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SEGMENT AND GEOGRAPHIC INFORMATION (Tables)
12 Months Ended
Dec. 31, 2023
Segment Reporting [Abstract]  
Schedule of Net Sales
The Company’s segment information for the years ended December 31 was as follows:
Net SalesYear Ended December 31,
(in millions)202320222021
Connected Technology Solutions$1,169 $1,219 $1,348 
Essential Dental Solutions1,468 1,427 1,516 
Orthodontic and Implant Solutions1,040 1,006 1,064 
Wellspect Healthcare288 270 303 
Total net sales$3,965 $3,922 $4,231 
Schedule of Depreciation and Amortization
Depreciation and AmortizationYear Ended December 31,
(in millions)202320222021
Connected Technology Solutions$176 $172 $185 
Essential Dental Solutions33 31 41 
Orthodontic and Implant Solutions97 90 83 
Wellspect Healthcare18 21 24 
All Other (a)
19 14 14 
Total$343 $328 $347 
(a) Includes amounts recorded at corporate headquarters.
Schedule of Segment Adjusted Operating Income
Segment Adjusted Operating IncomeYear Ended December 31,
(in millions)202320222021
Connected Technology Solutions$101 $161 $267 
Essential Dental Solutions478 467 511 
Orthodontic and Implant Solutions156 193 217 
Wellspect Healthcare87 73 87 
Segment adjusted operating income$822 $894 $1,082 
Reconciling items (income) expense:   
All other (a)
319 318 229 
Goodwill and intangible asset impairments307 1,287 — 
Restructuring and other costs67 14 17 
Interest expense, net81 65 49 
Other expense (income), net53 14 
Amortization of intangible assets211 209 222 
Depreciation resulting from the fair value step-up of property,
plant, and equipment from business combinations
(Loss) income before income taxes$(175)$(1,055)$545 
(a) Includes the results of unassigned corporate headquarters costs.
Schedule of Net Sales and Long Lived Assets by Geographic Location
The following tables set forth information about the Company’s significant operations by geographic areas, for the years ended December 31, 2023, 2022, and 2021. Net sales reported below represent revenues from external customers in those respective countries based on the destination of shipments.
Year Ended December 31,
(in millions)202320222021
Net sales
United States$1,437 $1,393 $1,484 
Germany 431 447 482 
Other Foreign2,097 2,082 2,265 
Total net sales$3,965 $3,922 $4,231 
Property, plant and equipment, net, represents those long-lived assets held by the operating businesses located in the respective geographic areas.
Year Ended December 31,
(in millions)202320222021
Property, plant, and equipment, net
United States$194 $174 $166 
Germany 260 275 309 
Sweden105 98 107 
Other Foreign241 214 191 
Total property, plant, and equipment, net$800 $761 $773 
Schedules of Concentration Risk
Customers that accounted for 10% or more of net sales or accounts receivable for the years ended December 31, 2023 and 2022 were as follows:

Year Ended December 31,
20232022
% of net sales% of accounts receivable% of net sales% of accounts receivable
Henry Schein, Inc.14 %11 %11 %15 %
Patterson Companies, Inc.N/A10 %N/A12 %