      -                  6.4

Non-US GAAP net sales, excluding precious metal
content                                                $      2,174.1

$ 1,781.4 $ 3,955.5

(a) Represents an adjustment to reflect deferred revenue that was eliminated under business combination accounting standards to make the 2018 and 2017 non-U.S. GAAP results comparable.



                                                                            December 31, 2017
                                                        Technologies &
(in millions)                                             Equipment             Consumables             Total

Net sales                                              $     2,202.8          $    1,790.6          $   3,993.4
Less: precious metal content of sales                              -                  40.5                 40.5
Net sales, excluding precious metal content            $     2,202.8          $    1,750.1          $   3,952.9
Merger related adjustments (a)                                   4.0                     -                  4.0
Non-US GAAP net sales, excluding precious metal
content                                                $     2,206.8

$ 1,750.1 $ 3,956.9

(a) Represents an adjustment to reflect deferred subscription and warranty revenue that was eliminated under business combination accounting standards to make 2018 and 2017 non-US. GAAP results comparable

Technologies & Equipment



Reported net sales decreased by 1.6% for the year ended December 31, 2018 as
compared to the year ended December 31, 2017. Reported net sales, excluding
precious metal content, decreased by 35.1 million or 1.6% for the year ended
December 31, 2018 as compared to the year ended December 31, 2017. The decrease
in net sales, excluding precious metal content, was negatively impacted, based
on the Company's estimate, by approximately $127 million as a result of net
changes in equipment inventory levels in the current year as compared to the
prior year at certain distributors primarily in the United States, that the
Company believes is primarily related to the transition in distribution strategy
(see "Business Drivers" under this section for further detail). Based on the
Company's estimate, distributor inventories increased for the year ended
December 31, 2017 by approximately $27 million as compared to a decrease of
approximately $100 million for the full year 2018.

For the year ended December 31, 2018, net sales, excluding precious metal
content, decreased 2.7% on a constant currency basis, or negative internal sales
growth of 3.4%. The decline in internal sales growth was driven by the U.S.,
partially offset by internal sales growth in Rest of World region.

The operating income decreased $116.0 million or 29.4% for the year ended
December 31, 2018 as compared to 2017. The decrease is primarily the result of
the net change in equipment inventory at certain distributors, higher selling
and marketing expenses, unfavorable product pricing, as well as unfavorable
product mix, partially offset by the benefit of the Company's global efficiency
initiatives as compared to the year ended December 31, 2017.

Consumables



Reported net sales increased by 1.6% for the year ended December 31, 2018 as
compared to the year ended December 31, 2017. Reported net sales, excluding
precious metal content, increased by $31.3 million or 1.8% for the year ended
December 31, 2018 as compared to the year ended December 31, 2017.

For the year ended December 31, 2018, net sales, excluding precious metal, including acquisition related adjustments, increased 0.3% on a constant currency basis. This is offset by the a benefit of 0.3% from net acquisitions. The internal sales growth was primarily driven by the Rest of World and Europe, entirely offset by a decrease in the United States.


                                       53
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The operating income decreased $35.6 million or 7.2% for the year ended December
31, 2018 as compared to 2017. The decrease is primarily related to higher SG&A
costs, including selling and marketing expenses, and unfavorable manufacturing
costs, partially offset by the benefit of the Company's global efficiency
initiatives as compared to the year ended December 31, 2017.


                                       54
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CRITICAL ACCOUNTING JUDGMENTS AND POLICIES



The preparation of the Company's consolidated financial statements in conformity
with US GAAP requires the Company to make estimates and assumptions about future
events that affect the amounts reported in the consolidated financial statements
and accompanying notes. Future events and their effects cannot be determined
with absolute certainty. Therefore, the determination of estimates requires the
exercise of judgment. Actual results could differ from those estimates, and such
differences may be material to the consolidated financial statements. The
process of determining significant estimates is fact specific and takes into
account factors such as historical experience, current and expected economic
conditions, product mix and in some cases, actuarial techniques. The Company
evaluates these significant factors as facts and circumstances dictate. Some
events as described below could cause results to differ significantly from those
determined using estimates. The Company has identified the following accounting
estimates as those which are critical to its business and results of operations.

