DENTSPLY SIRONA Inc. (XRAY): what the price assumes
boothcheck covers DENTSPLY SIRONA Inc. (XRAY) but does not put one priced-in number on it: here the defensible answer is the evidence rather than a point estimate. boothcheck publishes no house fair value, target price, or buy/sell rating. Narrative composed 2026-06-28.
Generated: 2026-08-10 · Exported: 2026-08-12 · Source: https://boothcheck.com/report/XRAY
Headline
| Field | Value |
|---|---|
| Ticker | XRAY |
| Company | DENTSPLY SIRONA Inc. |
| Current price | $13.77/sh |
| Composition | Connected Technology Solutions 28% / Essential Dental Solutions 40% / Orthodontic and Implant Solutions 23% / Wellspect Healthcare 9% |
What The Price Assumes (Inversion)
The assumption today's price embeds, recovered by inverting the valuation.
| Field | Value |
|---|---|
| Inversion basis | whole-company |
| Operating margin (value-band context) | 8.6% |
| Operating margin (mid-cycle) | 14.2% |
| Margin compression (value-band) | -5.6pp |
| Trailing margin (depressed year) | -14.1% |
| Multiple paid | 10x mid-cycle operating income |
The operating-margin figure is value-band context at year 12: derived from the framework's value band, a separate calculation — not part of the priced-in solve.
The price sits below what even a 5%/yr operating-profit decline would warrant; the inversion reports a bound, not a solved growth path.
Solve inputs: computed at a 7% cost of capital with 4% terminal growth over a 5-year stage (computed at the 7% minimum rate; the CAPM rate 6.4% sits below it).
Reconcile: at the x-ray's 9.3% required return this reads ~-4.8%/yr; the models below use their own rates.
How unusual the bet is: within-range (limited comparison data)
| Reference | Value |
|---|---|
| vs own history | +0.45σ |
| implied end-window share | 0% |
Valuation X-Ray
Every valuation family lands below the price. The price therefore sits beyond what those standard frames encode.
How the valuation models price the stock relative to the market price. Price/FV above 1.0 means the market pays more than that lens defends (expensive); at or below 1.0 the lens can defend the price.
| Family | Median price/FV | Models | Reads |
|---|---|---|---|
| Asset | 2.21x | 2 | expensive |
| Earnings | — | 0 | — |
| Relative | — | 0 | — |
| Growth | — | 0 | — |
Families that call it expensive: Asset
The models below discount at their own flat-beta convention rates (cost of equity 9.3%, WACC 5.4%); the inversion above states its own rate.
Per-Model Detail (n=2)
| Model | Family | FV | Price/FV | Applicable | Methodology |
|---|---|---|---|---|---|
| DCF Perpetual Growth | Growth | $0.00 | — | no | FCF base $0.1B, growth -1% (input: historical growth), terminal g 0.5%, WACC 5.4%, 5yr projection |
| DCF Exit Multiple | Growth | $0.00 | — | no | Negative/zero FCF or EBITDA — equity value floored at $0 |
| Relative Valuation | Relative | — | — | no | P/S fallback (negative EPS): Sector P/S 4.0x × TTM revenue — excluded from consensus |
| Simple DDM | Growth | $0.59 | 23.34x | yes | DPS $0.64, g=-47.6% (sustainable: ROE (TTM) × retention; not the terminal-growth assumption), ke=9.3% (excluded from median) |
| Two-Stage DDM | Growth | $-7.91 | — | no | Stage 1: -200% for 5yr, Stage 2: 3.5% perpetual |
| Simple Excess Return | Asset | $6.59 | 2.09x | yes | Reference only (book value floor): BV/sh $6.59, ROE negative |
| Two-Stage Excess Return | Asset | $5.93 | 2.32x | yes | Reference only (book value with convergence): BV/sh $6.59, ROE converges to ke |
