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Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Sep. 28, 2019
Accounting Policies [Abstract] |
Supplemental Cash Flow Statement Information | Supplemental Cash Flow Statement Information
|  | Years ended
September 28, 2019 |  | September 29, 2018 |  | September 30, 2017
Cash paid during the period for income taxes |  | $ | 180.6 |  |  | $ | 178.2 |  |  | $ | 867.8 |
Cash paid during the period for interest |  | $ | 132.5 |  |  | $ | 122.1 |  |  | $ | 102.4 |
Schedule of Inventories | Inventories consisted of the following:
|  | September 28, 2019 |  | September 29, 2018
Raw materials |  | $ | 166.1 |  |  | $ | 134.9 |
Work-in-process |  | 54.5 |  |  | 52.1 |
Finished goods |  | 224.3 |  |  | 197.1 |
|  | $ | 444.9 |  |  | $ | 384.1 |
Schedule of Property, Plant and Equipment | Property, plant and equipment consisted of the following:
| Estimated Useful Life |  | September 28, 2019 |  | September 29, 2018
Equipment | 3–10 years |  | $ | 379.2 |  |  | $ | 391.9 |
Equipment under customer usage agreements | 3–8 years |  | 435.5 |  |  | 399.6 |
Buildings and improvements | 20–35 years |  | 196.7 |  |  | 175.1 |
Leasehold improvements | Shorter of the Original Term of Lease or Estimated Useful Life |  | 61.7 |  |  | 63.0 |
Land |  |  | 46.3 |  |  | 46.3 |
Furniture and fixtures | 5–7 years |  | 17.5 |  |  | 18.4 |
|  |  | 1,136.9 |  |  | 1,094.3 |
Less - accumulated depreciation and amortization |  |  | (666.0 | ) |  | (616.1 | )
|  |  | $ | 470.9 |  |  | $ | 478.2 |
Schedule of Intangible Assets | Intangible assets consisted of the following:
|  | September 28, 2019 |  | September 29, 2018
Description |  | Gross Carrying Value |  | Accumulated Amortization |  | Gross Carrying Value |  | Accumulated Amortization
Acquired intangible assets: |  |  |  |  |  |  |  |
Developed technology |  | $ | 3,927.7 |  |  | $ | 2,654.8 |  |  | $ | 4,573.3 |  |  | $ | 2,505.8 |
In-process research and development |  | — |  |  | — |  |  | 5.5 |  |  | — |
Customer relationships |  | 525.5 |  |  | 447.5 |  |  | 556.5 |  |  | 428.1 |
Trade names |  | 245.4 |  |  | 171.1 |  |  | 312.5 |  |  | 175.0 |
Distribution agreement |  | 2.5 |  |  | — |  |  | 42.0 |  |  | 8.0 |
Non-competition agreements |  | 1.4 |  |  | 0.9 |  |  | 1.5 |  |  | 0.5 |
Business licenses |  | 2.3 |  |  | 2.2 |  |  | 2.4 |  |  | 2.2 |
Total acquired intangible assets |  | $ | 4,704.8 |  |  | $ | 3,276.5 |  |  | $ | 5,493.7 |  |  | $ | 3,119.6 |
Internal-use software |  | 53.9 |  |  | 43.4 |  |  | 58.5 |  |  | 49.3 |
Capitalized software embedded in products |  | 27.9 |  |  | 6.9 |  |  | 19.6 |  |  | 4.3 |
Total intangible assets |  | $ | 4,786.6 |  |  | $ | 3,326.8 |  |  | $ | 5,571.8 |  |  | $ | 3,173.2 |
Schedule of Estimated Amortization Expense | The estimated amortization expense at September 28, 2019 for each of the five succeeding fiscal years was as follows:
Fiscal 2020 | $ | 295.5 |
Fiscal 2021 | $ | 274.2 |
Fiscal 2022 | $ | 263.8 |
Fiscal 2023 | $ | 166.2 |
Fiscal 2024 | $ | 143.1 |