Business Acquisitions



The Company acquires businesses as well as partial interests in businesses.
Acquired businesses are accounted for using the acquisition method of accounting
which requires the Company to record assets acquired and liabilities assumed at
their respective fair values with the excess of the purchase price over
estimated fair values recorded as goodwill. The assumptions made in determining
the fair value of acquired assets and assumed liabilities as well as asset lives
can materially impact the results of operations.

The Company obtains information during due diligence and through other sources
to get respective fair values. Examples of factors and information that the
Company uses to determine the fair values include: tangible and intangible asset
evaluations and appraisals; evaluations of existing contingencies and
liabilities and product line integration information. If the initial valuation
for an acquisition is incomplete by the end of the quarter in which the
acquisition occurred, the Company will record a provisional estimate in the
financial statements. The provisional estimate will be finalized as soon as
information becomes available but will only occur up to one year from the
acquisition date.

Goodwill and Indefinite-Lived Intangible Assets



The Company follows the accounting standards for goodwill and indefinite-lived
intangibles, which require an annual test for impairment to goodwill using a
fair value approach. In addition to minimum annual impairment tests, the Company
also requires that impairment assessments be made more frequently if events or
changes in circumstances indicate that the goodwill or indefinite-lived assets
might be impaired. If impairment related to goodwill is identified, the
resulting charge is determined by recalculating goodwill through a hypothetical
purchase price allocation of the fair value and reducing the current carrying
value to the extent it exceeds the recalculated goodwill. If the carrying amount
of an indefinite-lived intangible asset exceeds its fair value, an impairment
loss is recognized.

Impairment Assessment

Assessment of the potential impairment of goodwill and indefinite-lived
intangible assets is an integral part of the Company's normal ongoing review of
operations. Testing for potential impairment of these assets is significantly
dependent on numerous assumptions and reflects management's best estimates at a
particular point in time. The dynamic economic environments in which the
Company's businesses operate and key economic and business assumptions with
respect to projected selling prices, increased competition and introductions of
new technologies can significantly affect the outcome of impairment tests.
Estimates based on these assumptions may differ significantly from actual
results. Changes in factors and assumptions used in assessing potential
impairments can have a significant impact on the existence and magnitude of
impairments, as well as the time at which such impairments are recognized. If
there are unfavorable changes in these assumptions, particularly changes in the
Company's discount rates, earnings multiples and future cash flows, the Company
may be required to recognize impairment charges. Information with respect to the
Company's significant accounting policies on goodwill and indefinite-lived
intangible assets are included in Note 1, Significant Accounting Policies, in
the Notes to Consolidated Financial Statements in Item 8 of this Form 10-K.

                                       55
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Annual Goodwill Impairment Testing

Goodwill is not amortized; instead, it is tested for impairment annually or more
frequently if indicators of impairment exist or if a decision is made to sell a
business. The valuation date for annual impairment testing is April 30. Judgment
is involved in determining if an indicator of impairment has occurred. Such
indicators may include a decline in expected cash flows, a significant adverse
change in legal factors or in the business climate, unanticipated competition or
slower growth rates, among others. It is important to note that fair values that
could be realized in an actual transaction may differ from those used to
evaluate the impairment of goodwill.

Goodwill is allocated among and evaluated for impairment at the reporting unit
level, which is defined as an operating segment or one level below an operating
segment.

The evaluation of impairment involves comparing the current fair value of each
reporting unit to its net book value, including goodwill. The Company uses a
discounted cash flow model ("DCF model") to estimate the current fair value of
its reporting units when testing for impairment, as management believes
forecasted operating cash flows are the best indicator of such fair value. A
number of significant assumptions and estimates are involved in the application
of the DCF model to forecast operating cash flows, including future sales
growth, operating margin growth, benefits from restructuring initiatives, tax
rates, capital spending, business initiatives, and working capital changes.
These assumptions may vary significantly among the reporting units. Operating
cash flow forecasts are based on approved business-unit operating plans for the
early years and historical relationships and projections in later years. The
weighted average cost of capital ("WACC") rate is estimated for geographic
regions and applied to the reporting units located within the regions. The
Company has not materially changed its methodology for goodwill impairment
testing for the years presented. Due to the many variables inherent in the
estimation of a reporting unit's fair value and the relative size of the
Company's recorded goodwill, differences in assumptions may have a material
effect on the results of the Company's impairment analysis.