| Discounted Future Market Cap | Growth | $8.56 | 1.61x | no | Rev $3.7B, growth -1% (input: historical growth; tapered), Terminal P/S: 0.6x / 0.7x / 0.9x (bear / base = today's held flat / bull, cap 8x) |
| Peter Lynch Fair Value | Relative | $0.00 | — | no | Negative/zero EPS — earnings-based value floored at $0 |
| Margin Trajectory | Growth | — | — | no | — |
| Earnings Power Value | Earnings | — | — | no | — |
| Residual Income | Asset | — | — | no | — |
| Graham Number | Asset | — | — | no | — |
| EV/EBITDA Relative | Relative | — | — | no | — |
| FCF Yield | Earnings | $0.01 | 1377.00x | yes | FCF $104.0M / Kₑ 9.3% — zero-growth perpetuity (excluded from median) |
| SBC-Adj FCF Yield | Earnings | $0.01 | 1377.00x | yes | SBC-adj FCF $0.07B (FCF $0.10B − SBC $0.03B) capitalized at Kₑ (excluded from median) |
| Ben Graham Formula | Earnings | — | — | no | — |
| ROIC-Justified P/B | Asset | — | — | no | — |
| P/Sales Sector | Relative | — | — | no | Revenue $3.68B × sector P/S 4.0x |
| PEG Fair Value | Relative | — | — | no | — |
| Earnings Yield | Earnings | — | — | no | — |
| Funds From Operations Multiple | Relative | — | — | no | — |
| Clinical Phase NPV | Growth | — | — | no | — |
| Merton | Asset | — | — | no | — |
| V5 Mechanical | — | — | — | no | — |
Economic-Unit Decomposition (Sum Of The Parts)
One or more material disclosed units has unresolved economics. Unknown/general is not evidence of homogeneity: segment SOTP is primary but incomplete, consolidated cash flow may remain only a secondary cross-check when every unit shares an enterprise basis, and one sector multiple or target margin is withheld.
| Unit | Role | Valuation basis | Revenue | Reported profit | Value evidence | Status |
|---|---|---|---|---|---|---|
| Connected Technology Solutions | operating | enterprise | $1.0b | — | withheld | unresolved no unit value |
| Essential Dental Solutions | operating | enterprise | $1.5b | — | withheld | unresolved no unit value |
| Orthodontic and Implant Solutions | operating | enterprise | $850.0m | — | withheld | unresolved no unit value |
| Wellspect Healthcare | operating | enterprise | $325.0m | — | withheld | unresolved no unit value |
No total common-equity value is stated. One or more material units lack a supported unit value. The displayed values are an indicative subtotal; consolidated debt and cash cannot be applied to a fraction of the company.
Solvency
| Field | Value |
|---|---|
| Net debt | $2.3b |
| Net debt / NOPAT (after-tax) | 5.61x |
| Net debt / operating income (pre-tax) | 4.43x |
| Interest coverage | 5.6x |
| Share count CAGR (buyback) | -2.1% |
| Burning cash | no |
Leverage and coverage are computed on normalized mid-cycle operating income (mid-cycle margin 14.2%); the trailing year was depressed.
Bullet Takeaways
- Dentsply Sirona is a dental products maker spanning imaging equipment, consumables, implants, and Wellspect healthcare, trading near $10 after years of declining sales and large impairments, including write-downs the 10-K attributes to "a weaker trend in sales volumes, particularly in North America" in its implant and prosthetic unit.
- The defining near-term shift is capital allocation: management is eliminating the dividend to fund debt repayment and share repurchases while launching a restructuring program targeting $120 million in annual savings.
- What to watch is the turnaround inflection: 2026 guidance calls for sales of $3.5 to $3.6 billion with operational declines of 1% to 3%, and management is targeting U.S. growth turning positive by the fourth quarter on execution rather than a market recovery.
