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Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Sep. 26, 2020
Accounting Policies [Abstract] |
Supplemental Cash Flow Statement Information | Supplemental Cash Flow Statement Information
|  | Years ended |  |
September 26, 2020 |  | September 28, 2019 |  | September 29, 2018 |  |
Cash paid during the period for income taxes |  | $ | 265.9 |  |  | $ | 180.6 |  |  | $ | 178.2 |  |  |
Cash paid during the period for interest |  | $ | 109.5 |  |  | $ | 132.5 |  |  | $ | 122.1 |  |  |
Non-Cash Financing Activities: |  |  |  |  |  |  |  |
Fair value of contingent consideration at acquisition |  | $ | 82.7 |  |  | $ | — |  |  | $ | 7.8 |  |  |
Schedule of Inventories | Inventories consisted of the following:
|  | September 26, 2020 |  | September 28, 2019
Raw materials |  | $ | 152.3 |  |  | $ | 166.1 |
Work-in-process |  | 46.5 |  |  | 54.5 |
Finished goods |  | 196.3 |  |  | 224.3 |
|  | $ | 395.1 |  |  | $ | 444.9 |
Schedule of Property, Plant and Equipment | Property, plant and equipment consisted of the following:
| Estimated Useful Life |  | September 26, 2020 |  | September 28, 2019
Equipment | 3–10 years |  | $ | 460.7 |  |  | $ | 379.2 |
Equipment under customer usage agreements | 3–8 years |  | 456.8 |  |  | 427.5 |
Buildings and improvements | 20–35 years |  | 167.3 |  |  | 196.7 |
Leasehold improvements | Shorter of the Original Term of Lease or Estimated Useful Life |  | 44.3 |  |  | 61.7 |
Land |  |  | 40.7 |  |  | 46.3 |
Furniture and fixtures | 5–7 years |  | 16.1 |  |  | 17.5 |
|  |  | 1,185.9 |  |  | 1,128.9 |
Less - accumulated depreciation and amortization |  |  | (694.4) |  |  | (658.0) |
|  |  | $ | 491.5 |  |  | $ | 470.9 |
Schedule of Intangible Assets | Intangible assets consisted of the following:
|  | September 26, 2020 |  | September 28, 2019
Description |  | Gross Carrying Value |  | Accumulated Amortization |  | Gross Carrying Value |  | Accumulated Amortization
Acquired intangible assets: |  |  |  |  |  |  |  |
Developed technology |  | $ | 4,054.0 |  |  | $ | 2,907.2 |  |  | $ | 3,927.7 |  |  | $ | 2,654.8 |
Customer relationships |  | 549.1 |  |  | 477.8 |  |  | 525.5 |  |  | 447.5 |
Trade names |  | 245.5 |  |  | 181.2 |  |  | 245.4 |  |  | 171.1 |
Distribution agreement |  | — |  |  | — |  |  | 2.5 |  |  | — |
Non-competition agreements |  | 1.5 |  |  | 1.3 |  |  | 1.4 |  |  | 0.9 |
Business licenses |  | 2.4 |  |  | 2.3 |  |  | 2.3 |  |  | 2.2 |
Total acquired intangible assets |  | $ | 4,852.5 |  |  | $ | 3,569.8 |  |  | $ | 4,704.8 |  |  | $ | 3,276.5 |
Internal-use software |  | 51.8 |  |  | 43.2 |  |  | 53.9 |  |  | 43.4 |
Capitalized software embedded in products |  | 26.8 |  |  | 10.6 |  |  | 27.9 |  |  | 6.9 |
Total intangible assets |  | $ | 4,931.1 |  |  | $ | 3,623.6 |  |  | $ | 4,786.6 |  |  | $ | 3,326.8 |
Schedule of Estimated Amortization Expense | The estimated amortization expense at September 26, 2020 for each of the five succeeding fiscal years was as follows:
Fiscal 2021 | $ | 283.5 |
Fiscal 2022 | $ | 273.1 |
Fiscal 2023 | $ | 176.0 |
Fiscal 2024 | $ | 164.6 |
Fiscal 2025 | $ | 151.1 |
Rollforward of Goodwill Activity by Reportable Segment | A rollforward of goodwill activity by reportable segment from September 28, 2019 to September 26, 2020 is as follows:
| Diagnostics |  | Breast Health |  | GYN Surgical |  | Skeletal Health |  | Total