Should the Company's analysis in the future indicate an increase in discount
rates or a degradation in the overall markets served by these reporting units,
it could result in impairment of the carrying value of goodwill to its implied
fair value. There can be no assurance that the Company's future goodwill
impairment testing will not result in a charge to earnings.

Annual Indefinite-Lived Intangible Asset Impairment Testing



Indefinite-lived intangible assets consist of tradenames and trademarks and are
not subject to amortization; instead, they are tested for impairment annually or
more frequently if indicators of impairment exist or if a decision is made to
sell a business. A significant amount of judgment is involved in determining if
an indicator of impairment has occurred. Such indicators may include a decline
in expected cash flow projections, a significant adverse change in legal factors
or in the business climate, unanticipated competition or slower growth rates,
among others. It is important to note that fair values that could be realized in
an actual transaction may differ from those used to evaluate the impairment of
indefinite-lived assets.

The fair value of acquired tradenames and trademarks is estimated by the use of
a relief from royalty method, which values an indefinite-lived intangible asset
by estimating the royalties saved through the ownership of an asset. Under this
method, an owner of an indefinite-lived intangible asset determines the arm's
length royalty that likely would have been charged if the owner had to license
the asset from a third party. Royalty rates used are consistent with those
assumed for the original purchase accounting valuation. The royalty rate, which
is based on the estimated rate applied against forecasted sales, is tax-effected
and discounted at present value using a discount rate commensurate with the
relative risk of achieving the cash flow attributable to the asset. Management
judgment is necessary to determine key assumptions, including projected revenue,
royalty rates and appropriate discount rates. Other assumptions are consistent
with those applied to goodwill impairment testing.

Goodwill and Indefinite-Lived Intangible Asset Impairment Results



Effective January 1, 2019, the Company realigned certain businesses between
segments resulting in a change from eleven reporting units to five. As a result,
the Company transferred goodwill between segments due to these changes. Affected
reporting units, including the CAD/CAM and Treatment Center reporting units in
the Technologies & Equipment segment, were tested for potential impairment of
goodwill before the transfers. The CAD/CAM reporting unit was previously
impaired in 2018 and the Treatment Center reporting unit that the Company
disclosed in 2018 would not pass a hypothetical 100 basis points increase in the
discount rate. These reporting units had a fair value that exceeded book value
by approximately 10% and 20%, respectively, at January 1, 2019. No goodwill
impairment was identified due to the realignment.

                                       56
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The Company performed the required annual impairment tests of goodwill at April
30, 2019 on five reporting units. To determine the fair value of the Company's
reporting units, the Company uses a discounted cash flow model with market-based
support as its valuation technique to measure the fair value for its reporting
units. The discounted cash flow model uses five-to-ten-year forecasted cash
flows plus a terminal value based on a multiple of earnings or by capitalizing
the last period's cash flows using a perpetual growth rate. In the development
of the forecasted cash flows, the Company applies revenue, gross profit, and
operating expense assumptions taking into consideration historical trends as
well as futures expectations.These future expectations include, but are not
limited to, new product development and distribution channel changes for the
respective reporting units. The Company also considers the current and projected
market conditions for dental and medical device industries, both in the U.S. and
globally, when determining its assumptions. The total forecasted cash flows were
discounted based on market participant data, which included assumptions
regarding the Company's weighted-average cost of capital adjusted for the
relevant risk associated with business-specific characteristics and the
uncertainty related to the reporting unit's ability to execute on the projected
cash flows. The Company's significant assumptions in the discounted cash flow
models include, but are not limited to, the weighted average cost of capital,
revenue growth rates, including perpetual revenue growth rates, and gross margin
percentages of the reporting unit's business. A change in any of these
assumptions could produce a different fair value, which could have a material
impact on the Company's results of operations. No goodwill impairment was
identified at April 30, 2019.