Bull Case
Strip away the headline and look at what the price is actually saying. At about $10, the market values Dentsply Sirona at roughly 9 times its through-the-cycle operating income, using its own normalized margins on current revenue rather than the trough. That is a multiple so low it sits below what even a 5%-a-year decline in operating profit would warrant. The price, in other words, is not pricing a turnaround; it is pricing continued shrinkage. For a company with a recurring consumables base, a large installed base of imaging equipment, and a global dental franchise, that is a demanding amount of pessimism to embed, and it is the bull case in a single observation: the bar is on the floor.
The business underneath the depressed numbers is more durable than the share price implies. A dental practice that buys a Dentsply Sirona imaging system or implant platform keeps buying the consumables and components that go with it, which gives the company a recurring revenue stream tied to the installed base rather than to new-equipment cycles. The cohort it sits in, dental and medical-device peers such as Envista, Becton Dickinson, and Baxter, is valued on that kind of razor-and-blade economics, and on the relative-multiple lens Dentsply Sirona screens as deeply cheap against them. The recent damage is concentrated and identifiable: much of it traces to the wind-down of the Byte direct-to-consumer aligner business and to impairment charges, both of which are one-time in nature rather than a permanent erosion of the core dental franchise.
The turnaround has a plan and a funding source. New leadership is executing a 24-month Return-to-Growth program centered on customer focus, faster innovation, and better execution, with management explicitly arguing the recovery is "not market dependent" and instead driven by self-help. The company completed its 2024 restructuring and "implemented a new restructuring plan in 2026" targeting $120 million in annual savings, and it is redirecting capital: cutting the dividend to pay down debt and buy back stock, and lifting investment in clinical education and R&D toward roughly 5% of sales. Buying back shares at a single-digit price, if the operating inflection arrives, retires a large share of the earnings base cheaply. The bull case does not require growth heroics; it requires the declines to stop, and the price is paying almost nothing for that.
Bear Case
Watch what management is doing with the cash, because it tells you how stretched the situation is. The company is eliminating its dividend to fund debt repayment and share repurchases. A dividend cut at a company this size is not a routine capital-allocation tweak; it is a signal that the balance sheet and the cash flow no longer comfortably support the payout, the debt, and the reinvestment all at once. The decision is defensible, even prudent, but it reframes the equity from an income holding into a pure turnaround bet, and turnaround bets in a structurally challenged business fail often enough to demand caution.
The operating decline is real and not yet finished. Fourth-quarter 2025 net sales fell 10.6% with organic sales down 10.7%, and the company reported a GAAP net loss of $430 million for the quarter. The losses are not purely accounting: the 10-K describes impairments driven by "a weaker trend in sales volumes, particularly in North America" and asset charges tied to "significant reductions in revenue forecasts." When a company writes down assets because it has lowered its own forecasts, the impairment is the rear-view confirmation of a forward problem. Guidance for 2026 still embeds operational sales declines of 1% to 3%, so even the plan assumes the business shrinks again before it grows, and the promised inflection to positive U.S. growth is a fourth-quarter event the company has to earn print by print.
The leverage is the amplifier. Net debt of roughly $2.3 billion sits at about 4.4 times mid-cycle operating income, with interest coverage near 5.6 times on normalized earnings, but those are mid-cycle figures; on the depressed trailing results the cushion is thinner. Reading across the valuation families, the static methods are mixed: the asset-based and growth-DCF lenses call the price expensive against the depressed and declining fundamentals, and only the peer-multiple lens says it is cheap. That is the honest tension in a value name like this. The price is low because the methods that extrapolate the current trajectory cannot justify even today's modest level. If the Return-to-Growth plan slips, the cheapness is a trap rather than an opportunity, and the dividend is already gone as a floor.
Valuation
Trailing earnings here are misleading because the cycle and one-time charges have depressed them, so the right anchor is the company's own through-the-cycle margins applied to current revenue. On that basis the market is paying about 9 times mid-cycle operating income, a multiple so low that the price sits below what even a 5%-a-year operating-profit decline would warrant. This is a bound, not a solved growth rate: the price is pricing in continued erosion, and the question for the buyer is simply whether the decline stops short of what the multiple already assumes.