Balance at September 28, 2019 | $ | 819.2 |  |  | $ | 722.2 |  |  | $ | 1,014.2 |  |  | $ | 8.1 |  |  | $ | 2,563.7 |
SuperSonic Imagine acquisition | — |  |  | 34.3 |  |  | — |  |  | — |  |  | 34.3 |
Health Beacons acquisition | — |  |  | 6.2 |  |  | — |  |  | — |  |  | 6.2 |
Acessa Health acquisition | — |  |  | — |  |  | 48.4 |  |  | — |  |  | 48.4 |
Foreign currency and other adjustments | 2.4 |  |  | 2.1 |  |  | 0.8 |  |  | — |  |  | 5.3 |
Balance at September 26, 2020 | $ | 821.6 |  |  | $ | 764.8 |  |  | $ | 1,063.4 |  |  | $ | 8.1 |  |  | $ | 2,657.9 |
Schedule of Other Assets | Other assets consisted of the following:
|  | September 26, 2020 |  | September 28, 2019
Other Assets |  |  |  |
Tax receivable |  | $ | 325.7 |  |  | $ | — |
Right of use assets |  | 80.7 |  |  | — |
Life insurance contracts |  | 49.3 |  |  | 44.6 |
Deferred tax assets |  | 15.5 |  |  | 17.2 |
Cost-method equity investments |  | 11.4 |  |  | 11.4 |
Equity-method investment and loans to SSI (Note 5) |  | — |  |  | 42.7 |
Other |  | 34.0 |  |  | 38.7 |
|  | $ | 516.6 |  |  | $ | 154.6 |
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 26, 2020 |  | Year Ended September 28, 2019
| Foreign Currency Translation |  | Pension Plans |  | Hedged Interest Rate Caps |  | Hedged Interest Rate Swaps |  | Total |  | Foreign Currency Translation |  | Pension Plans |  | Hedged Interest Rate Caps |  | Hedged Interest Rate Swaps |  | Total
Beginning Balance | $ | (41.4) |  |  | $ | (1.7) |  |  | $ | (2.7) |  |  | $ | 3.5 |  |  | $ | (42.3) |  |  | $ | (26.6) |  |  | $ | (1.1) |  |  | $ | 2.2 |  |  | $ | — |  |  | $ | (25.5) |
Other comprehensive loss before reclassifications | 18.5 |  |  | (0.1) |  |  | (0.5) |  |  | (27.6) |  |  | (9.7) |  |  | (14.8) |  |  | (0.6) |  |  | (8.0) |  |  | 3.5 |  |  | (19.9) |
Charges (gains) reclassified to statement of operations | — |  |  | — |  |  | 2.3 |  |  | — |  |  | 2.3 |  |  | — |  |  | — |  |  | 3.1 |  |  | — |  |  | 3.1 |
Ending Balance | $ | (22.9) |  |  | $ | (1.8) |  |  | $ | (0.9) |  |  | $ | (24.1) |  |  | $ | (49.7) |  |  | $ | (41.4) |  |  | $ | (1.7) |  |  | $ | (2.7) |  |  | $ | 3.5 |  |  | $ | (42.3) |
Schedule of Accumulated Other Comprehensive Income (Loss) Related to Derivatives |
| Years Ended
| September 26, 2020 |  | September 28. 2019 |  | September 29. 2018
Amount of realized (loss) gain recognized in income |  |  |  |  |
Forward foreign currency contracts | $ | 0.7 |  |  | $ | 11.0 |  |  | $ | (1.3) |
Foreign currency option contracts | (1.9) |  |  | — |  |  | — |
Total | $ | (1.2) |  |  | $ | 11.0 |  |  | $ | (1.3) |
Amount of unrealized gain (loss) recognized in income |  |  |  |  |
Forward foreign currency contracts | $ | (0.2) |  |  | $ | (2.2) |  |  | $ | 6.6 |
Foreign currency option contracts | 4.0 |  |  | 0.1 |  |  | — |
Total | $ | 3.8 |  |  | $ | (2.1) |  |  | $ | 6.6 |
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 26, 2020:
| Balance Sheet Location |  | September 26, 2020 |  | September 28, 2019
Assets: |  |  |  |  |
Derivative instruments designated as a cash flow hedge: |  |  |  |  |
Interest rate cap agreements | Prepaid expenses and other current assets |  | $ | — |  |  | $ | 0.1 |
Interest rate swap contract | Other assets |  | $ | — |  |  | $ | 4.7 |
|  |  | $ | — |  |  | $ | 4.8 |
Derivatives not designated as hedging instruments: |  |  |  |  |
Forward foreign currency contracts | Prepaid expenses and other current assets |  | $ | 1.1 |  |  | $ | 0.9 |