Indefinite-lived Intangible Assets

During the three months ended March 31, 2019, the Company impaired $5.3 million of product tradenames and trademarks within the Technologies & Equipment segment. The impaired indefinite-lived intangible assets are tradenames and trademarks held within the Equipment and Instrument reporting unit. The impairment was the result of a change in forecasted sales related to divestitures of non-strategic product lines.



The Company also assessed the annual impairment of indefinite-lived intangible
assets as of April 30, 2019, which largely consist of acquired tradenames and
trademarks, in conjunction with the annual impairment tests of goodwill. The
assumptions used in determining the fair value of the indefinite-lived
intangible assets contain uncertainties, and any changes to these assumptions
could have a negative impact and result in a future impairment. At April 30,
2019, the Company did not identify any impairment triggers for the
indefinite-lived intangible assets.

The indefinite-lived intangible assets held within the CAD/CAM business were
previously impaired in 2018 and the indefinite-lived intangible assets held
within the Imaging business were impaired in the first quarter of 2019. Had the
fair value of these indefinite-lived intangible assets been hypothetically
reduced by 10% or the discount rate had been hypothetically increased by 100
basis points at April 30, 2019, the fair value of these assets would still
exceed their book value for those assets held within the CAD/CAM business and
for the indefinite-lived intangible assets held within the Imaging business the
result would be an insignificant impairment. For the Company's indefinite-lived
assets not discussed above, the Company also applied a hypothetical sensitivity
analysis. If the fair value of each of these indefinite-lived intangibles assets
had been hypothetically reduced by 10% or the discount rate had been
hypothetically increased by 100 basis points at April 30, 2019, the fair value
of these assets would still exceed their book value.

Litigation



The Company and its subsidiaries are from time to time parties to lawsuits
arising out of their respective operations. The Company records liabilities when
a loss is probable and can be reasonably estimated. These estimates are
typically in the form of ranges, and the Company records the liabilities at the
low point of the ranges, when no other point within the ranges is a better
estimate of the probable loss. The ranges established by management are based on
analysis made by internal and external legal counsel based on information known
at the time. If the Company determines a liability to be only reasonably
possible, it considers the same information to estimate the possible exposure
and discloses any material potential liability. These loss contingencies are
monitored regularly for a change in fact or circumstance that would require an
accrual adjustment. The Company believes it has appropriately estimated
liabilities for probable losses in the past; however, the unpredictability of
litigation and court decisions could cause a liability to be incurred in excess
of estimates. Legal costs related to these lawsuits are expensed as incurred.

Income Taxes



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

                                       57
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The Company applies a recognition threshold and measurement attribute for the
financial statement recognition and measurement of a tax position taken or
expected to be taken in a tax return. The Company recognizes in the consolidated
financial statements the impact of a tax position if that position is more
likely than not of being sustained upon examination by the taxing authorities
based on the technical merits of the position.

Certain items of income and expense are not reported in tax returns and
financial statements in the same year. The tax effect of such temporary
differences is reported as deferred income taxes. Deferred tax assets are
recognized if it is more likely than not that the assets will be realized in
future years. The Company establishes a valuation allowance for deferred tax
assets for which realization is not likely. At December 31, 2019, the Company
has a valuation allowance of $288.0 million against the benefit of certain
deferred tax assets of foreign and domestic subsidiaries.

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


                                       58
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LIQUIDITY AND CAPITAL RESOURCES



Cash flows from operating activities during the year ended December 31, 2019
were $632.8 million compared to $499.8 million during the year ended
December 31, 2018. Net income increased by $1,274.0 million in the period ended
December 31, 2019 compared to the prior year, primarily due to the prior year
goodwill and indefinite-lived intangible asset impairments. Working capital
consumed $9.1 million of operating cash flow in 2019 compared to $4.0 million
consumed in 2018. The Company's cash and cash equivalents increased by $95.3
million during the year ended December 31, 2019 to $404.9 million.

For the year ended December 31, 2019, on a constant currency basis, the number
of days for sales outstanding in accounts receivable increased by 3 days to 62
days as compared to 59 days in 2018. On a constant currency basis, the number of
days of sales in inventory decreased by 8 days to 116 days at December 31, 2019
as compared to 124 days at December 31, 2018.