The valuation families disagree in the way they typically do for a beaten-down name. The peer-multiple lens reads the price as deeply cheap against dental and device peers, while the asset-based and growth-DCF methods, which extrapolate the recent, declining fundamentals, call it expensive. That split is the whole valuation story: relative to comparable installed-base businesses Dentsply Sirona screens cheap, but relative to its own recent trajectory the price still looks rich because the trajectory points down. Resolving the disagreement requires a view on execution, which is exactly what the Return-to-Growth plan is meant to supply.
Solvency is the constraint that decides whether this is value or trap. Net debt of about $2.3 billion is roughly 4.4 times mid-cycle operating income, and interest coverage near 5.6 times on normalized earnings is adequate, but the trailing results carry a GAAP loss, so the comfort depends on the margin recovery arriving. That dependency is precisely why management eliminated the dividend to prioritize debt paydown, and why the $120 million restructuring program and the redirected R&D and education spending matter. The downside is a leveraged business whose cash flow has not yet stabilized; the offset is a price already discounting that risk heavily.
Catalysts
The fourth-quarter 2025 report, released in late February 2026, was the reset. Net sales of $905 million fell 10.6%, organic sales dropped 10.7% including a 6.0% drag from the winding-down Byte business, and the company posted a GAAP net loss of $430 million driven by impairments and the cost of exiting that direct-to-consumer line. The Byte unwind is a known, finite headwind, so the comparisons should ease as it laps out of the base.
The forward story is the turnaround plan and its capital-allocation pivot. Management guided 2026 sales to $3.5 to $3.6 billion with operational declines of 1% to 3%, expects positive sequential momentum in the second half, and is targeting U.S. growth turning positive by the fourth quarter, framing the recovery as execution-driven rather than market-dependent. The funding for it is the eliminated dividend, redirected toward debt repayment and buybacks, alongside a restructuring program aimed at $120 million in annual savings and a roughly 50% increase in clinical education spending.
The events most likely to move the thesis are the quarterly organic-sales prints against the 1% to 3% decline guidance, the first sign of the targeted U.S. inflection, and any progress on debt paydown now that the dividend cash is being redeployed. Because the plan runs 24 months, the early-2026 quarters are about stabilization, with the proof of the turnaround landing in the back half of the year.
Peer Cohorts (Per Segment, With Filing Citations)
Connected Technology Solutions / Essential Dental Solutions / Orthodontic and Implant Solutions (reported)
- NVST (ENVISTA HOLDINGS CORPORATION)
- FY2025 10-K: …patient access to high-quality dental care. Our customers include oral surgeons, periodontists, prosthodontists, and general dentists. Our Dental Implant Solutions brands have a long history of innovation, which include both the first documented case of a titanium dental implant being placed in a human and the…
- FY2025 10-K: …clear aligners, digital orthodontic treatments, retainers, and other orthodontic laboratory products, and are marketed under the Ormco TM , Damon TM , Insignia TM , AOA TM , and Spark TM brands. We also offer a comprehensive education system to train our clinical customers on the use of our products to address the…
- ALGN (ALIGN TECHNOLOGY, INC.)
