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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Sep. 24, 2022

Accounting Policies [Abstract]

Supplemental Cash Flow Statement Information

Supplemental Cash Flow Statement Information

						Years ended
						September 24, 2022						September 25, 2021						September 26, 2020
Cash paid during the period for income taxes						$	36.2					$	615.1					$	265.9
Cash paid during the period for interest						$	99.7					$	93.2					$	109.5
Non-Cash Financing Activities:
Fair value of contingent consideration at acquisition						$	—					$	—					$	82.7

Cash paid for income taxes presented above is net of tax refunds of $430.4 million, $13.7 million and $15.5 million for fiscal years 2022, 2021 and 2020, respectively, driven primarily by federal and state loss carryback claims.

Schedule of Inventories

Inventories consisted of the following:

						September 24, 2022						September 25, 2021
Raw materials						$	252.9					$	163.3
Work-in-process						60.1						53.0
Finished goods						310.7						284.9
						$	623.7					$	501.2

Schedule of Property, Plant and Equipment

Property, plant and equipment consisted of the following:

			Estimated Useful Life						September 24, 2022						September 25, 2021
Equipment			3–10 years						$	394.8					$	467.1
Equipment under customer usage agreements			3–8 years						486.5						484.6
Buildings and improvements			20–35 years						196.0						191.2
Leasehold improvements			Shorter of the Original Term of Lease or Estimated Useful Life						44.8						49.7
Land									40.9						41.3
Furniture and fixtures			5–7 years						16.7						16.8
Finance lease right-of-use asset									7.5						9.9
									1,187.2						1,260.6
Less - accumulated depreciation and amortization									(705.6)						(695.9)
									$	481.6					$	564.7

Schedule of Intangible Assets

Intangible assets consisted of the following:

						September 24, 2022												September 25, 2021
Description						Gross Carrying Value						Accumulated Amortization						Gross Carrying Value						Accumulated Amortization
Acquired intangible assets:
Developed technology						$	4,565.6					$	3,458.2					$	4,597.7					$	3,184.2
In-process research and development						33.0						—						71.6						—
Customer relationships						601.9						535.6						591.7						510.1
Trade names						265.2						203.3						268.1						191.8
Total acquired intangible assets						$	5,465.7					$	4,197.1					$	5,529.1					$	3,886.1
Internal-use software						26.0						19.9						23.5						17.2
Capitalized software embedded in products						26.5						20.6						25.5						15.6
Total intangible assets						$	5,518.2					$	4,237.6					$	5,578.1					$	3,918.9

Schedule of Estimated Amortization Expense

The estimated amortization expense at September 24, 2022 for each of the five succeeding fiscal years was as follows:

Fiscal 2023			$	234.8
Fiscal 2024			$	221.1
Fiscal 2025			$	207.4
Fiscal 2026			$	175.8
Fiscal 2027			$	84.6

Rollforward of Goodwill Activity by Reportable Segment

A rollforward of goodwill activity by reportable segment from September 25, 2021 to September 24, 2022 is as follows: 

			Diagnostics						Breast Health						GYN Surgical						Skeletal Health						Total
Balance at September 25, 2021			$	1,410.8					$	797.1					$	1,065.6					$	8.1					$	3,281.6
Mobidiag acquisition			(4.9)						—						—						—						(4.9)
Bolder acquisition			—						—						68.8						—						68.8
Foreign currency and other adjustments			(92.1)						(15.3)						(1.5)						(0.1)						(109.0)
Balance at September 24, 2022			$	1,313.8					$	781.8					$	1,132.9					$	8.0					$	3,236.5

Schedule of Other Assets

Other assets consisted of the following:

						September 24, 2022						September 25, 2021
Other Assets
Tax receivable						$	30.4					$	24.7
Operating lease right of use assets						68.9						83.6
Life insurance contracts						49.2						64.3
Deferred tax assets						16.2						21.9
Equity investments						5.5						9.5
Other						40.3						41.7
						$	210.5					$	245.7