Foreign currency option contracts | Prepaid expenses and other current assets |  | 10.1 |  |  | 2.0 |
|  |  | $ | 11.2 |  |  | $ | 2.9 |
Liabilities: |  |  |  |  |
Derivative instruments designated as a cash flow hedge: |  |  |  |  |
Interest rate swap contract | Accrued expenses |  | $ | 8.2 |  |  | $ | — |
Interest rate swap contract | Other long-term liabilities |  | 23.0 |  |  | — |
Total |  |  | $ | 31.2 |  |  | $ | — |
Derivatives not designated as hedging instruments: |  |  |  |  |
Forward foreign currency contracts | Accrued expenses |  | $ | — |  |  | $ | 0.1 |
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:
| Years Ended
| September 26, 2020 |  | September 28, 2019 |  | September 29, 2018
Amount of gain (loss) recognized in other comprehensive income (loss), net of taxes: |  |  |  |  |
Interest rate swap | $ | (27.6) |  |  | $ | 3.5 |  |  | $ | — |
Interest rate cap agreements | (0.5) |  |  | (8.0) |  |  | (5.7) |
Total | $ | (28.1) |  |  | $ | (4.5) |  |  | $ | (5.7) |
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 |  | Years Ended |  | Location of Gain Recognized in Income
|  | September 26, 2020 |  | September 28, 2019 |  | September 29, 2018 |  |
Forward foreign currency contracts |  | $ | 0.5 |  |  | $ | 8.8 |  |  | $ | 5.3 |  |  | Other income, net
Foreign currency option contracts |  | 2.1 |  |  | 0.1 |  |  | — |  |  | Other income, net
|  | $ | 2.6 |  |  | $ | 8.9 |  |  | $ | 5.3 |  |  |
Accounts Receivable Reserve Activity | Accounts receivable reserve activity for fiscal 2020, 2019 and 2018 was as follows:
|  | Balance at Beginning of Period |  | Charged to Costs and Expenses |  | Divested |  | Write- offs and Payments |  | Balance at End of Period
Period Ended: |  |  |  |  |  |  |  |  |  |
September 26, 2020 |  | $ | 17.8 |  |  | $ | 26.8 |  |  | $ | (5.8) |  |  | $ | (7.2) |  |  | $ | 31.6 |
September 28, 2019 |  | $ | 16.2 |  |  | $ | 4.4 |  |  | $ | — |  |  | $ | (2.8) |  |  | $ | 17.8 |
September 29, 2018 |  | $ | 9.8 |  |  | $ | 7.0 |  |  | $ | — |  |  | $ | (0.6) |  |  | $ | 16.2 |
Schedule of Reconciliation of Basic and Diluted Share Amounts | A reconciliation of basic and diluted share amounts for fiscal 2020, 2019, and 2018 was as follows:
|  | September 26, 2020 |  | September 28, 2019 |  | September 29, 2018
Basic weighted average common shares outstanding |  | 262,727 |  |  | 269,413 |  |  | 275,105 |
Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units |  | 1,886 |  |  | — |  |  | — |
Diluted weighted average common shares outstanding |  | 264,613 |  |  | 269,413 |  |  | 275,105 |
Weighted-average anti-dilutive shares related to: |  |  |  |  |  |
Outstanding stock options and stock units |  | 1,158 |  |  | 4,098 |  |  | 5,073 |
Convertible notes |  | — |  |  | — |  |  | 703 |
Schedule of Product Warranty Activity | Product warranty activity for fiscal 2020 and 2019 was as follows:
|  | Balance at Beginning of Period |  |  |  | Provisions |  | Acquired |  | Divested |  | Settlements/ Adjustments |  | Balance at End of Period
Period ended: |  |  |  |  |  |  |  |  |  |  |  |  |  |
September 26, 2020 |  | $ | 13.9 |  |  |  |  | $ | 11.7 |  |  | $ | 0.5 |  |  | $ | (6.1) |  |  | $ | (10.1) |  |  | $ | 9.9 |
September 28, 2019 |  | $ | 15.9 |  |  |  |  | $ | 14.1 |  |  | $ | — |  |  | $ | — |  |  | $ | (16.1) |  |  | $ | 13.9 |

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