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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Supplemental Cash Flow Statement Information

Supplemental Cash Flow Statement Information

						Years ended
						September 30, 2023						September 24, 2022						September 25, 2021
Cash paid during the period for income taxes						$	296.1					$	36.2					$	615.1
Cash paid during the period for interest						$	105.4					$	99.7					$	93.2
Non-Cash Financing Activities:
Fair value of contingent consideration at acquisition						$	1.1					$	—					$	—

Cash paid for income taxes presented above is net of tax refunds of $39.3 million, $430.4 million and $13.7 million for fiscal years 2023, 2022 and 2021, respectively. The fiscal year 2023 and 2021 refunds received primarily related to tax filings and over-payments made in the ordinary course of business, while the fiscal 2022 refunds were primarily related to federal and state loss carryback claims.

Schedule of Inventories

Inventories consisted of the following:

						September 30, 2023						September 24, 2022
Raw materials						$	238.6					$	252.9
Work-in-process						66.3						60.1
Finished goods						312.7						310.7
						$	617.6					$	623.7

Schedule of Property, Plant and Equipment

Property, plant and equipment consisted of the following:

			Estimated Useful Life						September 30, 2023						September 24, 2022
Equipment			3–10 years						$	380.0					$	394.8
Equipment under customer usage agreements			3–8 years						508.1						486.5
Buildings and improvements			20–35 years						230.0						196.0
Leasehold improvements			Shorter of the Original Term of Lease or Estimated Useful Life						44.4						44.8
Land									41.1						40.9
Furniture and fixtures			5–7 years						19.2						16.7
Finance lease right-of-use asset									8.2						7.5
									1,231.0						1,187.2
Less - accumulated depreciation and amortization									(714.0)						(705.6)
									$	517.0					$	481.6

Schedule of Intangible Assets

Intangible assets consisted of the following:

						September 30, 2023												September 24, 2022
Description						Gross Carrying Value						Accumulated Amortization						Gross Carrying Value						Accumulated Amortization
Acquired intangible assets:
Developed technology						$	4,411.0					$	3,649.5					$	4,565.6					$	3,458.2
In-process research and development						25.7						—						33.0						—
Customer relationships						600.0						550.6						601.9						535.6
Trade names						253.6						212.8						265.2						203.3
Total acquired intangible assets						$	5,290.3					$	4,412.9					$	5,465.7					$	4,197.1
Internal-use software						24.0						17.8						26.0						19.9
Capitalized software embedded in products						27.7						22.7						26.5						20.6
Total intangible assets						$	5,342.0					$	4,453.4					$	5,518.2					$	4,237.6

Schedule of Estimated Amortization Expense

The estimated amortization expense at September 30, 2023 for each of the five succeeding fiscal years was as follows:

Fiscal 2024			$	203.2
Fiscal 2025			$	188.5
Fiscal 2026			$	158.6
Fiscal 2027			$	71.5
Fiscal 2028			$	68.5

Rollforward of Goodwill Activity by Reportable Segment

A rollforward of goodwill activity by reportable segment from September 24, 2022 to September 30, 2023 is as follows: 

			Diagnostics						Breast Health						GYN Surgical						Skeletal Health						Total
Balance at September 24, 2022			$	1,313.8					$	781.8					$	1,132.9					$	8.0					$	3,236.5
Normedi acquisition			—						—						2.0						—						2.0
Foreign currency and other adjustments			37.8						6.0						(1.0)						—						42.8
Balance at September 30, 2023			$	1,351.6					$	787.8					$	1,133.9					$	8.0					$	3,281.3

Schedule of Other Assets

Other assets consisted of the following:

						September 30, 2023						September 24, 2022
Other Assets
Tax receivable						$	33.0					$	30.4
Operating lease right of use assets						62.7						68.9
Life insurance contracts						56.1						49.2
Deferred tax assets						56.6						16.2
Equity investments						15.5						5.5
Other						44.0						40.3
						$	267.9					$	210.5

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 30, 2023																								Year Ended September 24, 2022
			Foreign Currency Translation						Pension Plan												Hedged Interest Rate Swaps						Total						Foreign Currency Translation						Pension Plan												Hedged Interest Rate Swaps						Total
Beginning Balance			$	(267.2)					$	(0.3)											$	29.3					$	(238.2)					$	(43.1)					$	(1.3)											$	(14.7)					$	(59.1)
Other comprehensive income (loss) before reclassifications			99.2						0.6												(9.2)						90.6						(224.1)						1.0												44.0						(179.1)
Ending Balance			$	(168.0)					$	0.3											$	20.1					$	(147.6)					$	(267.2)					$	(0.3)											$	29.3					$	(238.2)

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

			Years Ended
			September 30, 2023						September 24, 2022						September 25, 2021
Amount of realized gain (loss) recognized in income
Forward foreign currency contracts			$	1.3					$	68.5					$	(3.6)
Foreign currency option contracts			(4.0)						—						(6.1)
			$	(2.7)					$	68.5					$	(9.7)
Amount of unrealized (loss) gain recognized in income
Forward foreign currency contracts			$	(7.5)					$	14.7					$	0.5
Foreign currency option contracts			(5.5)						5.5						(4.0)
			$	(13.0)					$	20.2					$	(3.5)
Amount of gain (loss) recognized in income
Total			$	(15.7)					$	88.7					$	(13.2)

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 30, 2023:

			Balance Sheet Location						September 30, 2023						September 24, 2022
Assets:
Derivative instrument designated as a cash flow hedge:
Interest rate swap contracts			Prepaid expenses and other current assets						$	16.2					$	31.9
Interest rate swap contracts			Other assets						10.7						7.0
									$	26.9					$	38.9
Derivatives not designated as hedging instruments:
Forward foreign currency contracts			Prepaid expenses and other current assets						$	8.4					$	15.8
Foreign currency option contracts			Prepaid expenses and other current assets						—						10.6
									$	8.4					$	26.4

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 30, 2023						September 24, 2022						September 25, 2021
Amount of (loss) gain recognized in other comprehensive income (loss), net of taxes:
Interest rate swap			$	(9.2)					$	44.0					$	9.4
Interest rate cap agreements			—						—						0.4
Total			$	(9.2)					$	44.0					$	9.8

Accounts Receivable Reserve Activity

2023, 2022 and 2021:

						Balance at Beginning of Period						Charged to Costs and Expenses												Write- offs and Payments						Balance at End of Period
Period Ended:
September 30, 2023						$	37.7					$	3.7											$	(2.9)					$	38.5
September 24, 2022						$	40.5					$	4.2											$	(7.0)					$	37.7
September 25, 2021						$	31.6					$	15.0											$	(6.1)					$	40.5

Schedule of Reconciliation of Basic and Diluted Share Amounts

A reconciliation of basic and diluted share amounts for fiscal 2023, 2022, and 2021 was as follows:

						September 30, 2023						September 24, 2022						September 25, 2021
Basic weighted average common shares outstanding						246,772						251,527						257,046
Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units						2,059						2,318						2,660
Diluted weighted average common shares outstanding						248,831						253,845						259,706
Weighted-average anti-dilutive shares related to:
Outstanding stock options and restricted stock units						981						1,049						528

Schedule of Product Warranty Activity

Product warranty activity for fiscal 2023 and 2022 was as follows:

						Balance at Beginning of Period						Provisions						Acquired												Settlements/ Adjustments						Balance at End of Period
Period ended:
September 30, 2023						$	8.0					$	6.8					$	0.8											$	(7.3)					$	8.3
September 24, 2022						$	8.8					$	6.3					$	—											$	(7.1)					$	8.0

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