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Summary of Significant Accounting Policies (Tables)
 12 Months Ended
Sep. 29, 2018
Accounting Policies [Abstract]  
Supplemental Cash Flow Statement Information
Supplemental Cash Flow Statement Information
 
 
 
Years ended
September 29, 2018
 
September 30, 2017
 
September 24, 2016
Cash paid during the period for income taxes
 
$
178.2

 
$
867.8

 
$
184.8

Cash paid during the period for interest
 
$
122.1

 
$
102.4

 
$
104.0
Schedule of Inventories
Inventories consisted of the following:
 
 
 
September 29, 2018
 
September 30, 2017
Raw materials
 
$
134.9

 
$
95.7

Work-in-process
 
52.1

 
45.0

Finished goods
 
197.1

 
190.9

 
 
$
384.1

 
$
331.6
Schedule of Property, Plant and Equipment
Property, plant and equipment consisted of the following:
 
 
September 29, 2018
 
September 30, 2017
Equipment
 
$
391.9

 
$
357.9

Equipment under customer usage agreements
 
399.6

 
368.7

Buildings and improvements
 
175.1

 
172.0

Leasehold improvements
 
63.0

 
60.6

Land
 
46.3

 
46.3

Furniture and fixtures
 
18.4

 
20.8

 
 
1,094.3

 
1,026.3

Less - accumulated depreciation and amortization
 
(616.1
)
 
(553.5
)
 
 
$
478.2

 
$
472.8

Property, plant and equipment are depreciated over the following estimated useful lives:
Asset Classification
  
Estimated Useful Life
Building and improvements
  
20–35 years
Equipment
  
3–10 years
Equipment under customer usage agreements
  
3–8 years
Furniture and fixtures
  
5–7 years
Leasehold improvements
  
Shorter of the Original Term of Lease
or Estimated Useful Life
Schedule of Intangible Assets
Intangible assets consisted of the following:
 
  
 
September 29, 2018
 
September 30, 2017
Description
 
Gross
Carrying
Value
 
Accumulated
Amortization
 
Gross
Carrying
Value
 
Accumulated
Amortization
Acquired intangible assets:
 
 
 
 
 
 
 
 
Developed technology
 
$
4,573.3

 
$
2,505.8

 
$
4,528.7

 
$
2,186.8

In-process research and development
 
5.5

 
—

 
46.0

 
—

Customer relationships
 
556.5

 
428.1

 
552.8

 
393.8

Trade names
 
312.5

 
175.0

 
310.3

 
156.4

Distribution agreement
 
42.0

 
8.0

 
42.0

 
2.8

Non-competition agreements
 
1.5

 
0.5

 
1.5

 
0.1

Business licenses
 
2.4

 
2.2

 
2.4

 
2.2

Total acquired intangible assets
 
$
5,493.7


$
3,119.6


$
5,483.7


$
2,742.1

 
 
 
 
 
 
 
 
 
Internal-use software
 
58.5

 
49.3

 
64.5

 
46.1

Capitalized software embedded in products
 
19.6

 
4.3

 
14.3

 
2.0

Total intangible assets
 
$
5,571.8

 
$
3,173.2

 
$
5,562.5

 
$
2,790.2
Schedule of Estimated Amortization Expense
The estimated amortization expense at September 29, 2018 for each of the five succeeding fiscal years was as follows:
 
Fiscal 2019
$
370.9

Fiscal 2020
$
359.8

Fiscal 2021
$
338.2

Fiscal 2022
$
325.4

Fiscal 2023
$
226.0
Rollforward of Goodwill Activity by Reportable Segment
A rollforward of goodwill activity by reportable segment from September 30, 2017 to September 29, 2018 is as follows:
 
 
Diagnostics
 
Breast Health
 
Medical Aesthetics
 
GYN Surgical
 
Skeletal Health
 
Total
Balance at September 30, 2017
$
823.0

 
$
641.5

 
$
683.5

 
$
1,015.1

 
$
8.1

 
$
3,171.2

Faxitron acquisition
—

 
41.6

 
—

 
—

 
—

 
41.6

Emsor acquisition
—

 
5.7

 
—

 
—

 
—

 
5.7

Impairment charge
—

 
—

 
(685.7
)
 
—

 
—

 
(685.7
)
Foreign currency and other adjustments
(1.8
)
 
0.7

 
2.2

 
(0.7
)
 
—

 
0.4

Balance at September 29, 2018
$
821.2


$
689.5


$
—

 
$
1,014.4


$
8.1

 
$
2,533.2
Schedule of Other Assets
Other assets consisted of the following:
 
 
 
September 29, 2018
 
September 30, 2017
Other Assets
 
 
 
 
Life insurance contracts
 
$
44.2

 
$
41.0

Deferred tax assets
 
12.9

 
9.1

Cost-method equity investments
 
8.8

 
3.0

Manufacturing access fees
 
4.6

 
7.1

Other
 
27.2

 
24.5

 
 
$
97.7

 
$
84.7
Changes in accumulated balances of other comprehensive income
The following tables summarize the components and changes in accumulated balances of other comprehensive income for the periods presented:
 