Rollforward of Goodwill Activity by Reportable Segment | A rollforward of goodwill activity by reportable segment from September 29, 2018 to September 28, 2019 is as follows:
| Diagnostics |  | Breast Health |  | Medical Aesthetics |  | GYN Surgical |  | Skeletal Health |  | Total
Balance at September 29, 2018 | $ | 821.2 |  |  | $ | 689.5 |  |  | $ | — |  |  | $ | 1,014.4 |  |  | $ | 8.1 |  |  | $ | 2,533.2 |
Faxitron acquisition adjustment | — |  |  | 3.9 |  |  | — |  |  | — |  |  | — |  |  | 3.9 |
Focal acquisition | — |  |  | 31.1 |  |  | — |  |  | — |  |  | — |  |  | 31.1 |
Foreign currency and other adjustments | (2.0 | ) |  | (2.3 | ) |  | — |  |  | (0.2 | ) |  | — |  |  | (4.5 | )
Balance at September 28, 2019 | $ | 819.2 |  |  | $ | 722.2 |  |  | $ | — |  |  | $ | 1,014.2 |  |  | $ | 8.1 |  |  | $ | 2,563.7 |
Schedule of Other Assets | Other assets consisted of the following:
|  | September 28, 2019 |  | September 29, 2018
Other Assets |  |  |  |
Life insurance contracts |  | $ | 44.6 |  |  | $ | 44.2 |
Deferred tax assets |  | 17.2 |  |  | 12.9 |
Cost-method equity investments |  | 11.4 |  |  | 8.8 |
Equity-method investment and loans to SSI (note 4) |  | 42.7 |  |  | — |
Other |  | 38.7 |  |  | 31.8 |
|  | $ | 154.6 |  |  | $ | 97.7 |
Changes in accumulated balances of other comprehensive income | The following tables summarize the components and changes in accumulated balances of other comprehensive loss for the periods presented:
| Year Ended September 28, 2019 |  | Year Ended September 29, 2018
| Foreign Currency Translation |  | Pension Plans |  | Hedged Interest Rate Caps |  | Hedged Interest Rate Swaps |  | Total |  | Foreign Currency Translation |  | Marketable Securities |  | Pension Plans |  | Hedged Interest Rate Caps |  | Total
Beginning Balance | $ | (26.6 | ) |  | $ | (1.1 | ) |  | $ | 2.2 |  |  | $ | — |  |  | $ | (25.5 | ) |  | $ | (18.5 | ) |  | $ | (0.4 | ) |  | $ | (1.6 | ) |  | $ | 4.3 |  |  | $ | (16.2 | )
Other comprehensive loss before reclassifications | (14.8 | ) |  | (0.6 | ) |  | (8.0 | ) |  | 3.5 |  |  | (19.9 | ) |  | (8.1 | ) |  | — |  |  | 0.5 |  |  | (5.7 | ) |  | (13.3 | )
Charges (gains) reclassified to statement of operations | — |  |  | — |  |  | 3.1 |  |  | — |  |  | 3.1 |  |  | — |  |  | 0.4 |  |  | — |  |  | 3.6 |  |  | 4.0 |
Ending Balance | $ | (41.4 | ) |  | $ | (1.7 | ) |  | $ | (2.7 | ) |  | $ | 3.5 |  |  | $ | (42.3 | ) |  | $ | (26.6 | ) |  | $ | — |  |  | $ | (1.1 | ) |  | $ | 2.2 |  |  | $ | (25.5 | )
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 28, 2019:
| Balance Sheet Location |  | September 28, 2019 |  | September 29, 2018 |
Assets: |  |  |  |  |
Derivative instruments designated as a cash flow hedge: |  |  |  |  |
Interest rate cap agreements | Prepaid expenses and other current assets |  | $ | 0.1 |  |  | $ | 6.0 |
Interest rate cap agreements | Other assets |  | — |  |  | 1.7 |
Interest rate swap contract | Other assets |  | $ | 4.7 |  |  | $ | — |
|  |  | $ | 4.8 |  |  | $ | 7.7 |
Derivatives not designated as hedging instruments: |  |  |  |  |
