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Summary of Significant Accounting Policies (Tables)
 12 Months Ended
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