- FY2025 10-K: …dynamic and personalized visualization and patient engagement tools at chairside, to expanded compatibility with 3D printers and milling machines, these new innovations are designed to simplify workflows, increase patient acceptance, and drive practice growth. 11 Align TM Oral Health Suite . The Align™ Oral Health…
- FY2025 10-K: …cases worldwide, including in Costa Rica, China, Germany, Spain, Poland, and Japan, among others. By establishing and expanding our key operational activities in locations closer to our customers, we are creating an infrastructure that allows us to be responsive to local and regional needs, while providing global…
- BDX (BECTON DICKINSON & CO)
- FY2025 10-K: Solutions, and Biosciences units, some contracts also contain minimum purchase commitments of reagents or other consumables and the future sales of these consumables represent additional unsatisfied performance obligations of the Company. The revenue attributable to the unsatisfied minimum purchase commitment-related…
- FY2025 10-K: …success depends upon our continued ability to identify, hire, develop, motivate and retain a talented, skilled and high-performing workforce with diverse backgrounds and experiences at all levels across our organization, worldwide, in the highly competitive medical technology industry. Our related human capital…
- BAX (BAXTER INTERNATIONAL INC)
- FY2025 10-K: …of new customer centric connected care and core therapy offerings. Connected care offerings include devices or software that can digitally connect, communicate and/or analyze data to help transform healthcare and improve patient outcomes, and we are continuing to build out our connected care portfolio offerings,…
- FY2025 10-K: …Products We currently manage our global operations based on three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies and Pharmaceuticals. The Medical Products & Therapies segment includes sales of our sterile IV solutions, infusion systems, administration sets, parenteral nutrition…
- ICUI (ICU MEDICAL INC/DE)
- FY2025 10-K: …the sale of a 60% interest in our IV Solutions business used to pay down a portion of our Term Loan A during the second quarter of 2025 (iii) $25.0 million payment on Term Loan B during the third quarter of 2025 and (iv) $30.0 million payment on Term Loan B during the fourth quarter of 2025. Credit Facilities and…
- FY2025 10-K: …we offer competitive salaries and benefit packages to our employees as well as select participation in incentive plans based on individual and company performance. We believe the development of our workforce is critical for personal growth and the success of our company as well. We reinforce this with challenging,…
- ITGR (INTEGER HOLDINGS CORPORATION)
- FY2025 10-K: …to our internal technology and capability development efforts aimed at providing our customers with differentiated solutions, we also engage outside research institutions for unique technology projects. - 7 - Table of Contents We believe our core business is well positioned because our OEM customers leverage our…
- FY2025 10-K: …date. These relationships were valued separately from goodwill at the amount that an independent third party would be willing to pay for these relationships. The fair value of customer relationships was determined using the multi-period excess-earnings method, a form of the income approach. For both acquisitions, the…
- MMSI (MERIT MEDICAL SYSTEMS INC)
- FY2025 10-K: …$ 5.4 million for the year ended December 31, 2024. The purchase price was allocated as follows (in thousands): Assets Acquired Intangible assets Developed technology $ 126,100 Trademarks 7,100 Customer list 11,100 Goodwill 65,897 Total assets acquired 210,197 …
- FY2025 10-K: …in reusable bulk containers, reducing intra-company shipping materials; ● reduction in water consumption at our water-stressed location in South Jordan, Utah by investing in campus-wide xeriscaping and water recirculation systems within our most water intensive operations; ● reduction in packaging materials by…
- HAE (HAEMONETICS CORPORATION)
- FY2025 10-K: …collection and manufacturing processes. As a result, we aim to design equipment that is durable, dependable, and easy to use and to provide comprehensive training and support to help our customers optimize their plasma collections. Today, nearly all source plasma collections worldwide are performed using automated…
- FY2025 10-K: 0 million, or $150.5 million net of cash acquired, the fair value of contingent consideration of $25.3 million, and $0.4 million of working capital adjustme nts. The contingent consideration is based on sales growth over the next three years, which is uncapped, and the achievement of certain other milestones. We…
Wellspect Healthcare (reported)
- BDX (BECTON DICKINSON & CO)
