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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Dec. 27, 2019 | Dec. 28, 2018
Cash flows from operating activities: |  |
Net income | $ 145,883 | $ 250,676
Adjustments to reconcile net income to net cash used in operating activities |  |
Depreciation and amortization | 147,936 | 150,721
Deferred income taxes | 29,432 | (5,764)
Share-based compensation expense | 14,116 | 18,562
Net gain on sale of Healthcare Technologies | 0 | (140,165)
Changes in operating assets and liabilities: |  |
Accounts Receivable | (155,284) | (145,634)
Inventories | 14,199 | (7,858)
Prepayments and Other Current Assets | (2,224) | (47)
Accounts Payable | (141,235) | (132,285)
Accrued Expenses | (359,801) | (150,229)
Payments made to clients on contracts | (10,006) | (22,422)
Other operating activities | 7,500 | (19,217)
Net cash used in operating activities | (309,484) | (203,662)
Cash flows from investing activities: |  |
Purchases of property and equipment and other | (99,196) | (114,400)
Disposals of property and equipment | 3,646 | 954
Proceeds from divestiture | 0 | 293,711
Acquisition of certain businesses, net of cash acquired | (7,102) | (5,257)
Proceeds from governmental agencies related to property and equipment | 15,250 | 16,200
Other investing activities | 51 | 2,943
Net cash (used in) provided by investing activities | (87,351) | 194,151
Cash flows from financing activities: |  |
Proceeds from long-term borrowings | 58,671 | 72,723
Payments of long-term borrowings | (38,385) | (314,031)
Net change in funding under the Receivables Facility | 450,000 | 390,000
Payments of dividends | (27,483) | (27,161)
Proceeds from issuance of common stock | 26,089 | 1,077
Repurchase of common stock | 0 | (50,000)
Other financing activities | (57,329) | (24,489)
Net cash provided by financing activities | 411,563 | 48,119
Effect of foreign exchange rates on cash and cash equivalents | 3,247 | (3,752)
Increase in cash and cash equivalents | 17,975 | 34,856
Cash and cash equivalents, beginning of period | 246,643 | 215,025
Cash and cash equivalents, end of period | 264,618 | 249,881
Supplemental Cash Flow Information |  |
Interest paid | 87,300 | 80,200
Income taxes paid | $ 15,700 | $ 57,700

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