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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