Cash used in investing activities for the year ended December 31, 2019 included
capital expenditures of $122.9 million and cash proceeds from net investment
hedges of $40.3 million. The Company expects capital expenditures to be in the
range of approximately $140 million to $150 million for the full year 2020.

Cash used in financing activities for the year ended December 31, 2019 was
primarily related to dividend payments of $80.9 million, share repurchases of
$260.0 million, net repayments of total long-term borrowings of $132.3 million
and net repayments of short term borrowings of $68.5 million.

For the year ended December 31, 2019, the Company purchased 4.8 million shares
or $260.0 million at an average price of $54.18. Share repurchases will be made
through open market purchases, Rule 10b5-1 plans, accelerated share repurchase
transactions and other structured share repurchases, privately negotiated
transactions or other transactions in such amounts and at such times as the
Company deems appropriate based upon prevailing market and business conditions
and other factors. As of December 31, 2019 and 2018, the Company held 43.2
million and 41.5 million shares, respectively, of treasury stock. The Company
received proceeds of $108.9 million as a result of the exercise of 2.7 million
shares of stock options during the year ended December 31, 2019.

Total debt decreased by $221.9 million for the year ended December 31, 2019.
Dentsply Sirona's long-term debt, including the current portion at December 31,
2019 and 2018, was $1,433.3 million and $1,575.5 million, respectively. The
Company's long-term debt, including the current portion, decreased by a net of
$142.2 million during the year ended December 31, 2019. This net change included
a net decrease in borrowings of $132.3 million, and a decrease of $9.9 million
due to exchange rate fluctuations on debt denominated in foreign currencies. At
December 31, 2019, there were no outstanding borrowings and at December 31,
2018, there was $67.8 million in outstanding borrowings under the commercial
paper facility.

The Company pre-paid the PNC Term Loan on May 28, 2019 for a total of $131.3
million using cash and short-term commercial paper. The Company repaid its
short-term commercial paper that was outstanding at December 31, 2018 of $67.8
million. On June 24, 2019, the Company entered into a Private Placement Note
Purchase Agreement ("PPN") to borrow 12.5 billion Japanese yen for a term of 12
years at a coupon of 0.99%. The proceeds were used to repay the 12.5 billion
Japanese yen term loan maturing September 30, 2019.

During the year ended December 31, 2019, the Company's ratio of net debt to
total capitalization decreased to 16.8% compared to 20.8% at December 31, 2018.
Dentsply Sirona defines net debt as total debt, including current and long-term
portions, less cash and cash equivalents and total capitalization as the sum of
net debt plus total equity.

The Company has access to a $700.0 million revolving credit facility through
July 28, 2024. The facility is unsecured and contains certain affirmative and
negative covenants relating to the operations and financial condition of the
Company. The most restrictive of these covenants pertain to asset dispositions
and prescribed ratios of indebtedness to total capital and operating income plus
depreciation and amortization to interest expense. The Company also has
available an aggregate $500.0 million under a U.S. dollar commercial paper
facility. The revolver serves as a back-up to the commercial paper facility,
thus the total available credit under the commercial paper facility and the
multi-currency revolving credit facilities in the aggregate is $700.0 million.
At December 31, 2019, there were no outstanding borrowings under the $700
million multi-currency revolving credit facility. The Company had no outstanding
borrowings under the commercial paper facility at December 31, 2019.

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The Company's revolving credit facility, term loans and senior notes contain
certain affirmative and negative covenants relating to the Company's operations
and financial condition. These credit agreements contain a number of covenants
and two financial ratios, which the Company is required to satisfy. The most
restrictive of these covenants pertain to asset dispositions and prescribed
ratios of total debt outstanding to total capital not to exceed the ratio of 0.6
to 1.0, and operating income excluding depreciation and amortization to interest
expense of not less than 3.0 times, in each case, as such terms are defined in
the relevant agreement. Any breach of any such covenants or ratios would result
in a default under the existing debt agreements that would permit the lenders to
declare all borrowings under such debt agreements to be immediately due and
payable and, through cross default provisions, would entitle the Company's other
lenders to accelerate their loans. At December 31, 2019, the Company was in
compliance with these covenants.

