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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
 6 Months Ended
Mar. 29, 2019
Mar. 30, 2018
Cash flows from operating activities:    
Net income $ 279,988 $ 320,156
Adjustments to reconcile net income to net cash provided by operating activities    
Depreciation and amortization 298,629 286,713
Deferred income taxes 3,475 (164,069)
Share-based compensation expense 33,241 33,511
Net gain on sale of Healthcare Technologies (139,165) 0
Changes in operating assets and liabilities:    
Accounts Receivable (137,789) (90,695)
Inventories (36,224) (29,835)
Prepayments and Other Current Assets (223) 12,560
Accounts Payable (86,069) (162,901)
Accrued Expenses (100,863) (190,161)
Increase (Decrease) in Customer Deposits (26,551) 0
Other operating activities 534 6,348
Net cash provided by operating activities 88,983 21,627
Cash flows from investing activities:    
Purchases of property and equipment and other (230,402) (248,404)
Disposals of property and equipment 7,556 4,988
Proceeds from divestiture 293,711 0
Acquisition of certain businesses, net of cash acquired (31,115) (2,227,785)
Other investing activities 18,445 (5,059)
Net cash provided by (used in) investing activities 58,195 (2,476,260)
Cash flows from financing activities:    
Proceeds from long-term borrowings 100,071 3,091,777
Payments of long-term borrowings (345,458) (683,102)
Net change in funding under the Receivables Facility 205,000 95,800
Payments of dividends (54,220) (51,547)
Proceeds from issuance of common stock 10,372 10,556
Repurchase of stock (50,000) (24,410)
Other financing activities (29,120) (40,276)
Net cash provided by (used in) financing activities (163,355) 2,398,798
Effect of foreign exchange rates on cash and cash equivalents (3,461) 2,571
Decrease in cash and cash equivalents (19,638) (53,264)
Cash and cash equivalents, beginning of period 215,025 238,797
Cash and cash equivalents, end of period 195,387 185,533
Supplemental Cash Flow Information    
Interest paid 180,200 148,300
Income taxes paid $ 118,900 $ 80,500