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 24, 2022																								Year Ended September 25, 2021
			Foreign Currency Translation						Pension Plans												Hedged Interest Rate Swaps						Total						Foreign Currency Translation						Pension Plans						Hedged Interest Rate Caps						Hedged Interest Rate Swaps						Total
Beginning Balance			$	(43.1)					$	(1.3)											$	(14.7)					$	(59.1)					$	(22.9)					$	(1.8)					$	(0.9)					$	(24.1)					$	(49.7)
Other comprehensive income (loss) before reclassifications			(224.1)						1.0												44.0						(179.1)						(20.2)						0.5						0.4						9.4						(9.9)
Charges reclassified to statement of operations			—						—												—						—						—						—						0.5						—						0.5
Ending Balance			$	(267.2)					$	(0.3)											$	29.3					$	(238.2)					$	(43.1)					$	(1.3)					$	—					$	(14.7)					$	(59.1)

Schedule of Accumulated Other Comprehensive Income (Loss) Related to Derivatives

			Years Ended
			September 24, 2022						September 25, 2021						September 26, 2020
Amount of realized (loss) gain recognized in income
Forward foreign currency contracts			$	68.5					$	(3.6)					$	0.7
Foreign currency option contracts			—						(6.1)						(1.9)
			$	68.5					$	(9.7)					$	(1.2)
Amount of unrealized (loss) gain recognized in income
Forward foreign currency contracts			$	14.7					$	0.5					$	(0.2)
Foreign currency option contracts			5.5						(4.0)						4.0
			$	20.2					$	(3.5)					$	3.8
Amount of gain (loss) recognized in income
Total			$	88.7					$	(13.2)					$	2.6

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 24, 2022:

			Balance Sheet Location						September 24, 2022						September 25, 2021
Assets:
Derivative instrument designated as a cash flow hedge:
Interest rate swap contract			Prepaid expenses and other current assets						$	31.9					$	—
Interest rate swap contract			Other assets						7.0						—
									$	38.9					$	—
Derivatives not designated as hedging instruments:
Forward foreign currency contracts			Prepaid expenses and other current assets						$	15.8					$	1.7
Foreign currency option contracts			Prepaid expenses and other current assets						10.6						—
									$	26.4					$	1.7
Liabilities:
Derivative instruments designated as a cash flow hedge:
Interest rate swap contract			Accrued expenses						$	—					$	11.1
Interest rate swap contract			Other long-term liabilities						—						7.6
Total									$	—					$	18.7
Derivatives not designated as hedging instruments:
Forward foreign currency contracts			Accrued expenses						$	—					$	0.6

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 24, 2022						September 25, 2021						September 26, 2020
Amount of gain (loss) recognized in other comprehensive income (loss), net of taxes:
Interest rate swap			$	44.0					$	9.4					$	(27.6)
Interest rate cap agreements			—						0.4						(0.5)
Total			$	44.0					$	9.8					$	(28.1)

Accounts Receivable Reserve Activity

2022, 2021 and 2020:

						Balance at Beginning of Period						Charged to Costs and Expenses						Divested						Write- offs and Payments						Balance at End of Period
Period Ended:
September 24, 2022						$	40.5					$	3.4					$	—					$	(6.2)					$	37.7
September 25, 2021						$	31.6					$	15.0					$	—					$	(6.1)					$	40.5
September 26, 2020						$	17.8					$	26.8					$	(5.8)					$	(7.2)					$	31.6

Schedule of Reconciliation of Basic and Diluted Share Amounts

A reconciliation of basic and diluted share amounts for fiscal 2022, 2021, and 2020 was as follows:

						September 24, 2022						September 25, 2021						September 26, 2020
Basic weighted average common shares outstanding						251,527						257,046						262,727
Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units						2,318						2,660						1,886
Diluted weighted average common shares outstanding						253,845						259,706						264,613
Weighted-average anti-dilutive shares related to:
Outstanding stock options and restricted stock units						1,049						528						1,158

Schedule of Product Warranty Activity

Product warranty activity for fiscal 2022 and 2021 was as follows:

						Balance at Beginning of Period												Provisions						Acquired												Settlements/ Adjustments						Balance at End of Period
Period ended:
September 24, 2022						$	8.8											$	6.3					$	—											$	(7.1)					$	8.0
September 25, 2021						$	9.9											$	7.7					$	0.3											$	(9.1)					$	8.8

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