Forward foreign currency contracts | Prepaid expenses and other current assets |  | $ | 0.9 |  |  | $ | 3.2 |
Foreign currency option contracts | Prepaid expenses and other current assets |  | 2.0 |  |  | — |
|  |  | $ | 2.9 |  |  | $ | 3.2 |
Liabilities: |  |  |  |  |
Derivatives not designated as hedging instruments: |  |  |  |  |
Forward foreign currency contracts | Accrued expenses |  | $ | 0.1 |  |  | $ | 0.2 |
Schedule of Unrealized Loss Recognized in AOCI | The following table presents the unrealized gain (loss) recognized in AOCI related to the interest rate caps and interest rate swap for the following reporting periods:
| Year Ended September 28, 2019 |  | Year Ended September 29, 2018 |  | Year Ended September 30, 2017
Amount of gain (loss) recognized in other comprehensive income (loss), net of taxes: |  |  |  |  |
Interest rate swap | $ | 3.5 |  |  | $ | — |  |  | $ | — |
Interest rate cap agreements | (8.0 | ) |  | (5.7 | ) |  | 0.8 |
Total | $ | (4.5 | ) |  | $ | (5.7 | ) |  | $ | 0.8 |
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 28, 2019 |  | Year Ended September 29, 2018 |  | Year Ended September 30, 2017 |  |
Forward foreign currency contracts |  | $ | 8.8 |  |  | $ | 5.3 |  |  | $ | 0.5 |  |  | Other income, net
Foreign currency option contracts |  | 0.1 |  |  | — |  |  | — |  |  | Other income, net
|  | $ | 8.9 |  |  | $ | 5.3 |  |  | $ | 0.5 |  |  |
Accounts Receivable Reserve Activity | Accounts receivable reserve activity for fiscal 2019, 2018 and 2017 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 28, 2019 |  | $ | 16.2 |  |  | $ | 4.4 |  |  | $ | (2.8 | ) |  | $ | 17.8 |
September 29, 2018 |  | $ | 9.8 |  |  | $ | 7.0 |  |  | $ | (0.6 | ) |  | $ | 16.2 |
September 30, 2017 |  | $ | 12.7 |  |  | $ | 1.8 |  |  | $ | (4.7 | ) |  | $ | 9.8 |
Schedule of Reconciliation of Basic and Diluted Share Amounts | A reconciliation of basic and diluted share amounts for fiscal 2019, 2018, and 2017 was as follows:
|  | September 28, 2019 |  | September 29, 2018 |  | September 30, 2017
Basic weighted average common shares outstanding |  | 269,413 |  |  | 275,105 |  |  | 279,811 |
Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units |  | — |  |  | — |  |  | 2,885 |
Incremental shares from convertible notes premium |  | — |  |  | — |  |  | 2,957 |
Diluted weighted average common shares outstanding |  | 269,413 |  |  | 275,105 |  |  | 285,653 |
Weighted-average anti-dilutive shares related to: |  |  |  |  |  |
Outstanding stock options and stock units |  | 4,098 |  |  | 5,073 |  |  | 1,677 |
Convertible notes |  | — |  |  | 703 |  |  | 12 |
Schedule of Product Warranty Activity | Product warranty activity for fiscal 2019 and 2018 was as follows:
|  | Balance at Beginning of Period |  | Provisions |  | Settlements/ Adjustments |  | Balance at End of Period
Period ended: |  |  |  |  |  |  |  |
September 28, 2019 |  | $ | 15.9 |  |  | $ | 14.1 |  |  | $ | (16.1 | ) |  | $ | 13.9 |
September 29, 2018 |  | $ | 17.0 |  |  | $ | 18.3 |  |  | $ | (19.4 | ) |  | $ | 15.9 |

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