- FY2025 10-K: …life. To enable associates to take action in support of their overall well-being, our total rewards packages (which vary by level and location) include market-competitive pay, broad-based stock grants and bonuses, healthcare benefits and retirement savings plans, paid time off and family leave, flexible work…
- FY2025 10-K: …with a focus on positive impact to all stakeholders-customers, patients, employees, shareholders and communities; • Cultivating an inclusive work environment that welcomes and celebrates diverse backgrounds and perspectives; • Growing and enabling talent through training, development and reskilling strategies; and •…
- ICUI (ICU MEDICAL INC/DE)
- FY2025 10-K: …include Edwards Lifesciences, Belmont, Medical Technologies and Intersurgical plc. 12 Our ability to compete in this market will depend on our ability to continue to make technological advances to our products, thereby increasing customer efficiency, and our ability to provide product support and successful customer…
- FY2025 10-K: …is a member of the Nominating and Governance Committee. Ms. Hernandez is a retired healthcare executive with over 25 years of strategic healthcare experience. Ms. Hernandez joined Baxter Healthcare Corporation ("Baxter") in November of 2007 and has assumed a wide variety of strategic positions over her 10 years with…
- TFX (TELEFLEX INCORPORATED)
- FY2025 10-K: …commitments to employees, customers, patients and shareholders. We believe our compensation and benefits offering is aligned with competitive market pay levels and, along with our culture and Core Values, acts to incentivize the right behaviors and actions to achieve the best results for the organization. We…
- FY2025 10-K: …by reference to Exhibit 4.1.4 to the Company's Form 10-K filed on March 1, 2022). *4.1.5 - Ninth Supplemental Indenture, dated November 7, 2022, by and among Standard Bariatrics, Inc., Traverse Vascular, Inc., the Company and Computershare Trust Company, N.A. (as successor to Wells Fargo Bank, National Association)…
- MMSI (MERIT MEDICAL SYSTEMS INC)
- FY2025 10-K: …divisions; ● maintaining a highly disciplined, customer-focused enterprise guided by strong core values to globally address unmet or underserved healthcare needs; and ● creating a sustainable business for our employees, shareholders and community. We conduct our operations through a number of domestic and foreign…
- FY2025 10-K: Table of Contents wellness program available to all sites across the globe. Programs include providing health information from medical and nutrition experts, newsletters with wellness and dietary tips, and activities promoting health and wellbeing such as walking groups and fitness challenges. Some programs include…
- BAX (BAXTER INTERNATIONAL INC)
- FY2025 10-K: …Products We currently manage our global operations based on three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies and Pharmaceuticals. The Medical Products & Therapies segment includes sales of our sterile IV solutions, infusion systems, administration sets, parenteral nutrition…
- FY2025 10-K: …us-gaap:NonUsMember bax:HealthcareSystemsAndTechnologiesMember 2023-01-01 2023-12-31 0000010456 us-gaap:OperatingSegmentsMember bax:HealthcareSystemsAndTechnologiesMember 2023-01-01 2023-12-31 0000010456 us-gaap:OperatingSegmentsMember bax:InjectablesAndAnesthesiaMember country:US bax:PharmaceuticalsMember 2025-01-01…
Methodology Note
- Priced-in inversion: the valuation is inverted on the current price to recover the operating-income growth, duration, and steady-state margin the price embeds (ROE for financials, FFO growth for REITs).
- Valuation x-ray: the valuation models, grouped into four families (asset, earnings, relative, growth). Each model is expressed as a price/FV ratio (distance from price), not a point fair-value estimate. The spread across families is the disagreement.
- Economic-unit decomposition (SOTP): each disclosed business unit is assigned its native valuation basis before any multiple is applied. Operating units are valued on enterprise value; funded financial units are valued on their own common equity, because their borrowings fund earning assets rather than levering the parent. A company total is stated only once every material unit carries a supported value and the parent capital bridge reconciles.
- Solvency: net cash/debt, net-debt-to-NOPAT, interest coverage, and share-count CAGR from EDGAR financials (net debt / FFO and fixed-charge coverage for REITs; regulatory-capital framing for financials).
- Peer cohorts: per-segment comparables with deep-linkable SEC filing citations.
Fundamentals sourced from SEC EDGAR filings. Current price from Databento. The priced-in inversion and valuation x-ray are computed by the boothcheck engine; narrative composed by AI from the structured data.
Sources
Dentsply Sirona Q4 2025 results, February 2026 · Dentsply Sirona 2026 guidance