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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Jun. 28, 2019
Jun. 29, 2018
Cash flows from operating activities:    
Net income $ 363,052 $ 392,872
Adjustments to reconcile net income to net cash provided by operating activities    
Depreciation and amortization 447,408 443,646
Deferred income taxes 21,861 (155,050)
Share-based compensation expense 48,414 68,318
Net gain on sale of Healthcare Technologies (139,165) 0
Changes in operating assets and liabilities:    
Accounts Receivable (88,173) (101,538)
Inventories (37,133) (21,042)
Prepayments and Other Current Assets (33,586) 16,092
Accounts Payable (178,468) (149,627)
Accrued Expenses (164,584) (341,067)
Payments made to clients on contracts (see Note 7) (30,169) 0
Other operating activities (1,270) (7,092)
Net cash provided by operating activities 208,187 145,512
Cash flows from investing activities:    
Purchases of property and equipment and other (340,449) (432,779)
Disposals of property and equipment 11,020 7,686
Proceeds from divestiture 293,711 0
Acquisition of certain businesses, net of cash acquired (35,515) (2,239,601)
Other investing activities 21,841 (7,485)
Net cash used in investing activities (49,392) (2,672,179)
Cash flows from financing activities:    
Proceeds from long-term borrowings 107,796 3,146,069
Payments of long-term borrowings (372,168) (701,062)
Net change in funding under the Receivables Facility 255,000 145,800
Payments of dividends (81,305) (77,317)
Proceeds from issuance of common stock 21,339 15,961
Repurchase of stock (50,000) (24,410)
Other financing activities (31,322) (47,113)
Net cash provided by (used in) financing activities (150,660) 2,457,928
Effect of foreign exchange rates on cash and cash equivalents (3,105) (4,090)
Increase (decrease) in cash and cash equivalents 5,030 (72,829)
Cash and cash equivalents, beginning of period 215,025 238,797
Cash and cash equivalents, end of period 220,055 165,968
Supplemental Cash Flow Information    
Interest paid 248,300 227,700
Income taxes paid $ 137,400 $ 94,000