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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Mar. 27, 2020
Mar. 29, 2019
Cash flows from operating activities:    
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest $ (56,138) $ 279,988
Adjustments to reconcile net income to net cash (used in) provided by operating activities    
Depreciation and amortization 295,911 298,629
Goodwill impairment 198,600 0
Deferred income taxes 17,405 3,475
Share-based compensation expense 4,259 33,241
Net gain on sale of Healthcare Technologies 0 (139,165)
Changes in operating assets and liabilities:    
Accounts Receivable (73,677) (137,789)
Inventories 5,166 (36,224)
Prepayments and Other Current Assets (6,951) (223)
Accounts Payable (218,211) (86,069)
Accrued Expenses (304,053) (100,863)
Payments made to clients on contracts (26,355) (26,551)
Other operating activities 72,418 534
Net cash (used in) provided by operating activities (91,626) 88,983
Cash flows from investing activities:    
Purchases of property and equipment and other (213,569) (230,402)
Disposals of property and equipment 8,238 7,556
Proceeds from divestiture 0 293,711
Acquisition of certain businesses, net of cash acquired (14,922) (31,115)
Proceeds from governmental agencies related to property and equipment 23,550 16,200
Other investing activities 115 2,245
Net cash (used in) provided by investing activities (196,588) 58,195
Cash flows from financing activities:    
Proceeds from long-term borrowings 1,822,955 100,071
Payments of long-term borrowings (935,258) (345,458)
Net change in funding under the Receivables Facility 400,000 205,000
Payments of dividends (55,257) (54,220)
Proceeds from issuance of common stock 85,048 10,372
Repurchase of common stock (6,540) (50,000)
Other financing activities (65,658) (29,120)
Net cash provided by (used in) financing activities 1,245,290 (163,355)
Effect of foreign exchange rates on cash and cash equivalents (755) (3,461)
Increase (decrease) in cash and cash equivalents 956,321 (19,638)
Cash and cash equivalents, beginning of period 246,643 215,025
Cash and cash equivalents, end of period 1,202,964 195,387
Supplemental Cash Flow Information    
Interest paid 179,300 180,200
Income taxes paid $ 36,100 $ 118,900