The Company also has access to $38.0 million in uncommitted short-term financing
under lines of credit from various financial institutions. The lines of credit
have no major restrictions and are provided under demand notes between the
Company and the lending institutions. At December 31, 2019, $2.1 million was
outstanding under these short-term lines of credit. At December 31, 2019, the
Company had total unused lines of credit related to the revolving credit
agreement and the uncommitted short-term lines of credit of $735.9 million.

The Company expects on an ongoing basis to be able to finance cash requirements,
including capital expenditures, cash payments related to restructuring programs,
debt service, operating leases and potential future acquisitions, from the
current cash, cash equivalents and short-term investment balances, funds
generated from operations and amounts available under its existing credit
facilities. The Company estimates cash payments related to previously announced
restructuring to be in a range from $50 million to $100 million in 2020. The
Company's credit facilities are further discussed in Note 13, Financing
Arrangements, to the Consolidated Financial Statements in Item 8 of this Form
10-K. As noted in the Company's Consolidated Statements of Cash Flows in Item 8
of this Form 10-K, the Company has continued to generate strong cash flows from
operations, which has been used to finance the Company's activities.

The cash held by foreign subsidiaries for permanent reinvestment is generally
used to finance the subsidiaries' operational activities and future foreign
investments. The Company has the ability to repatriate additional funds to the
U.S., which could result in an adjustment to the tax liability for foreign
withholding taxes, foreign and/or U.S. state income taxes and the impact of
foreign currency movements. At December 31, 2019, management believed that
sufficient liquidity was available in the United States. The Company has and
expects to continue repatriating certain funds from its non-U.S. subsidiaries
that are not needed to finance local operations; however, these particular
repatriation activities have not and are not expected to result in a significant
incremental tax liability to the Company.

Off Balance Sheet Arrangements



At December 31, 2019, the Company held $50.0 million of precious metals on
consignment from several financial institutions. Under these consignment
arrangements, the financial institutions own the precious metal, and,
accordingly, the Company does not report this consigned inventory as part of its
inventory on the Consolidated Balance Sheets. These consignment agreements allow
the Company to acquire the precious metal at market rates at a point in time,
which is approximately the same time, and for the same price as alloys are sold
to the Company's customers. In the event that the financial institutions would
discontinue offering these consignment arrangements, and if the Company could
not obtain other comparable arrangements, the Company may be required to obtain
third party financing to fund an ownership position to maintain precious metal
inventory at operational levels. For additional details, see Item 7A
"Quantitative and Qualitative Disclosure About Market Risk - Consignment
Arrangements" of this Form 10-K.

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Contractual Obligations



The Company's scheduled contractual cash obligations at December 31, 2019 were
as follows:


Contractual Obligations                                                                                    Greater
                                                      Within                                                 Than
(in millions)                                         1 Year          Years 1-3         Years 3-5          5 Years              Total

Long-term borrowings, including finance
leases                                              $   0.2          $  

298.7 $ 79.1 $ 1,059.8 $ 1,437.8 Operating leases

                                       47.7              63.8              35.4               30.6              177.5
Interest on long-term borrowings, net
of interest rate swap agreements                       30.8              61.3              35.2               65.1              192.4
Postemployment obligations                             20.3              38.5              39.5              112.8              211.1
Precious metal consignment agreements                  50.0                 -                 -                  -               50.0
                                                    $ 149.0          $  462.3          $  189.2          $ 1,268.3          $ 2,068.8



Due to the uncertainty with respect to the timing of future cash flows
associated with the Company's unrecognized tax benefits at December 31, 2019,
the Company is unable to make reasonably reliable estimates of the period of
cash settlement with the respective taxing authority; therefore, $26.0 million
of the unrecognized tax benefit has been excluded from the contractual
obligations table above. See Note 15, Income Taxes, in the Notes to Consolidated
Financial Statements in Item 8 of this Form 10-K.

NEW ACCOUNTING PRONOUNCEMENTS

Refer to Note 1, Significant Accounting Policies, in the Notes to Consolidated Financial Statements in Item 8 of this Form 10-K for a discussion of recent accounting guidance and pronouncements.


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