Year Ended September 29, 2018
 
Year Ended September 30, 2017
 
Foreign Currency Translation
 
Marketable Securities
 
Pension Plans
 
Hedged Interest Rate Caps
 
Total
 
Foreign Currency Translation
 
Marketable Securities
 
Pension Plans
 
Hedged Interest Rate Caps
 
Total
Beginning Balance
$
(18.5
)
 
$
(0.4
)
 
$
(1.6
)
 
$
4.3

 
$
(16.2
)
 
$
(26.1
)
 
$
(0.3
)
 
$
(2.5
)
 
$
(3.4
)
 
$
(32.3
)
Other comprehensive loss before reclassifications
(8.1
)
 
—

 
0.5

 
(5.7
)
 
(13.3
)
 
7.6

 
2.3

 
0.9

 
0.8

 
11.6

Charges (gains) reclassified to statement of operations
—

 
0.4

 
—

 
3.6

 
4.0

 
—

 
(2.4
)
 
—

 
6.9

 
4.5

Ending Balance
$
(26.6
)
 
$
—

 
$
(1.1
)
 
$
2.2

 
$
(25.5
)
 
$
(18.5
)
 
$
(0.4
)
 
$
(1.6
)
 
$
4.3

 
$
(16.2
)
Schedule of Derivative Instruments on the Consolidated Balance Sheets
The table below presents the fair value of the Company's derivative financial instruments as well as their classification on the balance sheet as of September 29, 2018:
 
Balance Sheet Location
 
September 29, 2018
 
September 30, 2017

Assets:
 
 
 
 
 
Derivative instruments designated as a cash flow hedge:
 
 
 
 
 
Interest rate cap agreements
Prepaid expenses and other current assets
 
$
6.0

 
$
3.6

Interest rate cap agreements
Other Assets
 
1.7

 
1.2

 
 
 
$
7.7

 
$
4.8

 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 
 
 
 
 
Forward foreign currency contracts
Prepaid expenses and other current assets
 
$
3.2

 
$
0.4

 
 
 
 
 
 
Liabilities:
 
 
 
 
 
Derivatives not designated as hedging instruments:
 
 
 
 
 
Forward foreign currency contracts
Accrued expenses
 
$
0.2

 
$
4.0
Schedule of Unrealized Loss Recognized in AOCI
The following table presents the unrealized (gain) loss recognized in AOCI related to the interest rate caps for the following reporting periods:
 
Year Ended
September 29, 2018
 
Year Ended
September 30, 2017
Year Ended
September 24, 2016
Amount of (gain) loss recognized in other comprehensive (loss) income, net of taxes:
 
 
 
 
Interest rate cap agreements
$
(5.7
)
 
$
0.8

$
(3.4
)
Gain (Loss) on Fair Value Hedges Recognized in Earnings
The following table presents the adjustment to fair value (realized and unrealized) recorded within the Consolidated Statements of Operations for derivative instruments for which the Company did not elect hedge accounting:
Derivatives not classified as hedging instruments
 
 
 
 
Location of Gain Recognized in Income
 
 
Year Ended
September 29, 2018
 
Year Ended
September 30, 2017
 
Year Ended
September 24, 2016
 
 
Forward foreign currency contracts
 
$
5.3

 
$
0.5

 
$
0.4

 
Other income, net
Accounts Receivable Reserve Activity
Accounts receivable reserve activity for fiscal 2018, 2017 and 2016 was as follows:
 
 
 
Balance at
Beginning
of Period
 
Charged to
Costs and
Expenses
 
Write-
offs and
Payments
 
Balance at
End of
Period
Period Ended:
 
 
 
 
 
 
 
 
September 29, 2018
 
$
9.8

 
$
7.0

 
$
(0.6
)
 
$
16.2

September 30, 2017
 
$
12.7

 
$
1.8

 
$
(4.7
)
 
$
9.8

September 24, 2016
 
$
11.1

 
$
2.0

 
$
(0.4
)
 
$
12.7
Schedule of Reconciliation of Basic and Diluted Share Amounts
A reconciliation of basic and diluted share amounts for fiscal 2018, 2017, and 2016 was as follows:
 
 
September 29, 2018
 
September 30, 2017
 
September 24, 2016
Basic weighted average common shares outstanding
 
275,105

 
279,811

 
280,213

Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units
 
—

 
2,885

 
2,631

Incremental shares from convertible notes premium
 
—

 
2,957

 
3,312

Diluted weighted average common shares outstanding
 
275,105

 
285,653

 
286,156

Weighted-average anti-dilutive shares related to:
 
 
 
 
 
 
Outstanding stock options and stock units
 
5,073

 
1,677

 
1,029

Convertible notes
 
703

 
12

 
62
Schedule of Product Warranty Activity
Product warranty activity for fiscal 2018 and 2017 was as follows:
 
 
 
Balance at
Beginning of
Period
 
Acquired
 
Provisions
 
Settlements/
Adjustments
 
Balance at End
of Period
Period ended:
 
 
 
 
 
 
 
 
 
 
September 29, 2018
 
$
17.0

 
$
—

 
$
18.3

 
$
(19.4
)
 
$
15.9

September 30, 2017
 
$
5.0

 
$
9.9

 
$
15.3

 
$
(13.2
)
 
$
17.0